1 THE VAMED WORLD OF REHABILITATION “LEADING PEOPLE BACK TO A BETTER QUALITY OF LIFE”
2 health. care. vitality. MORE THAN OF EXPERIENCE YEARS 40 MORE THAN ANNUAL BUSINESS VOLUME BILLION €3.5 CONTINENTS OPERATING 5 COUNTRIES PROJECTS IN 101 EMPLOYEES AROUND 24,100 BEDS PROVIDING SERVICES FOR ALMOST 227,000 PROJECTS RELATED TO HEALTHCARE AND VITALITY MORE THAN 1,000 LEADING HEALTWORLDWIDE
3 THE VAMED The international healthcare group VAMED is active in all areas of healthcare, ranging from preventative, acute, rehabilitation, to long-term care. VAMED offers a comprehensive range of services for the realization of healthcare projects from project management to total operational services. This unique combination enables Vamed to provide integrated health care services throughout a project’s entire life cycle. PROJECT BUSINESS BUSINESS FIELDS SERVICE BUSINESS CONSULTING PLANNING PROJECT DEVELOPMENT HIGH-END SERVICES TOTAL OPERATIONAL MANAGEMENT PROJECT MANAGEMENT AND COMMISSIONING PREVENTION ACUTE CARE REHABILITATION NURSING Service Business Project Business LIFE CYCLE PROJECT FINANCING CONSTRUCTIO N COMMISSIONING HIGH-END SERVICES O P E RATIONAL M A N AGEMENT EXPANSION & RENEWAL DEVELOPMENT THCARE VALUE CHAIN AND LIFE CYCLE
4 Rehab Centre Kitzbuehel, Austria Rehabilitation Clinic Damp, Germany Therme Wien Med, Outpatient Rehab, Austria Health Center Oberndorf – Salzburg, Austria Rehab Centre The Clavadel, UK VAMED Rehabilitation Clinic Zihlschlacht, Switzerland VAMED Clinic Hattingen, Germany Early/Acute Neurological Rehabilitation, Post-Acute Neurological Rehabilitation 4 GLOBAL LEADERSHIP IN • Neurology and Neurological Early Rehabilitation • Neuropediatrics • Orthopedics and Traumatology • Haematology and Oncology • Child and Adolescent Oncology • Family-oriented Therapy • Psychosomatics • Cardiology • Geriatrics • Hearing disorders, Tinnitus and Vertigo • Gastroenterology • Nephrology • Pneumology, Pulmonology • Metabolic diseases • Post-Covid/Long-Covid REHABILITATION
5 UNITED KINGDOM • 1 Rehabilitation hospital ~32 Inpatient-beds THE NUMBER 3 IN EUROPE Covering multiple High occupancy rate #1 in Austria #3 in Germany #3 in Switzerland #1 in Czech Republic VAMED is a leading private rehabilitation provider in Europe In total inpatient-rehab beds indications 90-100% ~ 8.100 5 CZECH REPUBLIC • 3 Hospitals with Acute Care plus Rehab • 4 Hospitals with Acute Care and LTC • 2 Outpatient Rehab-centres • 1 Nursing school ~1.050 Inpatient-beds AUSTRIA • 12 Rehabilitation hospitals • 2 Specialized Post Acute Care Hospitals • (Psychosomatic, Addiction) • 2 Acute care hospitals • 6 Outpatient Rehab centres • 3 Nursing homes • 2 Prevention resorts ~3.000 Inpatient-beds GERMANY • 18 Rehabilitation hospitals • 2 Acute care hospitals • 8 Outpatient Rehab centres • 1 Integrated Acute-Care + Rehab Campus hospital • 10 Nursing homes • 2 Prevention resorts • 2 Enhanced Primary healthcare centres ~7.700 Inpatient-beds SWITZERLAND • 3 Rehabilitation hospitals • 3 Outpatient Rehab centres ~470 Inpatient-beds
6 In modern health care provision, the individual sections of the health care continuum are closely integrated and connected. They are sometimes broadly categorized into pre-acute care, acute care and post-acute care. Rehabilitation is an important part of this health care continuum. Rehabilitation has a clear position in the health care network, covering the gap between surgery or other acute care treatments and returning home. Rehabilitation care enables the patients’ full and effective recovery after surgery or disease and a quick return back to work or daily activities. Rehabilitation medicine is an evidence-based medical discipline with clear and measured results. Furthermore, a very important benefit is the savings generated by reducing the number of patient bed days in the acute care system. …REHABILITATION – beneficial for the patient, beneficial for the health care system... CONTINUUM REHABILITATION IN THE HEALTH CARE PRIMARY PREVENTION WELL-BEING DETECT PROBLEMS SOLVE HEALTH PROBLEMS RESTORE FUNCTIONS KEEP FUNCTIONS SECONDARY PREVENTION ACUTE CARE TERTIARY PREVENTION FOLLOW UP CARE Wellness programmes Medical wellness Acute in- and out-patient medicine Rehabilitation care Preventive programmes Screening and diagnosis Home and social care Nursing homes Remobilisation 6
