HOSPITAL REFORM
Successfully navigating the hospital reform with strategy and expertise
REFORM AS AN OPPORTUNITY – UTILIZING FUNDING, SECURING THE FUTURE
With a clear medical strategy, we transform pressure for reform into security for the future – and support you with operational excellence in successful implementation. Together, we realize the full potential of hospital reform (KHVVG) and secure the maximum funding opportunities from the transformation fund (KHTFV) – for a sustainably secure future for your hospital.
HOSPITAL REFORM – OPPORTUNITY AND RISK IN EQUAL MEASURE
With the Hospital Care Improvement Act (KHVVG) and the Hospital Reform Adjustment Act (KHAG), the German hospital landscape is facing a fundamental restructuring. The aim is to improve the quality of care, ensure comprehensive coverage, and gradually convert the financing system from flat rates per case to reserve budgets. In addition, the Hospital Transformation Fund (KHTF) will provide up to €50 billion in funding for modernization and restructuring by 2035.
The implementation of this reform brings with it challenges that will be decisive for the future. In the future, hospitals will be confronted with nationally standardized medical service groups, which are linked to strict requirements for necessary personnel and minimum infrastructure standards—the so-called quality criteria. Hospitals will only be allowed to provide services for which they have been assigned a corresponding service group—this leads to considerable uncertainty regarding future service provision and remuneration.
- Pressure to act
Hospital reform and the funds available from the transformation fund offer a unique opportunity to implement urgently needed and cost-intensive structural measures with subsidies. However, those who fail to act in time risk significant funding gaps. - Strategic rethinking required
To take advantage of the opportunities offered by the reform, a clear strategic vision is needed. Funding to secure the future of the institution is not secured by the application alone, but by the reasoning behind it. However, it is difficult to develop a visionary, holistic perspective in the everyday life of a hospital, which is characterized by economic pressure and day-to-day business. - Complexity
The reform requires far-reaching decisions that take numerous factors and stakeholders into account. Hospitals must anticipate the impact of the reform on their organization, derive a viable strategic positioning, and carefully examine complex scenarios such as regional cooperations, mergers, or closures.
Hospital reform is forcing hospitals to take a comprehensive look at the medical orientation and future viability of their institutions.
SUCCESSFULLY THROUGH THE REFORM
The transformation fund gives hospitals a unique opportunity to make urgently needed investments in the future. Whether it's modern care structures, process optimization, or digitization, it is now crucial to set the right course to secure long-term competitive advantages within the framework of the reform:
Strategic basis and big picture
Hospitals must consistently scrutinize their structures and processes and develop them in a forward-looking manner. What is needed is a holistic view that goes beyond the status quo. A clear and forward-looking medical strategy is required that aligns the interests of the hospital with the overarching reform requirements of policymakers: securing and improving the quality of treatment, ensuring comprehensive medical care, increasing efficiency, and reducing duplicate structures.
Funding will primarily be awarded to institutions that have a clear strategic position and can convincingly justify their transformation plans — because it is not the application that is decisive, but the arguments that support it.
Prioritized investment decisions and utilization of subsidies
Hospitals must critically review their investment planning. The focus is on projects that secure ongoing operations while strengthening the strategic orientation of the institution. Planning should be specifically geared toward projects eligible for funding under the Transformation Fund.
Regional healthcare concepts
The sustainable restructuring of the hospital landscape requires a holistic strategy. The focus is not only on the development of individual locations, but also on providing care for the entire region. Hospitals that clearly define their role and align themselves with regional needs can develop sustainable healthcare concepts in collaboration with politicians, funding agencies, and partners. Cooperation offers additional opportunities: pooling funding and resources creates synergies that enable targeted and efficient use of funds.
OUR SERVICES
We support hospitals in developing their strategic vision, which forms the basis for all reform projects, and in implementing the funded projects.
Did you know? Bavaria finances the preparation of regional structural or implementation reports through a special funding program.
Medical strategy
Working together with you, we develop a sound medical strategy and regional structural or implementation reports – the basis for any successful reform project. We rely on valid analysis of performance data with regard to performance groups, quality criteria, and structural requirements, as well as regional care structures, potential for outpatient care, and demographic developments. Qualitative assessments by relevant stakeholders are also incorporated into the evaluation.
In this way, we develop a concrete target vision for inpatient and outpatient service development and evaluate it both economically and in terms of resource requirements.
Project identification and application preparation transformation fund
Based on your institution's medical strategy, we support you in identifying specific projects and prioritizing the associated investments.
Together, we transform these projects into eligible projects within the framework of the transformation fund in order to secure the financial resources for implementation. We provide you with explicit support in the application process, for example by creating detailed project profiles.
