Dipl.-Kfm. Holger Strehlau: From hospital to medical corporation

Over the past twelve years, the Dr. Horst Schmidt clinics (HSK), which ori­­ginated from the Wiesbaden city hospitals and became a private limited com­­pany many years ago, have essentially developed to a comprehensive medical corporation, which now en­­com­­pass­­es al­­most all as­­pects of services of general interest. The goal is to provide the citizens of Wies­ba­­den with answers to all questions relating to health as well as out-patient and in-patient treat­­ment, including elder care, under the roof of the medical corporation. Every year, HSK treats about 45,000 in-pa­­tients and ap­­proximately 150,000 out-pa­­tients. With such patient figures and its overall serv­­ice portfolio, HSK is count­­ed among Ger­­many’s maximum-care or cen­­­tral hospitals.
The challenges of the healthcare policy and distribution of limited resources have caused the spectrum of services of­­fer­­ed by HSK to differentiate and specialize considerably. Besides the comprehensive palette of in-Patient services, HSK now offers services that are available only in a few areas in Germany or that are even unique to the country. To that extent, HSK provides the health care lo­­cation of Wies­­­baden with a municipal maximum-care hospital as well as other pioneering health care segments. The fol­l­­owing presents some of those as­­pects and illustrates how they lift the econo­­m­­ic power of the city of Wiesbaden.

The change in the health insurance le­­g­­islation and the large choice of plans now offered by statutory health insuran­­ces have caused HSK to become in­­volv­­ed in the financing of health care services through a special patient and customer loyalty programme. In the course of the past two and a half years, a program­me and a product were developed that pro­­vide the citizens of Wiesbaden with a com­­­plementary insurance in addition to the statutory health insurance to cover op­­tional services offered by specific service providers. The comprehensive preven­­ta­­tive services offered on top of optional in-patient services are turning mc-plus into the population’s health care manager.
In addition to a voluntary health check, an electronic health file is being offered, which safely stores all of the insured’s information in accordance with the federal data protection law.
This is beneficial when quick access to the complete medical information of a person is required.

Moreover, an mc-plus member has ac­­cess to an extensive professional network that can help find the right answer in a difficult situation. Meanwhile, more than 1,500 members have opted for that pro­­gramme. At present, the programme, which was developed in Wiesbaden, is being presented to other hospitals and is receiving positive feedback. The aim is to establish a network of mc-plus partner hospitals, allowing the citizens of Wies­­baden to visit hospitals in other cities and receive the same optional mc-plus ser­vices. That privilege would be extended to the citizens of cities with mc-plus part­­ner hospitals. In the long term, this is ex­­pected to give hospitals a competitive edge.



Ambient Assisted Living
HSK Rhein Main GmbH has taken part in a contest for research funds, through which the Federal Ministry of Educa­tion and Research (BMBF) intends to support models that enable the age­­ing pop­­ulation to remain in their homes as long as possible while maintaining or even rai­s­­ing their health status and so­­cial quality of life. Together with Ro­­bert-Bosch-GmbH, the Fraunhofer Institute of Dort­mund as well as other partners and as the lea­­d­­er of the consortium, HSK has ob­­tain­ed a total two-stage fund vol­­ume of ap­­proximately two million euros. In combination with the above-mention­ed mc-plus services and in cooperation with the non-profit housing organization Woh­­nungswirtschaft Wiesbaden GWW GmbH, tenants are advertised who can uti­­­lize the mc-plus services as well as te­­l­e­medical care possibilities in the case of chronic ailments. This model is uni­que in Ger­­many and yet another proof that the spa town of Wiesbaden has long be­­come a health ­­care location that, by means of innovative technology and smart so­­lutions is to contribute to the innovative city of health.

Partner Service Centre
Through a special organization model, HSK was able to demonstrate that the patient care chain from the home to cer­­tain out- and in-Patient facilities and back to the home had to be managed differently from how it used to be. By means of appropriate integration contracts, fu­­ture patient care will have a minimum of intersections all the while preventing health care costs from exploding.
Elder care
HSK Rhein-Main GmbH assumes the re­­sponsibility of delivering not only optimal urgent care but also ongoing care of committed patients. In that regard, the partnership with the city of Wiesbaden in order to found a special retirement home on HSK grounds represents an­­oth­­­er building block in the closing of the patient care chain from birth to the end of life. This helps make sure that pa­­tients who are forced by health care po­­licy factors to leave the hospital as soon as possible do not suffer care shortcom­­ings, but are provided by HSK with suit­­able in-patient and out-Patient facilities (ambu­latory care).



Since HSK was founded as a so-called one-class hospital, the development of convenience services is lagging behind that of medical services as compared with other hospitals, even in Wiesbaden. The proportion of private patients is, thus, significantly underrepresented with HSK, despite maximum medical capacities and verifiable successes. That is why HSK Rhein-Main GmbH has developed its own private hospital in recent years, which has allowed the proportion of private-care patients to rise by more than 25 per cent com­­pared with the past. This demonstrates that expanding both the medical portfolio and the convenience services is crucial to the economic success of HSK.
To that extent, HSK is a permanent fixture of Wiesbaden and the health care of the entire Rhine-Main region. In addition to numerous medical research tasks accom­­plished, HSK has acquired a reputation in Germany that is characterized by both medical expertise and innovative ap­­proach­­es to health care.


Strehlau310309069The author is spokesperson for the man­­a­­gement of HSK Rhein-Main GmbH and president of the hospital federation of Hessen. Previously, he had been active as the head of the finance and accounting section in the head offices of several hospitals as well as general manager of the hospital consulting firm Ge­­bera and the health care network Vi­­vantes Netz­werk für Gesundheit GmbH.