overview of medical services

Transcription

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O V E RV I E W O F ME D I C A L S E RV I C E S
2010 / 2011
OVERVIEW OF MEDICAL SERVICES 2010/2011
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19.10.2010
MediClin integrates.
19.10.2010
14:45 Uhr
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MEDICL IN
MediClin is a nationwide operator of hospitals and a large provider in the areas of the neurosciences and psychological sciences, as well as orthopaedics. With 34 clinics, seven nursing
care facilities and ten medical care centres in eleven German federal states, MediClin currently
has a total capacity of approximately 8,000 beds. The clinics are acute-care clinics providing
basic, standard and specialised care, as well as specialist clinics for medical rehabilitation. MediClin
had approximately 8,000 employees at year-end.
As of 7/2010
Health in view
DEVELOP. PROMOTE. NETWORK.
M E D I CL I N I N T E G R AT E S
We combine professional expertise with human competence
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Integration and specialisation
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Health in view
NETWORKING ALONG THE
E N T I R E T R E AT ME N T C H A I N
34 clinics, seven nursing care facilities and ten medical care centres nationwide
belong to MediClin. We build trust and ensure that our patients feel in safe hands
with our networking strategy in the fields of medicine, therapy and nursing care.
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Integration and
specialisation
Quality and
transparency
Values
and goals
Appreciation
and security
Family
and career
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Health in view
THE FOUR PILLAR MODEL:
PREVENTION – ACUTE CARE –
R E H A B I L I TAT I O N – N U R S I N G C A R E
The wide spectrum of treatment offered by MediClin ranges from preventative
measures, acute medical outpatient and inpatient intervention and specific
rehabilitation measures, right through to inpatient nursing care. Our goal is to
provide transparency and a sustainable network of services.
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Integration and
specialisation
Quality and
transparency
Values
and goals
Appreciation
and security
Family
and career
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Health in view
S P E C I A L I S T D I S C I P L I N E S T H RO U G H
TO I N T E G R AT E D ME D I C I N E
MediClin’s clinics and medical care centres work closely together to ensure the
provision of optimum acute medical intervention. Our high-tech infrastructure,
case management system and nationwide specialist medical units ensure we
have a network of specialist knowledge and know-how.
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Integration and
specialisation
Quality and
transparency
Values
and goals
Appreciation
and security
Family
and career
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Quality and transparency
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Health in view
S E C U R I T Y P R O V I D E D B Y S U S TA I N A B L E Q U A L I T Y M A N AG E ME N T
Our complete treatment chain is incorporated into an established quality management system – from structural analysis and process analysis through to the
evaluation of medical findings, as well as from employee training through to
patient communication. Our focus is on the constant evaluation of our quality
standards and achieving a high level of patient satisfaction.
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Integration and
specialisation
Quality and
transparency
Values
and goals
Appreciation
and security
Family
and career
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Health in view
PAT I E N T S AT I S FA C T I O N I N F O C U S
We regard the judgement of our patients as a barometer for the quality of our
services. Therefore, communication with patients forms an important part of
our employee training at the MediClin Academy. We conduct a continuous patient
survey to gauge the opinion of our patients about the level of technical and
human competence in our facilities.
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specialisation
Quality and
transparency
Values
and goals
Appreciation
and security
Family
and career
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Values and goals
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Health in view
Values and goals
W E L L- E S TA B L I S H E D
C O M M U N I T Y AT ME D I CL I N
Patient satisfaction and the willingness of patients to actively take part in the
treatment process (compliance) are reliant, to a large degree, on the overall
atmosphere in a clinic. Employees who identify with their clinic and their company provide a human dimension to go with our specialist expertise.
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Integration and
specialisation
Quality and
transparency
Values
and goals
Appreciation
and security
Family
and career
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Values and goals
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Health in view
NEW BEGINNING AND DIVERSITY
Productive and result-oriented cooperation is based, in large measure, on mutual
respect – right across all professions and cultures. At the MediClin clinic group,
we integrate newly employed assistant physicians and foreign physicians into daily
practice in our hospitals during an induction week. At the same time, these new
employees get to know their colleagues from other clinics during accompanying
courses at the MediClin Academy.
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Integration and
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Quality and
transparency
Values
and goals
Appreciation
and security
Family
and career
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Appreciation and security
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Can ?
I help
Thank you!
Yes
Well
done
Welcome to MediClin
Very good!
Keep it up
Good team
Health in view
C O N C E P T O F C R E AT I V E H U M A N
R E S O U R C E S D E V E L O P ME N T
We value the knowledge and experience of our employees, and work continuously
to promote their fields of competence and to offer them long-term career
prospects. Our MediClin Academy provides new impetus in this area – both
centrally and decentrally.
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Integration and
specialisation
Quality and
transparency
Values
and goals
Appreciation
and security
Family
and career
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Health in view
CAREER AND SECURITY
Our goals are to attract and retain talented new recruits from the medical profession, care profession and administration sector, and to open up career
opportunities for high-performing employees within our Group – from career
entry through to a secure retirement.
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Integration and
specialisation
Quality and
transparency
Values
and goals
Appreciation
and security
Family
and career
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Family and career
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Health in view
Family and career
FINDING THE RIGHT BALANCE
Combining a family and a career requires resourcefulness and flexibility. A
growing number of mothers and fathers are now single parents, and workers
are increasingly faced with new challenges due to the need to care for older
dependants. We work together with employees to find work-time models that
meet these challenges.
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Integration and
specialisation
Quality and
transparency
Values
and goals
Appreciation
and security
Family
and career
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Health in view
MediClin integrates
2
Specialised solutions
Contents
Foreword
5 M E D I CL I N I N T E G R AT E S
18
22
26
Values and goals
Family and career
Specialist medical groups
6
13
29 S P E C I A L I S E D S O L U T I O N S
30
38
40
44
47
Psychosomatics
Cardiology/ neurology
Heart surgery
Orthopaedics
ENT
51
The most common diagnoses
50 S P E C I A L I S T ME D I C A L G R O U P S
The whole is more than the sum of its parts
53 T H E M O S T C O M M O N D I AG N O S E S
57 A N O V E RV I E W O F T H E
M E D I CL I N FAC I L I T I E S
Overview of the MediClin facilities
Glossary
125
Imprint
115
1
Information sources
120
An overview of the facilities
114 I N F O R M AT I O N S O U R C E S
Overview of medical services
Management Board
DR. ULRICH WANDSCHNEIDER Chairman of the Management Board (right)
FRANK ABELE Chief Financial Officer (left)
2
MediClin integrates
Foreword
Dear readers,
3
Information sources
The tasks that increasingly confront those involved in the health care industry
at the moment and in the future are complex. With the ongoing dialogue regarding individualised and personalised medicine, it appears that these challenges
will lie at the very centre of future health care provision. It is assumed here that
there will be a synergetic interaction between medical and social requirements,
scientific and technological development, as well as a focus on patients. From a
medical and social perspective, there is a need to satisfy the growing challenges
of chronic illnesses. On a public health and political level, it is patient autonomy
that is gaining importance, while on a social level, the increasing health awareness of individuals is becoming apparent. In turn, this goes hand in hand with
the social expectation for individuals to assume personal responsibility by exhibiting suitably health-conscious behaviour. The solutions lie in the development
of new or improved therapeutic, rehabilitative and preventative measures. The
goal of maintaining the highest levels of professional expertise and competence
remains undiminished here as the focal point. This means for us: providing
comprehensive and competent health provision for our patients. Our employees
from the medical profession, therapy and nursing care fulfil a particularly responsible role in achieving this goal. However, the number of medical students
has fallen slightly, and most notably, many successful graduates have moved
into other sectors such as the pharmaceutical industry or the medical technology
industry. Nursing care staff members are also increasingly moving into related
professions. The MediClin Group is working, once again, to inspire high-performing people from the medical and care professions to work with patients in the
curative process and tie them to our clinic group using a modern and creative
human resources policy.
Our goals are closely interrelated. A positive working atmosphere promotes
medical innovation, strengthens the reputation of our clinics as an attractive
employer and has an influence on the satisfaction of patients.
At the MediClin Group, we have consequently prescribed ourselves the philosophy of “Promote, Develop and Network”. We integrate in both a specialist
and human resources context.We are pleased to point to the specialist nationwide
groups initiated by our head physicians, the regular exchange of knowledge and
experience, and networking along the whole treatment chain from prevention,
acute care and rehabilitation medicine through to inpatient nursing care – all
aimed at the continuous optimisation of the treatment process for the benefit of
our patients. We see competence and cost-effectiveness, as well as successful
medical intervention and therapy, as being directly related to a professional and
integrated human resources policy. A work-life balance model, comprehensive
career opportunities within our clinic group and wide-ranging training and qualification possibilities for employees and managers from the medical profession,
therapy, nursing care and administration sectors are some of the measures we are
using and constantly optimising.
We are always conscious of the mutual impulses of central control and local
best practice models when organising our activities. A pragmatic and crosshierarchical exchange amongst all parties concerned ensures the sustainability
of our projects and makes the MediClin Group a living, growth-oriented organism. Our MediClin Academy is also committed to this ideal. The suggestions
and findings of our employees across the country contribute decisively to the
development and design of our training modules.
Our expertise in acute care and rehabilitation, as well as our competence in
organisation and leadership, is proven through evaluation of our structures,
processes and results. With this, our third overview of medical services, we want
to raise awareness about how closely professional expertise and human competence are interrelated. Our goal is to also strengthen the concept “Promote, Develop and Network” in the coming years – and to really bring it to life. Here,
the ideas and dedication of our employees from the medical profession, therapy
and nursing care sectors, as well as the administration sector, are the most
important resources at the company. We realise that forward-looking, economic
action is only possible when people are actively involved and not when decisions
are made without consulting them.
The Management Board
4
MediClin integrates
In the strategic orientation of the MediClin Group, there is a close
interdependency between the highest level of professional expertise,
competence, comprehensive patient care and creative human resources
development. Our basic principles of promote, develop and network
are reflected in both a specialist and human resources context. In our
human resources policy, we foster an integrated approach with a widerange of training together with measures for maintaining an attractive
workplace environment and employee loyalty.
Integration and specialisation – networking
along the entire treatment chain
13 Quality and transparency – security provided by
sustainable quality management
18 Values and goals – well-established community at MediClin
22 Appreciation and security – concept of creative
human resources development
26 Family and career – finding the right balance
6
5
Information sources
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M E D I CL I N I N T E G R AT E S
Integration and specialisation –
networking along the entire treatment chain
There are 34 clinics, seven nursing care facilities and ten medical care centres nationwide that belong to MediClin. This wide-ranging spectrum substantiates MediClin’s
goal of providing a high-quality, integrated and, at the same time, specialised range
of services across all disciplines – from outpatient to inpatient, acute-care hospitals to
rehabilitation clinics and nursing care facilities, as well as from the area of prevention
to acute and rehabilitation treatment. The promotion, development and networking of
professional expertise, the transfer of know-how and the motivation of our employees
guarantees the quality of our treatment process. MediClin integrates knowledge,
people and processes for the comprehensive care of patients.
Acute-care
MediClin Reha-Zentrum Bad Orb, Bad Orb
MediClin Hedon Klinik, Lingen
MediClin Reha-Zentrum Gernsbach, Gernsbach
MediClin Herzzentrum Coswig, Coswig
MediClin Reha-Zentrum Plau am See, Plau am See
MediClin Herzzentrum Lahr/Baden, Lahr
MediClin Reha-Zentrum Reichshof, Reichshof-Eckenhagen
MediClin Klinik an der Lindenhöhe, Offenburg
MediClin Reha-Zentrum Roter Hügel, Bayreuth
MediClin Klinik für Akutpsychosomatik am Hahnberg,
MediClin Reha-Zentrum Spreewald, Burg
Bad Wildungen
MediClin Rose Klinik, Horn-Bad Meinberg
MediClin Klinikum Soltau, Soltau
MediClin Schlüsselbad Klinik, Bad Peterstal-Griesbach
MediClin Krankenhaus am Crivitzer See, Crivitz
MediClin Seepark Klinik, Bad Bodenteich
MediClin Krankenhaus Plau am See, Plau am See
MediClin Seidel-Klinik, Bad Bellingen
MediClin Müritz-Klinikum, Waren (Müritz)
MediClin Staufenburg Klinik, Durbach
MediClin Robert Janker Klinik, Bonn
Nursing care
MediClin Seniorenpflegeeinrichtung Rennsteigblick, Tabarz
MediClin Waldkrankenhaus Bad Düben, Bad Düben
MediClin Seniorenresidenz Am Baar-Zentrum, Donaueschingen
MediClin Seniorenresidenz Am Rosengarten, Horn-Bad Meinberg
Rehabilitation
MediClin Seniorenresidenz Auf dem Bellem, Blieskastel
MediClin Albert Schweitzer Klinik and
MediClin Seniorenresidenz Brunnenbergblick, Bad Elster
MediClin Baar Klinik, Königsfeld
MediClin Seniorenresidenz Deister Weser, Bad Münder
MediClin Bliestal Kliniken, Blieskastel
MediClin Seniorenresidenz Hermann-Schall-Haus, Königsfeld
MediClin Bosenberg Kliniken, St. Wendel
MediClin Deister Weser Kliniken, Bad Münder
Medical care centres
MediClin Dünenwald Klinik, Ostseebad Trassenheide
MediClin MVZ Achern, Achern
MediClin Fachklinik Rhein/Ruhr, Essen-Kettwig
MediClin MVZ Achern Zentrum, Achern
MediClin MVZ Bad Düben, Bad Düben
MediClin Klinik am Brunnenberg, Bad Elster
MVZ MediClin Bonn, Bonn
MediClin Klinik am Rennsteig, Tabarz
MediClin MVZ Gaggenau, Gaggenau
MediClin Klinik am Vogelsang, Donaueschingen
MediClin MVZ Lahr/Baden, Lahr
MediClin MVZ Leipzig, Leipzig
MediClin Kraichgau-Klinik, Bad Rappenau
MediClin MVZ Offenburg, Offenburg
MediClin Reha-Zentrum am Hahnberg, Bad Wildungen
MediClin MVZ Offenburg am Bahnhof, Offenburg
MediClin Reha-Zentrum Bad Düben, Bad Düben
MediClin MVZ Plau am See, Plau am See
To some extent, multiple facilities at one location are counted as one clinic
6
MediClin integrates > Integration and specialisation
Our Group is currently present in eleven German federal states. We achieve qualitative
and economic advantages through central organisation and coordination in the most
important core areas. Our personnel policy strategies and the framework for employee
development are defined centrally. This central organisation and coordination includes
quality management, sales and contract management, as well as public relations. We
support our clinics in the areas of marketing, product development and nursing care
law, as well as in contract and error management. The central/decentral organisation of
financial accounting, controlling, procurement, purchasing and technology, including
information technology, relieves clinics from administrative tasks and creates more freedom to concentrate on the care of patients.
Central organisation for regional freedom of action
7
The wide spectrum of treatment offered by MediClin is oriented around a model of
integrated medical provision in which the rigid separation of tasks will be gradually
phased out. Across the MediClin Group, the medical provision offered by clinics ranges
from preventative measures, acute medical intervention and specific rehabilitation
measures, right through to inpatient care. Our goal is to provide transparency and a
sustainable network of services. Patients and coverage providers both profit from this
approach. We ensure that our patients feel in safe hands and build their trust – the
laborious search for the right specialist is avoided and waiting times are reduced to a
minimum. The avoidance of duplicate or multiple medical examinations and a clearly
shortened treatment period are also attractive for coverage providers. Even hospitals
referring patients from outside of the MediClin Group realise the value of this networked
expertise, which our high-performing personnel constantly broaden and expand in
internal specialist groups, as well as in nationwide associations and committees.
The four pillar model: Prevention – Acute care – Rehabilitation – Nursing care
Information sources
We are breaking new ground in the way that we centrally organise the area of rehabilitative therapy. Clearly defined guidelines have been established for resource planning
and for the training and further education of specialist staff employed in therapeutic
medicine. These guidelines are helping us to achieve the goal of introducing individually
agreed therapy plans, as well as result-oriented therapy standards, into all of the
clinics in the Group. Standardising the structural and workflow organisation in MediClin
clinics nationwide should guarantee a uniformly high level of quality and ensure a transfer of know-how between our clinics. For patients, these quality assurance measures
mean that they can place their trust in the consistently high standard of medical provision in all clinics within the MediClin Group. Each individually created therapy plan
will be measured against our central quality standards, checked regularly in the course
of the treatment and adapted to the specific requirements of the patient. This central
quality assurance system, together with the local individualisation of their therapy,
leaves our patients secure in the knowledge that they will receive optimum medical
provision along the entire treatment chain.
Setting individual goals in rehabilitative therapy
Specialist disciplines through to integrated medicine
Our acute-care clinics, medical care centres and rehabilitation clinics work closely
together to provide the optimum medical and therapeutic intervention for the benefit
of our patients. High-tech infrastructure, a case management system and nationwide
specialist medical units pave the way for a network of specialist knowledge and knowhow across the MediClin Group. Our mission to provide the best possible medical
provision for our patients is not limited solely to our group of clinics. In order to save
lives, we also cooperate closely with clinics outside of the MediClin Group, as well as
with outpatient emergency services, and facilitate this by using our information technology infrastructure.
Medical expertise – interdisciplinary and efficient
The range of medical services offered across our group of clinics is of a high quality
and extremely diverse. We provide medical intervention along the entire treatment
chain. The strengths of the MediClin Group lie in our focus upon specific medical and
therapeutic competence, the integrated provision of outpatient care, acute care, rehabilitation and nursing care, process support using our own software modules and
our ability to forge organisational and specialist networks.
We focus our expertise on the following areas:
primary and secondary acute medical care
subsequent medical rehabilitation/follow-up treatment in specialist clinics
specialist therapies for the chronically ill
This applies primarily to the three-largest specialist areas of neurology, orthopaedics
and the increasingly important area of psychosomatics.
In the acute-care specialist clinics, we concentrate on the fields of heart disease
and heart surgery, radiotherapy, neurosurgery and orthopaedics. In the rehabilitation
clinics, we specialise, above all, in the areas of eating disorders – patients with a body
weight of up to 400 kilos can be provided with therapeutic treatment – ENT (tinnitus),
oncology and internal medicine (cardiology, pneumology and endocrinology). We are
especially able to demonstrate the benefits of a close relationship between surgical
intervention and tailored rehabilitation measures in the area of ENT therapy. By integrating the areas of neurology and cardiology in a high-performance specialised unit,
we are able to explicitly strengthen the effectiveness of the therapy in the early phase
of the illness. Documentation of results along the entire treatment chain provides proof
of the quality of the medical services delivered. This approach may already be a standard part of evidence-based medicine in the acute-care sector, but our result-oriented
approach is certainly setting new standards in rehabilitative medicine. Our company’s
IT-supported quality assurance system for evidence-based medical rehabilitation is leading the way in this area of health care policy.
The main areas of focus in our clinics are also dependent on regional context. Therefore, we develop key focus areas in our clinics depending on local requirements and
consolidate our specialist expertise within these clinics. These specialist units serve as
role models in a scientific and economic context, as well as in the combination of
diagnostics and therapy.
8
Medical rehabilitation – goal-oriented reintegration into everyday life and career
The chances of the patient achieving a sustainable reintegration into their private and
professional lives increase considerably the earlier and more seamless the transition is
between inpatient treatment and rehabilitation measures. Medical rehabilitation is
aimed initially at people of all ages and every social status, as well as for children and
old people for whom the recovery of specific abilities to pursue a particular profession
is not yet or no longer relevant. The primary objective here is to avert a disability or the
need for long-term care, to prevent worsening of a condition or to mitigate the effects.
In an ideal scenario, physical and also mental integrity will be completely restored and
adult patients undergoing rehabilitation will retain their domestic independence.
9
Early rehabilitation represents a specific form of medical provision for the physical
and mental stabilisation of patients with a particularly difficult history of illness. The
emphasis in this treatment is placed on basic requirements like eating, speaking and
movement. It already begins during the period of inpatient care, as a general rule
directly after life-saving measures in the intensive care ward. Early rehabilitation is an
integral component of the acute-care provision in a number of MediClin clinics and
can, if required, be continued during the follow-up or medical rehabilitation phase in
a rehabilitation clinic.
Early rehabilitation – new beginnings after the intensive care ward
Information sources
An important pillar of MediClin’s portfolio of medical services is acute care. Our clinics
provide their services within the framework of hospital planning in their respective
German states, and/or in line with medical provision contracts agreed with coverage
providers as part of primary and secondary medical care or as a specialist hospital. All
MediClin clinics are equipped with the latest technology to optimise the medical provision offered to patients and to ensure the fastest possible acute-care intervention.
Case management and high-tech infrastructure guarantee effective treatment
In the MediClin rehabilitation clinics, we base our work on multidisciplinary therapeutic approaches supported by set guidelines. Our goal is to initiate stable lifestyle
changes suitable for everyday life based on the requirements, capabilities and prospects of the individual undergoing therapy. These therapeutic approaches include not
only functional but also educational and psychosocial aspects that systematically build
upon each other while being underpinned by an innovative quality assurance process.
At the start of any rehabilitative intervention, we reach clear agreements with the
person undergoing therapy on a goal-oriented and, therefore, effective structure for
the required rehabilitation measures. Having the ability to go shopping unaided to a
nearby grocery store or to be unafraid to take the short cut through a tunnel to the
next tram station are examples of concrete goals for coping with everyday life that
may be jointly worked upon by the therapeutic personnel and the patient.
If the rehabilitation is being carried out with the goal of later reintegration into
professional life, then it is important for the physicians, therapists and nursing care staff
to include any existing occupation-related causes of the illness in the agreed targets
to avoid the so-called ”revolving door”effect. When processes and stress factors in the
workplace have not changed, and these factors, which are often the cause of psychosomatic illness, are not taken into account in the rehabilitation, then it will soon be
necessary to prescribe a new phase of rehabilitation measures or, in the worst case, the
person will face forced early retirement. We have recorded very positive results using
this holistic approach, looking at the patient and their history. In the context of being
reintroduced into professional life, the common targets agreed with the person undergoing therapy may, for example, be concerned with learning constructive communication strategies for conflict situations in the workplace.
MediClin clinics work closely together with coverage providers such as the Deutsche
Rentenversicherung (German statutory pension insurance scheme),“Reha vor Rente”
(rehabilitation rather than pension), the statutory health insurance providers and the
German Statutory Accident Insurance (DGUV) in the design and continuous expansion
of our range of services.
10
Neuropsychological therapy
Psychological health training
Coaching
Nutritional advice
Reflex therapy
Creative therapy
Occupational counselling
and support
Self-confidence training
Diet therapy
Occupational stress testing
Sleep-related breathing
disorder therapy
Orthopaedic technology provision
Social counselling
Pain and spasticity therapy
Sports therapy
Listening therapy
Physical therapy
Swallowing therapy
Logopaedics /speech therapy
Physiotherapy
Team sports
Movement and sports therapy
Progressive muscle relaxation
Vision therapy
Music therapy
Psychological coaching
Ergotherapy
Health seminars and
training sessions
Balneo-physiotherapy
Preventative rehabilitation – on the right path from an early stage
The avoidance of illness or the timely intervention before deterioration in a patient’s
condition represent particularly difficult medical challenges. The MediClin Group has
developed a target-oriented concept together with coverage providers in order to
prevent functional limitations of supporting and locomotor systems occurring, allowing
people to participate in a social and professional life. In the area of rehabilitation, it is
especially crucial for behavioural changes to be introduced and for there to be fundamental compliance with the measures introduced on the part of the patient in order
to achieve sustainable success.
To make a patient’s participation in a preventative rehabilitation programme more
attractive, several MediClin facilities offer so-called “plus programmes”. For example,
a holiday in an attractive location may be combined with the therapy provided. Special
arrangements are made for widespread illnesses in society such as obesity, back pain
and diabetes whereby theoretical and practical knowledge are made applicable to
everyday life.
11
Psychological counselling
Neuro-biofeedback
Information sources
Activative care
In particular, the following forms of therapy are practised at MediClin
clinics (dependent on the location) within the framework of the company’s
medical rehabilitation provision:
Inpatient care – caring for the elderly
Demographic development poses a challenge for our society, with health care provision
for coping with these changes often being decisive in the structuring of family life. An
urgently needed holiday or simply being able to relax in your free time is something
that is no longer possible for working people who have a family member living with
them in need of care. The proportion of people who, due to having to care for a family
member, can no longer, or only partly, continue to exercise their chosen profession is
continuing to grow. Politicians are currently searching for solutions to this very problem.
In our MediClin Group, we increasingly have to take into account the associated demands
for high-quality care facilities. We currently offer inpatient care in seven of our clinics.
12
MediClin integrates > Quality and transparency
13
The treatment provided can be assessed by comparable external quality assurance programmes from coverage providers and through voluntary participation in other initiatives
for the measurement and assessment of treatment quality. Our central objective is the
continuous evaluation of treatment results in our acute-care and rehabilitation clinics
according to medical-therapeutic quality indicators, and through the incorporation of
patient feedback within the framework of our continuous patient survey programme.
As part of the framework of MediClin’s internal strategy for quality and transparency,
we implement IT-based statistical data collection processes in our rehabilitation facilities
for the systematic measurement of treatment results.
Measurable results guarantee quality
Information sources
We incorporate the entire treatment chain to an established quality management
system – from gauging the quality of our structures and processes to the evaluation of
medical findings, or from employee training through to patient communication. Our
focus is on the constant evaluation of our quality standards and achieving a high level
of patient satisfaction. We believe that a high level of transparency in the provision of
medical services plays a decisive role in the continued improvement in the quality of the
medical care offered.
The three pillars of structural, procedural and result-based quality build the framework for our wide-ranging quality assurance measures. In this way, the optimisation
of structures and medical processes across all areas is made possible, as well as the
interdisciplinary assessment of treatment results. The basis for our internal quality
management processes are international quality standards according to DIN EN ISO
9001:2008. These standards are in turn further defined using sector-specific quality
management programmes for the areas of acute care, rehabilitation and nursing care.
In our acute-care clinics, we also focus on the quality requirements of the KTQ
(cooperation for quality and transparency in the health system). Our quality standards are safeguarded by means of internal audits and through certification of the
applied quality management system by independent third parties.
In our rehabilitation clinics, we focus on the quality requirements of IQMP-Reha
(integrated quality management programme) and also have this tested by external
bodies. Following the successful implementation of these requirements, a clinic
receives the certificate “Excellent quality in rehabilitation” (EQR).
In addition, our clinics integrate the high safety at work requirements of the quality
management programme “qu.int.as” from the BGW (Professional Association for
Health Services and Social Welfare).
Quality and transparency – security provided
by sustainable quality management
Structured error management system optimises processes
The structured handling of undesirable results is the basis for the optimisation of our
services and the precondition for QS certification according to the international quality
requirements of DIN EN ISO 9001:2008. The implementation of a systematic error
management system is coordinated centrally and carried out according to the specific
nature of the individual facility. All measures necessary to avoid undesirable results are
assessed promptly and implemented as part of the quality management system.
Another strategy to increase the security of patients lies in the use of a system for
the anonymous collection of critical events in the provision of treatment to patients –
the Critical Incident Reporting System (CIRS). This reporting system serves to report
critical incidents and near-miss episodes by employees at a clinic. The use of a CIRS
reporting system is not yet a legal requirement and is carried out on a voluntary basis.
