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Necker-Enfants Malades hospital 1

Necker hospital: strategic plan 2010-2014

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Page 1: Necker hospital: strategic plan 2010-2014

Necker-Enfants Malades hospital

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Page 2: Necker hospital: strategic plan 2010-2014

NECKER AND THE UNIVERSITY

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Page 3: Necker hospital: strategic plan 2010-2014

Psychologie Sciences humaines

Droit

Médecine Médecine Saints-PèresOdontologie

Pharmacie

IUT

Université Paris Descartes Université Paris Descartes

Page 4: Necker hospital: strategic plan 2010-2014

School of Medicine of Paris-Descartes

Founded in June 2004 (fusion of Necker, Cochin, Broussa is Faculties)

� 3 sites : Necker, Cochin, Cordeliers� 5 main Hospitals: Necker, Cochin, HEGP, Hotel-Dieu, Ste Anne� 3000 beds > 100 clinical units� Medical students : 8000, including ~4000 (1 rst & 2rd cycle)� P2: ~350 students (annual promotion)

University and Research staff

� Professors : 300� Associate Professors and Assistants: 500� Technicians 140 and Administratives : 130 = 270� University Hospital: CH &U Paris / AP-HP� ~50 Research Units: 4 main sites (Necker, Cochin, Cord eliers, Ste Anne,

Georges Pompidou)� > 300 scientists INSERM et CNRS � > 300 technicians EPST . � Patrimony: 52 200 m2

Dean Patrick Berche

Université Paris Descartes Paris

Page 5: Necker hospital: strategic plan 2010-2014

Hôtel-Dieu

Necker Cochin

Ste Anne

HEGP

Kidney & grafts, Pediatrics, Genetic diseases, hematology, Immunology…

Cancer, Heart diseases ,Surgery, Emergency &internal medicine

Rhumatology, endocrinology, Internalmedicine, Surgery, Emergency, Cancer

NeurolgyPsychiatryMental disorders

Ophtalmology, Diabetis, Emergency, dermatology

Universitary Hospitals of Paris Descartes Medical Sc hool

Page 6: Necker hospital: strategic plan 2010-2014

NECKER HOSPITAL

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Some facts and figures

• Pediatrics : 2/3 of its activity Beds : 600

• Staff– 700 Medical personnel / 3200 Paramedical personnel

• Care ( numbers per year)– 62 000 Hospitalizations– 74 000 Emergencies– 2 400 Deliveries– 310 000 Consultations– 240 Organ transplants (adults and children)– 100 000 Imaging analyses

– 140 000 000 Laboratory analyses

NECKER TODAY

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• Specialized medical activities closely linkedwith research

– 32 Centers for treatment of rare diseases– 22 Research Units (= 5 % of the national medical

research units)– 600 Researchers– 2 Clinical Investigation Centers, 1 Biobank– 1100 Publications/year

NECKER TODAY

Page 9: Necker hospital: strategic plan 2010-2014

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Origin of patients

National16%

Foreign countries 2%Overseas

2%

Suburbs27%

Paris29%

Metropolitan Paris24%

NECKER TODAY

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9 Departments- Specialized Pediatrics

- Pediatric Surgery

- Obstetrics and Pediatric Cardiology

- Intensive care, Emergencies, Anesthesiology

- Hematology, Immunology, Infectiology

- Adult Uro-Nephrology, Ophtalmology

- Imaging

- Laboratory Medicine and Pharmacy

- Clinical Research, Informatics and Public Health

NECKER TODAY

Page 11: Necker hospital: strategic plan 2010-2014

1111

LAENNEC

IMAGINE

NECKER TODAY

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LAENNEC

NECKER TOMORROW

Necker square

underground gallery

GARDEN 1 hectare

R. DebréBiologyBiologyImagine

HAMBURGER

Page 13: Necker hospital: strategic plan 2010-2014

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STRATEGIC PLAN 2010–2014Milestones

� August 2010 : Saint-Vincent-de-Paul Hospital merge d on site with Necker

� December 2011 : Childcare Institute of Paris merged with Necker Hospital but it’s still off site

� December 2012 : ENT and Maxillary-facial activities of Trousseau Hospital will merge with Necker Hospital and move into Lae nnec

� December 2012 : Opening of Laennec building

� Reorganization of pediatric activities on the Necke r site after opening of Laennec building

� September 2013 : Opening of the Imagine research Institute

� Project of Laboratory Medicine

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Page 14: Necker hospital: strategic plan 2010-2014

The new Laennec building dedicated to motherand child care

Architect : Philippe Gazeau

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Laennec project

• Objectives of the Laennec project� To improve patient safety and quality of care :

� Develop Perinatality� Concentrate pediatric activities in 3 buildings instead of 7� To make hospitalization more humane

� To improve the efficiency of clinical care and medico-te chnical platforms� Reach a critical mass of medical activities

� Common hospitalization platforms

� Optimize « Bed management » and Regulate technical platforms (surgery units, consultations)

� To optimize turnaround time in Pediatrics and Perinatalit y:� Reduce hospitalization time� Develop ambulatory care

� Optimize capacities (occupancy target of : 80 - 85%)