7 Innovation • New indications / Specialization - Hearing deficiences (HTS), Nephrologic Rehab, Post-Covid Rehab, Early neurological Rehab (for kids as well) - Integrated hospitals (Acute care+Rehab) • New technologies - Digital rehab, robotics Synergies and efficiency • International Medical Board • Quality platform QUAM • VAMED Digital Board • Enablement of qualified local management functions plus shared central functions at HQ. Quality-, process- and outcome - optimization • Quality systems and certificate. - JCI , ISO 15224, EFQM, KTQ, SAK ČR, SWISS REHA, 4QD • Implemented ICF • Outcome-Measurements via CHES (Clinical Health Evaluation System) incorporating the patient’s perspective in health system performance evaluation. 7 SUCCESS FACTORS
8 REHABILITATION CLASSIFICATION ORTHOPAEDIC REHABILITATION CASES The World Health Organization (WHO) defines rehabilitation as “A set of interventions designed to optimize functioning and reduce disability in individuals with health conditions in interaction with their environment”. Rehabilitation is an important part of universal health coverage and is a key strategy for achieving Sustainable Development Goal 3 – “Ensure healthy lives and promote well-being for all at all ages”. Rehabilitation aims to restore and maintain individuals’ preferred activity and participation levels, by improving individual functioning (physical, sensory, intellectual, psychological and social) and reducing barriers to participation. Rehabilitation is a repetitive, active and educational problem solving process focused on a patient‘s behaviour. The structuring, organization and documentation of the rehabilitation process is captured in the rehabilitation cycle. The rehabilitation cycle enables all professionals involved in patient care to coordinate their actions. PAUL H., 38 AFTER SURGERY HUI L., 68 AMPUTEE JANE B., 28 AFTER ACCIDENT BAI K., 65 CHRONIC PAIN ICF: International Classification of Functioning, Disability and Health ICF is the WHO framework for measuring health and disability at both individual and population levels. THE PATIENTS ARE SELF-CONTAINED THE PATIENTS ARE PARTIALLY SELF-CONTAINED THE PATIENTS REQUIRE MORE INTENSIVE SUPERVISION THE PATIENTS ARE IMMOBILE CAT1 CAT2 CAT3 CAT4 PATIENT NEEDS, TREATMENTS & SUPPORT 100% 0% PATIENT ABILITY & MOBILITY 100% 0% PATIENT WHAT IS
9 OF TREATMENT MODULES NEUROLOGICAL REHABILITATION CASES FRANK B., 53 AFTER STROKE MEI S., 30 AFTER INFECTION JOHN V., 31 AFTER ACCIDENT LING T., 68 DEGENERATIVE DISORDER GROUP THERAPY ROBOTIC ASSISTED CARE SELF-TRAINING ADDITIONAL TREATMENTS FURTHER FIELDS OF REHABILITATION AQUA THERAPY INDIVIDUAL THERAPY ELECTROTHERAPY • Physiotherapy • Occupational therapy • Therapy training of daily life activities • Speech therapy • Medical massage • Reflexology • Gait training • Magnet therapy • Laser therapy • Ultrasound • Lymphatic therapy • Interference currents • Vacuum compression • Electrical muscle stimulation • Education • Exercise programmes • Training apps • Video instruction • Self-monitoring • VR Rehabilitation • Psychology (coping) • Nutritional consultation • Disease training • Specialised medical care • Diagnostics • Consultation for relatives • Hydrotherapy • Whirlpool • Underwater massage • Rehabilitation exercises in the pool • Bubble bath • Carbonic bath • Sauna • Steam • Pilates • Yoga • Specialised group exercises • Hydrotherapy • Gait training (Lokomat) • Verticalization of long-term immobile patients • Oncological rehabilitation • Paediatric rehabilitation • Psychiatric rehabilitation • Burn-out rehabilitation • Geriatric rehabilitation • Metabolic disorders EXAMPLE
1010 HUMAN TOUCH MEETS TECHPATIENTS OUTC