Employees in a clinic where a CIRS reporting system has been implemented can anonymously report observed events that almost led to harm being caused to a patient. The
analysis and processing of the reported cases contributes, in particular, to the continued
optimisation of medical provision for patients and sustainably increases treatment quality and security. The systematic identification of disrupting factors – such as insufficient
patient transfer formalities – as well as their evaluation and control, enables course
corrections to be initiated.
Above and beyond the legal requirements
The MediClin clinics participate in specialist quality assurance processes that are above
and beyond the legal requirements, such as:
EVA Reha (evaluation of rehabilitation success) – a process for evaluating the success
of treatment within the framework of rehabilitation developed by the health care
insurance companies Techniker Krankenkasse and MDK Rheinland-Pfalz. MediClin
actively participates in the continuous development of this process. For example, the
specialist department for orthopaedics at the MediClin Bliestal Kliniken, Blieskastel,
has implemented this programme with great success;
GiB-DAT – a geriatrics database in the German state of Bavaria, providing quality
assurance in the area of geriatric medical treatment;
BQS (Federal Office for Quality Assurance Procedures) programme and other quality
assurance processes from individual federal states such as the “QS process” for
strokes, initiated by the regional office for Hesse.
As part of our internal quality management system, we also use specific quality requirements from the following areas depending on the location:
integrated medical provision contracts
disease management programmes
In addition, we also focus on the following:
specific quality requirements from medical societies (German Diabetes Association)
quality requirements across all areas, such as for health and safety at work from
the MAAS-BGW (Professional Association for Health Services and Social Welfare),
as well as the RAL quality criteria for health-conscious nutrition and balanced
diets in clinics
14
We systematically evaluate this data and make it available to our clinics via the Internet
on a quarterly basis. This process not only makes it possible to evaluate an individual
clinic, but also enables a systematic comparison between our clinics (benchmarking).
An especially clear picture is gained when one particular aspect within a specialist
area is assessed, such as the quality of nursing care (see graphic p.16). The result is an
immediate insight into the action required for maintaining quality and optimising
medical provision. The findings from the systematic questionnaire evaluation in turn help
the MediClin Academy – fully in keeping with our philosophy of “promote, develop
and network” – with the individual design of suitable training modules.
Of course, in addition to our own internal patient survey, we also take part in surveys
carried out by coverage providers within the framework of external quality assurance
programmes.
15
We continually monitor the satisfaction of our patients in all of our clinics at MediClin.
Communication with patients is an important part of the continuous assessment of our
services and, within the framework of our employee training at the MediClin Academy,
our employees learn empathic and target-oriented communication with patients.
Using a specially developed questionnaire, we ascertain the opinions of our patients
about the expertise and human competence in our clinics. In our comprehensive and
detailed documents, we enquire about factors such as:
general care and friendliness
hospital stay and catering
visiting time rules and waiting times
intelligibility of the physician’s explanations
core services of the clinic, from admission, diagnosis and therapy through
to nursing care
Patients as partners – your opinion is important to us
We regard our patients as partners because in a partnership both sides are actively
involved in achieving success. Successful treatment in our acute-care and rehabilitation
clinics is focused not only on the quality of our service, but also, to a large degree, on
the behaviour and the attitudes shown by the patients in terms of:
compliance with the measures being taken
satisfaction with the performance of the medical and care staff
the feeling of being seen as a whole person
This is why we regard the judgement of our patients as a barometer for the quality
of our services.
Information sources
Patient satisfaction in focus
Furthermore, the head physicians at the MediClin Group are organised into specialist
medical groups where knowledge and experience can be exchanged, while enabling
innovative therapy concepts and medical provision models to be developed.
Average rating of the nursing care, internal patient survey
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Quality reports provide transparency
We systematically collect and communicate information about our services and the
quality of the treatment results from differing perspectives. Our quality reports can be
found in the public domain and already provide comprehensive information to our
patients before the period of inpatient treatment. Of course, these quality reports also
provide accredited physicians and coverage providers with basic information for selective allocation of patients, and act as guidelines for further care after the patient has
been discharged from inpatient care. We also provide information about internal clinic
developments, such as those involving service quality and treatment options. The transparency of our information makes our competence in the treatment process apparent.
Our quality reports are published on the Internet, available as brochures or can be requested at any time by telephone via our service number.
On-site quality management
In every MediClin clinic, the quality management (QM) commission controls the themes
and oversees the implementation of quality assurance measures. The commission includes the clinic’s management team, the relevant QM representative and, if required,
other employees. In workshops and project groups, the clinic’s employees develop
solutions for the continuous optimisation of location-specific structures, processes and
treatment results and then report back to the commission. In the larger clinics within
the MediClin Group, a steering group coordinates quality management activities and
links the results from project work back to the commission. Once approved by the commission, strategies for optimisation developed on this basis are implemented in practice.
16
17
In our MediClin communication culture, we do not focus our strategies on dealing
with deficits, but rather on solution-oriented approaches and the achievement of desired targets in terms of a gap analysis. What status do we achieve in the clinics, and
what will be necessary in the future to secure the high-quality provision of services?
Our main focus is patients and their relatives – the target group of our complaint
management system. During the period of inpatient care, special contact people
are made available in every clinic and we provide our own established consultation hours.
After the period of inpatient care, procedures following Group-wide regulations
enable patients, relatives and referring physicians to lodge complaints.
MediClin actively approaches cover providers. Isolated requests are made to gauge
their satisfaction with the general conditions in the clinics, such as what proportion
of negative responses have been received on behalf of patients about their inpatient stay or whether medical discharge letters and findings have been correctly
submitted. Our activities promote the goal of maintaining lasting constructive
cooperation and are part of our referring physician and Customer Relationship (CRM)
marketing system.
The clinics have also institutionalised a complaints management system for their
employees within the framework of the quality management system. A solid
foundation for the immediate identification of disrupting factors will, in future, be
our Group-wide employee appraisals, which will range from management level
down to assistant physicians, from nursing care and therapy through to the area of
administration. The MediClin central office has prepared guidelines for the completion of these employee appraisals, which will, of course, be implemented in the
individual clinics according to their own weighting of key criteria.The clinics initiate
regular annual reviews themselves, including a retrospective review and a look at
perspectives in the future.
Complaints management system identifies solutions
Information sources
Internal audits according to DIN EN ISO 9001:2008 are carried out every year in each
MediClin clinic. An auditor from another MediClin clinic takes responsibility, together
with the QM representative at each clinic, for assessing the quality of the structures,
processes and results – from clinic technology through to medical-therapeutic care.
Around 20 internal audits are currently carried out across the MediClin Group per year.
Any optimisation potential diagnosed here flows back into the planning for the
MediClin Academy. The company-wide auditing system used within the MediClin Group
enables a cross-clinic exchange of auditors and trained experts. At the same time, it
allows for key performance indicators in quality assessment to be used for comparisons
with other MediClin clinics and also with clinics from other groups.
All QM representatives from MediClin clinics meet every 6 months at an internal
congress to coordinate together the measures used in individual clinics, and to compare
the level of results for the measures taken (calibration). MediClin also puts the constructive interplay between top-down and bottom-up processes to the test: the QM
representatives for each individual clinic present their activities to the congress and
support the transfer of know-how between clinics following a best practice approach.
The internal exchange of knowledge and experience is cultivated more deeply via
the Internet.
Values and goals – well-established
community at MediClin
The identity of a company and its employees is formed through a high level of consensus about values, attitudes and goals. As part of MediClin’s “Workshop for the
Future”, employees from different professions and hierarchical levels develop common
guiding principles and then test and accompany their realisation within project groups
and workshops.
Guiding principles represent the commonly developed understanding of all employees about their company. Organisational processes, values, occupational impetus
and self-assessment of job profiles play an important role. Questions about the history
of the company and about specific characteristics are just as relevant for establishing the
identity of a company as the reassessment of services provided and, particularly in the
context of a clinic, fundamental ethical questions. A focus on patients is of particular
concern to the curative self-image of physicians and nursing care staff.
In our project “Workshop for the Future”, we embody the principle of “Promote,
Develop and Network” in combination with a systematic approach in which gathering
opinions (bottom-up) and the bundling of multiple ideas (top-down) interact in a
constructive way. We promote the development of opinions, develop guiding principles
from them and network the ideas of our employees into this process.
The members of the project group “Workshop for the Future” represent the full
range of professions found in the MediClin Group and coordinate and steer the process
for developing guiding principles. During short-term workshops, suggestions for the
creation of guiding principles are solidified. Collective ideas resulting from this brainstorming process are forwarded by the project group “Workshop for the Future” to
the MediClin clinics to initiate a discussion process. Workshop members then use the
results of this discussion process to create a reworked essence for the general selfimage of the MediClin Group. The MediClin facilities then present these guidelines to
their employees at different levels via meetings and the intranet, etc. The guiding principles are established more firmly in the next step and implemented within the processes
of the individual clinics.
18
MediClin integrates > Values and goals
Guiding principles
Under the motto “Shaping the future together”, we describe the values and principles
for our company’s activities in the MediClin guiding principles. These guiding principles
create a reference framework with which we can develop other activities across all
levels of the company together with our employees.
Our patients and residents
We meet our patients and residents with respect and expertise, promoting their
independence and individual responsibility.
The main focus of our work is our patients and residents, together with their health. We want
to promote their independence and personal responsibility using targeted care and clear explanations. By treating those people entrusted to our care with respect, and providing qualified
personnel and the latest technical equipment, we support needs-based medical-therapeutic
Our employees
We want to be an attractive employer for our employees and to promote and
develop their expertise and motivation.
We appreciate our employees and treat them with respect. We want to strengthen motivation
and competence through a combination of innovative personnel development and clear communication. Fair and collegial dealings with one another, secure and family-friendly working
provision.
conditions as well as effective safety at work practices are central components in creating a
positive working environment and, therefore, also for the satisfaction and motivation of our
Our strategy:
Integration and cooperation
We develop integrated care concepts to provide comprehensive and patientoriented treatment, as well as resident-oriented care provision.
We want to continually optimise our high-quality medical provision along the entire treatment
chain via the systematic expansion of interdisciplinary cooperation within the MediClin Group,
as well as with external health care service providers. To achieve this, we agree common medical
provision and treatment goals, which are agreed by all involved on a partnership basis.
Our future:
Growth and progress
We want to achieve targeted growth by providing regionally networked health services.
employees.
To provide comprehensive medical provision for our patients and residents, we want to grow in
a targeted way through the integration of new medical services. This means also strengthening
health care services for patients, referring physicians and cover providers. Furthermore, this
means opening up new and innovative treatment options for our patients, securing the effectiveness of these methods and optimising them sustainably.
We want to increase the quality and cost effectiveness of our services by
systematically examining our activities.
Handling the results achieved at MediClin in a transparent way is the basis for a continual
improvement of our services and their effectiveness.We secure the best-possible success levels
in patient and resident medical care through the systematic integration of the latest methods
in medicine, therapy and nursing care.
19
Information sources
Our aims: Quality
and economic efficiency
cooperation with regional partners, and thus, continually improving the attractiveness of our
MediClin Klinikum Soltau: The opinions of our employees count!
Report from the nursing department
toilet seat should have been mounted
about the renovation of the neurologic-
higher and the washbasins should have
al ward
been height-adjustable. The results were
included in the construction planning and
“In 2008, the renovation of the neuro logical ward was the largest project at the
the renovation was able to begin.
Following the renovation of the patient’s
Ute Gontares
MediClin Klinikum Soltau. As employees
rooms, the redesign of the functional rooms
Head of nursing
on this ward, we were involved at a very
and corridors was the next thing to be tackled.
early stage in the planning. After the first
In this process, we had the opportunity to
prototype room had been renovated, we
produce a sketch layout of our duty office.
were able to make our suggestions for im-
Last but not least, all of our wishes and re-
provements in the form of a questionnaire.
quirements were taken into account. Today,
This questionnaire concentrated on criteria
the whole ward has a new sparkle to it.
such as room partitioning, the bathroom,
The final questionnaire completed by the
furniture, colour scheme, etc. and as a
employees to assess the renovation work
Galina Kanke
result of the answers, a number of changes
confirmed that the positive results were also
Ward manager
were initiated. For example, the mirror in
reflected in practice. However, in particular,
the bathroom was not optimally positioned,
it has been the response of the patients that
so that when the mirror was tilted toilet -
has made it clear we have acted in the
ries were knocked into the washbasin, the
correct manner.”
New beginning and diversity
Productive and result-oriented cooperation is based, to a large degree, on respect for
each other and in the abilities of others – right across all professions and cultures. One
solution for getting ever nearer to this ideal is to use a detailed, well-formulated induction concept for all new employees of the MediClin Group. The goal of the structured
induction process is to enable a seamless entry into the company, and to enable new
employees to quickly call upon their extensive potential and to work effectively. The
induction concept at MediClin is varied according to profession and adapted accordingly in terms of its duration and content. In general, the induction concept ranges across
the professions from handing over the induction manual and the human resources concept, to contact with a specialist mentor or designated person for the integration
of foreign physicians, as well as hospital-work shadowing to get to know the future
workplace.
Induction week for assistant physicians
Qualified and motivated physicians who build high-performing teams on-site, for
example with other physicians, nursing care staff, therapists and those in other medical
occupations, are the key success factor in clinics. In the MediClin Group, we have
designed the induction week especially for our newly employed assistant physicians to
provide them with the best-possible integration into their new workplace. New employees get to know everyday life in the clinic at this stage without the usual perform-
20
ance pressure, and take part in accompanying courses in parallel at the MediClin
Academy. There they can make contact with colleagues from other clinics and create
the basis for future cross-locational and multidisciplinary cooperation. Internal and
external experts equip the physicians with the necessary tools for successful integration
into the new workplace. The timetable is tailored to the specific occupational requirements of the participants. Physicians in the acute-care clinics are separately trained in
topics such as DRG coding and clinical workplace systems (CWS acute care), while
physicians in the rehabilitation centres complete courses in, amongst other things,
rehabilitation therapies, therapeutic methods and clinical workplace systems (CWS
rehabilitation), as well as in writing letters of discharge. The induction week is held
every two months.
MediClin integrates > Values and goals
Writing medical discharge letters
physicians:
according to the guidelines of the
Career opportunities at MediClin
DRG and coding
German health care sector/
Clinical workplace systems
social jurisdiction
(CWS acute care)
German pension insurance
The induction week concept is rounded
off with information about the MediClin
Quality management
Basic information technology
Additional content for physicians
Group and a supporting programme. The
knowledge
at rehabilitation clinics:
new physicians should also use the oppor-
Physician-patient communication
Rehabilitation
tunity outside of the training sessions to
Intercultural competence
Clinical workplace systems
discuss things amongst themselves and to
Therapy methods
(CWS rehabilitation)
build good contacts.
Quality control for the induction week
To adapt the concept of the induction week optimally to the requirements of the clinics, and to ensure continuous optimisation, a survey is conducted shortly after the
end of the induction week and then repeated six weeks later. The people targeted by
this quality assurance measure are the graduates of the induction week themselves
and the head physicians at the clinics. Suggestions for improvements, for example on
core themes, flow directly into the conception process for the next induction week.
A sense of community and shared experience
Common experiences even outside of everyday clinic life strengthen the community
feeling. Employees from all of the MediClin clinics test their sporting prowess in sporting competition during the annual MediClin football tournament – and make friends
at the same time. Other opportunities for boosting employee loyalty are, for example,
discount campaigns for an activity holiday and participation in regional sports events.
21
Additional content for hospital
Company presentation
Information sources
Hospital and rehabilitation:
Contents of the induction week
Appreciation and security – concept of
creative human resources development
The concept of creative human resources development
Clinics must prove themselves in a competitive market, and finding and keeping welltrained, engaged employees is one of the fundamental elements in securing the
company’s position. A forward-looking and creative human resources policy is the key
to gaining sustainable commitment from employees in any company. The MediClin
human resources policy includes, amongst other things, the following key areas:
Induction of new employees and targeted integration of foreign physicians
Systematic interdisciplinary training and qualification
Targeted training of medical specialists
Fluctuation management
Employee-oriented and requirement-based management culture
Structured employee appraisals
Opening up the freedom of scope for organising work
Career planning and talent management
The systematic planning of training based on a gap analysis
Promoting the potential of our employees right across all professions and enabling
continued education and training is a central aim of our creative human resources
management system. All those employed at MediClin benefit from a fixed yearly further
education and training plan provided in writing, as well as release from duty for training purposes and financial support.We determine training requirements in a targeted
way based upon a gap analysis in order to adjust our training content accordingly.
Firstly, the necessary skills required in the future are determined (demand analysis), followed by a comparison of the existing skills (current status analysis); the gaps demonstrate to the clinic the areas requiring action (implementation).
Training medical specialists in DRG coding through to patient communication
MediClin places major emphasis on the training of specialist physicians, with the relevant clinic and the central human resources department, in cooperation with young
physicians, searching for ways to implement their career planning within the MediClin
Group. The goal is for assistant physicians to continue their training in one or more
of the MediClin clinics until they graduate. It is possible to clearly depict how the training development opportunities for physicians look in concrete terms using the example
of specialist physicians. MediClin enables young physicians to qualify in numerous differ ent specialist areas. These include:
Psychosomatic medicine, psychiatry and psychotherapy
Orthopaedics and trauma surgery
Internal medicine with a focus on cardiology
Neurology and neurosurgery
Physical and rehabilitative medicine
Radiotherapy
22
In particular, the seminar about professional physician-patient communication is tailored
towards assistant physicians. It teaches physicians how to find the right level for different
situations and how to communicate difficult or emotionally charged information to
patients. Individual modules for this seminar include communication models, strategies
for coping in stressful situations even for the physician, as well as handling complaints
from patients.
We train and educate our employees
The MediClin Academy: We train and educate all employees – physicians, nursing
care workers, therapists, administration staff and divisional company staff – in both
a specialist and interdisciplinary way.
Diabetes mellitus
Aqua medical trainer
Professional physician-patient
Nordic walking
communication
Echocardiography
Kinesio taping
Complaint management
Kinaesthetics
The patient as a customer
Basale stimulation
Personnel management
Legal questions in nursing care
Employee appraisals
Motivation and worker satisfaction
Information technology
Time management and
Coping with difficult patients
stress management
Better communication
Activation therapy in neurology
Crisis management
23
Information sources
Bobath seminars
In addition, MediClin clinics cooperate with other nearby clinics, which do not belong
to the MediClin Group, in order to eliminate any training gaps. To guarantee the
necessary transparency and commitment in the training of our specialists, physicians
increasingly create training curricula for specialist physician training. Assistant physicians
can then understand which training content is available and in which time period. Seminars about specialist and multidisciplinary themes are available to all assistant physicians:
DRG coding
Business administration for physicians
Communication
Personnel management
Time management
MediClin integrates > Appreciation and security
Employee loyalty to the company
Our long-term aim is to find qualified employees and to keep them at the company.
Should employees leave the company, we try to find out the reasons that led to this
decision. This could be caused by organisational conditions such as the lack of provision
for comprehensive further training opportunities, but could also be caused by factors
where inadequate or non-existent provision in certain areas led to demotivation, such
as management competence, work-time models, working atmosphere and personal
scope for development. In a constructive process, alternating between central planning
and a decentralised best-practice model, we counteract these fluctuations in the
workforce and create attractive workplace models for our employees. Our programmes
for combining professional and private lives are setting new standards.
Especially in light of the fact that there is a great demand for physicians, we purposely ask assistant physicians why they have decided to leave the company. However,
we only do this after they have received their letters of reference, so that they can
answer freely and without compulsion. These answers are evaluated by the central
monitoring department, which has already been able to extract one important finding
that we now apply within the framework of our fundamental principle “MediClin integrates”: Assistant physicians who want to make an occupational change receive the
offer from us that we will, to the best of our abilities, enable them to transfer within
the company.
Ombudsman model
In the induction phase, newly employed physicians can turn to chosen ombudsmen
or to an assistant physician spokesperson for assistance. The ombudsmen are recruited
from the head physician level and are selected by the head physicians themselves,
taking into account whether the candidate has a strong personality which is suitable
to fill such a position. In the case of a conflict, the ombudsmen try to take an objective
view of the current situation, weighing up the arguments and views on both sides and
trying to find a satisfactory solution. They are also available to accept suggestions from
assistant physicians in terms of innovations or for constructive criticism; it is even possible to report errors without sanctions or negative discussions. The ombudsmen see
themselves as guides and advisors for career and development questions beyond the
boundaries of the clinic, and they maintain professional confidentiality as a matter
of principle. Both the communication between assistant physicians and their superiors,
and also the communication between clinics, can be organised in a constructive
manner and continuously optimised through the intervention of the ombudsmen.
Employee appraisals – central concept, individual design
The structured yearly appraisals follow the broad lines of these main themes:
Feedback about the current job situation.There are questions here about cooperation
and teamwork, the leadership skills of superiors, the effectiveness and efficiency
of processes in the individual clinic, as well as suggestions for optimising processes.
Development potential and opportunities for further employee qualifications with a
comparison of the employee’s self-perception and the perception of others, as well
as performance expectations for the future.
24
MediClin integrates > Appreciation and security
Career and security
Filling specialist and leadership positions with junior employees from our own ranks who
are especially trained for this opportunity is the aim of this two-year trainee programme
at MediClin.
Training takes place on the job and occurs primarily in both the company’s central
office in Offenburg, as well as at different acute-care and rehabilitation clinics. The
training is deliberately concentrated in two locations so that the trainees are integrated
into a department as “fully fledged”employees and the desired increase in knowledge
is successfully achieved. In the central office in Offenburg, trainees are currently employed
in the departments Human Resources, Contract Management /Sales or Quality Management /Organisation/Auditing. In the clinics, they are employed as assistants in the area
of commercial management and take on a variety of routine and project tasks.
The success of the trainee programme is impressive: Wiebke Weißmann, Clinic
Director of the MediClin Fachklinik Rhein/Ruhr since April of this year, started her career
at MediClin as a trainee. Following the training programme, she held the positions
of Head of Patient Management and Deputy Clinic Director also at the MediClin Fachklinik Rhein/Ruhr. Carsten Krüger, initially assistant to the Business Director at the
MediClin Reha-Zentrum Soltau, is now Deputy Business Director at the MediClin MüritzKlinikums in Waren.
Career start trainees – the programme for prospective leaders at MediClin
25
Information sources
Because the German statutory pension is no longer likely to be able to cover the
living costs of people in retirement, MediClin offers its employees the company pension
scheme model (bAV), which works on the principle of deferred remuneration. The
employer-financed MediClinRent system also includes provision for surviving dependants.
Our staff are always pleased to provide more detailed information, either in the form
of reference material or, naturally, also in person.
In keeping with the idea of a lifelong connection between our employees and
MediClin, we also maintain contact with our former employees, and our alumni
continue to be provided with information, where desired.
Security in old age: MediClinRent
Family and career –
finding the right balance
Combining a family and career requires resourcefulness and flexibility.A growing number
of mothers and fathers are now single parents, and workers are increasingly faced
with new challenges due to the need to care for older dependants.Three MediClin clinics,
the MediClin Seepark Klinik, Bad Bodenteich, the MediClin Herzzentrum Coswig and
the MediClin Rose Klinik, Horn-Bad Meinberg, have already gained the certificate “audit
berufundfamilie” (audit of work and family compatibility) from the Hertie Foundation.
In Horn-Bad Meinberg, the clinic management has additionally completed the mentoring programme “Success factors for a family-aware human resources policy”from the
Bertelsmann Foundation, which has already proven its worth here with some forwardthinking projects:
Since 2001, a job-sharing model for two female head physicians has been successfully practiced.
In order to harmonise the general professional and private lives of employees as much
as possible, the physicians at the MediClin Rose Klinik are putting the “trust-based
working hours” model to the test. Both models require a deliberately systematic
approach to work and precise consultation amongst all employees involved. In the
job-sharing model, information transparency ranges across multiple professions and
interdisciplinary areas, while a high level of empathy is demanded of the female
physicians for any patient who wishes to be treated by one particular physician.
In the trust-based working hours model, physicians can leave the clinic when they
have completed their workload for the day. This is being done to abolish administrative
expenditure and remove the often less than satisfactory individual overtime regulations.
The trust-based working hours model cannot, however, be transferred to an acute-care
clinic. The model is dependent on the clearly structured task and patient allocation,
the mobility of the majority of patients as well as the easily understandable processes
in the rehabilitation clinic. However, even when these basic principles are followed, the
trust-based model demands that other corresponding measures are taken. In HornBad Meinberg, the physicians’ daily meetings for interdisciplinary coordination are
compulsory and the workload of every practicing physician is subject to strict controls
based on results. Planning resulting from these physicians’ meetings is communicated
across multiple professions, so that the high transparency of information can be guaranteed along the entire treatment process.
The newly institutionalised employee appraisals at MediClin in 2010 (see “Employee
appraisals – central concept, individual design” p. 24) have also been used by the
MediClin-Klinik in Horn-Bad Meinberg, as a quality assurance measure for their
human resources policy “audit berufundfamilie”. In the rehabilitation clinic, they
want to place special focus in the future on reconciling occupational integration
and the care of relatives at home. Cooperation is planned for this purpose with
the MediClin-Altenbetreuungszentrum (elderly care centre) in Horn-Bad Meinberg.
A special agreement for the short-term care for dependants of employees of the
MediClin Rose Klinik would serve two purposes: Firstly, a higher level of employee
loyalty to the clinic and secondly, the further realisation of the MediClin concept
“Develop, Promote and Network” in the region.
26
27
Information sources
A third model of our family-friendly human resources policy links the interests of
patients with those of employees. In view of the growing number of single mothers
and fathers, it is being made possible for those undergoing rehabilitation therapies
to bring their children with them for their stay in the rehabilitation clinic. To guarantee the children are cared for during the therapy sessions, there is a child-care centre
in the clinic, which in emergency cases, is also available for employees’ children.
MediClin integrates > Family and career
Interview with Paloma Depping and Ursula Perret, who have put
the part-time working model into practice
Paloma Depping gynaecologist, Ursula Perret internist, MediClin Rose Klinik, Horn-Bad Meinberg
Paloma Depping, Ursula Perret, how did your part-time
possible, for example, when one of our children is ill. We
working model come about here at the clinic?
really appreciate the fact that the clinic management is open
> Paloma Depping: Eight years ago, we were specifically
to individual agreements and also that the relationship at
looking for a female internist for the oncology clinic.
this level is based around mutual trust.
Because I already wanted to reduce my working hours after
> Paloma Depping: The good level of cooperation within
the birth of my second child, I suggested to Ursula Perret
the department and the support shown by the clinic are also
after her maternity leave that we share the position in the
important aspects for me. When my daughter was still a
specialist clinic for oncology. Therefore, we played an
baby, I was even able to take her into the hospital in a baby
active role ourselves initially in the process. We receive the
carrier, where she was cared for by one of the employees
required support from our colleagues in the department
who also looks after the patients’ children.
and the clinic management shows a high level of flexibility.
What other advantages does this model offer?
28
How did you organise the part-time model?
> Ursula Perret: Because we are both specialist physicians
> Ursula Perret: We have divided the areas of responsibil-
in different disciplines, by dividing the tasks we are also
ity. Each of us has assistant physicians allocated to us
expanding the expertise within the department. We also both
with whom we coordinate everything on a daily basis. If
work in the morning up until midday and therefore spend
a large number of patients are admitted to the clinic in a
the most productive hours of the day in the clinic. A further
particular week then we work longer hours and can take
advantage is that we can cover for one another; at least one
these overtime hours off at a later date. Overall, we are
head physician is always on-site during holiday times. We
able to plan our working hours well. The most important
have developed a family-friendly working environment in
thing is good and trusting coordination within the depart-
the clinic. This has the effect of a low workforce fluctuation
ment. We support each other and try to react as flexibly as
amongst the physicians employed here.
