• Prof. Dr. Fred van Eenennaam joins the Microeconomics of Competitiveness Affiliate Network Hall of Fame


    We are delighted to announce that Prof. Dr. Fred van Eenennaam, partner of The Decision Group, has been put in the limelight by Prof. Dr. Michael Porter. Because of his contribution to the pragmatics of and research in the competitiveness of clusters, as well as his extensive involvement in the worldwide MOC network, Prof. Dr. Fred van Eenennaam is now included in the Microeconomics of Competitiveness Affiliate Network Hall of Fame. We are proud of this unexpected honour, and we see it as an encouragement to continue to offer our expertise to all who can use it to their advantage.

    Visit our dedicated website to learn more on Competitiveness & Clusters!

    The Netherlands Institute for Competitiveness

    Furthermore, we are pleased and excited to announce that in December 2012, we have launched the Netherlands Institute for Competitiveness. The Institute could not have been established without the help from our international academic colleagues. It is the logical consequence of the experiences in the past. The center combines the international network of cluster organizations with academic and pragmatic expertise on international business. The aim of the Netherlands Institute for Competitiveness is to provide expertise, access and knowledge to 1) companies that wish to build their international business and 2) academic institutes that wish to increase their knowledge.

    We invite you to take a look at our website.

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  • Transparancy of qualtity of care goes beyond mortality rates

    Zorgvisie – December 3rd, 2012

    In December 2012 a number of hospitals made their mortality rate or so called HSMR (Hospital Standarised Mortality Ratio) public. This is an important step towards transparency of quality of care delivery.  However, we cannot rely on HSMR warns Piet-Hein Buiting the new CEO of Santeon (joint force of six top clinical Dutch hospitals). Comparing hospitals based on HSMR is unreliable and the number tells us nothing about the performance of individual departments. If we really want to give insight in quality of care, we need more specific data. In this respect Piet-Hein Buiting praises Meetbaar Beter, the joint effort of  the heart centres of Catharina  Hospital, St. Antonius Hospital Nieuwegein and The Decision Group.

    Outcome Measures

    With the Value Based Healthcare Center Europe, The Decision Group strives to develop patient relevant medical outcome measures that facilitate decision making and dialogue, making quality comprehensible. We provide clear insight in the whole cycle of care around a medical condition. Together with medical specialists, professionals and patients, the outcomes that are most relevant for the patient are successfully determined. Our methodology was successfully implemented in the project Meetbaar Beter.

    If you are interested to learn more about Value Based Healthcare and the use of Outcome Measures, please refer to our Clinical Management Workshop Series and our specialized Masterclasses Value Based Health Care.

    Visit our Value Based Health Care Center and learn, share and inspire!

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  • Meetbaar Beter Outcome Books available for download

    The first outcome measures and results for several medical conditions in cardiology are known! Download the Meetbaar Beter books by clicking the seperate books for the Heart Centers of Catharina and St Antonius hospitals.

    Meetbaar Beter – Value Based Health Care

    With Meetbaar Beter, The Decision Group, together with the cardiologists and cardio thoracic surgeons of Catherina and St Antonius Nieuwegein Hospitals developed patient relevant medical Outcome Measures for 5 medical conditions in cardiology and new medical conditions are being explored.

    Meetbaar Beter is based on the concepts of Value Based Health Care.  The outcome measures are developed from the perspective of the patient. What are the value adding activities for the patient and how can value be measured? Learn more and visit the dedicated website: www.vbhc.nl

    Learn More? Masterclass Outcome Measures – October 30

    Learn how Outcome Measures can be developed and implemented during the Masterclass Outcome Measures of  October 30, 2012 or March 6th, 2012.  Sign up or send an email to Niels van Gorp for more information. Best practices in the field of clinical management are discussed at the Clinical Management Workshop Series based on Harvard Business Cases. Discover how the Cleveland Clinic implemented outcome measures or how Intermountain optimized its processes. Visit the website for more information.

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  • Understand your customers – Innovation & Growth

    “Understand your customers, your own DNA and design your own business model! But formost, timing. Timing of strategic moves is crucial.” These were the two main conclusions of case teacher and innovation expert Ir. Maarten Koomans during the workshop Innovation & Growth of the Strategy & Governance Excellence Series of affiliate The Decision Institute.

    Apple Inc as best practice

    Take Apple. It has been a rocky-ride for most of their existence. Sure, now they are the most valueable company with a P/E of 13, but not always. What connects their NOW with their PAST is the profile of their customer base, innovation capabilities combined with their own true understanding of design and users. The Intel move should not have happened two years earlier or later. Both would have been disasterous. The Business Model Canvas serves in this discussion as a super conversation tool to understand where your core is, and where you might look to find a starting point for new approaches/products/services.

    Continuously, business environments change; new competitors enter the market, new technologies appear and other substitution services or products reach your clients. To stay ahead of the curve, it is necessary to think about your business model over and over again.

    • What is the added value for the client?
    • What are the key activities of the business?
    • What are the costdrivers of the business?

