OUS, Nov 2015

Oslo University Hospital

• Includes former Aker University Hospital, Rikshospitalet University Hospital, The Norwegian Radium Hospital and Ullevål University Hospital

• Before the merger:– Two or more hospitals offered the same health services and

treatments within the same area– Potential for more efficient use of professionals and

resources

Brief history• 1 July 2007: The Southern Norway Regional Health Authority and The

Eastern Norway Regional Health Authority merged into the South-Eastern Norway Regional Health Authority

• Aim: To improve the hospital structure in Oslo• Autumn 2008: The Board of the South-Eastern Norway Regional Health

Authority decided to split the region into hospital areas in which health trusts should provide the population with comprehensive health services

• 1 January 2009: Oslo University Hospital was established with the merger of Aker University Hospital, Rikshospitalet University Hospital, The Norwegian Radium Hospital and Ullevål University Hospital

• Aim of the merger: – strengthen the role as a local hospital– unite regional functions– adapt resources to a reduced catchment area– establish good pathways of patient care

The hospital's main tasks

• Patient treatment and care

• Research

• Educating and training health personell

• Educating and training patients and their relatives

CEOBjørn Erikstein

Finance, Legal Affairs and Information Technology

Morten Reymert

Integration and International CollaborationTove Strand

Medicine, Health and Development Terje Rootwelt (acting)

Human ResourcesMorten Meyer (acting)

Communication Annelene Foss Svingen

Research, Innovation and EducationErlend Smeland Patient Safety and Quality

Eva Bjørstad

Division of Medicine

Lena Gjevert

Women and

Children’s Division

Bjørn Busund (acting)

Division of Cancer

Medicine, Surgery and

Trans-plantation

Sigbjørn Smeland

Division of Mental

Health and Addiction

Marit Bjartveit

Division of Cardio-vascular

and Pulmonary

Diseases

Otto Smiseth

Division of Surgery and

Clinical Neuro-science

Olav Røise

Division of Emergen-cies and

Critical Care

Øyvind Skraastad

Division of Diagnostics and Inter-

vention

Lars Eikvar

Oslo Hospital Services

Geir Teigstad

CancerRegistryBoard

Cancer Registry

Giske Ursin

The hospital’s organisation

Catchment areas

• Local hospital for six districts in Oslo

• Area hospital for twelve districts in Oslo

• Regional hospital for 2.7 million people in Eastern and Southern Norway

• National hospital within some areas of specialised medical treatment

A day at Oslo University Hospital • 2900 patients treated• 400 ambulance assignments• 2000 patient transports• 2000 porter assignments • 26 babies born• NOK 60 million in budget• 15 000 people at work• 2160 dinners served• 15 tons of linens and uniforms

washed

Some key figures (2014) • Over 1 million patient

treatments • 52 000 surgical treatments• 17 800 man-year• 22 billion Norwegian kroner

budget• 1 million square meters spread

across 325 buildings• Patient treatment takes place

in over 40 different locations

Some priority areas

• Treatment of severe injuries - multiple traumas.

• Cancer treatment• Transplants• Treatment of heart arrhythmia• Childbirths• Gynecological procedures with keyhole surgery• Research on the treatment of substance abuse and addiction

among young people

Research (2014)• Accounts for a large part of medical research

conducted in Norway• Collaborates with the University of Oslo,

various colleges and a number of national and international research institutes, provides research support for hospitals in the South-East of Norway

• 142 doctorates and over 1800 scientific articles in 2014

• 75 inventions reported in 2014• Four Centres of Excellence• Very good results in the Research Council's

evaluation of research in 2011• Research plays a key role within the hopital’s

national assignments and Centres of Competence

National and multi-regional services

• The hospital has a nationwide responsibility for a number of national and multi-regional assignments and national centres of competence– Highly specialized treatment– Equity in health services – National competence building– Monitoring and dissemination of results– Guidance, training and education of

professionals– Professional networks and reference groups– Research

Health Arena Aker • An arena where the hospital

and Oslo City Health Authorities work side by side to provide added value for Oslo’s citizens

• Oslo’s challenges: population growth, large social inequalities in health, substance abuse, changing medical needs, a growing immigrant population, cultural and religious differences, language challenges

• Tailor new health services to Oslo’s diverse population• Areas of focus: rehabilitation, geriatrics, palliative care, substance

abuse treatment, outpatient clinics, day surgery and emergency care base

• Meet the future health challenges with innovative research and learning environments

Equal health services

• Increasing employees’ competence:– focus on multicultural health care– courses in Norwegian– management recruitment programs with multicultural

perspective• 15 000 interpreting assignments in 2014• Information must be adapted to fit its audience, in the

correct language and delivered through the most appropriate medium

• Councelors and advisors from 12 religious and spiritual communities are available for patients and their families

The future

Campus Oslo• A project evaluating future scenarios for the hospital’s

geographical location and organizational structure – Gather all hospital functions at one location, or remain scattered?– Cooperate with the University of Oslo and Oslo City to create a

environment - a campus- for health care, research, education and private and public enterprises?

• What benefits patients and the population of Oslo the most?– The Campus Oslo project will deliver its recommendations to the

hospital board in December 2015