Medical provision across all areas, interdisciplinary networking and
result-oriented treatment processes are the greatest challenge for modern
acute-care and rehabilitation medicine. In our MediClin clinics, we
put integrated, integral and innovative concepts to the test. We work
on the basis of highly specialised medicine, while at the same time
overcoming sector boundaries.The comprehensive and sustainable treatment of our patients and the optimal quality of our medical provision
are both our requirements and our goals.
38
38
Cardiology/neurology
Heart and brain ward: forward-looking concepts for
integral rehabilitation
40
40
Heart surgery
Hybrid operations – synthesis of interventional and
operative techniques
When every second counts: telemedicine in cardiology
and heart surgery
42
44
44
Orthopaedics
From curative medicine to evidence-based medical rehabilitation
47
47
ENT
Cochlear implant – new hope in the world of hearing
32
Psychosomatics
Pain and trauma therapy – exploiting synergy effects in
the treatment process
When work makes you ill – causes and suitable intervention
30
30
29
Information sources
}
SPECIALISED SOLUTIONS
Pain and trauma therapy – exploiting synergy effects
in the treatment process
Patients suffering from pain with a comorbid PTSD (post-traumatic stress disorder) experienced a clear
improvement in their pain symptoms when trauma therapy treatment elements were added to their rehabilitation concept.
Patients do not conform with medical disciplinary
boundaries
The constantly increasing specialisation of medicine promotes scientific advances and high standards of quality for
those disease patterns that lie within the focus of a certain
specialisation. However, it becomes a problem for patients
when disease patterns transcend the usual boundaries, or
when interactions in their treatment that overlap these specialist areas must be considered. This group of patients
includes those who have been traumatised by a serious
accident, an act of violence or due to violence and sexual
abuse in childhood. Often there is damage to both mind
and body with resulting physical pain and psychological
symptoms. The most common psychological symptom is
post-traumatic stress disorder (PTSD). The interaction be tween chronic pain and PTSD has only been researched
intensively in recent years. Depending on what triggered
the trauma, research shows that between a third and fourfifths of all patients with PTSD also have chronic pain
symptoms, and that PTSD is to be expected in 10–50 %
of all chronic pain patients.
In the past, this comorbid connection was not investigated enough, despite the fact that it was often the cause
of an unsatisfactory outcome in treatment both in terms
of chronic pain therapy and trauma therapy. Therefore, it
can be the case, for example, that memories of the trauma
or symptoms of over-excitation as part of the PTSD can lead
to ongoing or constantly recurring states of tension, which
prevent effective pain therapy.There is also often the danger
that painkillers to treat psychological symptoms are being
improperly prescribed. And vice versa, the chronic pain is
often an unrecognised trigger for memories about the
trauma.
30
Closing diagnostic loopholes – making use of
synergy effects
The specialist clinics for orthopaedics /rheumatology and
psychosomatic medicine at the MediClin Bliestal Kliniken
in Blieskastel have been successfully working together for
many years in the treatment of chronic pain patients. In
this treatment, the clinic for orthopaedics specialises in the
aftercare of primary physical illnesses and follow-up treatment after operations, while psychosomatic medicine treats
the condition caused by psychological symptoms, as well
as chronic pain in patients considered physiologically untreatable. Another focal point of psychosomatic medicine
is trauma therapy. The fact that these areas of treatment
complimented each other exceptionally well was shown at
first in the treatment of patients who had suffered serious
work-related injuries – both clinics belong to the trauma
network for the employer’s liability insurance association.
The close links between both clinics in the areas of diagnostics and therapy made it possible in some cases to correctly
Specialised solutions > Psychosomatics
This therapy concept is rated very positively by patients and
there are now long waiting times for the pain and trauma
group. Due to the fact that only a few facilities offer special
treatment concepts for this ever-larger group of patients,
this development at the MediClin Bliestal Kliniken has received nationwide attention. The concept has been pre sented in nationwide congresses in the areas of trauma
therapy, chronic pain therapy and psychosomatic medicine.
The scientific evolution of this therapy concept has just
begun.
Medical rehabilitation belongs to the most innovative areas
of health care – an ageing society with an increasing deficit
of specialists is dependent on an effective and sustainable
rehabilitation concept. In this context, being actively involved in research in order to develop new concepts and
then test them is becoming a success factor for rehabilitation clinics. Carrying out your own research also means a
clinic is represented at national and international congresses, as well as in specialist medical magazines – in this
way, remaining at the very cutting edge of medicine. This
research also makes it possible to recognise current prob lems in therapy and rehabilitation at an early stage and
to develop your own concepts. The importance of the connection between trauma disorders and chronic pain has
only been the subject of scientific research for a few years.
For the MediClin Bliestal Kliniken, being active in this area
from the beginning has paid dividends. The treatment concept “pain and trauma” enables the clinic to find a therapeutic approach for patients covered by the pension insurance institutions who were previously difficult to treat.
Moreover, it also enables the development of new treatment
concepts tailored to the requirements of the employer’s
liability insurance associations or the large reinsurers, which
are becoming increasingly active in the treatment of patients after traffic accidents. Another increasingly growing
group of patients in this context are police officers, security
guards and soldiers returning from deployment abroad.
Other key elements of the pain and trauma therapy
concept are:
Patient training/psychological education
Pain control group
Teaching of a relaxation technique or an
imagination/stabilisation group
Creative therapy
Ergotherapy
Physiotherapy and physical therapy
Movement therapy and medical gymnastics
Occupational therapy
When there are relevant indicators, further trauma
therapy processes such as EMDR (Eye Movement
Desensitisation and Reprocessing) or IRRT (Imagery
Rescripting and Reprocessing Therapy)
Research is increasingly important for
rehabilitation clinics
Dipl.-Psych. Eva-Maria Meiser
Head Diplom Psychologist
Prof. Dr. Volker Köllner
Head Physician
31
Information sources
diagnose the previously hidden comorbid connection for
the first time, and to provide the required specialist treatment. It was only in this way that patients were then provided with successful re-entry into their professional lives.
After the connection between chronic pain and trauma
was brought to the focus of the team by this group of
patients, it was evident that numerous chronic pain patients
in the psychosomatic clinic also had unresolved traumatic
experiences in their history, or were suffering from full-blown
post-traumatic stress disorder. Once the first case histories
(Meiser and Köllner 2007) for chronic pain patients with
comorbid PTSD showed that the addition of trauma therapy
treatment elements in the rehabilitation concept could also
lead to a clear improvement in pain symptoms, the working
group under the clinic’s Head Psychologist, Dipl.-Psych.
Eva-Maria Meiser, and Head Physician, Prof.Dr.Volker Köllner,
developed a special treatment environment for patients
with a comorbid connection between chronic pain and
post-traumatic stress disorder. An important elements is:
A trauma-pain group using a semi-open method, which
was supplemented by obligatory individual therapy
When work makes you ill – causes and suitable intervention
How the worlds of employment and psychotherapy can exist in a state of
beneficial interdependence: In MediClin’s specialist psychosomatic clinics,
the consideration and therapeutic involvement of all relevant elements leads
to sustainable success in ensuring a patient’s re-entry into their chosen
profession.
People often only become fully aware of the value of a
thing or situation when they register a deficit its loss. In our
modern society, we live with growing uncertainty in the
job market. Many companies increasingly offer only temporary contracts and more and more flexibility is expected
from employees. The most desirable goals for many people
are to have a permanent job and a secure income source –
and they are prepared to make sacrifices to achieve it. One
sacrifice appears to be, to an increasing extent, their own
health. According to current statistics, although the number
of sick days due to physical illness has decreased in total,
the reasons for this decrease lie more in the fear of losing
their job rather than in the generally improved state of
health of employees. On the other hand, the number of sick
days attributable to psychological illness has actually seen
a clear rise. Is our modern working environment making
us ill?
Stress factors for health in the workplace
It has been known for a long time that a high level of
stress at work, combined with a limited scope for making
decisions and few opportunities to use personal skills, is
extremely stressful for both mind and body. The major stress
32
factor in this context is the limited scope for autonomous
action and decision-making, not the amount of work. Those
who have a high workload to manage, but at the same
time are able to independently make decisions and choose
themselves when they do which work, do not generally
feel under great strain. On the contrary, having a highly
demanding job, as long as it is combined with scope for
decision-making and lots of ability to take autonomous
action, provides a chance for personal development and
for a good feeling of self-efficacy.
Other factors in the working environment that make a
difference between health and illness are feelings of re spect, appreciation and adequate remuneration.The medical
sociologist Johannes Sigrist speaks of an effort-reward
imbalance. There is twice the risk of employees who do not
feel adequately remunerated or appreciated suffering a
heart attack or developing depression in comparison to
other employees. Alongside these psychological-mental
factors, of course, there may also be insufficient work safety
provisions or social structure conditions in the workplace,
which make people ill in the truest sense of the word.
On the whole, it can be assumed that the triggers for
stress and illness caused by work or the workplace are
bio-psychosocial factors. Many of these factors display a
high level of overlap. Bullying at work is an extreme form
The strain caused by these stress factors can exhibit itself
in many forms, such as in changed psychological reaction
patterns and behaviours, as well as in physiological symptoms. A number of manifestations of strain also merge
into one another:
33
Physiological-biological factors can arise as a result of poor
work protection provisions (safety at work and occupational
medicine):
Climatic conditions in the workplace (ventilation
systems, etc.)
Lighting (for example insufficient lighting, poor desk
lamps, etc.)
Noise in the workplace and insufficient noise
protection provision
Cold/heat (for example poor heat insulation or drafty
working areas)
Night and shift work (biorhythm)
Social stress factors overlap to a large extent with psychological-mental stress factors; for example, bullying at work
can be triggered or promoted by a competition-oriented
company atmosphere and is a psychological-mental stress
trigger. This could be when, for example, one colleague is
systematically excluded from a group of colleagues or when
a superior bullies one individual employee – but also when
employees join together against superiors. It is important to
observe here that not everything that is called bullying is
actually real bullying; not every conflict in the workplace is
automatically a case of bullying. Overall, social stress factors
relate even more strongly to the working environment, the
type of work or to the general company guidelines:
Poor company atmosphere, for example, caused by
different departments simply working on top of one
another
Poor security and provision for those employed (such
as retirement provision)
Poor opportunities for combining a career and a family
High responsibility for people and property through
the nature of the employment, causing:
High level of emotional strain (helper!)
Competitive pressure
Isolated work
Monotonous work
Insecure workplace
Information sources
of social stress and can make people psychologically and
physically ill. Our workplace relationships are set against a
social context, and the resulting fear a person has of losing
their job is one of the strongest psychological-mental stress
factors triggered by social conditions. That is why socially
acceptable structuring of workplace relationships already
plays such an important role for work and health; to look
alone at humane working conditions in the sense of sufficient regulations for safety at work would, therefore, fall
short of tackling the whole issue.
Alongside the already discussed limitations in a person’s
ability to act or make decisions and insufficient appreciation, psychological-mental stress factors can appear in
many different forms:
Being overtaxed due to the performance volume,
tempo or nature of the work
Being under-challenged because the nature of the
work does not correspond to a person’s qualifications
Contradictory working instructions from superiors
Conflicts (open and smouldering conflicts in the
workplace)
Bullying at work
Sexual harassment
Lack of recognition and support from colleagues and
superiors
Constant external disruption of work (for example
through meetings)
Incomplete information to tackle the work
Poor feedback about success or any possible
corrections necessary
Unclear goals. What, how and by what deadline
something should be achieved
High performance and time pressure
Controlling and monitoring by superiors
Fear of failure
Insufficient induction and training
Unclear areas of responsibility
Fear of losing job
Initially, the so-called Sick Building Syndrome “only” exhibits itself physically.The person reacts with allergies and
infections to a supposedly healthy working environment.
In the psychological-mental area, decreased vigilance
or a permanent absentmindedness and forgetfulness
can be clear signs of stress in the workplace.
There is a risk of burn-out if a sustainable imbalance
occurs – when needs, opportunities and the required
re-tanking of energy reserves are no longer striking
the right balance with one another in the long term.
Workaholic behaviour can be just as much a stress
factor as being overtaxed or under-challenged.
Presenteeism describes the behaviour of employees
who drag themselves to work out of a latent fear of
losing their job, despite the fact that they are ill.
Health problems in the workplace – many go
wrong in occupational interaction!
If we do not want to ignore the bio-psychosocial view of
these health problems then we must examine some basic
questions. Employees must be able to adapt to the current
job market, with its ever-more frenetic transformations and
company restructuring processes. Particularly in the free
market, employees encounter an increasing number of
inhumane and immoral leadership styles, which they must
counteract despite all of their health restrictions. The increasing idealisation of youth – together with a devaluing
ignorance in relation to older employees – dramatises competition on the one hand, while on the other, it promotes even
more the tendency for resignation and self-abandonment.
There are a series of reasons for this development. One
of which is top management, who have too little contact
with the rank and file employees.Yet the rank and file also
don’t see it as their obligation to inform someone about
34
current problems in everyday business. This is understandable because it is not always a pleasant task to be the
bringer of bad news. It has in the past cost many a messenger their head. Therefore, the decisive factor is that
people are often too afraid, or believe that it is dangerous,
to be the whistleblower highlighting a grievance. And
often they don’t really know how to communicate criticism
in a constructive manner. The improvement potential that
is hidden in these grievances remains therefore unutilised.
And for this reason, many bosses and employees do not
discover things that they should really know about.
Fear gnaws at your heart and mind
Many of the already named stress factors, such as the
threat of losing your job, create fear. Fear is not necessarily
something that is purely negative. It can also highly motivate people. The fear of things such as losing your job or
being bullied at work apparently leads to more productivity. Following this logic, no employer – whose task it is to
motivate employees – should do without “fear”as a motivational instrument. However, fear is not a good “adviser”
or motivator because unfortunately the fear of losing
your job often bears down so heavily on people that simply
worrying about it – even when it doesn’t actually affect
them directly – can have a major effect on health. For example, if employees in a company find out that within the
next year 15 % of the workforce are to be made redundant,
then the blood lipid levels in these employees will rapidly
rise: A clear sign of stress and a danger for the heart. And
these effects will still emerge, although at this point in
time it is not clear which of the employees will be made
redundant.“Workplace insecurity,” explains the medical
sociologist Sigrist, “has a direct effect on physical and emotional processes.”
We have phrased this question a little provocatively because
occupational stress and psychotherapy seem to exist in two
separate worlds.
“Work is the inevitable condition of human life, the true
source of human welfare.” (Count Lyev Nikolayevich Tolstoy,
My religion, 1880)
“Psychotherapy is professional psychotherapeutic action
within the framework and rules of the public health care
system, practised by psychotherapists with professional
qualifications in line with ethical principles and standards,
and monitored using quality control measures and following the principles of economic efficiency.”
People who are no longer capable of carrying out their
occupation often display physical and psychological symptoms that cannot be separated from one another. Therefore, it is apparent that occupational stress factors occur in
advance of mental illness. Whether from conflict in the
workplace, the threat of losing your job or a redundancy
that has already happened, patients who believe that they
are not up to coping with these strains are often written
off as unfit for work. The inability to work is substantially
dependent on the workplace situation and the person’s self-
35
Employers who want to have a healthy, competent and
really productive workforce over the long run would be well
advised to take a close look at matters and already introduce preventative factors to balance the consequences of
the different types of stress factors:
Mutual social support
Reduce work intensity
Maintain sufficient staffing levels
Build-in time buffers
Provide regular breaks
Create a healthy working environment (for example
noise reduction, lighting, etc.)
Broaden the freedom of action
Delegate decision-making responsibility
Eliminate constant work interruptions
Create holistic job assignments (planning, organising,
implementing and checking)
Occupational training secures a qualified workforce
and helps to avoid fear and stress
Employ workers based on their qualifications and
create the opportunities for further development
Provide feedback about the quality of the work
Avoid contradictory instructions
Improve communication, cooperation and information
Foster a good working atmosphere
What business does psychotherapy have in the
workplace?
Information sources
How employers can promote productivity and
enjoyment at work
assessment of their place within it. For example, people
who are affected by conflicts in the workplace tend to find
not only the physical but also the socio-communicative
demands – such as uncertainty, tension within a team or
even smouldering conflicts – as equally insurmountable
and just as stressful.
If the patient is written off work sick over a long period
then they do not learn how to deal with the stress factors
that have triggered their illness. This often leads, in the long
term, to an application for retirement on health grounds
being submitted. In this context, there then follows a whole
series of expert examinations of the patient. If there are
signs that it may prove successful, then rehabilitation measures are also initiated (rehabilitation rather than pension).
How employees and employers can take the lead
themselves in this area
Many people tend to want to gain some sort of “pleasure”
from everything that they do. If something is no longer
enjoyable then it supposedly doesn’t have value anymore.
This is an incorrect thought process. We need to introduce
a learning process making it clear that work in itself has a
value, responsibility is certainly very valuable and work is
the“glue” for healthy social interaction.The increasing number of psychologically ill young people is, perhaps, the
downside to a society based around instant gratification.
Work does not only involve fun but also: “toil, hardship,
adversity, which one can accept willingly or suffer through,
conflict distress and punishment” (Brockhaus).
36
How psychotherapy can contribute to a healthy
working environment
Studies into the frequency, course and causes of psychological illness in employees are rare. There is certainly a
need for demands to be made on occupational medicine,
which has paid too little attention to the psychological
factors of work-related illness up until now, and also on
psychotherapy, which still spends too little time looking
into the working situation of patients. The consequences
of a therapy that is inadequate at tackling psychological
illness affect employees in more ways than one. These illnesses do not only signify great suffering, but in the medium and long term, they also result in enormous costs for
national economies due to cronification processes. Employees who receive therapy that has not also sustainably
considered the workplace as a “cause”, end up returning
to their place of work only to be quickly confronted once
again by the same factors that caused the illness in the
first place, and without being equipped with any adequate
“instruments” to tackle them. Attention must be paid in
the relationship between healthy and high-performing employees and a healthy economy to questions surrounding
the consequences of early retirement due to ill health, loss
of working hours or absenteeism, and the idea promoted
by politicians of people extending their working lives.
To reduce health problems caused by stress factors in the
workplace, employers should ensure that their employees
approach their work in a motivated manner and summon
up the moral courage to denounce problems – only then
can an employer or superior respond and take action.
Secure jobs, respect, appreciation and a fair performancerelated pay are required to achieve this goal. The way that
work is distributed, hierarchies are structured and how this
all plays out in terms of human interaction also naturally
affects people’s health. An important example of how this
can evolve is the introduction of flexitime, which is connected to a clearly improved situation in terms of decisionmaking freedom and planning options for employees.
Fear is not a suitable remedy. It leads in a superficial way
to more activity, but in the long term to resignation and
illness, as well as the loss of human and financial resources.
For these reasons, the sociologist Panse estimates that the
German economy loses several billions per year due to the
fear of its employees – especially at a managerial level.
Psychotherapy – regardless of whether inpatient or
outpatient – should attach the necessary importance, in
particular, to social and occupational problems arising
before illness and those that result from illness.The solutionoriented tackling of these occupational and work problems
should be a component of every psychotherapy treatment.
It is only possible in this way to prevent the development
of a viscous circle of illness, health problems in the workplace and an intensification of the illness. Against the
backdrop of increasing bureaucracy and the sectoral distribution of responsibilities, psychotherapists and specialist
psychosomatic clinics are faced with the task of competently handling those patients affected or passing them on to
the appropriate place.
In psychosomatic clinics, it is possible to highlight and
treat the social-medical factors in the patient’s environment, pronounced comorbidity, serious physical effects of
psychological illness and the loss of personal and social
resources using therapy. In the end, this means that costs
can be saved – both for the employer and the coverage
providers – when these social and work-related problems
no longer have to be shouldered by patients. That these
costs can be saved by following such a sustainable process
has been shown by the MediClin Deister Weser Kliniken
with their studies carried out together with the health care
insurance company AOK Niedersachsen, and the resulting
integrated medical care contracts (see Annual Report
2008/2009).
Dr. Dieter Pütz
Head Physician Behavioural Medicine
and Psychosomatics
MediClin Deister Weser Kliniken,
Bad Münder
37
Information sources
Conclusion
Heart and brain ward: forward-looking concepts
for integral rehabilitation
A one-year pilot project in cooperation with the AOK has demonstrated
the value of the new “heart and brain ward” rehabilitation concept at
the MediClin Fachklinik Rhein/Ruhr. The ward was officially opened in
February 2010. Its interdisciplinary services in cardiology and neurology
demonstrate the success of the rehabilitation and significantly reduce
complications.
The common risk factors found in vascular diseases formed
the catalyst for and the medical foundations of this integrated rehabilitation concept. Ischemic lesions (myocardial
infarction, cerebral infarction) often impact on a number
of end organs at the same time. Due to the type of patients
treated in the specialist clinic, there was an increasing
need for interdisciplinary services in the initial phase of both
cardiological and neurological treatment. An analysis of
medical indicators identified during patient consultations
showed a group of patients requiring high levels of additional diagnostic expenditure, who then experienced delays
to their rehabilitation measures due to these additional
diagnoses – sometimes of considerable length. Furthermore,
it was observed that these patients suffered higher levels
of complications and an increasing number of them required
referrals back to the acute-care clinic.
Common guidelines for rehabilitation measures
The data collected in the pilot phase concurs with literature
from other known surveys: The data shows that the cause
of illness in 30% of stroke patients was of a cardiological
nature (TOAST Classification) and some of these stroke
patients already required monitoring of, for example, heart
frequency even in the rehabilitation treatment phase.To carry
38
out neurological rehabilitation, including physiotherapeutic
measures, on patients with known or unknown cardiological problems, an assessment of cardiovascular resilience
– such as a report on ergometer levels – should be completed in advance. This is already a standard guideline in
cardiology but has not yet been established in neurology.
A stroke patient usually leaves the acute-care clinic with a
diagnosis that is insufficient for the purposes of the rehabilitation phase, meaning that additional examinations are
required to take account of these rehabilitative aspects.
The rehabilitation measures must then be adapted to individual requirements.
Therefore, we decided to combine neurology and cardiology in the treatment of these patients. In addition, we
installed telemetric monitoring of blood pressure and heart
frequency in order to recognise critical phases under therapy conditions. In practice, this showed that hypertension
in stroke patients was often over-treated in therapy, and
we registered an increasing number of cases of hypertension.The cause of this was not always inadequate pharmacotherapy. We also increasingly observed cardiac output
disorders, right through to previously undiagnosed illnesses of the heart valve apparatus. The echocardiography
specially set up for the rehabilitation delivered valuable
information about heart resilience or indicators for further
invasive therapy.
Specialised solutions > Cardiology/neurology
In order for rehabilitation to meet these requirements,
patients have been brought together onto one ward: the
heart and brain ward. We have introduced a cardiological
and neurological workup and also set up telemonitoring
in the ward. The concept is substantially supported by
shared consultation between the head physicians. Patient
findings are discussed in detail and the subsequent diagnostic, pharmacological and therapeutic concept is agreed
upon jointly. The patient is then generally cared for in the
specialist departments (neurology/cardiology). The experi ence gained in the pilot phase has shown that a change
in medication had to be made in almost all patients, while
an extended diagnosis was required in a large number of
patients and the rehabilitation therapy adjusted accordingly
(changes in the ergometer therapy, reduction of the resilience therapy and neuropsychological therapy, etc.). Our
experience up to now also shows that patient security
can be increased in this way (for example, fewer transfers
back to the acute-care clinics) and the rehabilitation success has improved. To substantiate these statements, we
plan to carry out an accompanying scientific evaluation.
We are currently (spring/summer 2010) involved in raising
the finance for this venture.
Referring physicians have also responded to these
changes and we have experienced a clear increase in referred patients requiring interdisciplinary treatment. The
Overall, the interdisciplinary rehabilitation of patients with
vascular illnesses is gaining an increasingly greater significance and the “heart and brain ward” provides a groundbreaking concept for dealing with this problem. For example, the problem of comorbidity is frequently faced as part
of cardiological rehabilitation. How a stroke affects the
recovery process for heart attack patients has not been sufficiently investigated in the past. Our heart and brain ward
could generate relevant data to provide the foundations for
multi-centre clinical studies. The interdisciplinary approach
combining cardiological and neurological care could also
be used to provide good foundations for the training of
general practitioners. Above and beyond the medical and
nursing care, another important topic in the treatment of
critically ill people with a negative prognosis, such as hypoxic brain damage, is the handling of ethical questions
together with the patient’s relatives – such as the extent to
which continued care should be offered? The establishment of an ethical board in our facility is currently being
investigated.
Neurological-cardiological assessment and therapy
Conclusion and outlook
From a cardiologist’s perspective, the neurological problems
of patients following resuscitation, heart operations or the
implantation of artificial hearts in the referring hospitals are
often not sufficiently documented – these post-operative
developments include changed cognitive performance or
focal neurological deficits. This means that patients with
a memory deficiency already require, for example, a neuropsychological examination for an assessment of their
fitness to drive. Published data on the subject shows that
more than 30% of patients (these findings match our
own experiences) exhibit memory retention deficiencies and
deficits in selective attention, right through to serious
executive failure. This being the case, it is necessary for patients to receive corresponding cognitive training and
increasingly also the use of neuroenhancers as an accompanying medication.
problem that arises here is which department, sector or employee is responsible at the coverage provider and what
level of budget should be agreed for the treatment. The
number of beds has already been expanded from the
original eight to a total of 16 beds.
Prof. Dr. Mario Siebler
Head Physician Neurology
MediClin Fachklinik Rhein / Ruhr, Essen
Prof. Dr. Roger Marx
Head Physician Cardiology
MediClin Fachklinik Rhein / Ruhr, Essen
39
Information sources
Closing documentation gaps in post-operative
procedures
Hybrid operations – synthesis of interventional
and operative techniques
One of the few hybrid operating theatres in Germany has been in service since April 2009 in the MediClin
Herzzentrum Lahr/Baden. Imaging processes have been integrated into surgical operations to quickly and
efficiently combine diagnosis and therapy, as well as to create an interdisciplinary treatment platform.
The hybrid operating theatre is a combination of cardio logical heart catheter laboratory and heart surgery operating
theatre. It is equipped with an angiography/ X-ray unit, so
that patients can be operated on and diagnosed at the
same time. In this way, an interdisciplinary platform for heart
surgeons, vascular surgeons, cardiologists, radiologists
and anaesthetists is created. The hybrid operating theatre
signals a new development in heart medicine, namely the
linking of the disciplines cardiology, heart surgery and also
vascular surgery – ultimately developed to realise innovation in patient therapy.
Minimally invasive technologies for the benefit
of risk patients
Future developments in methods for treating cardiovascular
illnesses will be played out primarily in an interdisciplinary
arena. The main goal is to combine classical heart surgery
interventions with minimally invasive catheter technology.
The first thing worth mentioning here is percutaneous
40
aortic valve replacement, which makes it possible to replace
heart valves without having to open up the whole chest.
Initially, the narrowed aortic valve is expanded using a balloon. The heart valves that are to be implanted are folded
and placed using a catheter in the valve annulus, where they
are then opened up. The expansion of the prosthetic heart
valve displaces the native, dilated valve and the prosthetic
takes over its function. The catheter enters the body either
via a transfemoral approach in the groin or transapically via
a small cut in the chest. The complete surgery takes place
without the use of a heart-lung machine. This new procedure considerably minimalises classical surgical intervention
and is, therefore, particularly beneficial for older patients
and high-risk patients.
