Carlos Rodrigues, GenesisCare, International

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Radiotherapy efficiency whilst maintaining quality / access Carlos RodriguesClinical Development Manager - GenesisCare InternationalSPAIN

INTRODUCTION /SPAIN

INTRODUCTION / SPAIN

AndalucaMurciaCommunidadValencianaMadrid

Castilla de la ManchaPresence in 5 regions

INTRODUCTION /

Presence in 5 regionsAlicanteMurciaTalavera(PPP)Alczar (PPP)ToledoGuadalajara (PPP)Jerez de la FronteraAlgecirasGranadaCordobaMadridSevillaCabra (= Goat )

600km / 370 miles11 + 5 RT centersSPAIN

INTRODUCTION /

Presence in 5 regions

1 Linac / 1 Bunker2 Linac / 2 Bunker1 Linac / 2 Bunkers

11 + 5 RT centersBunkers & LinacsSPAIN

INTRODUCTION /Presence in 5 regions11 + 5 RT centersBunkers & LinacsHeterogenous Fleet

SPAIN

INTRODUCTION /Presence in 5 regions11 + 5 RT centersBunkers & LinacsHeterogenous Fleet

SPAIN

INTRODUCTION /Presence in 5 regions11 + 5 RT centersBunkers & LinacsSPAINHeterogenous Fleet

Radiotherapy efficiency whilst maintaining quality / access Carlos RodriguesClinical Development Manager - GenesisCare InternationalSPAIN

INTRODUCTION / GenesisCare Vision and ValuesVISIONInnovating Healthcare. Transforming Lives.

STRATEGYDeliver high patient careSatisfy unmet needLeverage the benefits of a network

VALUESCollaborationCompassionInnovationOutcomesefficiencyqualityaccess

Efficiency vs Quality ?Capability of producing a specific outcome with a minimum of waste, expense or unnecessary effort.efficiency [ih-fish-uhn-see] noun, plural efficiencies.

So, we beat the crowd ... Now what ?

Adapt baby,Adapt !Being the first is not the answer anymore ...... continuously adapting is !Efficiency doesnt only define your current state but also how fast and appropriately you can adapt to changes ... This is THE future-readiness metric : )

Capability of producing a specific outcome with a minimum of waste, expense or unnecessary effort.efficiency [ih-fish-uhn-see] noun, plural efficiencies.Medical excellence and patient experience have been the 2 metrics to gauge Healthcare quality now has come the time where efficiency is also part of the equation.Health Cares Service Fanatics HBR. May, 2013Efficiency doesnt only define your current state but also how fast and appropriately you can adapt to changes ... This is THE future-readiness metric : )

Efficiency vs Quality ?

What about Access ?State of the art techniques for all patients always

10 years

5 years

11 years

17/18 years

What about Access ?

Unacceptable maintenance schedules & downtimes

Implementation of new preventive maintenance pulse

Establish shorter intervention timesWork towards a similar to UK/AUS in-house serviceEstablish a GC continuous tracking of our equipmentState of the art techniques for all patients always

What about Access ?

Example: Toledo 1 Linac / 1 Bunker with 540 patients/yearState of the art techniques for all patients always

What about Access ?

Intense head scratching : )

TomoMobileRADTech, NelcoFast Linac GO-LIVE

Taxi

State of the art techniques for all patients always

What about Efficiency ?

Develop internal know-how (standardisation, automation, )Create initial platform & practice alignmentCreate coherent technical platform to boost network leverageSystem resilience (back-up, disaster recovery, uptime, )Alignment of clinical practices (support and simplify adherence)Automation (reduce workload and enhance robustness/quality) Roster (leverage the network workforce)Minimise impact on current running practicesCreate practice alignment between AUS_UK_SPAIN ASAPProduce quickly workload relief

Baseline/uplift infrastructural investmentPatient (immobilisation devices)Equipment (machine and patient dosimetry)Staff (promote training and redundancy)

What about Efficiency ?Examples

Stabilisation & Immobilisation project

Chris MartinService Improvement Manager Kate WalshService Improvement Coordinator

Carlos Rodrigues Clinical Development Manager

Delos Wilbur IT International What about Efficiency ?ExamplesPinnacle Smart Enterprise upgrade

Alberto Sanchez-ReyesHead of Medical Physics

Mario MartinezManuel Jimenez

Clara JoverMedical Physicist

Gary Bee Application Integration SpecialistWhat about Efficiency ?ExamplesPinnacle Scripting preparing for SmartPlannning

Automated processes

What about Efficiency ?ExamplesAutoContouring

Raul Matute Radiation Oncologist

Adriana FondevillaRadiation Oncologist

Rafael GarciaRadiation Oncologist

Automated processes

What about Efficiency ?ExamplesEquipment QA

Site X

Site Y

Site Z

IMOncologyPhysics Team

Questions ?