Alzira Model

Initial Investment by the Private Management: 68 MM euros.
Chance to build public hospitals and primary care centers without increasing local public debt.
More reliable public expenditure forecast: Hospital service cost (due to capitative system) known in advance over the 15 year granting period.
Public health service cost lower than other areas (> 20%)
Better use of Public Resources: More efficiency, more activity, better service, higher number of citizens (voters)  satisfied with the government’s performance.
Introduction of modern management tools in a “slow” and bureaucratic environment.

ADVANTAGES FOR THE CITIZEN

Better access to health services

• Integration between Hospital and Primary Care, with no “disruptions” in the medical assistance.
• Wide timetables and non-stop medical assistance at both levels, Hospital and Primary Care.

Less reply-time from the System:

• Mean surgical waiting time: 40 days.
• Mean OP visit waiting time: 15 days.

Better quality services:

• Free choice: “Money follows patient”.
• Citizen becomes a customer: Single room with companion bed: better comfort and privacy.

High level of patient’s satisfaction:

• 91% are happy with the service received.
• 95% will come back to the hospital.
• 80% don´t know the hospital management type.

ADVANTAGES FOR THE HEALTH STAFF

Human Resources Management: promoting professionals

• Stability at work.
• Doctors manage their own time: OP, theatre, IP visits, within the hospital needs and objectives.
• Professional Development: Functional Units.
• Continuing Medical Education and Research Committee.

Incentives System: Greater incomes:

• Objectives achievement (individual).
• Outcome : More activity, better results, less complications…
• Efficency achievement (Management Units): Savings sharing.
• Doctors Mean Income is 25% higher than the NHS doctors.

ADVANTAGES FOR THE COMPANY

Durable, profitable and reliable collaboration with the local government

• Achievement of the “know-how” of running a large general public hospital.
• Return on the investment guaranteed.
• Collaboration can be extended to other health areas.
• Opportunity to demonstrate that the “Alzira model” is a valid option for the early future of the public health system.
• Gains in terms of public image.