Intraoperative imaging guarantees immediate
assessment of results
Heart valve replacements carried out using catheters are only
possible due to the angiography/ X-ray unit in the hybrid
operating theatre. The MediClin Herzzentrum Lahr/Baden,
is equipped with a floor-mounted X-ray system, including
a special operating table, which can be freely rotated providing unhindered access to the patient. The X-ray system
boasts film-free digital technology for quick examinations
and perfect imaging with minimal radiation exposure. The
images are transferred live to a screen. Intervention using
stenting is also supported by this technology. The functionality of the prosthetic valve can be directly tested after
implantation, which spares the patient from further postoperative measures.
The interdisciplinary integration of surgeons, vascular
surgeons, cardiologists and radiologists in one treatment
room ensures that patients remain well protected even in
emergency situations.They can be simultaneously diagnosed
and treated using all available treatment methods while
harnessing the combined interdisciplinary expertise. Transferring a patient to another operating theatre in an emergency would be fraught with risk because the patient must
be mobilised and valuable time would be lost. In the hybrid
operating theatre, surgical intervention can be carried out
on the spot and with the aid of a heart-lung machine.
The hybrid operating theatre has clear advantages for
patient health care provision. It improves the medical options
available and makes interventions more secure. It also
supports minimally invasive techniques, which make it possible to treat high-risk patients. Furthermore, these techniques are so gentle that patients recover more quickly than
with conventional treatment and the period of inpatient
care can be reduced. Due to the complication rates in patients being lower, and recovery periods also being reduced, the hybrid operating theatre reduces costs over time,
while simultaneously increasing the quality of the medical
provision considerably. Through the use of these high-end
technologies, the MediClin Herzzentrum Lahr/Baden
continues to confirm its position as one of the leading heart
clinics in Germany.
Interdisciplinary know-how also protects patients
in an emergency
Conclusion
Prof. Dr. Jürgen Ennker
Head Physician
MediClin Herzzentrum Lahr/Baden
41
Information sources
The new X-ray technology in the hybrid operating theatre also modernises conventional non-cardiological interventions considerably – such as when using artery stents
in the aorta. This procedure can be carried out even more
precisely with the aid of the new angiography system. In
addition, live fluoro overlay imaging in radiology makes it
possible to display a three-dimensional image of the heart
chamber, which is a great advantage for procedures such
as sclerotherapy for cardiac arrhythmias. These new devel opments in radiology increase the quality of the treatment
and thus also considerably improve security for the patient.
In vascular surgery, this intraoperative vascular imaging provides an immediate quality assurance system.
Specialised solutions > Heart surgery
When every second counts: telemedicine in cardiology
and heart surgery
Rapid intervention due to the IT-based networking of clinics and emergency services: The MediClin
Herzzentrum Coswig has initiated a heart attack network in the Wittenburg region of the German state
of Saxony-Anhalt under the patronage of Minister President, Prof. Dr.Wolfgang Böhmer.
Heart attack network
The medical advances we have achieved due to IT-based
networking in the area of cardiological emergency therapy
can be illustrated by the following example emergency. A
man collapses at his workplace or at home with severe pain
in his chest, the emergency physician carries out an electrocardiogram and the data is immediately transferred via the
Internet to the MediClin Herzzentrum Coswig. The diagnosis is an acute heart attack.While the patient is underway in an ambulance to the Herzzentrum Coswig, the
preparations for a percutaneous coronary angiography are
already being carried out at full speed. A heart catheter
laboratory is kept free and a surgical cardiologist is ready
and waiting for immediate treatment. Thanks to the rapid
start to the therapy, the life-threatening situation can be
averted and the patient does not have to worry about any
secondary damage. The affected heart cells have not yet
died. Overall, we gain around half an hour to an hour of
extra time for the emergency treatment of acute heart attacks using our information highway.
How the heart centre cooperates with emergency
services using information technology
The example case described above refers to our cooperation
with emergency services or emergency physicians in the
region, and the ground-based emergency services in the
administrative district of Wittenberg. The company PaulGerhardt-Diakonie Krankenhaus und Pflege GmbH also participates in this emergency rescue programme. In the first
few months following the start of the project in June 2009,
emergency physicians from the administrative district of
Wittenberg sent around 100 electrocardiogram reports from
the ambulance to the Herzzentrum Coswig. Around one-
42
third of these reports confirmed a suspected acute heart
attack. The patients were then brought directly to the
heart specialists, so that the two-hour deadline for the start
of treatment could be adhered to and secondary damage
could be avoided or minimised. The prerequisite for this system was not only the setting up and organisation of the
network and the equally important natural and seamless
cooperation between emergency physicians and the
Herzzentrum Coswig, but also the investment in a twelvechannel electrocardiograph from which the data could be
sent over the mobile phone network to the clinic in seconds.
Telemedical data transfer during heart surgery
The MediClin Herzzentrum Coswig is situated in a rural
area in Saxony-Anhalt. It is not uncommon for patients to
live more than 100 km away from the heart clinic. The
cardiological-clinical diagnosis mostly takes place, therefore,
near to the patient’s place of residence.The heart catheter
film is of particular importance for heart surgeons in making
decisions about operations and treatment strategy. The
MediClin Herzzentrum Coswig works together with many
partner clinics in Saxony-Anhalt who provide heart catheter
diagnosis and therapy services. These include the Klinikum
Quedlinburg, the Kreiskrankenhaus Bitterfeld, the Johanniter-Krankenhaus Stendal, the Pfeifferschen Stiftungen in
Magdeburg and the municipal Klinikum Magdeburg.
The heart catheter findings and coronary angiography
(representation of the coronary arteries) are, where required,
sent directly from these clinics via an information highway
over the Internet to the MediClin Herzzentrum Coswig. The
heart surgeon is then able to see the findings on a screen
and in an emergency identify any indicators for an immediate operation. This can result in the requirement for
immediate emergency transport of the patient by helicopter
In Germany, it is still the case that 40 % of all deaths can
be attributed to cardiovascular problems and 20 to 40 % of
heart attacks prove fatal – in Saxony-Anhalt this statistic is
right at the top end of the range. We want to rid ourselves
of this sad record through the use of the “Heart attack
network”, and we are able to draw a little more confidence
every day due to our successes.
1. The cardiologist at the partner clinic always has surgical backup. Even before carrying out their own intervention measures on the coronary arteries, they are
able to seek the opinion of the heart surgeon at the
MediClin Herzzentrum Coswig.
2. Conversely, the heart surgeon at the MediClin Herzzentrum Coswig receives an immediate overview of the
findings of colleagues from the cooperation clinic and
is able to immediately plan and schedule the time and
type of operation required. This makes it possible to
rapidly put together a suitable operating team for very
complex medical interventions.
3. The heart specialist in Coswig is no longer reliant on
findings being sent via data media such as CD-ROM,
the delivery of these media from the cardiology clinic
to the surgical heart centre would result in the loss of
much valuable time.Therefore, the patient is guaranteed
appropriate surgical care within the shortest amount
of time.
4. This results in more rapid and effective help for the
patients than when using conventional methods and,
at the same time, delivers a better prognosis for
post-operative recovery.
Conclusion
Telemedicine offers many advantages
5. In addition, there are fewer occurrences of inappropriate transfers to the MediClin Herzzentrum Coswig.
Patients transferred to the centre have real medical
indicators for surgery, which the heart centre in Coswig
has been able to check in advance via the information
highway.
Dr. Tom Giesler
Clinic Director for Cardiology and
Angiology
MediClin Herzzentrum Coswig
PD Dr. Harald Hausmann
Clinic Director for Heart and
Vascular Surgery
43
Information sources
or ambulance to Coswig. However, occasionally the partner clinics are more than 150 km away from Coswig and
even emergency transport by ambulance would mean the
patient arriving too late. In these circumstances, the duty
physician in Coswig promptly sends a surgical consultation
via the Internet to the cardiologists in the partner clinic.
One of the experienced heart surgeons is always on duty in
Coswig and is available to evaluate the medical findings
at any time of the day.
From curative medicine to evidence-based
medical rehabilitation
The discussion about the effectiveness of rehabilitative measures demands that
multidisciplinary therapeutic approaches following clear guidelines are used
in the provision of medical rehabilitation. Beyond the provision of curative
medicine, this rehabilitation has the goal of initiating stable lifestyle changes
suitable for everyday life based on the requirements, capabilities and prospects
of the individual undergoing therapy.These therapeutic approaches include not
only functional but also educational and psychosocial aspects that systematically build upon each other. In the MediClin Bliestal Kliniken, these requirements
are realised and underpinned by an innovative quality assurance process.
Some rehabilitation measures were, up until a few years
ago, designed more as a convalescence stay with a wellness aspect. This situation has now changed significantly.
Justified criticism from coverage providers and the low
regard for rehabilitation facilities, quite aptly summed up
by the saying “a mudpack in the morning, tango in the
evening”, led to a fundamental change in medical rehabilitation.
Currently established guidelines, such as the DRV
(German statutory pension insurance scheme) guidelines
for the rehabilitation of chronic back pain, ensure that
there are strict quality controls in rehabilitative medicine.
Through documentation of treatment results, it is possible
to evaluate the rehabilitation that is to be provided on the
basis of evidence-based concepts. Using this systematic
measurement of results – and the necessary infrastructure
required – it is the goal of the MediClin clinics to be the
leader in medical rehabilitation.
Holistic approach to treatment based on
DRV guidelines
In accordance with the currently valid medical provision
guidelines (DRV therapy standards, therapy guidelines from
the professional medical associations, as well as the statutory health insurance providers e.g. AOK pro Reha), the
orthopaedic specialist clinic at the MediClin Bliestal Kliniken,
Blieskastel, has organised their rehabilitation measures
44
based on sophisticated, deficit-oriented medical rehabilitation provision, and have developed a modular concept
for introducing this therapeutic treatment. The appreciation
of a holistic approach to treatment is a decisive factor for
our clinic. Defined dysfunctions are treated in a multidisciplinary way.These therapeutic approaches not only include
functional but also educational and psychosocial aspects
that systematically build upon each other. Balneo-physiotherapy measures are introduced to support regeneration
and relaxation. An integral component is to provide those
people undergoing therapy with clarification about the
causes of their illness and the effects of their behaviour on
the development of the illness. Initially, patients should be
provided with an insight into the necessary changes required
in their lifestyle habits. Secondly, it is necessary to communicate the required skills to be able to cope as conveniently
as possible with the illness-related deficits in everyday life.
Depending on the individual case, the patient may require
the integration of psychotherapy elements, which then
become key factors in the success of the overall therapy. As
a large number of patients requiring rehabilitation have
been largely physically inactive for a long time, the physical
activation of the patient is also an important part of the
therapy. The goal here is to improve body awareness and to
restore the joy of movement. Without this sort of insight
or re-evaluation, it is not possible to achieve sustained success in therapy in most cases.
There are ready-made therapy standards for the diagnoses of the main course of treatment, such as the re -
45
Medical provision guidelines provide a certain level of security for therapy planning in rehabilitation clinics. To provide
the optimum therapy treatment, however, the quality of
the measures provided should be assessed and constantly
improved according to criteria oriented around the effectiveness of the therapy. The quality of the results is of
central importance for the assessment of the quality of
the entire medical provision. It provides information about
the success of the acute-care or rehabilitative medical
treatment. The quality of the results can be measured by,
amongst other things, a target-performance analysis or
a pre-post analysis based on recognised scores.
The systematic determination and evaluation of treatment results represents a general challenge. Therefore, we
have installed an effective quality management system in
the MediClin Bliestal Kliniken. It is an important instrument
for us in checking and guaranteeing that our services are
being provided effectively and economically because cover age providers are increasingly demanding feedback about
treatment results that is above and beyond compliance with
guidelines and standards. The first few statutory health
care insurance providers are already setting their own concrete performance standards.
To make the quality of our rehabilitation treatment continuously transparent and measurable, we have participated,
together with other clinics in the MediClin Group, in the
Systematic measurement of results ensures
transparent quality comparisons
Information sources
habilitation of shoulder, hip or knee prostheses or for chronic
back pain. In addition, there are supplementary therapies
which can be prescribed according to the additional pathologies. Finally, certain therapies dependent on the results of
standardised admission tests can be scheduled. All of the
therapy packages can be requested in full or, if required,
modified to individual requirements. Of course, individual
therapies can be requested later or withdrawn at any point
depending on the nature of the case. Because the primary
deficits faced by patients do not change on a daily basis,
the basic indicator-specific medical provision is commonly
defined. Any differences in the requirements of individual
coverage providers are realised through the use of supplementary packages. In this area, the primary goal of the DRV
is reintegration into professional life through the provision
of the necessary skills, while for the statutory health insurance providers it is the recovery of a patient’s domestic
independence and the avoidance of nursing care. In summary, the basic and supplementary packages cover all core
elements of orthopaedic rehabilitation with physiotherapy
and balneo-therapeutic treatment, as well as including
areas such as education/competence training, psychological
support and activation therapy.
project TK-EVA-Reha (Evaluation of rehabilitation success –
from the statutory health care insurance company Techniker
Krankenkasse). This project indicates the quality of rehabilitation services using a comparison of the values from admission and discharge forms in the rehabilitation facilities
and is based on recognised scores. It provides us with a
meaningful process for measuring the actual success of
the rehabilitation provision.
The systematic measurement of treatment results is supported electronically by the use of a new software tool.
This software is integrated into the existing clinic information
system, on the one hand, to collect diagnostic information
and make it immediately available (process control), and on
the other, to optimise treatment planning and control,
and to evaluate the success of the rehabilitation treatment
(treatment organisation). This software system, with its
questionnaire, testing and documentation features, allows
patients, physicians, psychologists and people from other
medical professions to electronically run assessments and
questionnaires directly. Administrative data, diagnoses
made during admissions to the clinic or during and at the
end of the treatment, as well as information about wards
or transfers are directly transmitted to the system. The complete data from an assessment is then made immediately
available for evaluations and added to previously established
performance reports.
We currently use the EVA-Reha orthopaedic scores for
hip and knee rehabilitation routinely across all statutory
health care insurance providers for all eligible patients in
the specialist orthopaedic clinic at the MediClin Bliestal
Kliniken. The collected data is statistically evaluated anonymously and a detailed report on the results is created
shortly after the data collection process is complete. This
report displays comprehensive evaluations and individual
results. The analysis of these results provides us with important input for our internal quality management system.
The system also allows us to continuously identify problems,
analyse weak points and improve quality, as well as to
further develop our structures, processes and results. In
particular, the treatment concepts we have designed can
be evaluated in terms of the quality of their results and different concepts can be compared with one another.
As a service provider, we set ourselves apart from the
competition by evaluating our own performance quality.
Both coverage providers and patients obtain a sophisticated
impression of the performance quality delivered by our
treatment concepts. The systematic measurement of results
makes it possible for internal benchmarking within our
clinic group.
46
Prof. Dr. Stefan Rupp
Head Physician for Orthopaedics
and Rheumatology
Dr. Sven Messner
Senior Physician for Orthopaedics
and Rheumatology
Specialised solutions > ENT
Cochlear implants – new hope in the world of hearing
High-tech infrastructure and targeted rehabilitation generate optimum
synergy effects: In the MediClin Bosenberg Kliniken, St.Wendel, we offer
a unique concept for the rehabilitation of those with high-level hearing
Learning to hear again in rehabilitation
How the cochlear implant works as a “translator”
Although hearing aid provision has improved in recent years
due to enormous technical advances, wearing a hearing
aid alone is for many people with hearing impairment not
sufficient to combat the diverse psychosocial problems
that may have developed over many years. Those suffering
hearing impairment must first learn to hear again. With
the use of cochlear implants, which we will describe in a
moment, the adjustment processes required to fit back
The cochlear implant (CI) consists of externally worn parts
and implanted parts. The externally worn microphone and
speech processor also carried on the outer ear process and
code the speech signal that is transmitted to the ear of
the person undergoing therapy.The speech processor is fully
programmable, such as to regulate loudness. In the next
step, the speech signal is transferred via the electrode coil
47
into the world of the hearing are similar to learning a foreign language. Therefore, a rehabilitation concept has been
developed specifically for this target group in the MediClin
Bosenberg Kliniken, with the goal of restoring occupational
and social communication skills. To ensure that all those
undergoing rehabilitation can take part in the measures
without any stress, the MediClin Bosenberg Kliniken pays
close attention to providing unrestricted accessibility for all
people with a hearing impairment.
The treatment rooms, therapy rooms and the reception
are equipped with communication systems for those undergoing rehabilitation, while employees in all departments
are trained in communication with people suffering hearing
loss or deafness. This includes a basic knowledge of sign
language and the competent use of a variety of communication techniques. The patients’ rooms have also been
fitted out with everything required by those with a hearing
impairment – from a light signal system, a fax with subtitles right through to a computer for hearing training.
Information sources
Around 14 million people in Germany suffer from a hearing
impairment. Around 1% of those affected, or approximately 140,000 sufferers, have only a rudimentary level of
hearing or are already deaf. The consequential costs of
inadequate provision for hearing impairments are immense
for the economy. Auditory communication difficulties often
result in those affected withdrawing from what is going on
around them; before those with a hearing impairment ask
once again for the umpteenth time what was just said, they
withdraw back into their own world. Isolation from colleagues and also within the family and groups of friends
causes serious changes to social structures in the workplace and private lives of sufferers. The result is frequently
the loss of occupational competence and problems in
private relationships because communication is too strenuous and uncertain. These communication breakdowns
lead to misunderstandings and, for those affected, are often
the cause of bullying, social isolation and depression.
loss or who are deaf.
implanted in the inner ear (cochlear) – containing a receiver
and stimulator – to the electrode array. By activating the
electrodes in the inner ear, it is possible to stimulate sections of the auditory nerve fibres.
Hearing using the CI differs fundamentally from conventional hearing or amplification using hearing aids, so that
speech training comparable to learning a foreign language
needs to be performed. All acoustic information must be
coded and synchronised with the previously stored auditory
memory. Different speech processing strategies have been
developed for this process via the three leading cochlear
implant manufacturers in Germany. These strategies are
very different in terms of the relevant mechanical switch
signals according to their frequency spectrum, their amplitude (energy) and their bioelectric electrode stimulation
patterns. The different speech processing strategies play a
decisive role in the setting of the speech processor and its
later readjustment or rehabilitation for the patient’s speech
intelligibility. These settings must be developed individually
by qualified specialists (CI technicians and logopaedic /audio
therapists) in synchronised coordination during the course
of intensive auditory speech training programmes. In addition, a series of other important additional equipment, such
as an FM system (wireless signal transmission system),
audio cable, distance microphone and telephone adapter,
are required for patients wearing a CI implant.
48
From highly specialised surgery to rehabilitation
measures
Medical indicators for outpatient and inpatient rehabilitation measures are:
Sudden deafness (for example, after an accident,
acute hearing loss, meningitis)
Patient has just undergone cochlear implant provision
(one or both sides)
High level of hearing loss with auditory communication
difficulties and the severe psychological impairment
caused by it
It is crucial that the CI operation is carried out by an ENT
physician specialising in CI surgery, who must also demonstrate continuous long-term experience in micro-surgery
of the ear. A period of around five days should be sched uled for the inpatient stay surrounding the surgical intervention. After four to six weeks, the initial activation of the
speech processor will take place, followed by two days of
auditory training. This activation procedure can be carried
out at the clinic where the operation took place but provides only initial acoustic information at this stage.
The use of a CI provides deaf people with a clear improvement in their auditory communication skills. However, a
high-quality rehabilitation concept is required to accompany
the implant – such as that offered at the MediClin Bosenberg Kliniken. This rehabilitation treatment enables the
restoration of occupational capabilities in a considerable
number of patients. Experience has shown that once the
communication barriers have been broken down, those
people with a hearing impairment can once again be integrated back into their professional surroundings, while
displaying a particularly high level of motivation. And of
course, let us not forget the massive improvement in
quality of life provided through the regained participation
in the world of communication.
Medical follow-up treatment
Step-by-step optimisation of the speech processor
and its technical testing
Audiometric testing with relevant hearing tests
including speech
Psychological measures
Speech therapy measures
Training to use the CI system (care, fault detection)
and the additional equipment (telephone adapter,
additional microphone, FM system, if required)
Documentation (for example, CI passport with documentation about the settings of the speech processor,
curative findings and information about the rehabilitation therapy units already completed)
Coping strategy for dealing with the hearing
impairment
Tactical measures for hearing and communication to
improve auditory speech communication
Stabilising the psychological condition through group
and individual measures
Conclusion
Dr. Harald Seidler
Head Physician ENT
MediClin Bosenberg Kliniken,
St. Wendel
49
Information sources
The post-operative rehabilitation in the MediClin Bosenberg
Kliniken includes:
Specialised solutions > ENT
}
50
S P E C I A L I S T ME D I C A L G R O U P S
The head physicians in the nationwide medical specialist groups
within the MediClin Group cultivate the exchange of scientificmedical knowledge, as well as the exchange of experience on a multidisciplinary level. Their work creates multiple synergy effects and
the freedom for continuous optimisation of medical processes in the
individual clinics.
The whole is more than the sum of its parts
How the networking of specialist competence and human experience can yield new knowledge and promote
smoothly running processes and the value-added effect of synergies is demonstrated by the specialist medical
Passing on and sharing experience
Avoiding the reinvention of the wheel in every
location – sharing rehabilitation concepts
Even head physicians have a learning curve. The first few
years are often the hardest; new concepts need to be developed and, in some cases, far-reaching decisions taken,
without being able to call on a corresponding wealth of
experience. It is precisely in this area that the specialist
groups are a valuable resource for newcomers to the management level. Managerial physicians can profit from
exchanges with experienced colleagues.
Rehabilitation is characterised by its modular and multiprofessional structure. In the guidelines and rehabilitation
therapy standards of the German statutory pension insurance scheme, it is specified which treatment elements should
be offered and to what extent they should be provided in
a modern rehabilitation clinic. This trend towards standardisation means that rehabilitation can be offered at the
same scientifically based high standard across Germany.
51
The specialist groups are driven by the head physicians in
the relevant MediClin clinics. The smaller specialist groups
have between six and eight members, the larger ones up
to 20 members. All four specialist groups meet during the
annual managerial congress in January, where there is an
exchange of information between various representatives.
In addition, there is usually an additional meeting every
year when each specialist group comes together individually.
Other methods of exchanging information are telephone
conferences and Internet forums. The specialist groups are
efficiently supported in these areas by the MediClin central
office in Offenburg.
Head physicians have generally not been prepared for these
sorts of questions during their training and education. But
this inexperience can lead to wrong decisions being taken
in critical situations. That’s why representatives of the
specialist groups – generally experienced head physicians –
already offer younger colleagues their support before they
take over their new position. While finding their way into
their new role as head physician, the exchange of information and experience with the whole specialist group is
helpful and lightens the load. This exchange amongst
colleagues is also a great benefit for the more experienced
head physicians. How new concepts or modern treatment
options have been tried and tested in practice or which
changes have taken place at the coverage providers –
such knowledge is imparted for the mutual benefit of all
members of the specialist groups.
Internal medicine/cardiology
Neurology
Orthopaedics
Psychosomatic medicine and psychotherapy
“How do I develop medical concepts in line with current guidelines and make them attractive and economically efficient for patients and coverage providers?”
“How do I prepare myself for a visit from a coverage
provider?”
“How can I make good use of a quality management
system?”
Information sources
In large and well-organised clinic groups, synergy effects
are not only available in the economic sphere, but also on
a specialist medical level. The clinics in the MediClin Group
have been bundling the concentrated specialist knowledge
found in their individual locations into nationwide specialist groups over the last five years. The following specialist
groups are currently active:
groups within MediClin.
However, this demands a high level of investment in the
development of therapeutic concepts from the individual
clinics. Relaxation training, smoking withdrawal programmes, occupational therapy options, aerobic endurance
training, patient training and many other modules must
be developed, implemented and evaluated. An individual
clinic generally finds itself significantly overextended in
the completion of this task.
It is precisely in this area that being part of a strong
community proves invaluable. Within the specialist groups,
work is divided, with every clinic developing and testing
only one or two concepts – although at a very high level –
and making them available across the group. The exploitation of these synergy effects not only saves time but also
increases the end quality of the therapeutic provision.
Even didactic materials such as PowerPoint templates for
patient talks are no longer developed separately in every
location, but prepared in individual clinics and then discussed
and coordinated within the specialist group. The relevant
materials, including slides for the patient talks and therapy
plans, are then made universally available over MediClin’s
intranet. When a specific treatment concept is requested
by coverage providers, this system also enables the implementation of the concept for a specific medical disorder in
a particular location within a relatively short period of time.
The required experience can be acquired quickly through
work shadowing in a MediClin clinic with more experience
in this area, or through practical training seminars at the
MediClin Academy.
MediClin specialist groups – a creative community
The half-life of medical knowledge is currently only around
five years. In addition, there is the increasing pace of
change of economic factors and the requirements of the
coverage providers. This demands a high level of creativity
and the ability to adapt. These challenges can no longer be
dealt with by head physicians from the old school – developing concepts individually at their own desks.Teamwork
and joint creativity are required. The MediClin specialist
groups are able to take account of these requirements because in the annual meeting there is enough freedom to
anticipate future developments, and develop approaches
and appropriate strategies for effective solutions at an
early stage.
It is not only younger head physicians who perceive the
specialist groups as a valuable part of the company culture
and common identity. It is also a pleasant experience to see
familiar faces and receive support at congresses for the
individual specialist groups. These specialist groups are an
especially valuable resource for managers, who, in their
position within the company, can often find themselves
isolated, which also contributes to making MediClin an
attractive place for managerial physicians to work.
Head Physician
52
MediClin is a company with clear specialisations.The following pages
will provide you with an overview of the most common diagnoses in
our acute-care clinics and rehabilitation facilities.The data refers to the
year 2009.
MediClin acute-care clinics
MediClin rehabilitation clinics
54
55
53
Information sources
}
THE MOST COMMON DIAGNOSES
IN A C U T E IN PAT I E N T C A R E A N D
R E H A B I L I TAT I O N
MediClin acute-care clinics
In the field of inpatient acute-care treatment, MediClin has clear areas of expertise
within the 25 most common diagnoses. Specialities in orthopaedic medical conditions, internal medicine (with a focus on cardiology/heart surgery), neuro-medicine
and psychological sciences are frequently represented in our clinics.
The 25 most common main diagnoses in MediClin acute-care clinics in 2009
Rank
ICD-10
No. of
cases
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
I25
M51
I20
M54
I50
M17
I21
F10
I48
I63
Z38
M16
I35
M48
C79
C34
M75
S06
F33
F32
T84
I70
K80
C50
M23
2,014
1,699
1,265
1,212
851
813
809
799
785
779
771
755
739
581
525
511
489
468
457
394
379
375
366
342
332
Brief description
Chronic circulatory disorders of the heart
Thoracic, thoracolumbar and lumbosacral invertebral disc disorders
Angina Pectoris
Back pain
Cardiac insufficiency (heart failure)
Gonathrosis (osteoarthritis of the knee joint)
Acute heart attack
Psychological and behavioural disorders due to alcohol
Artrial flutter and artrial fibrillation (cardiac arrhythmias in the heart’s atria)
Cerebral infarction (stroke as a result of cerebral blood vessel blockage)
Single live births
Coxarthrosis (osteoarthritis of the hip joint)
Non-rheumatic aortic valve diseases
Other spondylopathies (degenerative diseases of the vertebrae)
Secondary malignant tumours in other areas (such as brain, bones)
Malignant tumours of the bronchia and lungs
Shoulder lesions
Intracranial injury
Recurrent depressive disorder
Depressive episode
Complications caused by orthopaedic endoprostheses, implants or transplants
Atherosclerosis (hardening of the arteries)
Cholelithiasis (gall stones)
Malignant tumours of the breast (mammary gland)
Damage to the inner knee joint
Diseases of the musculoskeletal system and connective tissue
cardiovascular system
Births
54
Cancer
Diseases of the
Diseases of the nervous system and psychological disorders
Diseases of the digestive system
An overview of the most common diagnoses > Acute inpatient care and rehabilitation
MediClin rehabilitation clinics
In the field of rehabilitation, MediClin’s specialities include the areas of neuro-medicine
and psychological sciences, as well as orthopaedics, internal medicine and oncology.