11 Tele-Rehabilitation Anti-Gravitational Treadmill Treadmill With Weight Relief And Visual Feedback MTT (Medical Training Therapy) Walking Aid with a dynamic Advanced Gait Training weight relief system Pneumatically Operated Arm Exoskeleton Leg Press Robotic Glove For Selective Finger And Hand Rehabilitation HNOLOGY FOR BETTER COMES
12 REHABILITATION FACILITY WELLNESS QUALITY HOTEL STANDARD Medical wellness Standard wellness Spa CATCHMENT AREA International National Regional Local 5* 4* 3* 2* PATIENTS CAT 4 CAT 3 CAT 2 CAT 1 PATIENT ROOMS Acute care level Acute rehabilitation level Post-acute rehabilitation level Hotel level REVENUE SOURCE Employer funded Paid by patient (out of pocket) HIC private Public funding CAT = Category HIC = Health Insurance Company HC = Health Care KEY PARAMETERS • Number Of beds • Level of flexibility • Integration into the HC network • Medical technology structure TYPE • In-Patient • Out-Patient • Mixed REHABILITATION FIELD • Orthopaedic • Neurological • Oncological • Paediatric • Psychiatric • Geriatric CONFIGURATOR
13 SERVICE MODULES REHABILITATION CENTRE MEDICAL SERVICES OTHER SPECIALISED REHAB SERVICES GERIATRIC SERVICES EDUCATION AND EMPOWERMENT • Chronic disease management • Community Health Care • Acute Care Services • Intensive post-rehabilitative care and training • Oncological • Pulmonary • Psychiatric • Cardio • Assisted living • Home Care • Prevention HOME CARE SERVICES • Emergency support • Basic medical support • Support for daily needs • E-Health Services TRADITIONAL MEDICINE • TCM • Staff training • Patient education and training • Community/Family education • Kneipp Therapy • Sports Medicine Weight-loss programmes and lifestyl coaching Anti-Aging treatments • Pediatric • Metabolic Disorders 13 ADDITIONAL
14 PATIENT DAY - TIME ACTIVITY PRIVATE AREA MEDICAL & CARE SERVICES FOOD & BEVERAGE CONCIERGE SERVICES WAITING TIME THERAPY SPA & RELAXATION ACTIVE & OUTDOOR 6:30 7:00 7:30 8:00 8:30 9:00 9:30 10:00 10:30 11:00 11:30 12:00 12:30 Add-on medication & nursing management, Centrally located nursing station Cafeteria Therapy pools High end patient rooms Premium bar area Receives medication at nursing station Wake up Morning hygiene Dressing Picks up news from concierge Breakfast Coffee/Juice Balneotherapy Cold Packs Indiv. Physiotherapy Strength Conditioning Rooms close to F&B sales point Concierge/reception desk with appropriate privacy and concierge services 14 LEGEND: Patient journey Patient activities Infrastructure requirements Points of additional services Transit times
15 13:00 13:30 14:00 14:30 15:00 15:30 16:00 16:30 17:00 17:30 18:00 18:30 19:00 19:30 20:00 20:30 21:00 21:30 22:00 Premium bar area Foot massage @ SPA Inquire weekly programme Drinks & live show @ Bar Book ticket for excursion Take a shower, change for dinner & relax Dress down TV time Sleep Premium dinner with family TCM Walk in park Motor splint therapy Lunch @ Cafeteria Entertainment venue Premium SPA services & SPA area Premium Bistro serviced by cafeteria Premium TV Content Premium drinksand menu in cafeteria Concierge/reception desk with concierge services 15 EXAMPLE
16 REHABILITATIO ASSESSMENT OF KEY PARAMETERS ASSIGNMENT OF INTERVENTION INTERVENTIONS EVALUATION 16
17 NOF KNEE REPLACEMENT DAY EXAMPLE 8 DAY 16 Assignment of Interventions • Soft Laser Therapy • Acupoint Massage acc. to Penzel (APM) Motor Learning • Psych. Intervention • Continuous Passive Motion (CPM) machine • Cryotherapy • Information & Education • Visual Feedback • Strength & Endurance Training • Gait Training • Equipment-based Analysis & Training Assignment of Interventions • Gait Training on flat surfaces • Balance (unstable base) • Motor Learning • Psych. Intervention • Continuous Passive Motion (CPM) machine • Information & Education • Visual Feedback • Strength & Endurance Training • Aquatic Therapy Exercises • Equipment-based Analysis & Training Interventions Massage & Lymphatic Therapist (MLD) 3x/week/25 min. 3x/week/25 min. 1x/week/50 min. 2-3x/week/25 min. 1 consultation/week Physiotherapist Psych. Intervention Sport Therapy (MTT) Physician