Implementation support for reform projects
With sound methodology and many years of operational experience, we support you in implementing your reform project. Our range of services extends from the redesign of processes and structures to efficient resource management and the conception and implementation of site consolidations or the sale of sites.
We develop and implement precisely those measures that ensure the targeted realization of your reform project.
Utilizing subsidies – the eight subsidy criteria of the Transformation Fund (KHTFV)
Cross-location concentration of acute inpatient care capacities
Projects that are eligible for funding are those that focus on the concentration of acute inpatient care capacities across locations, including the necessary adaptation of the digital infrastructure, in particular to meet quality criteria or minimum provision figures.
Cross-location concentration of acute inpatient care capacities
Projects that are eligible for funding are those that focus on the concentration of acute inpatient care capacities across locations, including the necessary adaptation of the digital infrastructure, in particular to meet quality criteria or minimum provision figures.
Restructuring into a cross-sector care facility
Projects for restructuring an existing hospital site into a cross-sector care facility are eligible for funding.
Restructuring into a cross-sector care facility
Projects for restructuring an existing hospital site into a cross-sector care facility are eligible for funding.
Establishment of telemedicine network structures
Projects aimed at establishing telemedicine network structures between hospitals, including the creation of conditions for performing robot-assisted telesurgery, are eligible for funding.
Establishment of telemedicine network structures
Projects aimed at establishing telemedicine network structures between hospitals, including the creation of conditions for performing robot-assisted telesurgery, are eligible for funding.
Establishment and expansion of centers for the treatment of rare, complex, or serious diseases
Projects for the establishment and expansion of centers for the treatment of rare, complex, or serious diseases at university hospitals are eligible for funding, provided that university hospitals and hospitals that are not university hospitals are jointly involved in these projects.
Establishment and expansion of centers for the treatment of rare, complex, or serious diseases
Projects for the establishment and expansion of centers for the treatment of rare, complex, or serious diseases at university hospitals are eligible for funding, provided that university hospitals and hospitals that are not university hospitals are jointly involved in these projects.
Establishment and further development of regionally limited hospital networks
Projects that are permissible under competition law for the formation and further development of regionally limited hospital networks to reduce duplicate structures in the provision of services in one or more service groups are eligible for funding.
Establishment and further development of regionally limited hospital networks
Projects that are permissible under competition law for the formation and further development of regionally limited hospital networks to reduce duplicate structures in the provision of services in one or more service groups are eligible for funding.
Establishment of integrated emergency structures
Projects aimed at establishing integrated emergency response structures are eligible for funding.
Establishment of integrated emergency structures
Projects aimed at establishing integrated emergency response structures are eligible for funding.
Plans to permanently close a hospital or parts of a hospital
Projects for the permanent closure of a hospital or parts of a hospital are eligible for funding, particularly in areas with a high density of hospitals and hospital beds.
Plans to permanently close a hospital or parts of a hospital
Projects for the permanent closure of a hospital or parts of a hospital are eligible for funding, particularly in areas with a high density of hospitals and hospital beds.
Creation of additional training capacities
Projects that are eligible for funding are those that create additional training capacity in state-approved institutions at a hospital that is the main or co-sponsor of the training center for the training of numerous nursing professions.
Creation of additional training capacities
Projects that are eligible for funding are those that create additional training capacity in state-approved institutions at a hospital that is the main or co-sponsor of the training center for the training of numerous nursing professions.
WHY US
In-depth industry expertise
The range of consulting services offered by 2perspectives enables a holistic view of your hospital and the development of a sustainable medical strategy. With analytical and methodological expertise, combined with many years of experience in inpatient and outpatient processes, we ensure fact-based arguments. Our 360-degree view of resources, processes, and health policy conditions reveals potential and makes it usable in the context of reform.
Cooperation based on partnership and equality
We work with you as partners and equals to develop strategic concepts and measures. This ensures that the individual characteristics, goals, and opportunities of your institution, as well as regional care structures, are taken into account. In this way, we create the basis for a sustainable positioning of your hospital.
Stakeholder management and networking
The implementation of hospital reform brings with it uncertainties, discussions, and resistance. With our experience in stakeholder management, we ensure that benefits and advantages are clearly communicated and projects are successfully implemented.
At the same time, we offer access to a strong network of experts in the healthcare sector—from service providers and IT specialists to providers of digital solutions—in order to make the most of the opportunities offered by the transformation fund.
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From reform to reality – we support you with strategy and expertise to successfully navigate hospital reform! Don't hesitate to contact us for a quote tailored to your individual needs!