The diagnoses are distributed differently across the individual locations.You will find an
overview of the range of services offered in all facilities on page 58.
The ten most common main diagnoses in the specialist department of neurological rehabilitation in 2009
Rank
ICD-10
No. of
cases
Neurology
1
2
3
4
5
6
7
8
9
10
I63
G35
I61
S06
D32
G62
C71
I60
I69
G20
6,491
1,121
793
496
333
325
311
307
256
185
Cerebral infarction (stroke as a result of cerebral blood vessel blockage)
Multiple sclerosis (chronic inflammatory disease of the brain)
Intracerebral bleeding (brain haemorrhage)
Intracranial injury (injury within the skull)
Benign tumour of the meninges (brain membranes)
Other polyneuropathies (nervous diseases)
Malignant tumour of the brain
Subarachnoid haemorrhage (bleeding in the area of the fine meninges)
Consequences of a cerebrovascular illness
Parkinson’s disease
The ten most common main diagnoses in the specialist department of psychosomatic rehabilitation in 2009
No. of
cases
1
2
3
4
5
6
7
8
9
10
F43
F33
F32
F45
F41
F48
F50
F40
F34
F90
1,582
1,301
1,262
578
383
318
297
237
167
129
Psychosomatics
Reactions to extreme stress and adjustment disorders
Recurrent depressive disorder
Depressive episode (depressive disorder occurring in phases)
Somatoform disorders
Other anxiety disorders
Other neurotic disorders
Eating disorders
Phobic disorders
Long-term affective disorders
Hyperkinetic disorders
ICD-10
55
Information sources
Rank
The ten most common main diagnoses in the specialist department of orthopaedic rehabilitation in 2009
Rank
ICD-10
No. of
cases
Orthopaedics
1
2
3
4
5
6
7
8
9
10
M17
M16
Z96
M51
M54
S72
M48
M53
T84
M50
5,247
5,066
3,859
3,669
2,742
1,799
1,347
1,028
980
488
Gonathrosis (osteoarthritis of the knee joint)
Coxarthrosis (osteoarthritis of the hip joint)
Presence of other functional implants
Other invertebral disc disorders
Back pain
Fracture of the femur (broken thigh bone)
Other spondylopathies (spinal column wear and tear)
Other illnesses of the spinal column and back
Complications through orthopaedic endoprostheses, implants or transplants
Cervical invertebral disc disorders (cervical spine)
The ten most common main diagnoses in the specialist departments of cardiology/
other internal medicine/ENT rehabilitation in 2009
Rank
ICD-10
No. of
cases
Cardiology/other internal medicine/ENT
1
2
I25
E11
and E10
I21
Z95
H93
I35
J44
I10
I70
I26
4,362
Chronic ischemic heart disease (chronic circulatory disorders of the heart)
1,613
1,269
973
953
922
716
495
378
310
Diabetes (diabetes mellitus types 1 and 2)
Acute myocardial infarction (heart attack)
Existence of cardiac and vascular implants or transplants
Tinnitus, other illnesses of the ear
Non-rheumatic aortic valve diseases
Other chronic obstructive lung diseases
Essential (primary) hypertension (high blood pressure without known cause)
Atherosclerosis (hardening of the arteries)
Pulmonary embolism
3
4
5
6
7
8
9
10
The ten most common main diagnoses in the specialist department of oncology rehabilitation in 2009
56
Rank
ICD-10
No. of
cases
Oncology
1
2
3
4
5
6
7
8
9
10
C61
C50
C18
C34
C64
C67
C20
C16
C56
C15
2,820
1,776
724
690
526
401
389
236
113
101
Malignant tumour of the prostate (prostate gland)
Malignant tumour of the breast (mammary gland)
Malignant tumour of the colon (large intestine)
Malignant tumour of the bronchia and lungs
Malignant tumour of the kidneys, excluding the renal pelvis
Malignant tumour of the bladder
Malignant tumour of the rectum (end of large intestine)
Malignant tumour of the stomach
Malignant tumour of the ovary
Malignant tumour of the oesophagus (gullet)
mcl139_e_057_061_einrichtung_klapper:dtp
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A N OV E RV I E W O F T H E
M E D I CL I N FAC I L I T I E S
MediClin has 34 acute care and rehabilitation facilities, as well as over
ten medical care centres and seven nursing care facilities. In the
following chapter, we will introduce the individual clinics and describe
their concepts and medical specialities in more detail. In addition,
there is information provided about the number of beds, employees and
the number of patients provided with inpatient care in the clinics.
MediClin Reha-Zentrum Roter Hügel Bayreuth
North Rhine-Westphalia region
Lower Saxony region
Mecklenburg-Vorpommern region
Eastern region
Hesse region
Saarland region
Baden-Württemberg region
Nursing care facilities
62
63
68
74
82
89
92
95
105
109
57
Information sources
}
19.10.2010
19.10.2010
17:02 Uhr
Seite 58
Specialist clinics
for medical rehabilitation
MediClin Reha-Zentrum Roter Hügel
p. 62
Pag
en
um
be
r
REHABILITATION
Pag
en
um
be
r
INDICATORS / SELECTED DIAGNOSES *
Ea
tin
gd
iso
Eff
rde
ect
rs
so
fa
Ep
cci
ile
de
psy
nts
Ga
an
str
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nju
nte
Ge
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rol
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s
og
tri
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ica
Gy
dis
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na
illn
eco ease
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s
log
He
es
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l il
lne
He
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sse
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s
dis
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Illn
ea
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es
of
Illn
the
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kid
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Me
of
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the
tab
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spi
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r
tra
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a
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sta
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log
s
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log
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log
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log
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np
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n‘s
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dis
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Po
lyn
dis
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Psy urop
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ch
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ch
ill
oso
Psy
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dis
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The MediClin facilities > Overview
All
erg
i
Am c illn
ess
pu
es
tat
An
ion
xie
s
ty
dis
Be
ord
ha
vio
ers
u
Bro
ral
nc
hia med
icin
Bu
la
lly
sth
e
ing
ma
Ca
rdi
ov
asc
Ce
ul
reb
rov ar di
sea
asc
De
ses
pre
ula
rd
s
Dia sion
ise
ase
be
t
s
Dis es m
ell
tur
itu
of ban
eq
ces s
uil
ibr
ium
p. 62
MediClin Dünenwald Klinik
p. 81
p. 81
MediClin Reha-Zentrum Plau am See
p. 80
p. 80
Lower Saxony region
Lower Saxony region
MediClin Deister Weser Kliniken
p. 73
p. 73
MediClin Hedon Klinik
p. 69
p. 69
MediClin Klinikum Soltau
p. 71
p. 71
MediClin Seepark Klinik
p. 72
p. 72
MediClin Fachklinik Rhein/Ruhr
p. 65
p. 65
MediClin Reha-Zentrum Reichshof
p. 66
p. 66
MediClin Rose Klinik
p. 67
p. 67
Eastern region
Eastern region
MediClin Klinik am Brunnenberg
p. 86
p. 86
MediClin Klinik am Rennsteig
p. 87
p. 87
MediClin Reha-Zentrum Bad Düben
p. 85
p. 85
MediClin Reha-Zentrum Spreewald
p. 88
p. 88
Hesse region
Hesse region
MediClin Reha-Zentrum am Hahnberg
p. 90
p. 90
MediClin Reha-Zentrum Bad Orb
p. 91
p. 91
Saarland region
Saarland region
MediClin Bliestal Kliniken
p. 93
p. 93
MediClin Bosenberg Kliniken
p. 94
p. 94
MediClin Baar Klinik
p. 99
p. 99
MediClin Klinik am Vogelsang
p.100
p.100
MediClin Kraichgau-Klinik
p.101
p.101
MediClin Reha-Zentrum Gernsbach
p.102
p.102
MediClin Schlüsselbad Klinik
p.103
p.103
MediClin Seidel-Klinik
p. 98
p. 98
MediClin Staufenburg Klinik
p.104
p.104
* Indicators: This refers to primary classifications for a group of illnesses.
Selected diagnoses: This refers to concrete disease patterns that are often treated in the MediClin clinics.
58
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Specialist clinics
p. 62
Pag
en
um
be
r
REHABILITATION
Pag
en
um
be
r
Ea
tin
gd
iso
Eff
rde
ect
rs
so
fa
Ep
cci
ile
de
psy
nts
Ga
an
str
di
oe
nju
nte
Ge
rie
rol
ria
s
og
tri
c
ica
Gy
dis
l
na
illn
eco ease
ess
s
log
He
es
ari
ica
ng
l il
lne
He
i
art mpa
sse
irm
s
dis
e
Illn
ea
nt
ess
ses
es
of
Illn
the
ess
kid
es
ne
Me
of
ys,
the
tab
uri
oli
r
na
e
Mu
spi
cd
ry
r
tra
ise
ltip
a
t
ct,
a
o
l
ses
ry
es
pro
Ne
o
c
ler
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sta
o
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n
sis
log
s
Ne
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dis
log
ea
Ne
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ses
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m
log
y
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Ne
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y
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log
a
Ne
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np
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co
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log
s
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np eB
Or
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l il
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pa
sse
C
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Pa
s
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n‘s
Pe
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dis
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lity ease
Po
lyn
dis
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Psy urop
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ch
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Psy
al
ch
ill
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Psy
ma ness
es
ch
t
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lln
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a
eu
es
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e
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Sk
i
i
c
l
lne
ull
dis
s
ea
an
ses ses
db
Sp
rai
eci
ni
a
nju
Tin l pai
nt
rie
nit
s
h
us
era
Va
p
y
scu
lar
dis
Ve
ea
no
ses
us
dis
ea
ses
All
erg
i
Am c illn
ess
pu
es
tat
An
ion
xie
s
ty
dis
Be
ord
ha
vio
ers
u
Bro
ral
nc
hia med
icin
Bu
la
lly
sth
e
ing
ma
Ca
rdi
ov
asc
Ce
ul
reb
rov ar di
sea
asc
De
ses
pre
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rd
s
Dia sion
ise
ase
be
t
s
Dis es m
ell
tur
itu
of ban
eq
ces s
uil
ibr
ium
p. 62
p. 81
p. 81
p. 80
p. 80
Lower Saxony region
Lower Saxony region
p. 73
p. 73
p. 69
p. 69
p. 71
p. 71
p. 72
p. 72
p. 65
p. 65
p. 66
p. 66
p. 67
p. 67
Eastern region
Eastern region
p. 86
p. 86
p. 87
p. 87
p. 85
p. 85
p. 88
p. 88
Hesse region
Hesse region
p. 90
p. 90
p. 91
p. 91
Saarland region
Saarland region
p. 93
p. 93
p. 94
p. 94
p. 99
p. 99
p.100
p.100
p.101
p.101
p.102
p.102
p.103
p.103
p. 98
p. 98
p.104
p.104
58
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Specialist clinics
p. 62
Pag
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r
REHABILITATION
Pag
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um
be
r
Ea
tin
gd
iso
Eff
rde
ect
rs
so
fa
Ep
cci
ile
de
psy
nts
Ga
an
str
di
oe
nju
nte
Ge
rie
rol
ria
s
og
tri
c
ica
Gy
dis
l
na
illn
eco ease
ess
s
log
He
es
ari
ica
ng
l il
lne
He
i
art mpa
sse
irm
s
dis
e
Illn
ea
nt
ess
ses
es
of
Illn
the
ess
kid
es
ne
Me
of
ys,
the
tab
uri
oli
r
na
e
Mu
spi
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ry
r
tra
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ltip
a
t
ct,
a
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l
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ry
es
pro
Ne
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c
ler
rga
uro
sta
o
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n
sis
log
s
Ne
i
cal
uro
dis
log
ea
Ne
i
ses
c
al
uro
m
log
y
op
Ne
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y
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log
a
Ne
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eh
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ab
np
On
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co
ha
a
log
s
tio
ica
np eB
Or
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l il
h
ase
lne
pa
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C
ed
Pa
s
ic i
rki
nso
lln
ess
n‘s
Pe
es
rso
dis
na
lity ease
Po
lyn
dis
e
ord
Psy urop
ers
ath
ch
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y
gic
Psy
al
ch
ill
oso
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ma ness
es
ch
t
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ov
lln
eg
Rh
ess
a
eu
es
ma tativ
e
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i
i
c
l
lne
ull
dis
s
ea
an
ses ses
db
Sp
rai
eci
ni
a
nju
Tin l pai
nt
rie
nit
s
h
us
era
Va
p
y
scu
lar
dis
Ve
ea
no
ses
us
dis
ea
ses
All
erg
i
Am c illn
ess
pu
es
tat
An
ion
xie
s
ty
dis
Be
ord
ha
vio
ers
u
Bro
ral
nc
hia med
icin
Bu
la
lly
sth
e
ing
ma
Ca
rdi
ov
asc
Ce
ul
reb
rov ar di
sea
asc
De
ses
pre
ula
rd
s
Dia sion
ise
ase
be
t
s
Dis es m
ell
tur
itu
of ban
eq
ces s
uil
ibr
ium
p. 62
p. 81
p. 81
p. 80
p. 80
Lower Saxony region
Lower Saxony region
p. 73
p. 73
p. 69
p. 69
p. 71
p. 71
p. 72
p. 72
p. 65
p. 65
p. 66
p. 66
p. 67
p. 67
Eastern region
Eastern region
p. 86
p. 86
p. 87
p. 87
p. 85
p. 85
p. 88
p. 88
Hesse region
Hesse region
p. 90
p. 90
p. 91
p. 91
Saarland region
Saarland region
p. 93
p. 93
p. 94
p. 94
p. 99
p. 99
p.100
p.100
p.101
p.101
p.102
p.102
p.103
p.103
p. 98
p. 98
p.104
p.104
58
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Seite K60
MediClin MVZ Plau am See
p.106
MediClin MVZ Bad Düben
p.106
MediClin MVZ Leipzig
p.106
MVZ MediClin Bonn
p.107
MediClin MVZ Gaggenau
p.107
MediClin MVZ Achern
p.107
MediClin MVZ Achern Zentrum
p.107
MediClin MVZ Offenburg
p.108
MediClin MVZ Offenburg am Bahnhof
p.108
MediClin MVZ Lahr/Baden
p.108
60
nt
ero
log
ral
y
su
Gy
rg
na
ery
ec
olo
Ha
gy
nd
/ ob
su
ste
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Int
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tri
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en
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siv
ec
Int
are
ern
al
me
Ne
on
dic
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ine
Ne
log
ur
y
olo
gy
Ne
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or
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Ne
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y
ur
On
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co
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y
log
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Or
th
op
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Or
dic
th
s(
op
co
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ns
ed
Pa
erv
ed
ics
,
iat
ati
s
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ric
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Pa
gic
s
)
in
a
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rap
Pla
sti
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cs
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Psy
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Psy
–a
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du
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Ra
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/ ps
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dio rapy
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Th
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Ur
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Va
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su
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Va
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s
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dio
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Psy
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an
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su
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Ca
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ry
ge
An
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sth
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na
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mi
cid
do
Ac
Ab
Ga
olo
p. 90
leb
MediClin Klinik für Akutpsychosomatik
am Hahnberg
Ph
p. 72
Ea
ec
ine
ol
ern ogy
al
me
Ne
ur
olo dicin
e
gy
Ne
ur
os
ur
Or
ge
th
ry
op
ae
dic
s
p. 84
Int
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>
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Specialist clinics
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61
Information sources
>
Bayreuth
Bayreuth is widely known for its annual festival and as a university city. It lies in a scenic
location between the Fichtelgebirge Mountains and the romantic region of Bavaria
known as Little Switzerland. The MediClin Reha-Zentrum Roter Hügel is located in close
proximity to its neighbour the Klinikum Bayreuth in the district of Meyernberg.
REHABILITATION
290 beds
258 employees
Specialist clinics
Specialist clinic for neurology (Dr. Beer)
Specialist clinic for orthopaedics (Dr. Angerer)
Specialist clinic for geriatrics (Dr. Lange)
3,795 patients (inpatient)
in 2009
MediClin Reha-Zentrum
Roter Hügel
Jakob-Herz-Strasse 1
95445 Bayreuth
Germany
Phone + 49 (0) 9 21/ 3 09-0
Fax
+ 49 (0) 9 21/ 3 09-102
[email protected]
www.mediclin.de/roter-huegel
Main areas of focus
All illnesses of the central and peripheral nervous systems including accidentrelated injuries and consequences of surgery
Strokes, multiple sclerosis, cerebral dysfunction disorders
All conservatively treatable orthopaedic illnesses and disabilities
Status post joint or spinal column surgery
Chronic orthopaedic disease patterns such as rheumatism and morbus bechterew
Typical geriatric multiple illnesses
Older patients following all types of surgery
Brain function disorders, cardiovascular and vascular diseases, metabolic
illnesses, neurological illnesses
Specific geriatric functional disorders
Patient admissions
Monika Helies
Phone + 49 (0) 9 21/ 3 09-703
Fax
+ 49 (0) 9 21/ 3 09-102
[email protected]
Certifications
DIN EN ISO 9001:2008
EQR
MAAS-BGW
62
Therapy concepts Treatment follows a holistic approach and is based upon the
close cooperation of different specialist therapeutic disciplines.
Types of medical provision
Medical rehabilitation services
Subsequent nursing treatment (AHB)
Subsequent rehabilitation (AR)
Curative procedures (HV)
Professional Association for Subsequent Inpatient Treatment (BGSW)
Health care for civil servants
Intensive rehabilitation care (IRENA)
Day-patient rehabilitation
Extended outpatient physiotherapy (EAP)
Individual and flat-rate treatment
options for paying patients
Dr. Günther Beer
Dr. Michael Angerer
Dr. Holger Lange
Head Physician
Head Physician
Head Physician
MediClin employed 786 personnel in this region in one acute-care
clinic, three rehabilitation clinics, a medical care centre and a nursing
care facility in 2009, and provided inpatient care to around 14,100
patients. We have over 68 nursing care places in the region.
ACUTE CARE
64
107
MediClin Robert Janker Klinik Bonn
MVZ MediClin Bonn Bonn
REHABILITATION
65
66
67
MediClin Fachklinik Rhein/Ruhr Essen-Kettwig
MediClin Reha-Zentrum Reichshof Reichshof-Eckenhagen
MediClin Rose Klinik Horn-Bad Meinberg
NURSING CARE
112
MediClin Seniorenresidenz Am Rosengarten Horn-Bad Meinberg
63
Information sources
}
AN OVERVIEW OF THE NORTH
R H I N E -W E S T P H A L I A R E G I O N
Bonn
The MediClin Robert Janker Klinik specialises in the treatment of tumour, vascular and
spinal column diseases and is rated both regionally and nationally as a clinically and
scientifically renowned centre for innovation. Its location in the Dottendorf district of
Bonn guarantees peaceful surroundings but, at the same time, is easily accessible.
ACUTE CARE
83 beds
97 employees
in 2009
Villenstrasse 4 – 8
53129 Bonn-Dottendorf
Germany
Phone + 49 (0) 2 28 / 53 06-0
Fax
+ 49 (0) 2 28 / 53 06-176
[email protected]
www.mediclin.de/robert-janker
MVZ MediClin Bonn
Radiotherapy, Neurosurgery
53129 Bonn
Clinics
Clinic for radiotherapy and radio-oncology (Dr. Oberste-Beulmann)
Radiotherapy
Combined radio-chemotherapy
Stereotactic convergence irradiation (Novalis®)
Subsequent radio-oncological treatment
Brachytherapy
Clinic for radiology and neuroradiology (Dr. Roth)
Diagnostic and interventional radiology
Diagnostic neuroradiology
Therapeutic neuroradiology
Minimally invasive pain therapy
Centre for high-precision irradiation
The expansion of the oncology centre to include the high-precision irradiation
machine Novalis® means that the clinic is able to offer a completely new treatment option. Only six hospitals in Germany are equipped to offer this option
and the MediClin Robert Janker Klinik is the only inpatient facility located outside of a university. Radiotherapists are able to use this improved technology,
so-called stereotactic convergence irradiation, to precisely and effectively treat
tumours and vascular malformations.
Germany
Phone + 49 (0) 2 28 / 53 06-202
Fax
+ 49 (0) 2 28 / 53 06-205
[email protected]
www.mediclin.de/bonn-mvz
Certification
Dr. Susanne
Oberste-Beulmann
Head Physician
64
Dr. Henrik J. Roth
Head Physician
Essen-Kettwig
The MediClin Fachklinik Rhein/Ruhr is situated in a picturesque location in the “Ruhrhöhen” region, offering views of the traditional cloth-making town of Essen-Kettwig.
The clinic’s central location in the Ruhr metropolitan region means that many patients
can benefit from the option of an integrated therapy concept near to home, as well
as easy accessibility for family members.
REHABILITATION
455 beds
275 employees
Specialist clinics
Specialist clinic for internal medicine and cardiology (Prof. Dr. Marx)
Specialist clinic for neurology (Prof. Dr. Siebler)
Specialist clinic for orthopaedics (Dr. Scheitza)
in 2009
Auf der Rötsch 2
45219 Essen-Kettwig
Germany
Phone + 49 (0) 20 54 / 88-0
Fax
+ 49 (0) 20 54 / 88-20 01
[email protected]
www.mediclin.de/rhein-ruhr
Patient admissions
Martina Haefs (Neurology)
Main areas of focus
Heart and vascular diseases in the
rehabilitation phase, post-operative
rehabilitation following heart and
vascular surgery, serious cardiac
insufficiencies
Rehabilitation after hip and knee
prosthesis implants
Illnesses and disabilities of the
supporting and locomotor organs
Treatment after accident-related
surgery and amputations
Phone + 49 (0) 20 54 / 88-21 94
Fax
Orthopaedic problems and prosthetic
provision following amputations
Holistic therapy for osteoporosis
The whole spectrum of neurological
rehabilitation with a focus on poly vascular diseases
Rehabilitation using the latest technological processes for degenerative illnesses
(for example, brain pacemaker settings
in morbus Parkinson’s disease or dystonia, pain and spasticity pumps, botox)
Neurosonology
+ 49 (0) 20 54 / 88-22 06
[email protected]
Björn Kurzhals (Orthopaedics)
Therapy concepts A particular feature is the combination of cardiology and neurology (heart and brain ward), as well as orthopaedics with optimal provision across all
therapeutic areas.
Phone + 49 (0) 20 54 / 88-22 02
Fax
+ 49 (0) 20 54 / 88-22 03
[email protected]
Sylvia Lindner (Cardiology)
Phone + 49 (0) 20 54 / 88-21 99
Fax
+ 49 (0) 20 54 / 88-25 09
[email protected]
Post-hospital health measure (AGM)
Early rehabilitation
Professional Association for Subsequent
Inpatient Treatment (BGSW)
options for self-pay patients
> Article from Prof. Dr. Roger Marx and
Prof. Dr. Mario Siebler on page 38
Prof. Dr. Roger Marx
Prof. Dr. Mario Siebler
Dr. Wolf Peter Scheitza
Head Physician
Head Physician
Head Physician
65
Information sources
Certifications
EQR
Reichshof-Eckenhagen
The MediClin Reha-Zentrum Reichshof is located on a south-facing slope in the district
of Eckenhagen in the Oberbergischen Land region, directly next to a health resort park.
Spacious woodlands and the particularly healthy climate promote the healing process
in cardiovascular, vascular and lung diseases.
REHABILITATION
245 beds
229 employees
Specialist clinics
Specialist clinic for neurology (Dr. Bonnert)
Specialist clinic for pneumology (PD Dr. Söhngen)
Specialist clinic for oncology (PD Dr. Söhngen)
in 2009
Zur Reha-Klinik 1
51580 Reichshof-Eckenhagen
Germany
Phone + 49 (0) 22 65 / 9 95-0
Fax
+ 49 (0) 22 65 / 9 95-100
[email protected]
www.mediclin.de/reichshof
Patient admissions
Main areas of focus
Brain damage after strokes, brain
haemorrhages or traumas
Inflammatory diseases (MS)
Movement disorders (Parkinson’s)
Muscle diseases
Degenerative and hereditary illnesses
Statutory health insurance outpatient
clinic and outpatient assessment clinic
Subsequent curative and palliative
tumour treatment for gastrointestinal
tract tumours, bronchial and lung
system tumours, brain tumours, back
and peripheral nervous system tumours,
malignant systematic diseases, lymph
node and connective tissue tumours and
gynaecological tumours
Chronic (obstructive, inflammatory and
interstitial) respiratory illnesses
Auto-immune diseases
Nocturnal respiratory disturbances
Status post surgery on the thorax
and lungs
Anke Modniewski
Phone + 49 (0) 22 65 / 9 95-235
Fax
+ 49 (0) 22 65 / 9 95-100
[email protected]
Certifications
EQR
MAAS-BGW
66
Therapy concepts Our concept is focussed on holistic medical and psychosocial
therapy that is realised through interdisciplinary cooperation. The therapy is accompanied by intensive psychological support.
Post-hospital health measures (AGM)
Dr. Jürgen Bonnert
PD Dr. Dietmar Söhngen
Head Physician
Head Physician
Horn-Bad Meinberg
The region around Bad Meinberg is called “Germany’s Healing Garden”. Its natural
mineral springs, the famous Schwefelmoor and a mild subalpine climate offer the
ideal conditions for the treatment of many illnesses. The modern MediClin Rose Klinik
is located directly next to the baroque health resort gardens of Bad Meinberg.
REHABILITATION
230 beds
140 employees
Specialist clinics
Specialist clinic for orthopaedics and rheumatology (Dr. Verlohren)
Specialist clinic for oncology (Dr. Biester)
Centre for traditional Chinese medicine
in 2009
Parkstrasse 45 – 47
32805 Horn-Bad Meinberg
Main areas of focus
Artificial joint replacement
Chronic back pain
Cervical tinnitus
Tumours of a variety of organ systems
Germany
Fax
+ 49 (0) 52 34 / 9 07-777
[email protected]
www.mediclin.de/rose
Patient admissions
Simone Schildmann
Phone + 49 (0) 52 34 / 9 07-237
Fax
+ 49 (0) 52 34 / 9 07-245
[email protected]
Certifications
EQR
MAAS-BGW
audit „berufundfamilie“
Therapy concepts The MediClin Rose Klinik has developed its own expertise in interdisciplinary rehabilitation, which follows a holistic approach using the latest diagnostic
and therapeutic medical findings. This concept is supplemented by a comprehensive
level of cooperation with other facilities.
Post-operative oncological treatment measures
Outpatient rehabilitation
Individual and flat-rate treatment options for paying patients
Dr. Gerd Verlohren
Dr. Irene Biester
Head Physician
Head Physician
67
Information sources
Phone + 49 (0) 52 34 / 9 07-0
}
A N O V E RV I E W O F T H E
LOWER SAXONY REGION
MediClin employed 887 personnel in this region in one rehabilitation
clinic, a nursing care facility and three acute rehabilitation provision
facilities in 2009, and provided inpatient care to around 10,970 patients.