    Partnering with Business Models Inc., The Decision Group can visualize and develop a value proposition for your business, with the tool: Advanced Business Model Canvas.

    More Information

    For more information about the Strategy & Governance Excellence Series of affiliate The Decision Institute, can be found on our website.

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  • Experts give vision on implementation and use Outcome Measures

    ‘Determining Outcome Measures based on the Value Based Healthcare methodolgy is very practical and forces to think in small steps. A bottom-up perspective that can result in  major culture changes.’ These were the two main conclusions of the healthcare experts during the masterclass Outcome Measures of affiliate The Decision Institute.

    Establishing Outcome Measures is an essential step in creating Patient Value. It results in putting the patient at the core of the Healthcare system. From a historical perspective, outcome measures are developed to provide information to several governmental institutions.  However, these measures can also be used beyond compliance to function as a tool to improve quality and efficiency.  The implementation requires a company culture change. However, by starting with small steps, these changes will roll out automatically.

    Implementation: Do and Don’ts


    • Select the right outcome measures; first the most relevant outcome measures for patients and the medical staff, then for the board and insurance companies.
    • Improve the culture of the organization from bottom up.
    • The quality of decision making by indicators, depends on clearly defined medical conditions.
    • Your own leading medical professionals, with outside help and references, will lead this process most effectively.

    Do not

    • Do not fall in the trap of availability of data, process or structure measures and health economic methodologies.
    • Avoid making this a staff accreditation excercise.
    • Do not bother with the many and unsuccesful indicator efforts in The Netherlands, they have obstructed clinical delivery and decision making.

    Value Based Healthcare: How to start?   

    The Decision Group has internationally leading expertise on the development of patient relevant medical outcome measures. As official Partner of Prof. Michael Porter at Harvard Business School we have developed practical ways to implement his theory of ‘Value-based Healthcare’.  One of our Value Based Healthcare projects is the development of outcome measures for the heart centers of Catharina-hospital Eindhoven and Antonius hospital Nieuwegein. In case, you would like to learn more:

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  • New perspectives on the cost crisis in healthcare

     Our befriended affiliates at Harvard Business School; Prof. R.S. Kaplan and Prof. M.E. Porter published a new article in the New York Times. “Why Medical Bills Are a Mystery”.(Click to download)  The piece sheds light on the broken costing practices in health care and the opportunities that arise from accurately measuring the costs of resources used at the medical condition level. Combining improved costing practices with rigorous measurement of patient outcomes allows for targeted process redesign and care delivery improvements, which yield substantial savings and may be the only way to truly “bend the curve” of rising health care costs.

    The Decision Group hopes you enjoy the article and that it engenders discussion of these issues at your organization.

    Masterclass Health Costing

    The Decision Group and The Decision Institute work as the European partner of prof. Porter to roll out the principles of Value Based Healthcare, of which Health Costing forms an integral part.  Our new Masterclass Health Costing is now available to help you and your organization with a practical approach towards Health Costing and decisionmaking on costs. For more information on our open or inhouse Masterclass Health Costing or to run a pilot program, please contact Barbara Schooneveldt at b.schooneveldt@thedecisiongroup.nl. For more information on the other masterclasses in the Value Based Healthcare series, download the brochure or visit our healthcare website.

    See also:

    – The Decision Group Healthcare Consulting
    Academic Connections

    Executive Education Programs Healthcare by affiliate The Decision Institute: 
    Clinical Management Workshop Series
    Masterclass Healthcare ‘New&Improved’

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  • The Value of Diagnostics – Launch Event on June 5th, 2012

    Did you know that in The Netherlands:

    • Diagnostics influences as much as 60-70% of healthcare decision making
    • Expenditure on diagnostics is even less than 6% of the total health expenditure

    Diagnostics does not  receive the attention it deserves. It is the missing link for a sustainable healthcare system, providing immediate opportunities to reduce costs and to deliver higher quality of care.

    The Value of Diagnostics – The Study

    The Decision Group and Isala Klinieken proudly present the results of the study  “the Value of Diagnostics”. This study resulted in the first decision framework for diagnostics. It will help you and your organization to assess the value of different types of diagnostics and provides a much more efficient mechanism to take  reimbursement, investment and portfolio decisions.

    On Tuesday June 5th, the latest insights will be shared on our study results, the new framework and the method. The event will take place on 14.00u-18.00u in Hotel Wientjes, Stationsweg 7, Zwolle.

    To register for participation, please fill out the online application form or contact Kim Bruheim (k.bruheim@thedecisiongroup.nl). For more information on the Value of Diagnostics visit our special website and download the Executive Summary.

    See also

    – The Decision Group Healthcare Consulting
    Academic Connections
    –  Executive Education Programs Healthcare by affiliate The Decision Institute: 
    Clinical Management Workshop Series
    Masterclass Healthcare ‘New&Improved’

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  • Outcome Measures: Value Creation for Patients

    An inspiring and successful Clinical Management Workshop was organized at the first spring day of 2012, March 21st. The workshop was part of the Clinical Management Workshop Series. A large group of healthcare professionals from various hospitals and participants from the industry actively discussed the latest insights and Dutch situation regarding the subject of ‘Outcome Measures: value creation for patients’.

