View source for The Future of Hospitals in Amsterdam in 2020

==EMBA09 team==
*Peter Hoppesteyn<br>
*Roel Kock<br>
*Piotr Ptasinski<br>
*Miranda Tjiang<br>
*Marjoleine van der Zwan<br>
<br>
==Introduction==

*''Will we all have access to hospital care in Amsterdam in 2020, or do we have to travel to Utrecht or Brussels or The Bahamas for specific care? <br>

*''Will we live longer and have higher demands for quality?<br>

*''Will technology and ICT continue to devolope at high speed? <br>

*''How can health care be finances in 2020? <br>

*''Will The Netherlands be a province of the European Union by 2020? <br>

*''Are the negotiators from the health insurance cmpanies taken over by European ones or even Azian or American?'' <br>

Who knows. Everything was more or less possible when we started this eight weeks parttime project. <br>

In order to investigate the different possibilities we researched literature, had interviews with three executives (CEO, Planning & Control, Construction) and were coached by our professor Erasmus. 

These sources of information form the basis under the four scenarios of the future of hospitals in Amsterdam in 2020:<br>

[[1. Transsensual]]<br>
[[2. Unsolidarity?]]<br>
[[3. The health community system]]<br>
[[4. All together now]]<br>

==Driving forces==
•	[[Innovation in health care]]<br>
•	[[Accessibility of hospitals in Amsterdam]]<br>
•	[[Biometrics]]<br>
•	[[Aging population]]<br>
•	[[Low cost of internet connections]]<br>
•	[[Continuously growing demand for new medical applications]]<br>
•	[[Consumer health informatics in the information age]]<br>
•	[[Emergence of new Technology Related Diseases]]<br>
•	[[Increasing empowerment of consumers]]<br>
•	[[Increasing Neglect of the Elderly]]<br>
•	[[Medicine]]<br>
•	[[Religion]]<br>
•	[[Segmentation]]<br>
•	[[Number of people in Amsterdam]]<br>
•	[[Number of visitors in Amsterdam]]<br>
•	[[Financing and costs of the Dutch health care system]]<br>
•	[[The power of insurance companies in health care]]<br>
• [[Decrease Labor productivity in health care]] <br>
• [[Impact of Social and Cultural Differences in Healthcare ]] <br>

==Mind Map==
[[Image:Ziekenhuizen 2020.jpeg]]

==Research Questions==
1. What is the hospital capacity in Amsterdam and The Netherlands?<br>
2. Which differentiations are there at the moment?<br>
3. Which stakeholders are known in health care?<br>
4. What is the demand?<br>
5. What are the trends?<br>
6. How is the health care financed?<br>

<Graag aanvullen>

<br><br>
==Interview Questions==
1.	Which developments were the most impressive to you over the last 15 years?<br>
2.	Which developments will have the most impact on your hospital over the next 10 years? <br>
3.	Which developments do you see in Amsterdam? <br>
 a.	Which of these developments have a potential impact on hospitals? <br>
 b.	Which developments outside The Netherlands have a potential impact on hospitals? <br>
 c.	Which developments deserve more attention and/of investigation? Why? <br>
4.	What are the biggest changes for your hospital in the short time (up till 2 years)? <br>
5.	What are the biggest opportunities and threats for your hospital between now and 5 years? <br>
 For example: <br>
 a.	How will prevention and home health care change demand and how is the hospital going to prepare for these changes? <br>
 b.	How is aging affecting the hospital care? When is it the highest impact expected in Amsterdam and in The Netherlands? <br>
 c.	Regarding transplantations: what is the need? What is the impact on your hospital? <br>
6.	A trend in society is “custom made”; how is your hospital adapting to that trend? <br>
7.	What are the major technological developments and which of them will have the biggest impact on health care in the coming years? <br>
8.	For which trends is the hospital preparing? <br>
9.	What do you think hospital care looks like in 2020? <br>
10.	What needs to be changed in 2020? <br>
11.	Will there be the same players? <br>
12.	What shifts do you expect the coming years? <br>
13.	Will there be a shift in focus? <br>
14.	Is there enough hospital capacity in 2020? If not, how big is the over- or under capacity? <br>
15.	Do you expect other demands or changes in health care due to the multiplicity of cultures in Amsterdam in 2020? <br>
16.	What differences in health care do you expect in Amsterdam compared to the rest of the Netherlands? <br><br>



==Summary of Interviews==
In order to support the development of the scenarios, the team has visited one of the main hospitals in Amsterdam. The following persons have been intervied during this visit: <br>

*[[Interview with the chairman of the board of management]]<br>
*[[Interview with the financial controller]]<br>
*[[Interview with the responsible manager for housing and buildings]]<br>

==System Diagrams==
Systems Diagram: first version <br>
[[Image:mindpic.jpg]]
<br><br><br>
Systems Diagram: final version<br>
[[Image:mindmap.jpg]]
<br>

==Scenarios==
[[1. Transsensual]]<br>
[[2. Unsolidarity?]]<br>
[[3. The health community system]]<br>
[[4. All together now]]<br>

==Resources==
*[http://www.minvws.nl Ministry of Health Welfare and Sports]<br>
*[http://www.nza.nl Dutch Healthcare Authority]<br>
*[http://www.slaz.nl Sint Lucas Andreus Hospital]<br>
*[http://www.amc.nl Academic Medical Centre]<br>
*[http://www.wikipedia.nl Wikipedia]<br>
*[http://www.obesitas.nl Obesitas]<br>
*[http://www.rivm.nl National Institute for Public Health and the Environment]<br>
*[http://www.cpb.nl Netherlands Bureau for Economic Policy Analysis]<br>
*[http://www.amsterdam.nl Amsterdam]<br>
*[http://www.cbs.nl Statistics Netherlands]<br>
*[http://www.nictiz.nl NICTIZ]<br>