We provide 27 nursing care places in this region.
ACUTE CARE
69
70
72
REHABILITATION
MediClin Hedon Klinik Lingen
MediClin Klinikum Soltau Soltau
MediClin Seepark Klinik Bad Bodenteich
REHABILITATION
73
MediClin Deister Weser Kliniken Bad Münder
NURSING CARE
112
68
MediClin Seniorenresidenz Deister Weser Bad Münder
Lingen
The MediClin Hedon Klinik is located in the middle of an approx. 80,000 m² health
resort park directly on the edge of a forest. Lingen, the economic and cultural centre
of the Emsland region, is approx. 3 km away.
ACUTE CARE
REHABILITATION
Clinics/specialist clinics
Clinic for early neurological rehabilitation phase B (Prof. Dr. Mokrusch)
Specialist clinic for neurological rehabilitation (Prof. Dr. Mokrusch)
Specialist clinic for orthopaedic and traumatological rehabilitation (Dr. Asche)
281 beds
in 2009
Hedonallee 1
49811 Lingen
Germany
Phone + 49 (0) 5 91/ 9 18-0
Fax
+ 49 (0) 5 91/ 9 18-15
[email protected]
www.mediclin.de/hedon
Patient admissions
Sabine Eilers
Phone + 49 (0) 5 91/ 9 18-11 01
Fax
+ 49 (0) 5 91/ 9 18-18
[email protected]
Certifications
EQR
MAAS-BGW
Main areas of focus
Strokes
Skull and brain injuries
Special movement therapies (e.g. treadmill)
Electrotherapy
Parkinson’s disease
Multiple sclerosis
Aphasia centre
Status post surgery (endoprosthetics, accidents)
Status post amputation of extremities
Illnesses of the rheumatic spectrum
Bone health (osteology)
Therapy concepts Networking with surrounding service providers allows us to
provide a treatment programme that comprises, where required, acute treatment,
medically necessary early rehabilitation and subsequent nursing treatment, as well
as post-operative outpatient treatment and nursing care. A particular feature of our
concept is the neuro-orthopaedic centre, the development of which is driven by
both specialist areas.
Early neurological rehabilitation
according to Section 39 SGB V
Prof. Dr.
Thomas Mokrusch
Dr. Claus-Dieter Asche
Head Physician
Head Physician
69
Information sources
367 employees
Soltau
The MediClin Klinikum Soltau consists of two acute care clinics and a centre for
rehabilitative medicine comprising three specialist clinics.
ACUTE CARE
51 beds
221 employees (in total)
942 patients (inpatient)
in 2009
Oeninger Weg 59
29614 Soltau
Germany
Phone + 49 (0) 51 91/ 8 00-0
Fax
+ 49 (0) 51 91/ 8 00-200
[email protected]
Clinics
Clinic for neurology and early neurological rehabilitation (Dr. Meyer)
Acute neurology
Liquor laboratory
Chronic inflammatory diseases of the central nervous system
Cerebrovascular diseases (strokes)
Seizure disorders
Clinic for orthopaedic and special pain therapy (Dr. Reuter)
Conservative orthopaedics
Invertebral disc illnesses
Interventional spinal column pain therapy
Manual therapy
Osteoporosis /vertebral body fractures
Multimodal complex and pain therapy
www.mediclin.de/klinikum-soltau
Certifications
MAAS-BGW
70
Therapy concepts The special feature in this clinic is the combination of acutecare treatment with (early) rehabilitation, as well as the interdisciplinary cooperation
between the clinics.
Dr. Alfons Meyer
Dr. Lutz Reuter
Head Physician
Head Physician
Soltau
The MediClin Klinikum Soltau is situated in the immediate vicinity of the southern
Lüneburger Heide nature reserve. The clinic’s surroundings offer many walking and
bike tracks, and the town itself provides an attractive range of recreational and
cultural activities.
REHABILITATION
283 beds
221 employees (in total)
Specialist clinics
Specialist clinic for neurological rehabilitation (Dr. Meyer)
Specialist clinic for orthopaedic rehabilitation (Dr. Reuter)
Specialist clinic for psychosomatic medicine and psychotherapy (Dr. Köhne)
in 2009
Oeninger Weg 59
29614 Soltau
Germany
Phone + 49 (0) 51 91/ 8 00-0
Fax
+ 49 (0) 51 91/ 8 00-200
[email protected]
Patient admissions
Michaela Ehlers (curative treatment,
pension insurance)
Phone + 49 (0) 51 91/ 8 00-156
Fax
+ 49 (0) 51 91/ 8 00-123
[email protected]
Gunda Schlange (AHB, health
insurance)
Main areas of focus
Speech disorders (aphasia ward)
Memory/cerebral dysfunction
(neuropsychological ward)
Status post stroke
Skull and brain traumas
Multiple sclerosis
Status post joint replacement
Status post spinal cord surgery
Status post amputation
Polytrauma /follow-up treatment for
the consequences of accidents
Chronic back pain
Joint illnesses
Depression
Anxiety disorders
Workplace conflict
Somatoform disorders
Sleep disorders
Therapy concepts Our concept comprises a holistic diagnostic and therapeutic approach based upon biopsychosocial knowledge about the illness. Through close interdisciplinary cooperation between different specialised clinics, it is possible for us to
optimise our response to the increasing complexity of medical disorders. Special areas
of focus such as aphasia, pain, polytrauma, dizziness and somatoform disorders, the
ability to offer cross-sectoral provision for stroke patients (phase B to D), as well as the
use of tailor-made post-operative outpatient treatment options, make the MediClin
Klinikum Soltau a qualified partner for the provision of targeted rehabilitation and
prevention measures.
Phone + 49 (0) 51 91/ 8 00-172
+ 49 (0) 51 91/ 8 00-123
[email protected]
Certifications
EQR
MAAS-BGW
Individual and flat-rate treatment options
for paying patients
Dr. Alfons Meyer
Dr. Lutz Reuter
Dr. Matthias Köhne
Head Physician
Head Physician
Head Physician
71
Information sources
Fax
Bad Bodenteich
In the middle of the Lüneburger Heide region and surrounded by nature, is the town
of Bad Bodenteich. The quiet location of the MediClin Seepark Klinik, in the heart
of the countryside, and the mildly stimulating climate form the ideal conditions for a
patient’s stay.
ACUTE CARE
REHABILITATION
195 beds
138 employees
in 2009
Sebastian-Kneipp-Strasse 1
29389 Bad Bodenteich
Germany
Phone + 49 (0) 58 24 /21-0
Fax
+ 49 (0) 58 24 /21-200
[email protected]
www.mediclin.de/seepark
Specialist clinic for psychosomatic
medicine and psychotherapy
(Ms. Zahn)
Specialist clinic for child and adolescent
psychosomatics and psychotherapy
(Prof. Dr. Schulte-Markwort)
Main areas of focus
Depression
Anxiety and obsessive compulsive
disorder, as well as other neurotic
disorders
Classical psychosomatics
Adjustment disorders /workplace
conflict /bullying
Burn-out syndrome
Centre for eating disorders
Centre for child, adolescent and
family therapy
Centre for pain therapy
Clinic for acute psychosomatics –
with a focus on eating disorders
Anorexia nervosa
Bulimia nervosa
Binge-eating disorder
Adipositas, treatment of the most
serious adipositas
Pain therapy
Different forms of personality disorders
Patient admissions
Sina Engelhardt
Phone + 49 (0) 58 24 /21-236
Fax
+ 49 (0) 58 24 /21-515
[email protected]
Certifications
EQR
KTQ® Reha
Therapy concepts In our therapeutic medical concept, we take equal account of
physical, mental, social and environmental factors. Professionally qualified support is
provided to treat mental conflicts, identify solutions and develop new skills. A multiprofessional team ensures individually tailored and professional specialist treatments.
In a specially adapted area, we are able to treat the most serious adipose patients –
with a weight of up to 350 kg, limited mobility and significant comorbidity.
Hospital treatment according to Section 109 SGB V
Treatments covered by the health care scheme for civil servants
Sabine Zahn
Head Physician
72
Prof. Dr. Michael
Schulte-Markwort
Head Physician for Child
and Adolescent Psychiatry
Bad Münder
Bad Münder is known for its medieval town centre, health resort, country park and
famous natural springs. The MediClin Deister Weser Kliniken look out over the Deisterhang area of Bad Münder and the harmony of the surrounding countryside.
REHABILITATION
Specialist clinics
Specialist clinic for psychosomatics and behavioural medicine (Dr. Pütz)
Specialist clinic for oncology and gastroenterology (PD Dr. Engel)
160 beds
146 employees
in 2009
Main areas of focus
Therapy effects in those suffering from tumours
Benign gastroenterogical illnesses
Anxiety, ADHD, depression and obsessive compulsive disorders
Psychosomatic health disorders (curative, rehabilitative, preventative)
Lug ins Land 5
31848 Bad Münder
Germany
Phone + 49 (0) 50 42/ 6 00-0
Fax
+ 49 (0) 50 42/ 6 00-600
[email protected]
Therapy concepts Both specialist clinics cooperate in an interdisciplinary therapeutic
concept, which combines somatic expertise with a biopsychosocial understanding
of an illness. The MediClin Deister Weser Kliniken are working together with the AOK
Niedersachen on a project for the direct admittance of patients with psychosomatic
medical diseases, with the aim of preventing cronification due to time delays.
www.mediclin.de/deister-weser-reha
Uwe Borchert
Phone + 49 (0) 50 42/ 6 00-235
Fax
+ 49 (0) 50 42/ 6 00-245
[email protected]
Certifications
EQR
> Article from Dr. Dieter Pütz
on page 32
Dr. Dieter Pütz
PD Dr. Heike Engel
Head Physician
Head Physician
73
Information sources
Patient admissions
}
ME C K L E N B U R G-VO R P O M ME R N
REGION
MediClin employed 1,468 personnel in this region in two acute-care
clinics, a rehabilitation clinic, an acute and rehabilitation provision
facility and a medical care centre in 2009, and provided inpatient care
to around 30,120 patients.
ACUTE CARE
75
76
106
MediClin Krankenhaus am Crivitzer See Crivitz
MediClin Müritz-Klinikum Waren (Müritz)
MediClin MVZ Plau am See Plau am See
ACUTE CARE
78
80
REHABILITATION
MediClin Krankenhaus Plau am See Plau am See
MediClin Reha-Zentrum Plau am See Plau am See
REHABILITATION
81
74
MediClin Dünenwald Klinik Ostseebad Trassenheide
Crivitz
The MediClin Krankenhaus am Crivitzer See is classified as a provider of basic and
standard medical care. Crivitz is located in the middle of the Mecklenburg Lake District
region, around 20 km south-east of the provincial capital of Schwerin. The individual
clinics offer the latest patient-oriented medical care.
73 beds
149 employees
in 2009
MediClin Krankenhaus
am Crivitzer See
Amtsstrasse 1
19087 Crivitz
Germany
Phone + 49 (0) 38 63 / 5 20-0
Fax
+ 49 (0) 38 63 / 5 20-158
[email protected]
www.mediclin.de/crivitzer-see
Clinics
Clinic for surgery and orthopaedics (Dr. Rimkus)
Gallbladder, intestine, rectum, hernia and thyroid surgery including
endoscopic operations
Joint prostheses in the knee, hip and shoulder and replacement surgery
(endoprosthesis), arthroscopic provision for sports injuries in the shoulder,
knee and ankle, fractures following accidents and acute herniated discs
(inpatient, conservative)
Clinic for internal medicine (Dipl.-Med. Helmecke)
General internal illnesses and diseases of the heart, vascular system, respiratory
tract, gastrointestinal tract, liver, bile duct and pancreas, as well as metabolic
diseases, such as diabetes (diabetes mellitus)
Clinic for gynaecology and obstetrics (Dr. Moldenhauer)
Vaginal and abdominal gynaecological operations and diagnostic and therapeutic laparoscopy, as well as individual antenatal preparation and obstetrics
Clinic for anaesthesiology and intensive medicine (Dr. Budnik)
All modern local and general anaesthetic procedures (largely without anaesthetic gas), peridural catheter for general and obstetric pain treatment, shortterm respiration in the interdisciplinary recovery ward
Radiology
Conventional radiology and computer tomography (CT)
Dr. Frank Rimkus
Head Physician
Dipl.-Med.
Bernd Helmecke
Dr. Bernhard
Moldenhauer
Head Physician
Head Physician
Dr. Ralph Budnik
Medical Director
75
Information sources
ACUTE CARE
Waren (Müritz)
The climatic health resort town of Waren is situated next to Germany’s largest lake,
Müritz. The MediClin Müritz-Klinikum is an academic teaching hospital for the medical
faculty of the University of Rostock.
ACUTE CARE
354 beds
526 employees
in 2009
Weinbergstrasse 19
17192 Waren (Müritz)
Germany
Phone + 49 (0) 39 91/ 77-0
Fax
+ 49 (0) 39 91/ 77-20 05
[email protected]
www.mediclin.de/mueritz-klinikum
Röbel location
Stadtgarten 15
17207 Röbel / Müritz
Germany
Phone + 49 (0) 39 91/ 77-19 02
Neubrandenburg location
Atelierstrasse 5 – 7
17034 Neubrandenburg
Germany
Phone + 49 (0) 3 95 /43 09 13-0
Parchim location
Clinic location in Waren (Müritz)
Clinic for internal medicine (PD Dr. Braun)
General internal illnesses, haematology, oncology, pulmology, gastroenterology,
cardiology/angiology
Clinic for surgery (Prof. Dr. Ecker)
General and visceral surgery with proctology
Vascular surgery with interdisciplinary angiology
Accident and reconstructive surgery
Thoracic surgery
Clinic for gynaecology and obstetrics (Dr. Bauer)
Obstetrics (including high-risk pregnancies), gynaecological oncology and
tumour surgery, mammary surgery, incontinence surgery (including TVT),
endoscopic procedures (hysterectomy, laparoscopy)
Clinic for urology (Dr. Baars)
All urological illnesses; broad spectrum of endoscopic and particularly laparoscopic surgical procedures, urinary stone treatment (endoscopic and ESWL),
incontinence therapy and urogynaecology, child urology, andrology – sterility
diagnosis
Clinic for child and adolescent medicine (Dr. Flägel)
All paediatric acute illnesses, intoxications, allergies and hormone defects,
diabetes mellitus, neonatology (without long-term respiration), developmental
disorders, paediatric neurology, rheumatology and immunologic illnesses
Clinic for ear, nose and throat medicine (PD Dr. Kleemann)
Wladeyers ring surgery, diagnostic and surgical therapy of snoring and sleep
disorders, nose surgery and microsurgery of the ear, otorhinolaryngologic tumour
surgery and oncology, illnesses of the inner ear, plastic surgery of the face and
neck area, traumatology of the face section of the skull and skull base
Clinic for anaesthesiology and intensive medicine (Dr. Francke)
Anaesthesiological provision for all operative and non-operative clinics, intensive medicine, perioperative pain therapy, emergency medicine
Pestalozziweg 19
19370 Parchim
Germany
Phone + 49 (0) 38 71/42 11-0
Prof. Dr.
Karl-Wilhelm Ecker
Head Physician
76
Dr. Toralf Bauer
Dr. Andreas Baars
Dr. Hans-Jürgen Flägel
PD Dr. Norbert Braun
Head Physician
Head Physician
Head Physician
Head Physician
Radiology (Mr. Stöckigt)
Conventional X-ray diagnostics, computer tomography, angiography (DSA),
mammography, sonography, interventional radiology
Psychiatric and head physician authorised outpatient clinic
Oncological outpatient clinic for internal medicine
Urooncological outpatient clinic
Outpatient accident consultancy
Mammography outpatient clinic
Mamma screening outpatient clinic
Oncological outpatient clinic for gynaecology
Birth control in gynaecology
Sonographic examinations in paediatrics
Emergency outpatient clinic
Physiotherapy
Radiology
Clinic location in Röbel
Clinic for psychiatry, psychotherapy and psychosomatics (Mr. Kresin)
Neurotic and psychosomatic disorders, depressions, psychoses, states of
mental confusion, addiction therapy, psychological illnesses in old age
Treatment in both the day clinic and the psychiatric outpatient institute
Clinic for child and adolescent psychiatry, psychotherapy and psychosomatics (Dr. Ilg)
Psychological problems following acute stress in school, personality disorders,
attention deficit syndrome, psychoses, emotional disorders
Treatment in both the day clinic and the psychiatric outpatient institute
Clinic location in Neubrandenburg
Day clinic for child and adolescent psychiatry, psychotherapy and psychosomatics
Treatment also available in the psychiatric outpatient institute
PD Dr. Detlef Kleemann
Dr. Astrid Francke
Christian Stöckigt
Arne Kresin
Dr. Sylke Ilg
Medical Director
Head Physician
Head Physician
Head Physician
Head Physician
77
Information sources
Clinic location in Parchim
Day clinic for psychiatry, psychotherapy and psychosomatics
Treatment also available in the psychiatric outpatient institute
Plau am See
Plau am See is situated between Berlin, Hamburg and Rostock, and forms the gateway
to the Mecklenburg Lake District region. The climatic health resort has a picturesque
old town. The MediClin Krankenhaus Plau am See is located outside of the town directly
on the lake alongside the rehabilitation centre of the same name. These two clinics
work side by side providing a unified treatment concept.
ACUTE CARE
200 beds
441 employees
in 2009
Quetziner Strasse 88
19395 Plau am See
Germany
Phone + 49 (0) 3 87 35 / 87-0
Fax
+ 49 (0) 3 87 35 / 87-110
[email protected]
www.mediclin.de/plau-akut
Urology, neurology, ENT medicine
19395 Plau am See
Germany
Phone + 49 (0) 3 87 35 / 87-280
Fax
+ 49 (0) 3 87 35 / 87-113
[email protected]
www.mediclin.de/plau-mvz
78
Clinics
Clinic for neurosurgery and stereotaxis (Prof. Dr. Donauer)
Tumours of the central nervous system and amyelia
Cerebrovascular diseases
Spinal column surgery
Paraplegic centre
Microsurgery, endoscopy
Clinic for early rehabilitation phase B (Prof. Dr. Donauer)
Focus on paraplegic treatment, status after long and serious acute treatment
Early treatment and intensive multi-modular support after serious diseases of
the central nervous system
Clinic for neurology and stroke unit (Dr. Deymann)
Strokes
Chronic inflammatory diseases of the central nervous system
Degenerative and inflammatory illnesses of the central nervous system
Neurological accident and intensive medicine
Seizure disorders, headaches
Clinic for orthopaedics, accident and hand surgery (PD Dr. Witt)
Bone malformations and tumours
Arthroscopy, shoulder treatment
Surgical joint stiffening, bone axis corrections
Endoprostheses
Complete traumatology
Arthroscopy of the wrist
Reconstructive surgery
Rheuma surgery
Tumours and inflammatory illnesses
Degenerative illnesses
Joint replacement procedures (metacarpophalangeal joint)
Prof. Dr. Erich Donauer
Dr. Ralph Deymann
PD Dr. Mathias Witt
Dr. Carsten Hoffmann
Medical Director
Head Physician
Head Physician
Head Physician
Dr. Holger Schmitt
Dr. Ralf Baetgen
Dr. Klaus Terstegge
Head Physician
Head Physician
Head Physician
79
Information sources
Clinic for general surgery and visceral surgery (Dr. Hoffmann)
Abdominal surgery
Proctology
Minimally invasive surgery
Clinic for internal medicine (Dr. Schmitt)
Ischemic heart diseases
Other heart and vascular illnesses
Gastroenterology
Pulmology
Endocrinology
Gastrointestinal haemorrhages
Clinic for anaesthesiology and intensive medicine (Dr. Baetgen)
Anaesthetic provision for surgical clinics and specialist departments
Emergency therapy
Clinic for radiology and neuroradiology (Dr. Terstegge)
Conventional radiology
Computer tomography (CT)
Angiography and phlebography
Magnetic resonance tomography (MRT)
Interventional radiology/neuroradiology
Plau am See
The town Plau am See owes its name to the third-largest lake in northern Germany –
which is 15 km long and up to 6 km wide. Plau lies on the west bank of the lake, has
6,500 inhabitants and is defined by its tourist industry. The MediClin Reha-Zentrum is
located directly next to the lake and provides a unified treatment concept together
with the MediClin Krankenhaus Plau am See.
REHABILITATION
232 beds
200 employees
Specialist clinics
Specialist clinic for neurology and early rehabilitation phase C (Dr. Freier)
Specialist clinic for orthopaedics (Dr. Krüger)
in 2009
Plau am See
19395 Plau am See
Germany
Phone + 49 (0) 3 87 35 / 86-0
Fax
+ 49 (0) 3 87 35 / 86-200
[email protected]
www.mediclin.de/plau-reha
Patient admissions
Kerstin Schult
Phone + 49 (0) 3 87 35 / 86-105
Fax
+ 49 (0) 3 87 35 / 86-200
[email protected]
Certifications
EQR
MAAS-BGW
80
Main areas of focus
Consequences of stroke or
brain haemorrhage
Status post skull and brain trauma
Tumours of the central nervous system
Multiple sclerosis
Morbus Parkinson
All neuro-degenerative illnesses
Muscular dystrophy
Status post inflammatory disease
of the nervous system
Neurogenic pain syndrome
Degenerative rheumatic illnesses
Inflammatory rheumatic illnesses
Consequences of spinal cord and
extremity fractures
Tumours of the supporting and
locomotor organs
Congenital or acquired malformation
of the spinal cord and joints
Status post spinal cord surgery
Therapy concepts The MediClin Reha-Zentrum Plau am See offers self-contained
therapy concepts for these specialist rehabilitation indicators. The therapeutic options
available comprise psychotherapeutic-oriented motivational building programmes, as
well as physiotherapeutic training-oriented mobilisation. There exists a close conceptional cooperation with the neighbouring acute-care hospital, which enables treatment in the acute and rehabilitation phases from the same source.
Dr. Günther Freier
Dr. Reinhard Krüger
Head Physician
Head Physician
Ostseebad Trassenheide
The MediClin Dünenwald Klinik is built in the dunes of the Baltic Sea beach on the
island of Usedom. The immediate proximity to the sea, the most hours of sunlight in
Germany and a healthy, bracing climate create the ideal conditions.
REHABILITATION
256 beds
Specialist clinics
Specialist clinic for internal medicine, cardiology, pneumology
and metabolic illnesses (Dr. Grunze)
Specialist clinic for orthopaedics (Dr. Seidlein)
134 employees
in 2009
Dünenstrasse 1
17449 Ostseebad Trassenheide
Germany
Phone + 49 (0) 3 83 71/70-0
Fax
+ 49 (0) 3 83 71/70-199
[email protected]
www.mediclin.de/duenenwald
Patient admissions
Silvia Wibben
Phone + 49 (0) 3 83 71/70-235
Fax
+ 49 (0) 3 83 71/70-199
Main areas of focus
Heart and circulation illnesses, respiratory and lung diseases
Status post heart, lungs and pleura surgery, as well as treatment, mobility and
ADL training for patients with serious performance-limiting lung diseases /
heart insufficiency
Metabolic illnesses (diabetes mellitus, hypercholesteremia, gout)
Adipositas
Congenital orthopaedic disorders, malfunctions and surgical and accident-related
consequences of the supporting and locomotor system
Status post amputation of limbs
Spinal column syndrome including herniated discs with radicular symptoms
Therapy concepts The clinic offers a holistic rehabilitative treatment concept supported by cardiological, pulmonary, orthopaedic, pain therapy, social medical and
psychological expertise. Patients with multiple illnesses are provided with interdisciplinary treatment in coordination with all therapists.
[email protected]
Sybille Grübsch
Phone + 49 (0) 3 83 71/70-235
+ 49 (0) 3 83 71/70-199
[email protected]
Individual and flat-rate treatment offers
for paying patients
Certifications
EQR
Dr. Martin Grunze
Dr. Helmhold Seidlein
Head Physician
Head Physician
81
Information sources
Fax
}
AN OVERVIEW OF THE
EASTERN REGION
MediClin employed 1,208 personnel in this region in one acute-care
clinic, three rehabilitation clinics, an acute and rehabilitation provision
facility, two medical care centres and two nursing care facilities in 2009,
and provided inpatient care to around 22,760 patients. We provide
126 nursing care places in the eastern region.
ACUTE CARE
83
106
106
MediClin Herzzentrum Coswig Coswig
MediClin MVZ Bad Düben Bad Düben
MediClin MVZ Leipzig Leipzig
ACUTE CARE
84
85
REHABILITATION
MediClin Waldkrankenhaus Bad Düben Bad Düben
MediClin Reha-Zentrum Bad Düben Bad Düben
REHABILITATION
86
87
88
MediClin Klinik am Brunnenberg Bad Elster
MediClin Klinik am Rennsteig Tabarz
MediClin Reha-Zentrum Spreewald Burg
NURSING CARE
112
113
82
MediClin Seniorenpflegeeinrichtung Rennsteinblick Tabarz
MediClin Seniorenresidenz Brunnenbergblick Bad Elster
Coswig
The town of Coswig is situated in the middle of the biosphere reserve “Middle Elbe”
in the south-east region of Saxony-Anhalt between Dessau and the Lutheran town of
Wittenberg. Built in 1998, the MediClin Herzzentrum Coswig has 113 beds and is
equipped in line with the latest medical technology and research.
113 beds
240 employees
in 2009
Lerchenfeld 1
06869 Coswig
Germany
Phone + 49 (0) 3 49 03 /49-0
Fax
+ 49 (0) 3 49 03 /49-100
[email protected]
www.mediclin.de/herzzentrum-coswig
Certifications
> Article from PD Dr. Harald Hausmann
and Dr. Tom Giesler on page 42
Clinics
Clinic for heart and vascular surgery (PD Dr. Hausmann)
Complete spectrum of heart and vascular surgery
Coronary surgery (bypass surgery), as well as minimally invasive
procedures using a heart-lung machine
Heart valve surgery, as well as minimally invasive procedures using
a heart-lung machine
Treatment of arterial blockages or narrowing
Aortic aneurysm surgery
Implants /replacement of pacemakers and defibrillators (ICD)
Clinic for cardiology and angiology (Dr. Giesler)
Complete range of treatment for cardiology and angiology
Two left cardiac catheterisation measuring stations: invasive diagnostics and
therapy of coronary heart diseases, performed using for instance balloon
catheters, stent implants and angiography of the peripheral blood vessels
Electrophysiology
Implant of three-chamber heart pacemakers
Non-invasive cardiological and angiological diagnostics, using, for instance,
stress echocardiography, transesophageal echocardiography and arteriography
Pacemaker and ICD outpatient clinic
Clinic for anaesthesiology and intensive medicine (Dr. Eberle)
Anaesthesiological provision for heart and vascular surgery
Cardioanaesthesiology: anaesthesiological provision before, during and
after surgical interventions
Fast-track anaesthetics
Intensive medicine, for instance, heamodynamic monitoring, respiration,
haemodialysis and mechanical circulatory support
Pain therapy
PD Dr.
Harald Hausmann
Dr. Tom Giesler
Dr. Thomas Eberle
Director
Head Physician
Director
83
Information sources
ACUTE CARE
Bad Düben
The MediClin Waldkrankenhaus is located in the middle of the extensive health resort
park of Bad Düben on the edge of the Dübener Heide region. This renowned specialist
orthopaedic hospital with its 145 beds is one of the best-performing orthopaedic clinics
in Germany.