    The key learnings of the workshops were connected to the following topics:

    • Health outcomes are both the starting point to create patient value, as steering indicators for internal organization.
    • Outcomes, costs, and the activities in the care cycle are interrelated, change in any of these elements has effects on the other two.
    • Practice units should be integrated and be uncoupled from finance units. The financial structure should not be leading the organizational structure.
    • Medical AND managerial coordinators are essential for optimal collaboration between units

    Value-based Healthcare & Outcome Measures

    Next to the Clinical Management Workshop Series, we organize several other programs and projects:

    • Inhouse masterclasses and workshops on outcome measures
    • Co-development projects on new outcome measures
    • Tailored projects on ‘Value-based Healthcare’

    Check our proceedings at Catharina Hospital (Eindhoven) and Antonius Hospital (Nieuwegein) – Meetbaar Beter Project

    For more information, please contact us at 0346-574942, or send an e-mail to Barbara Schooneveldt; b.schooneveldt@thedecisiongroup.nl.

    See also:

    Strategy Consulting for Healthcare & Life Sciences:
    – Consulting for Healthcare
    – Consulting for Life Sciences

    The Decision Institute Healthcare Masterclasses & Workshops:
    Clinical Management Workshop “Outcome Measures”
    – Clinical Management Workshop “Managing Hospital Safe – Guards”.
    – Clinical Management Workshop “Concentration and Distribution”.
    – Masterclass Healthcare ‘New&Improved’
    – Masterclass Outcome Measures

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  • Dutch Economic Strategy Discussed with Harvard students

    Prof. Dr. Fred van Eenennaam, partner of The Decision Group and Dirk Hogervorst, of FloraHolland, acted as case protagonists in Prof. Michael Porters’s teaching of the Dutch Flower Cluster case. The topics discussed were on strategies in clusters and competitiveness in relation to the Dutch Economy. The Dutch Flower Cluster Case, the succes story of the flower industry in The Netherlands, is a Harvard Business School case written by Prof. Porter, Dr. Ramirez-Vallejo and Prof. Dr. Fred van Eenennaam with the help of Dirk Hogervorst of FloraHolland. The flower industry is important for the Dutch economy and part of the topsector horticulture & propagation materials. With topsectors, the Dutch government has set a focus on core clusters for innovation policy.  

    The Decision Group and Clusters and Competitiveness

    The Decision Group has extensive expertise in competitiveness, clusters and associations. Our work in clusters has academic grounding through Prof. Dr. Fred van Eenennaam’s connects to Harvard’s  Microeconomics of Competitiveness course and international network. The Decision Group helps monitoring clusters success, develops strategic plans and scenario’s, and is active in association management. For 4 years now, The Decision Group develops a yearly Outlook for the Dutch Life Science Health cluster, monitoring performance & progress with recommendations for future improvement. The Decision Group just started development of the Dutch Life Sciences & Health Outlook 2013. 

    See also

    The Decision Group Strategy Consulting on Competitiveness & Clusters:
    Consulting on Competitiveness & Clusters

    The Dutch Life Sciences Outlook:
    –  Outlook 2012

    The Decision Institute: Clusters and Competitiveness:
    The Netherlands Institute of Competitiveness
    Microeconomics of Competitiveness
    The Dutch Flower Cluster Case

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  • The Decision Group hosts Dutch Hospital CEOs to Exclusive Harvard Workshop

    In the first week of January four Dutch Hospital CEOs accompanied Ir. Maarten Koomans (partner of The Decision Group) to the Harvard Business School in Boston.

    Prof. Porter emphasized our fine relationship by introducing the Decision Group as “our (Harvard Business School. red.) partner in unrolling the concepts of Value Based Healthcare in the Netherlands and Europe.”

    Value Based Healthcare

    During the Strategy for Healthcare Delivery Workshop, the latest insights were shared on Value Based Healthcare. Business cases of best practice hospitals were discussed with subjects like Time-driven Activity Based Costing, Outcome Measures, Integrated Practice Units and Network Strategy. Prof. Kaplan, the world renowned expert on accounting, was a keynote speakers during the workshop.

    The Decision Group has expertise on all Value Based Healthcare topics and integrates the best practices in our Healthcare projects. The “flagship project” is the definition of Outcome Measures for both Catharina Hospital and Antonius Hospital. In our Clinical Management Workshop Series the latest insights on Value Based Healthcare are shared with participating stakeholders in Dutch Healthcare.

    See also:

    The Decision Group Healthcare Consulting:
    Healthcare Consulting

    Executive Education Programs Healthcare by affiliate The Decision Institute: 
    Masterclass Outcome Measures
    Clinical Management Workshop Series
    Masterclass Healthcare ‘New&Improved’

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