NECKER IN MOTION

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Boosting Organ Transplant

• Necker assets

• At APHP Necker is alone to carry out kidney, heart, li ver, gutand liver-gut transplantations

Research strengths in Immunology

Extensive experience

Medical and Surgical Expertise

Strong technological supportImaging, Biology, Intensive care

NECKER IN MOTION

Page 17: Necker hospital: strategic plan 2010-2014

The medical project of Laennec

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Activities in Laennec building: 406 beds and 6 dialysis beds

ObstetricsMedico-surgical

cardiology

Logistical plateform

and medico-technical activities

Consultations (5 modules)

Integrated emergency plateform

(medical imagery, surgical units, post-anesthes. rooms)

Intensive care units

Neurosurgery, Orthopedics, Maxillo-facial surgery, ENT, Ambulatory surgery unit

Medico-surgical plateform and transplantation:

Gastroenterology, Nephrology and DialysisVisceral surgery, oph and pluridisciplinary

Pediatrics

NeonatalogyObs. delivery

plateform R+5

R+2

R+3

R+4

R+1

RDH

RDB

-1

Pediatric cardiology -Perinatality

Medico-surgicalHospitalization

Acute medicine

Operating surface: 55 000 m2 except technical 6th floor

Page 19: Necker hospital: strategic plan 2010-2014

Some views of Laennec

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Page 20: Necker hospital: strategic plan 2010-2014

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Rue de Sèvres - 2013

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Ground floor - 2013

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Carrefour Duroc - 2013

Page 23: Necker hospital: strategic plan 2010-2014

The Necker gardenThe Necker garden

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Page 24: Necker hospital: strategic plan 2010-2014

NECKER RESEARCH

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AppliedResearch

FundamentalResearch

0

Vannevar Bush � Donald E. Stokes

Science

Medicine

� Necker Strategic Plan

Michel Vekemans & Michel Alcaraz

GeneticsImmunologyInfectiologyCancerChildren Adults

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A VERY STRONG AND DIRECT LINK BETWEENPATIENT CARE- LABORATORY MEDICINE - IMAGING-RESEARCH

NECKER TODAY

CLINICS

Proximity Activities

References Activities

BIOLOGY AND IMAGING

RESEARCH

Page 27: Necker hospital: strategic plan 2010-2014

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Innovative and personalized Biology- Making patient-based research the foundation

Programs L2R, Heredity, Immunity, Infection, Cancer, Pharmacy, Biobank...

- Capturing the benefits of technologyPlateforms CGH-arrays,High throughput sequencing, Mass spectrometry,

Imaging…

- Tracking efficiencyOptimizing prescriptions of laboratory analyses and drugs

- Establishing Quality Assurance and Control (Accreditation)

- All labs in ONE BUILDING INSTEAD OF FOUR!

NECKER IN MOTION

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Research in pediatrics at Necker

• Both experimental and clinical research are part of a univ ersityhospital involved in pediatric care

• A long-standing tradition (from R. Debré, to P. Royer, …)

• 6 research units (INSERM) working on genetic diseases (brain, kidneys, bones, development, gut, heart, eye, immune system…)grouped in the « Institut des Maladies Génétiques » IMAGI NEStaff : 300 + 2 research groups in Endocrinology, cystic fibrosis

• Large cohorts of patients with rare pediatric diseases

Clinical research facilities/gene and cell therapy���� Critical mass of both experimental and clinical research

NECKER IN MOTION

Page 29: Necker hospital: strategic plan 2010-2014

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Research Achievements

– > 120 disease genes discovered– First prenatal and preimplantatory diagnosis in France– First bone marrow transplantation in France– First pediatric organ transplantations (kidney, gut)– First successful gene therapy– And more…

NECKER IN MOTION

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IMAGINE: A new building � in sept 2013 11,000 m2 fully equipped laboratories for 48 groups of 6 to 8

Up to date plateforms (genomics, bioinformatics, animal house, imaging…)

3,000 m2 for clinical research (clinical investigation center, biobank, rare disease reference center) + out patient clinics

A possibility to recruit 8-10 groups between 2012-2015 working on neuroscience, development and stem cells

NECKER IN MOTION

Overall research environment of the campus (university building to be renovated –immunology/cell biology) Pediatric/adult medicine network in the care of chronic diseases (Institut HospitaloUniversitaire/Medical Research Institute)

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NECKER IN MOTION

2007 2008 2009 2010 2011 2012 2013/2014

Financial result ( M€)

-15.9 -5.6 +7,1 +11.5 +5 +5 +9

Despite refurbishing the site at an additional cost of 264 M€ ( due to investment),we still anticipate a positive result in 2014

Necker Annual operating budget = 380 M€

Finances: right on target!

Page 32: Necker hospital: strategic plan 2010-2014

Conclusion

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To sum up:

• AP-HP envisioned a new organization for specialized Pe diatricswithin Paris intramuros

• St Vincent de Paul hospital, Paris Childcare Instit ute and Necker hospital merged successfully and Trousseau wil l jointhem in december 2012.

• Laennec building will therefore represent a critical ma ss of pediatric care underpinned by research

• We believe that this new organization will strengthen pedi atricsin Paris and offer children the best quality care poss ible.