ACUTE CARE
145 beds
233 employees
in 2009
MediClin Waldkrankenhaus
Bad Düben
Gustav-Adolf-Str. 15 a
04849 Bad Düben, Germany
Phone + 49 (0) 3 42 43 /76-0
Fax
+ 49 (0) 3 42 43 /76-1120
[email protected]
www.mediclin.de/bad-dueben-akut
Orthopaedics, General medicine
Gustav-Adolf-Str. 15
04849 Bad Düben, Germany
Clinics
Clinic for orthopaedics (Prof. Dr. Melzer)
Endoprostheses
Anthropathy
Illnesses of the spinal cord and back including osteoporosis
Spondylopathia
Muscle diseases
Illnesses of the rheumatic spectrum, the connecting and soft tissues
Orthopaedic oncology
Child orthopaedics
Accident surgery (accident consultant)
Special consultation hours for hand, foot and shoulder complaints
Clinic for anaesthesiology and intensive medicine (Dr. Bulst)
Different anaesthesia procedures such as general anaesthesia (balanced anaesthesia, TIWA) and local anaesthesia (epidural and peripheral local anaesthesia
such as pain catheter) all age groups (for example, infant anaesthesia)
Perioperative intensive medicine
Autologous blood donations, haemotherapy
Pain management, pain therapy
Outpatient pain clinic
Phone + 49 (0) 3 42 43 / 79-22 33
Fax
+ 49 (0) 3 42 43 / 79-22 34
[email protected]
www.mediclin.de/bad-dueben-mvz
Branch:
Eilenburg – general medicine
Rosa-Luxemburg-Str. 55 b
04838 Eilenburg, Germany
Phone + 49 (0) 34 23/75 34 59
Fax
Treatment concepts The MediClin Waldkrankenhaus and MediClin Reha-Zentrum
are situated, together with the MediClin MVZ Bad Düben, in one location and offer a
complete range of treatment from first contact with the physician and acute inpatient
treatment through to rehabilitation and subsequent outpatient care all from one source.
In this context, reference should be made to the description of the MediClin RehaZentrum in Bad Düben. In addition, the clinic works closely together with MediClin’s
medical care centre in Leipzig, which offers specialist medical provision in the areas
of orthopaedics, internal medicine/cardiology and general medicine.
+ 49 (0) 34 23/75 73 24
Wurzen – orthopaedics
Badergasse 7– 9
04808 Wurzen, Germany
Phone + 49 (0) 3 42 59 / 2 0150
Fax
+ 49 (0) 3 42 59 / 2 0140
[email protected]
Certification
Prof. Dr.
Christian Melzer
Head Physician
84
Dr. Detlef Bulst
Head Physician
Bad Düben
REHABILITATION
265 beds
182 employees
in 2009
Gustav-Adolf-Strasse 15
04849 Bad Düben
Germany
Phone + 49 (0) 3 42 43 /79-0
Fax
+ 49 (0) 3 42 43 /2 50 81
[email protected]
www.mediclin.de/bad-dueben-reha
The health resort town of Bad Düben is the gateway to the Dübener Heide, with its
unmistakeable scenery, found between the lower Mulde and middle Elbe regions.
Half of the Dübener Heide is covered by forest and protected species of animals and
plants find their natural home here. The MediClin Waldkrankenhaus and MediClin
Reha-Zentrum Bad Düben are both situated in a quiet location within an extensive park
on the edge of Bad Düben.
Specialist clinics
Specialist clinic for orthopaedics (Dr. Ernst)
Specialist clinic for cardiology (Dr. Jaskolski)
Specialist clinic for neurology (Dr. Waldmann)
Main areas of focus
Status post surgery on locomotor
organs
Oncological illnesses of the
locomotor organs
Osteoporosis
All cardiovascular illnesses
Status post heart surgery
Pulmonary embolism
Consequences of stroke or brain
haemorrhage
Inflammatory, metabolic-related
tumours and degenerative diseases
of the central nervous system
Status post brain, spinal cord and
peripheral nerve surgery
Patient admissions
Simone Petersohn
Phone + 49 (0) 3 42 43 /79-21 51
Fax
+ 49 (0) 3 42 43 /79-21 55
[email protected]
Rebecca Thomas
Phone + 49 (0) 3 42 43 /79-21 51
Fax
+ 49 (0) 3 42 43 /79-21 55
Therapy concepts The MediClin Reha-Zentrum Bad Düben pursues a close conceptual cooperation with the neighbouring MediClin Waldkrankenhaus, ensuring that
treatment in both the acute and rehabilitation phases can be provided from one source.
In addition, the clinic is networked with a variety of highly qualified facilities – ensuring that a particularly high standard of provision can be achieved. In this context, the
MediClin Reha-Zentrum is an important cooperation partner for the hospitals in Leipzig,
Delitzsch/Eilenberg, the MediClin Herzzentrums Coswig, the Paul-Gerhardt-Stifts in
Wittenberg and hospitals in the surrounding regional authorities.
[email protected]
Extended outpatient physiotherapy (EAP)
options for self-pay patients
Dr. Hans Ulrich Ernst
Dr. Adam Jaskolski
Dr. Guido Waldmann
Head Physician
Head Physician
Head Physician
85
Information sources
Certifications
EQR
Bad Elster
Bad Elster is a renowned traditional peat health spa town situated in the border region
between Bohemia, Saxony and Bavaria. The MediClin Klinik am Brunnenberg has
direct footpath links to the nearby health resort park with the art nouveau Albert Bad.
REHABILITATION
Specialist clinics
Specialist clinic for cardiology (Dr. Siegel)
Specialist clinic for orthopaedics (Dr. Breitbeck)
224 beds
153 employees
in 2009
Endersstrasse 5
08645 Bad Elster
Main areas of focus
The interdisciplinary cooperation of all specialist physicians, nursing care employees
and therapists creates an effective level of patient provision for:
Cardiological and orthopaedic-rheumatic illnesses
Injuries cause by workplace accidents
Advisory and integrated treatment of diabetes mellitus
Improvements in the patient’s condition after amputation of the lower limbs
Germany
Phone + 49 (0) 3 74 37/ 8-0
Fax
+ 49 (0) 3 74 37/ 8-32 01
[email protected]
www.mediclin.de/brunnenberg-reha
Patient admissions
Barbara Ruschke
Phone + 49 (0) 3 74 37/ 8-32 23
Fax
+ 49 (0) 3 74 37/ 8-32 01
[email protected]
Certifications
EQR
86
Therapy concepts Medical rehabilitation in the specialist areas of cardiology and
orthopaedics is optimally and closely connected. The clinic follows a modern biopsychosocial illness and health concept, and is an important cooperation partner for
regional hospitals in Saxony, Bavaria and Thüringen.
All day outpatient rehabilitation
Inpatient preventative measures according to Section 20 SGB V
Dr. Günther Siegel
Dr. Jürgen Breitbeck
Head Physician
Head Physician
Tabarz
Tabarz is located in one of the most beautiful areas of countryside in Germany, directly
next to the Thüringer forest. This winter-sports town and renowned “Kneipp” health
resort town are characterised by their art nouveau, half-timbered houses and lie close to
Eisenach, Gotha, Erfurt and Weimar. The clinic is situated in a quiet location directly
next to the “Lauchagrund” park.
REHABILITATION
195 beds
132 employees
Specialist clinics
Specialist clinic for internal medicine, cardiology and diabetology (Dr.Victor)
Specialist clinic for conservative orthopaedics (Dr. Junker)
in 2009
Zimmerbergstrasse 34
99891 Tabarz
Germany
Phone + 49 (0) 3 62 59 / 64-0
Fax
+ 49 (0) 3 62 59 / 64-100
[email protected]
www.mediclin.de/rennsteig
Patient admissions
Main areas of focus
Post-operative rehabilitation after cardiac surgery and operations on the
vascular system
Heart attacks and interventions, such as heart bypass and stent implants
Pacemaker and defibrillator implants
Heart transplants
Adjustment and training for all forms of diabetes according to their manifestation,
after metabolic lapses and insulin therapy
Consequences of operations and accidents to the spinal cord, large and small
joints and long tubular bones
Degenerative rheumatic and chronic degenerative illnesses
Osteoporosis
Heike Erben
Fax
+ 49 (0) 3 62 59 / 64-150
[email protected]
Certifications
EQR
Therapy concepts The clinic’s therapy concept focuses on activation measures to
increase general mobility supported by an experienced team of therapists. Relevant
accompanying diseases are treated with interdisciplinary therapy (physician treatment,
sports therapy, balneo-physiotherapy or physiotherapy, ergotherapy and psychological
therapy).
Inpatient treatment within the frame work of the disease management
programme for patients with diabetes
Dr. Sabine Victor
Dr. Werner Junker
Head Physician
Head Physician
mellitus type 1 and type 2 according
to Section 137 f SGB V
Outpatient bathing therapies
87
Information sources
Phone + 49 (0) 3 62 59 / 64-235
Burg
The MediClin Reha-Zentrum Spreewald is located in the middle of the UNESCO Spreewald biosphere reserve in the idyllic health resort of Burg. Burg is the southern gateway
to the Oberspreewald and lies in the middle of an area of lowland meadows crossed
by numerous channels from the Spree, creating a charming rural character.
REHABILITATION
282 beds
174 employees
Specialist clinics
Specialist clinic for internal medicine, cardiology, diabetology and angiology
(Dr. Kamke)
Specialist clinic for conservative orthopaedics (Dr. Pasternak)
in 2009
Zur Spreewaldklinik 14
03096 Burg
Germany
Phone + 49 (0) 3 56 03 / 63-0
Fax
+ 49 (0) 3 56 03 / 63-100
[email protected]
www.mediclin.de/spreewald
Patient admissions
Andrea Pässler
Phone + 49 (0) 3 56 03 / 63-235
Fax
+ 49 (0) 3 56 03 / 63-101
Main areas of focus
Heart-circulation illnesses
Heart attacks, interventional cardiology and heart surgery
Cardiac arrhythmia, heart insufficiency, HSM and ICD implants
Peripheral vascular illnesses, vascular surgery
Diabetes mellitus type 1 and type 2, in particular subsequent illnesses
Diabetic foot syndrome
Malfunctions of the supporting and locomotor systems
Rehabilitation after artificial joint replacement, accident surgery and
spinal cord operations
Chronic degenerative joint and spinal cord illnesses
Chronic back pain and chronic pain disorders
Illnesses of the rheumatic spectrum
Diagnostic and therapy for osteoporosis
Interdisciplinary concept for status post limb amputation
[email protected]
Certifications
EQR
MAAS-BGW
Therapy concepts A particular feature of the MediClin Reha-Zentrums Spreewald is
the interdisciplinary and high-performance medical provision concept. Internal medicine
and orthopaedics pool their know-how relating to the latest diagnostic and therapeutic
medical findings. Therapeutic concepts are developed jointly to offer those patients
with complex disease patterns the optimum provision.
88
Dr. Wolfram Kamke
Dr. Kirstin Pasternak
Head Physician
Head Physician
MediClin employed 331 personnel in this region in one rehabilitation
clinic and one acute rehabilitation provision facility in 2009, and provided inpatient care to around 6,943 patients.
ACUTE CARE
90
REHABILITATION
MediClin Reha-Zentrum am Hahnberg and
MediClin Klinik für Akutpsychosomatik am Hahnberg
Bad Wildungen
REHABILITATION
91
MediClin Reha-Zentrum Bad Orb Bad Orb
89
Information sources
}
HESSE REGION
MediClin Klinik für Akutpsychosomatik am Hahnberg
Bad Wildungen
Bad Wildungen describes itself as a “feel good” town. That’s exactly how we aim to
welcome our patients in the MediClin Reha-Zentrum am Hahnberg, which is connected
to Bad Wildungen via the largest health resort park in Europe.
ACUTE CARE
REHABILITATION
307 beds
159 employees
Specialist clinic for conservative orthopaedics with centre for amputation aftercare
(Dr. Schladitz)
Specialist clinic for psychosomatics and psychotherapy (Dr. Unger)
Clinic for acute-psychosomatics (Dr. Unger)
in 2009
am Hahnberg
MediClin Klinik für
Main areas of focus
Anxiety disorders, depressions, states of exhaustion, chronic pain disorders
Medical provision after joint and spinal cord surgery, following amputations or
fractures, chronic orthopaedic illnesses
Akutpsychosomatik
am Hahnberg
Ziergartenstrasse 9
34537 Bad Wildungen
Germany
Phone + 49 (0) 56 21/7 96-0
Fax
+ 49 (0) 56 21/7 96-296
[email protected]
www.mediclin.de/hahnberg
Therapy concepts A special feature is the integration of orthopaedic and psychosomatic expertise. The MediClin Reha-Zentrum am Hahnberg has a medical provision
concept that takes not only the increasing complexity of disease patterns and the
latest diagnostic and therapeutic medical findings into account, but also scientifically
based somatomedical, psychotherapeutic and social-therapeutic components. The
specialist clinic for psychosomatics and psychotherapy provides the option of treating
blind or visually impaired patients. Acute psychosomatic illnesses are commonly treated
with psychotherapeutic measures in the acute psychosomatic clinic, when standard
outpatient or rehabilitation measures would not be sufficient.
Patient admissions
Annika Knüppel (Orthopaedics)
Phone + 49 (0) 56 21/7 96-235
Fax
+ 49 (0) 56 21/7 96-231
[email protected]
Melanie Blasey (Psychosomatics)
Phone + 49 (0) 56 21/7 96-236
Fax
+ 49 (0) 56 21/7 96-231
Hospital treatment
[email protected]
Certifications
EQR
MAAS-BGW
90
Dr. Gunther Schladitz
Dr. Michael Unger
Head Physician
Head Physician
Bad Orb
The health resort town Bad Orb lies in the Hessischer Spessart nature reserve, in a
tributary valley of the Kinzig valley. The mildly stimulating climate – low ozone levels
and moderate summer – effectively aids the rehabilitation process. The rehabilitation
clinic is located on the edge of the town near to the forest.
REHABILITATION
292 beds
172 employees
Specialist clinics
Specialist clinic for neurology and clinical neuropsychology (Dr. Ginzburg)
Specialist clinic for conservative orthopaedics (Dr. Ebenhöh)
Centre of expertise for neurology and orthopaedics
in 2009
Spessartstrasse 20
63619 Bad Orb
Germany
Phone + 49 (0) 60 52/ 8 08-0
Fax
+ 49 (0) 60 52/ 8 08-659
[email protected]
www.mediclin.de/bad-orb
Patient admissions
Phone + 49 (0) 60 52/ 8 08-640/
Main areas of focus
Consequences of a stroke or brain
haemorrhage, integrated treatment
chain from acute-care through to
rehabilitation in cooperation with the
Klinikum Offenbach
Tumours of the central nervous system
Multiple sclerosis
Morbus Parkinson
Neurodegenerative illnesses
Epileptic syndrome
Muscular dystrophy
Muscle malformations
Status post inflammatory diseases
of the nervous system
Degenerative rheumatic illnesses
Inflammatory rheumatic illnesses
Consequences of injuries to the spinal
cord and limbs
Tumours of the supporting and
locomotor organs
Congenital or acquired malformation
of the spinal cord and joints
Bone diseases
-641/-642
number + 49 (0) 800/10014 61
Fax
+ 49 (0) 60 52/ 8 08-649
[email protected]
Certifications
EQR
MAAS-BGW
Therapy concepts The treatment concept focuses on the idea of interdisciplinary
teams. The diagnosis or disorder-based therapy concept is based on a holistic somatopsychosocial understanding of illness and the particular expertise of the clinic’s neuroorthopaedic specialist clinics.
Dr. Elmar Ginzburg
Dr. Gottfried Ebenhöh
Head Physician
Head Physician
Professional Association for Sub sequent Inpatient Treatment (BGSW)
91
Information sources
Service telephone
}
SAARLAND REGION
MediClin employed 439 personnel in this region in two rehabilitation
clinics and a nursing care facility in 2009, and provided inpatient care
to around 8,410 patients.
REHABILITATION
93
94
MediClin Bliestal Kliniken Blieskastel
MediClin Bosenberg Kliniken St.Wendel
NURSING CARE
113
92
MediClin Seniorenresidenz Auf dem Bellem Blieskastel
Blieskastel
The MediClin Bliestal Kliniken are located on a small hill on the edge of the baroque
city of Blieskastel. Idyllic alleyways and spaciously laid out squares invite you to windowshop and stroll around the city. The extensively developed network of footpaths provide the opportunity for a calm and recuperating walk.
REHABILITATION
459 beds
231 employees
Specialist clinics
Specialist clinic for internal medicine (Dr. Berg)
Specialist clinic for psychosomatic medicine (Prof. Dr. Köllner)
Specialist clinic for orthopaedics and rheumatology (Prof. Dr. Rupp)
in 2009
Am Spitzenberg
66440 Blieskastel
Germany
Phone + 49 (0) 68 42/ 54 -0
Fax
+ 49 (0) 68 42/ 54 -25 41
[email protected]
www.mediclin.de/bliestal
Patient admissions
Alexandra Müller
Main areas of focus
Acute and chronic illnesses of the
cardiovascular and vascular system
Metabolic diseases
Illnesses of the prostate, kidneys
and lower urinary tract
Illnesses and disabilities of the
supporting and locomotor organs
Status post surgery and the
consequences of accidents on the
locomotor organs
Subsequent treatment after spinal
cord operations
Subsequent treatment of
tumour illnesses
Chronic spinal cord pain and
post-nucleotomy syndrome
Chronic pain syndrome and
fibromyalgia
Somatoform disorders and
anxiety disorders
Workplace-related disorders
Post-traumatic stress disorder
Depression and complicated grief
Behavioural therapy
Phone + 49 (0) 68 42/ 54 -23 01
+ 49 (0) 68 42/ 54 -23 32
[email protected]
Certifications
EQR
MAAS-BGW
Therapy concepts The rehabilitation centre is characterised by the close cooperation
of three specialist clinics, in particular, for patients with multi-morbid illnesses. The
MediClin Bliestal Kliniken stand for a high-performance medical provision concept which
takes account of the increasing complexity of disease patterns – especially chronic,
process-based suffering – with up-to-date treatment concepts and modern equipment.
Subsequent medical treatment
(AHB/AR/AGM)
Inpatient health care for
civil servants
Subsequent rehabilitation
(EAP/IRENA /ARENA)
All day outpatient rehabilitation
> Articles from Prof. Dr.Volker Köllner
on page 30 and page 51
> Article from Prof. Dr. Stefan Rupp
on page 44
Dr. Gunther Berg
Prof. Dr. Stefan Rupp
Head Physician
Head Physician
Head Physician
93
Information sources
Fax
St.Wendel
The MediClin Bosenberg Kliniken are situated on a quiet hillside above the district town
of St.Wendel, in Saarland. St.Wendel is characterised by its historical town centre and
offers a wide variety of leisure activities. The clinics offer a wonderful view over the
town and are surrounded by extensive forests.
REHABILITATION
263 beds
170 employees
Specialist clinics
Specialist clinic for ear, nose and throat medicine and
special clinic for tinnitus /CI (Dr. Seidler)
Specialist clinic for neurology, clinical neurophysiology
and internal medicine (Dr. Jobst)
in 2009
Am Bosenberg 15
66606 St. Wendel
Germany
Phone + 49 (0) 68 51/14 -0
Fax
+ 49 (0) 68 51/14 -100
[email protected]
Main areas of focus
All acute and chronic neurological illnesses
Ataxia and disabilitating dizziness
Internal illnesses with a focus on oncology
Chronic tinnitus
Cochlear implants (CI)
Vestibular illnesses
Tumour of the head-neck area
www.mediclin.de/bosenberg
Patient admissions
Erika Schwan
Phone + 49 (0) 68 51/14 -262
Fax
+ 49 (0) 68 51/14 -562
[email protected]
Certifications
EQR
> Article from Dr. Harald Seidler
on page 47
94
Therapy concepts An interdisciplinary consulting group guarantees intensive support
for the patient from experts in the different specialist areas. The MediClin Bosenberg
Kliniken are organised around a concept which focuses on the interdisciplinary treatment
of multi-morbid disease patterns.
Dr. Harald Seidler
Dr. Ulrich Jobst
Head Physician
Head Physician
Diagnostic check-ups
Treatments covered by the health care
scheme for civil servants
MediClin employed 1,575 personnel in this region in two acute-care
clinics, six rehabilitation clinics, an acute and rehabilitation provision
facility, six medical care centres and two nursing care facilities in 2009,
and provided inpatient care to around 22,510 patients. We provide 95
nursing care places in this region.
ACUTE CARE
96
97
107
107
107
108
108
108
MediClin Herzzentrum Lahr/Baden Lahr
MediClin Klinik an der Lindenhöhe Offenburg,
with Day clinic and psychiatric outpatient clinic
for children and adolescents in Rastatt Rastatt
MediClin MVZ Gaggenau Gaggenau
MediClin MVZ Achern Achern
MediClin MVZ Achern Zentrum Achern
MediClin MVZ Offenburg Offenburg
MediClin MVZ Offenburg am Bahnhof Offenburg
MediClin MVZ Lahr/Baden Lahr
ACUTE CARE
98
REHABILITATION
MediClin Seidel-Klinik Bad Bellingen
REHABILITATION
99
100
101
102
103
104
MediClin Albert Schweitzer Klinik and MediClin Baar Klinik Königsfeld
MediClin Klinik am Vogelsang Donaueschingen
MediClin Kraichgau-Klinik Bad Rappenau
MediClin Reha-Zentrum Gernsbach Gernsbach
MediClin Schlüsselbad Klinik Bad Peterstal-Griesbach
MediClin Staufenburg Klinik Durbach
NURSING CARE
113
113
MediClin Seniorenresidenz
Hermann-Schall-Haus Königsfeld
Am Baar-Zentrum Donaueschingen
95
Information sources
}
A N O V E RV I E W O F T H E B A D E N W Ü RT T E M B E R G R E G I O N
Lahr
Lahr is situated in the Rhine lowlands between vineyards and the Black Forest, and
enjoys a pleasant climate. The MediClin Herzzentrum is located on the eastern edge of
the city in the Schutter valley, and can be reached in approximately 15 minutes by car
from the A 5 motorway.
ACUTE CARE
75 beds
397 employees
in 2009
Hohbergweg 2
77933 Lahr
Germany
Phone + 49 (0) 78 21/ 9 25-0
Fax
+ 49 (0) 78 21/ 9 25-39 25 00
[email protected]
www.mediclin.de/herzzentrum-lahr
Clinics
Clinic for heart, thorax and vascular surgery (Prof. Dr. Ennker)
Complete spectrum of adult heart surgery excluding transplantation
Minimally invasive bypass surgery through to the implantation of stentless heart
valve prostheses (for instance, arterial revascularisation, heart valve construction,
biological stentless heart valve implants, correction of congenital heart failure in
adulthood, thoracic aortic surgery, hybrid surgery, heart surgery outpatient clinic)
Clinic for internal medicine and cardiology (Prof. Dr. von Hodenberg)
All modern invasive and non-invasive options for cardiological diagnosis and
therapy; for instance, left heart catheter examinations with coronary angio graphy, coronary intervention with stent implants, implantation of PFP and ASD
closure systems, electrophysiology with ablation for the therapy of complex
cardiac disrhythmia, private cardiological outpatient clinic, implantation of heart
pacemakers and defibrillators, pacemaker clinic, manager check-up examinations
Clinic for anaesthesiology (Dr. Dr. Alexander)
Latest anaesthetic procedures, perioperative intensive medicine and
autologous blood donation
Gynaecology, cardiology
Hohbergweg 2
77933 Lahr
Germany
Phone + 49 (0) 78 21/ 92 54 58 00
Fax
+ 49 (0) 78 21/ 9 25 39 58 00
[email protected]
www.mediclin.de/lahr-mvz
Certification
> Article from Prof. Dr. Jürgen Ennker
on page 40
Prof. Dr. Jürgen Ennker
Head Physician
Prof. Dr. Eberhard
von Hodenberg
Head Physician
96
Dr. Dr. Tejas Alexander
Head Physician
Offenburg
The MediClin Klinik an der Lindenhöhe operates as a specialist psychiatric clinic for
adults from the Ortenau district, as well as for children and adolescents from the
Ortenau district, the districts of Emmendingen and Rastatt (city and district), and the
district of Baden-Baden. It is located on the edge of Offenburg, the gateway to the
Kinzig valley and the Black Forest.
ACUTE CARE
155 beds
244 employees
in 2009
Bertha-von-Suttner-Strasse 1
77654 Offenburg
Clinics
Clinic for psychiatry, psychotherapy and psychosomatics (PD Dr. Frommberger)
All psychological illnesses, in particular:
Depressive illnesses
Adjustment disorders
Manic illnesses
Post-traumatic stress disorders
Schizophrenic psychoses
Anxiety illnesses
Personality disorders
Functional disorders
Abuse and dependency illnesses
Obsessive compulsive disorders
Gerontological psychiatric illnesses
Germany
Phone + 49 (0) 7 81/ 91 92-0
Fax
+ 49 (0) 7 81/ 91 92-100
[email protected]
www.mediclin.de/lindenhoehe
Day clinic and psychiatric outpatient clinic for children and
adolescents in Rastatt
Since May 2010, there has been a
Clinic for psychiatry, psychotherapy and psychosomatics in children and
adolescents (Prof. Dr. Strehlow)
Emotional disorders
Personality and behavioural
Schizophrenic, schizotypal
disorders
and delusional disorders
Developmental disorders
Affective disorders
Treatment of eating disorders
Neurotic, stress and somato(anorexia nervosa and bulimia)
form disorders
Autism
Behavioural problems with
physical symptoms and factors
branch of the clinic for child and
adolescent psychiatry, psychotherapy
and psychosomatics at the satellite
location in Rastatt.There is a day clinic
in this facility with ten treatment places
and a psychiatric outpatient institute
(PIA) for children and adolescents.
Therapy concepts A committed, multi-professional team supports patients by offering competent and responsible contact persons for all psychological illnesses. The
therapy integrates biological-pharmacological, psychotherapeutic and social treatment
forms. Particular attention is paid to interaction with family members. The concept
for child and adolescent psychiatry for school-age children includes provision in the
on-site state-approved school.
Engelstrasse 37
76437 Rastatt
Germany
Phone + 49 (0) 72 22 / 5 95 06-0
Fax
+ 49 (0) 72 22 / 5 95 06-99
[email protected]
PD Dr.
Ulrich Frommberger
Prof. Dr.
Ulrich Strehlow
Head Physician
Head Physician
97
Information sources
Bad Bellingen
Bad Bellingen is a health resort town in the border region between the three countries
of Germany, Switzerland and France. The MediClin Seidel-Klinik is located directly
next to the health resort park, only five minutes by foot from the thermal baths.
ACUTE CARE
REHABILITATION
108 beds
92 employees
in 2009
Hebelweg 4
79415 Bad Bellingen
Germany
Phone + 49 (0) 76 35 / 30-0
Fax
Main areas of focus
Spinal cord complaints
Invertebral disc complaints (conservative and post-operative)
Early rehabilitation after surgical intervention to the locomotor system
Rheumatology (inflammatory and degenerative)
Neuro-muscular illnesses
The primary role of the acute inpatient stay in the MediClin Seidel-Klinik is to carry out
patient diagnosis while simultaneously providing treatment through conservative ther apy measures. Should the state of the patient’s health change during the rehabilitation
phase then the clinic can call on the acute care medicine infrastructure at any time.