Interventions Occupational Therapist 3x/week/25 min. 3x/week/25 min. 1x/week/50 min. 3-4x/week/25 min. 1 consultation/week Physiotherapist Psych. Intervention Sport Therapy (MTT) Physician Assessment of Key Parameters/Degree of Dysfunction 2/5 4/5 0/5 Stability Coordination Wound Healing Compliance 0/5 Assessment of Key Parameters/Degree of Dysfunction 2/5 4/5 0/5 Gait Balance/Coordination ADL (steps with both legs) Strength & Endurance 0/5 Stability Coordination Wound Healing Compliance Reassessment 2/5 3/5 0/5 Significant Improvement of Parameters 0/5 Reassessment Significant Improvement of Parameters 2/5 1/5 1/5 1/5 Gait Balance/Coordination ADL (steps with both legs) Strength & Endurance CYCLE
1818 ACTIVATING, MOBILISING, E
19 NGAGING
20 MARKET Source: www.who.int B WORLD’S POPULATION OVER 60 YEARS APPROXIMATELY THERE HAS BEEN A THE HIGHEST NEED IS IN THE WESTERN PACIFIC REGION, WHERE COULD BENEFIT FROM In 2020 In 2050 REHABILITATION. Growth PEOPLE GLOBALLY EXPERIENCE DISABILITY PEOPLE EXPERIENCED CONDITIONS THAT COULD BENEFIT FROM REHABILITATION. PEOPLE HAVE BEEN AFFECTED BY LOW BACK PAIN. INCREASE IN YEARS LIVED WITH DISABILITY BETWEEN 1990-2019. PEOPLE COULD BENEFIT FROM REHABILITATION. GLOBAL HEALTH CARE SPEND REPRESENTS ESTIMATED 1.3 2.4 570 69.4% 610 11% 1.4 1IN3 BILLION BILLION MILLION MILLION OF GDP 1B 20 1IN6 PEOPLE AND POPULATION HEALTH FACTS
21 Digital rehabilitation, e.g. telerehabilitation, gamified rehabilitation apps, wearable devices for better results, data-driven decisions by health professionals. Growth of rehabilitation robotics, e.g. standardized but patient specific robotic aided treatments with quantitative measures of patient performance. Adaption & adoption regarding reimbursement of rehabilitation. Using evdence-based methods and transparent documentation streamlines insurance claim submissions. Artificial intelligence and machine learning, to predict success of rehabilitation for individual patients and optimise and individualize treatment plans. 21 REHABILITATION TRENDS
22 VAMED? 1. Unparalleled global experience in healthcare 2. Comprehensive range of healthcare service 3. Market driven 4. Continuity of care 5. Mitigation of risk 6. Attractive returns VAMED has focused on the advancement of healthcare globally for over 40 years. VAMED has realized projects in more than 100 countries in 5 continents. VAMED’s presence in Asia and South East Asia specifically for over 30 years makes VAMED an ideal partner for healthcare projects. VAMED services range from planning, construction, equipping to total operational and technical management of healthcare facilities, allowing VAMED to be a single point of responsibility for clients and partners. VAMED adopts a detailed market-based approach to identify supply-demand gaps in healthcare markets and to turn them into investment opportunities for partners and investors. Our approach embraces all aspects of economy, functionality, design, technology, and sustainability. With VAMED’s unique expertise ranging from prevention to rehabilitation, VAMED provides true continuity of care through pre-arrival assessment, onsite diagnostics and tailored treatment, and post-departure/off site support through digital solutions, Vamed delivers best quality care and outcomes, whilst guaranteeing affordable pricing. VAMED has executed over 1,000 healthcare projects in acute, preventative and rehabilitation care. As a result, we are highly selective in the projects we select. VAMED uses its extensive experience to manage the entire lifecycle of a project thereby reducing execution and operations risks for our partners. VAMED has a proven track record in profitable and sustainable management of healthcare facilities; paired with our extensive know how and international network this ensures attractive returns for our partners. WHY OUR KEY DIFFERENTIATORS
23 VAMED HEADQUARTERS, VIENNA, AUSTRIA REEM HOSPITAL, ABU DHABI, UAE (OPENED IN 2020) MSK BANGKOK CENTRE, THAILAND (UNDER CONSTRUCTION, OPENING IN 2025)
www.vamed.com 1/2023 edition