+ 49 (0) 76 35 / 30-177
[email protected]
www.mediclin.de/seidel
Patient admissions
Werner Seemann
Phone + 49 (0) 76 35 / 30-176
Fax
Specialist clinics
Interdisciplinary centre for rheumatology, spinal cord complaints and
neuro-muscular illnesses (Prof. Dr. Glocker)
+ 49 (0) 76 35 / 30-177
Therapy concepts A special feature of the MediClin Seidel-Klinik is the interdisciplinary support provided to patients. They are provided with competent specialist medical
support from the first outpatient contact through the acute diagnosis, and through to
the completion of the rehabilitation. In accordance with this integrated and interdisciplinary therapeutic approach, the clinic is not subdivided into independent specialist
departments. The different specialist areas arise more from the close cooperation under
one management and are then developed further.
[email protected]
Certifications
EQR
Inpatient hospital measures
Subsequent nursing treatments (AHB)
Professional Association for Sub sequent Inpatient Treatment (BGSW)
Prof. Dr. Franz Glocker
Medical Director
98
Cross-sectoral “integrated medical care”
according to Section 140 SGB V with
multiple large statutory health insurance
companies
Outpatient services according to
Section 116 SGB V
MediClin Albert Schweitzer Klinik
Königsfeld
The MediClin Albert Schweitzer Klinik and the MediClin Baar Klinik are situated at an
altitude of 800 metres in the Königsfeld local authority, in the Black Forest-Baar region.
The attractive rural location offers the best opportunities for day trips and hikes.
REHABILITATION
290 beds
175 employees
Specialist clinics
Specialist clinic for heart, circulation and vascular diseases (Dr. Witt)
Specialist clinic for respiratory illnesses, allergies and sleep medicine (Dr. Heitmann)
Specialist clinic for psychosomatics and behavioural medicine (Mr. Haves)
in 2009
Parkstrasse 10
78126 Königsfeld
Germany
Phone + 49 (0) 77 25 / 96-0
Fax
+ 49 (0) 77 25 / 21 74
[email protected]
Main areas of focus
Post-operative rehabilitation after
cardiological and thorax surgical
interventions including treatment
in an early admissions ward
All heart and vascular illnesses
All lung illnesses (without risk
of infection)
Adipositas, metabolic syndrome,
diabetes mellitus
Treatment of disorders from the complete spectrum of psychotherapeutic
medicine
Combination of high-level behavioural/
medical expertise and the conventional
recording and treatment of physical
complaints
www.mediclin.de/albert-schweitzer
[email protected]
www.mediclin.de/baar-klinik
Patient admissions
Alexandra Russo
Therapy concepts Interdisciplinary therapy concepts are implemented within a
framework of close cooperation. Individual treatment planning should gently improve
physical performance and stabilise the patient’s emotional balance. Internal and
psychosomatic illness patterns mostly consist of disorders to multiple organ systems. The
main areas of focus of the MediClin Albert Schweitzer Klinik and MediClin Baar Klinik
enable integrated treatment provision from one source.
Phone + 49 (0) 77 25 / 96-22 35
Fax
+ 49 (0) 77 25 / 21 74
[email protected]
Patient admissions
Beate Mayer
Phone + 49 (0) 77 25 / 96-24 11
Fax
Outpatient stabilisation programme (ASP)
+ 49 (0) 77 25 / 21 74
[email protected]
Dr. Thomas Witt
Dr. Rolf H. Heitmann
Bernd Haves
Head Physician
Head Physician
Head Physician
99
Information sources
Certifications
EQR
Donaueschingen
The MediClin Klinik am Vogelsang is located in south-west Baden-Württemberg, near
to the Swiss border and on the Baar plateau between the Black Forest and Lake
Constance. The attractive rural location offers a variety of leisure activities. The cities
of Freiburg and Constance are within easy reach.
REHABILITATION
Specialist clinics
Specialist clinic for psychosomatics and behavioural medicine
130 beds
Alte Wolterdinger Strasse 68
78166 Donaueschingen
Germany
Main areas of focus
Depression
Anxiety disorders
Post-traumatic stress disorders and complex trauma disorders
Adjustment disorders in professional and social areas
Phone + 49 (0) 7 71/ 8 51-0
Fax
+ 49 (0) 7 71/ 8 51-222
[email protected]
www.mediclin.de/donaueschingen
Patient admissions
Elisa Schmid
Therapy concepts Patients are treated on the basis of interdisciplinary modern therapeutic concepts. The treatment approach is oriented around behavioural therapy
and is founded on MediClin’s many years of experience in the treatment of psychosomatic illnesses. Alongside physician and psychosomatic support, the clinic uses different scientifically based therapeutic options from the areas of physiotherapy, sport ther apy, physical therapy, body therapy, creative and ergotherapy, as well as social advice.
Phone + 49 (0) 7 71/ 8 51-0
Fax
+ 49 (0) 7 71/ 8 51-222
[email protected]
All day outpatient rehabilitation (day-patient rehabilitation)
Reopening on 1 July 2010
100
Bad Rappenau
The MediClin Kraichgau-Klinik in Bad Rappenau is situated in a quiet location on the
edge of the health resort park with direct views of the health spa lake. Bad Rappenau
lies in the mild and sunny Kraichgau region, with direct links to the idyllic Neckar valley.
The attractive rural location offers the best opportunities for day trips, hikes and
sightseeing tours to, for example, Stuttgart, Mannheim, Heidelberg or Karlsruhe.
REHABILITATION
199 beds
Specialist clinics
Specialist clinic for oncology rehabilitation and chronic pain disorders (Dr. Trunzer)
159 employees
in 2009
Fritz-Hagner-Promenade 15
74906 Bad Rappenau
Germany
Phone + 49 (0) 72 64 / 8 02-0
Fax
+ 49 (0) 72 64 / 8 02-115
[email protected]
www.mediclin.de/kraichgau-klinik
Main areas of focus
Breast carcinoma
Prostate carcinoma and other urological tumours
Malignant systemic diseases
Colorectal carcinomas
Thyroid carcinomas
Fibromyalgia syndrome
Chronic back pain
Chronic head pain
Tumour pain
Neuropathic pain
Lymphology
Patient admissions
Phone + 49 (0) 72 64 / 8 02-107
Fax
+ 49 (0) 72 64 / 8 02-115
[email protected]
Certifications
EQR
RAL Quality Seals for
diet and nutrition
Therapy concepts The medical-therapeutic treatment follows a biopsychosocial concept and is based on function-specific, as well as resource-oriented approaches. The
goal of the rehabilitation is to develop an individual programme for every patient which
remains active beyond the time-frame of the inpatient rehabilitation care. This includes
physical training programmes, cognitive information and training programmes and the
development of a solution-oriented basic rehabilitation, as well as motivational aspects
in terms of self-sufficient, health-promoting behaviour in everyday life.
Dr. Peter Trunzer
Head Physician
101
Information sources
Heike Schweitzer
Gernsbach
The climatic spa resort Gernsbach (160 – 984 m), situated in the beautiful Murg valley,
offers the ideal conditions for promoting health and is a gateway to the middle/north
Black Forest nature reserve. The MediClin Reha-Zentrum is located in wonderful surroundings on the edge of the town of Gernsbach.
REHABILITATION
207 beds
116 employees
in 2009
Langer Weg 3
76593 Gernsbach
Germany
Phone + 49 (0) 72 24 / 9 92-0
Fax
+ 49 (0) 72 24 / 9 92- 410
[email protected]
www.mediclin.de/gernsbach
Patient admissions
Annette Fedder-Krieg
Phone + 49 (0) 72 24 / 9 92-610 /-611
Fax
+ 49 (0) 72 24 / 9 92- 410
Specialist clinics
Specialist clinic for internal medicine, cardiology and angiology (PD Dr. Miche)
Specialist clinic for orthopaedics (Dr. Schopp)
Specialist clinic for neurology (Prof. Dr. Lutz)
Centre for heart failure
Outpatient therapy centre
Main areas of focus
Rehabilitation after heart attacks, heart surgery interventions and vascular operations
Detection and treatment of heart muscle diseases, heart failure, cardiac
arrhythmia, vascular complaints and metabolic illnesses
Medical provision for patients with wound healing disorders /wound
consultation clinic
Chronic heart insufficiency
Status post orthopaedic, traumatological and neurosurgical intervention
Degenerative or inflammatory spinal cord and joint illnesses
Status post amputation of extremities, subsequent care for tumours of
the supporting and locomotor systems
Osteoporosis
Rheumatic complaints
patientenverwaltung.gernsbach@
mediclin.de
Certifications
EQR
Therapy concepts Medical expertise goes hand in hand with social engagement,
enabling holistic therapeutic treatment in which the patient is always in the foreground.
Due to the close cooperation between the departments of cardiology and orthopaed ics, the clinic is able to provide these patients who exhibit orthopaedic and internal
illnesses with interdisciplinary and competent therapeutic treatment.
102
PD Dr. Eckart Miche
Dr. Cornelia Schopp
Prof. Dr. Dietmar Lutz
Head Physician
Head Physician
Head Physician
Bad Peterstal-Griesbach
Bad Peterstal-Griesbach is the oldest health spa in Baden-Württemberg. The mild subalpine climate, practically free of fog, has a beneficial impact on cardiovascular, joint
and rheumatic illnesses. The clinic is located in the centre of town with direct access to
a varied network of walking and hiking paths.
REHABILITATION
168 beds
108 employees
Specialist clinics
Specialist clinic for orthopaedics, rheumatology and internal medicine (Dr. Wentz)
Specialist clinic for geriatric rehabilitation (Dr. Wentz)
Outpatient therapy centre (Dr. Wentz)
in 2009
Renchtalstrasse 2
77740 Bad Peterstal-Griesbach
Germany
Phone + 49 (0) 78 06 / 86-0
Fax
+ 49 (0) 78 06 / 86-202
Main areas of focus
Rehabilitation after invertebral disc
operations, hip and knee prostheses
Degenerative-rheumatic illnesses
of the locomotor organs
Pain syndrome
Rehabilitation after accidents
and sports injuries
Subsequent care after heart
attacks, heart bypass and/or heart
valve operations
Older patients with orthopaedic,
internal and neurological illnesses
Special interdisciplinary programme
for osteoporosis
[email protected]
Patient admissions
David Ortmann
Phone + 49 (0) 78 06 / 86-235
Fax
+ 49 (0) 78 06 / 86-279
[email protected]
Certifications
EQR
Therapy concepts The combination of orthopaedics and internal medicine guarantees team-oriented medical provision for patients. In addition, there is the option of
providing psychological-psychosomatic support, so that our clinic follows a holistic
medical approach. The broad range of training and the high level of medical expertise
of the physicians and therapists allow us to combine know-how from conventional
medicine, natural medicine (acupuncture, homeopathy), conservative medicine and
surgical medicine.
according to individual approval
Treatments covered by the health
care scheme for civil servants
Inpatient preventative measures
Dr. Siegfried Wentz
Head Physician
103
Information sources
www.mediclin.de/schluesselbad
Durbach
The MediClin Staufenburg Klinik is located in the middle of the wonderful woodland
and meadow landscape of the north-western area of the Black Forest. The pleasant
climate and harmonious scenery are ideal for recuperation. The clinic is idyllically situated on the edge of a nature reserve in the district of Alm von Durbach. An extensively
developed network of footpaths are directly accessible from the clinic.
REHABILITATION
305 beds
210 employees
in 2009
Specialist clinics
Specialist clinic for internal
medicine (Mr. Renner)
Specialist departments for:
Diabetology and
metabolic diseases
Nephrology
Oncology
Orthopaedics
Urology
Burgunderstrasse 24
77770 Durbach
Germany
Phone + 49 (0) 7 81/ 4 73-0
Fax
+ 49 (0) 7 81/ 4 73-265
[email protected]
www.mediclin.de/staufenburg
Main areas of focus
Prostate carcinoma and other urological tumours
Tumours of the kidneys and urinary tract
Breast cancer (regional)
Diseases of the kidneys and urinary tract
Diabetes mellitus/metabolic illnesses
Adipositas treatment
Illnesses of the locomotor system
Patient admissions
Susanne Moser
Phone + 49 (0) 7 81/ 4 73-235
Fax
+ 49 (0) 7 81/ 4 73-265
[email protected]
Certifications
EQR
DDG level 2
Therapy concepts The special feature of this clinic is the availability of a targeted
complementary treatment for accompanying diseases due to the wide spectrum of
medical treatment available. The clinic can, therefore, offer patients comprehensive
psycho-oncological and psychosocial support. The variety of treatment options enables
the clinic to also provide competent care for multi-morbid patients.
Treatments covered by the health
care scheme for civil servants
Hermann Renner
Head Physician
104
Inpatient preventative measures
Inpatient treatment within the framework of the disease management
programme for patients with diabetes
mellitus type 1 and type 2 according
to Section 137 f SGB V
MediClin has ten medical care centres with a variety of specialities in five
different German states. The medical care centres at MediClin have set
themselves the goal of offering a high level of medical provision. The close
cooperation between physicians and the network of medical care centres
amongst one another, and with other facilities in the MediClin Group, provide an improved treatment process for patients.
MEDICAL CARE CENTRE
106
106
106
107
107
107
107
108
108
108
MediClin MVZ Plau am See Plau am See
MediClin MVZ Bad Düben Bad Düben
MediClin MVZ Leipzig Leipzig
MVZ MediClin Bonn Bonn
MediClin MVZ Gaggenau Gaggenau
MediClin MVZ Achern Achern
MediClin MVZ Achern Zentrum Achern
MediClin MVZ Offenburg Offenburg
MediClin MVZ Offenburg am Bahnhof Offenburg
MediClin MVZ Lahr/Baden Lahr
105
Information sources
}
ME D I C A L C A R E C E N T R E S
Plau am See
MEDICAL CARE CENTRE
Leipzig
MEDICAL CARE CENTRE
Urology (Dr. med. Ralf Barthels)
Orthopaedics (Dr. med. Lutz Seydlitz,
Neurology (Dr. med. Ralph Deymann, Nicola Robbin)
Dr. med. Antje Rödiger-Heider, Dr. med. Olaf Häßler)
ENT medicine (Dr. med. Detlef Kleemann)
Internal medicine/cardiology (Dr. med. Andreas Feige,
Dr. med. Klaus Ziesenhenn)
General medicine (Prof. Dr. med. Hans-Jürgen Heberling)
Quetziner Strasse 88, 19395 Plau am See, Germany
General medicine in the branch
Phone + 49 (0) 3 87 35 / 87-280, Fax + 49 (0) 3 87 35 / 87-113
(Dipl.-Med. Sieglinde Toguschow)
Phone + 49 (0) 3 87 35 / 87-283, Fax + 49 (0) 3 87 35 / 87-284
(Urology)
Phone + 49 (0) 3 87 35 / 87-315, Fax + 49 (0) 3 87 35 / 87-113
Richard-Wagner-Strasse 1, 04109 Leipzig, Germany
(Neurology)
Phone + 49 (0) 3 41/ 3 08 99-0, Fax + 49 (0) 3 41/ 3 08 99-24
Phone + 49 (0) 3 87 35 / 87-313, Fax + 49 (0) 3 87 35 / 87-113
(General medicine)
(ENT medicine)
Phone + 49 (0) 3 41/ 3 08 99-15, Fax + 49 (0) 3 41/ 3 08 99-10
[email protected]
(Orthopaedics)
Phone + 49 (0) 3 41/ 3 08 99-221, Fax + 49 (0) 3 41/ 3 08 99-222
(Internal medicine/cardiology)
[email protected]
www.mediclin.de/leipzig-mvz
MediClin MVZ Bad Düben
Bad Düben
Branch in Leipzig – General medicine
Permoser Strasse 2, 04347 Leipzig, Germany
Phone + 49 (0) 3 41/ 2 33 07 17, Fax + 49 (0) 3 41/ 2 34 56 03
MEDICAL CARE CENTRE
General medicine (MR Dr. jur. Siegfried Peter)
Branch in Torgau – Orthopaedics
Orthopaedics (Dipl.-Med. Robert Peter, Henri Jäckel)
Bahnhofstrasse 7, 04860 Torgau, Germany
Gustav-Adolf-Strasse 15, 04849 Bad Düben, Germany
Phone + 49 (0) 3 42 43/ 79-2233, Fax + 49 (0) 3 42 43/ 79-2234
[email protected]
Branch in Eilenburg – General medicine
Rosa-Luxemburg-Strasse 55 b, 04838 Eilenburg, Germany
Phone + 49 (0) 34 23/75 34 59, Fax + 49 (0) 34 23/75 73 24
Branch in Wurzen – Orthopaedics
Badergasse 7– 9, 04808 Wurzen, Germany
Phone + 49 (0) 3 42 59 / 2 0150, Fax + 49 (0) 3 42 59 / 2 0140
[email protected]
106
Phone + 49 (0) 34 21/ 90 25 14, Fax + 49 (0) 34 21/ 7 37 98 28
MVZ MediClin Bonn
Bonn
MEDICAL CARE CENTRE
MediClin MVZ Achern
Achern
MEDICAL CARE CENTRE
Radiotherapy (Dr. med. Iris Schmidt-Forgber,
Orthopaedics (Dr. med. Wolfgang Dürselen)
Dr. med. Andreas Klatt)
Dermatology/phlebology (Dr. med. Cornelia Bertalanffy)
Neurosurgery (PD Dr. med. Jan Boström)
MediClin MVZ Achern
MVZ MediClin Bonn
Berliner Strasse 1, 77855 Achern, Germany
Villenstrasse 4 – 8, 53129 Bonn, Germany
Phone + 49 (0) 78 41/18 74, Fax + 49 (0) 78 41/ 2 88 75
Phone + 49 (0) 2 28 / 53 06-202, Fax + 49 (0) 2 28 / 53 06-205
(Orthopaedics)
Phone + 49 (0) 2 28 / 53 06-203/-204 (Radiotherapy)
Phone + 49 (0) 78 41/ 2 33 43, Fax + 49 (0) 78 41/ 2 44 20
Phone + 49 (0) 2 28 / 53 06-201 (Neurosurgery)
(Dermatology/phlebology)
[email protected]
[email protected]
www.mediclin.de/achern-mvz
Gaggenau
Achern
MEDICAL CARE CENTRE
Orthopaedics (Dr. med. Peter Hoffmann)
ENT medicine (Dr. med. Wolf Schrader)
Neurology and psychiatry (Adolphe Drouineaud)
Surgery (Dr. med. Arnaud Weider, Dr. med. Joachim Henkel)
Wissstrasse 35, 76571 Gaggenau, Germany
Josef-Hund-Strasse 4, 77855 Achern, Germany
Phone + 49 (0) 72 25 / 46 68, Fax + 49 (0) 72 25 /12 88
Phone + 49 (0) 78 41/ 2 20 20, Fax + 49 (0) 78 41/ 2 22 24
(Orthopaedics)
(ENT medicine)
Phone + 49 (0) 72 25 / 98 27 00, Fax + 49 (0) 72 25 /12 88
Phone + 49 (0) 78 41/ 5 08 81 61, Fax + 49 (0) 78 41/ 6 66 88 90
(Neurology and psychiatry)
(Surgery)
[email protected]
[email protected]
www.mediclin.de/gaggenau-mvz
www.mediclin.de/achern-zentrum-mvz
107
Information sources
MEDICAL CARE CENTRE
Offenburg
MEDICAL CARE CENTRE
Lahr
MEDICAL CARE CENTRE
Surgery/ Vascular surgery/Phlebology (Dr. med.Wolfgang Bätz)
Gynaecology (Dr. med. Angelika Schwehr)
Neurology and psychiatry (Dr. med. Konrad Schröter)
Cardiology (Dr. med. Udo Schwehr)
Hauptstrasse 88, 77652 Offenburg, Germany
Hohbergweg 2, 77933 Lahr, Germany
Phone + 49 (0) 7 81/ 9 48 39 40, Fax + 49 (0) 7 81/ 9 48 39 42
Phone + 49 (0) 78 21/ 92 54 58 00, Fax + 49 (0) 78 21/ 9 25 39 58 00
(Surgery/ Vascular surgery/Phlebology)
[email protected]
Phone + 49 (0) 7 81/ 9 70 95 13, Fax + 49 (0) 7 81/ 2 30 13
(Neurology and psychiatry)
[email protected]
www.mediclin.de/offenburg-mvz
Offenburg
MEDICAL CARE CENTRE
Orthopaedics and surgery (Dr. med. Jürgen von Knobloch)
Orthopaedics (Dr. medic./ IFM Bucharest Paul Gabriel Kinkhorst)
Okenstrasse 27, 77652 Offenburg, Germany
Phone + 49 (0) 7 81/ 4 88-620, Fax + 49 (0) 7 81/ 4 88-629
(Orthopaedics and surgery)
Phone + 49 (0) 7 81/ 4 88-610, Fax + 49 (0) 7 81/ 4 88-619
(Orthopaedics)
108
MediClin has seven nursing care facilities and an outpatient care
service in six different German states. The seven facilities provide a
total of 414 nursing care places.
NURSING CARE
112
112
112
112
113
113
113
113
MediClin Seniorenresidenz Deister Weser Bad Münder
MediClin Seniorenpflegeeinrichtung Rennsteigblick Tabarz
MediClin Seniorenresidenz Am Rosengarten Horn-Bad Meinberg
MediClin Ambulanter Pflegedienst Am Rosengarten
Horn-Bad Meinberg
MediClin Seniorenresidenz Brunnenbergblick Bad Elster
MediClin Seniorenresidenz Hermann-Schall-Haus Königsfeld
MediClin Seniorenresidenz Auf dem Bellem Blieskastel
MediClin Seniorenresidenz Am Baar-Zentrum Donaueschingen
109
Information sources
}
N U R S I N G C A R E FA C I L I T I E S
The MediClin nursing care facilities
Human interaction – cooperation, and support for
one another – across generations is decisive for the good,
harmonious atmosphere found in our facilities.
MediClin has over seven nursing care facilities that fulfil all of the legal requirements
for long-term care insurance, as well as an outpatient nursing care service.
We offer the following forms of nursing care in our senior citizen care facilities:
Long-term inpatient nursing care
Short-term nursing care
Respite nursing care
Test residency
Holiday period nursing care
The nursing care in our facilities is based on the requirements and abilities of our
residents.
Well-trained specialists in nursing care and therapy ensure the provision of activation
care and support that maintains the self-sufficiency of residents. Our employees
understand that human warmth, attention and devotion in all aspects of everyday life
are equally as important as the expertise acquired during their training and further
education. The individuality of every single patient and the respect for the distinctive
characteristics of old age represent the central motives in our daily activities with
senior citizens.
110
We work closely on-site with physicians, hospitals, social welfare centres and other
medical facilities in the surrounding areas, as well as with volunteer helpers from
churches and other associations. The support of family members is also very important
to us and very welcome.
The senior citizen facilities offer a nursing care concept for those suffering from dementia. Almost all of our facilities have outdoor areas which invite residents to soak up the
sun and enjoy the fresh air. The close proximity to on-site rehabilitation clinics enables
our residents to make use of the amenities such as swimming pools, sports halls,
kiosks and cafeterias in the MediClin facilities. The nursing care facilities also benefit
from this cooperation in terms of the in-house kitchens, enabling them to offer healthy,
varied and tasty food specially prepared for senior citizens.
111
Information sources
Our range of services for residents:
Involvement in and carrying out medical instructions from physicians
Physician support and treatment by a chosen physician
Emergency alarm via nurse call button at all times of the day and night
Advice and help with personal problems and the handling of public authority
regulations in combination with the residential stay in the facility
Structuring of daily routines with a variety of care and recreational provision,
such as gymnastic groups, memory training, the celebration of traditional
festivals and other events
Deister Weser
Bad Münder
Am Rosengarten
Horn-Bad Meinberg
NURSING CARE
NURSING CARE
Opened in 2006
Opened in 2004
27 places
68 places
Our senior citizen residence is situated in a very quiet location in the Deisterhang region with a view over Bad Münder.
The beautiful landscape with its three local recreational
areas of Deister, Süntel and Osterwald invites residents to
take a stroll in the countryside.
The MediClin Seniorenresidenz Am Rosengarten and the
outpatient nursing care service are located right next to
the health resort park in Horn-Bad Meinberg. It is possible
to take extensive and relaxing walks in the area surrounding the facility.
MediClin Seniorenresidenz Deister Weser
MediClin Seniorenresidenz Am Rosengarten
Lug ins Land 5, 31848 Bad Münder, Germany
Parkstrasse 41, 32805 Horn-Bad Meinberg, Germany
Phone + 49 (0) 50 42/6 00-520, Fax + 49 (0) 50 42/6 00-584
Phone + 49 (0) 52 34 /9 07-555, Fax + 49 (0) 52 34/9 07-558
[email protected]
[email protected]
www.mediclin.de/deister-weser-pflege
www.mediclin.de/rosengarten
MediClin Ambulanter Pflegedienst Am Rosengarten
Parkstrasse 41– 43, 32805 Horn-Bad Meinberg, Germany
MediClin Seniorenpflegeeinrichtung Rennsteigblick
Tabarz
NURSING CARE
Opened in 2004
71 places
The MediClin Seniorenpflegeeinrichtung Rennsteigblick
is situated in a very quiet location directly next to the
“Lauchagrund” park. Well-signposted hiking trails around
the “Kneipp” health resort town of Tabarz provide access
to this charming low mountain region.
MediClin Seniorenpflegeeinrichtung Rennsteigblick
Zimmerbergstrasse 34, 99891 Tabarz, Germany
Phone + 49 (0) 3 62 59/64-219, Fax + 49 (0) 3 62 59/64-100
[email protected]
www.mediclin.de/rennsteigblick
112
Phone + 49 (0) 52 34 /9 07-570, Fax + 49 (0) 52 34/9 07-558
[email protected]
Brunnenbergblick
Bad Elster
Auf dem Bellem
Blieskastel
NURSING CARE
NURSING CARE
Opened in 2004
Opened in 2004
55 places
98 places
The MediClin Seniorenresidenz Brunnenbergblick is situated
in a romantic location on the south-facing slope of the
Brunnenberg in the health spa town of Bad Elster in the
German state of Saxony – one of the oldest and most
renowned health spas in Germany. Surrounded by the forested hills of the upper Vogtland region, the health spa
of Bad Elster lies protected in the White Elster Valley.
The MediClin Seniorenresidenz Auf dem Bellem is situated
in southern Saarland in the forested hills above the baroque
town and “Kneipp” spa resort of Blieskastel. The beautiful
landscape of the Bliesgau region invites residents to walk
or hike on the well-signposted pathways.
MediClin Seniorenresidenz Auf dem Bellem
Zur Kurklinik 16, 66440 Blieskastel, Germany
MediClin Seniorenresidenz Brunnenbergblick
Phone + 49 (0) 68 42/54-24 08, Fax + 49 (0) 68 42/54-2210
Endersstrasse 5 a, 08645 Bad Elster, Germany
[email protected]
Phone + 49 (0) 3 74 37/8-14 12, Fax + 49 (0) 3 74 37/8-14 11
www.mediclin.de/bellem
[email protected]
www.mediclin.de/brunnenberg-pflege
NURSING CARE
Am Baar-Zentrum
Donaueschingen
NURSING CARE
Opened in 2004
Opened in 2004
39 places
56 places
The MediClin Seniorenresidenz Hermann-Schall-Haus is
located in a forest nature reserve. Flat pathways invite
residents to take a stroll. Königsfeld has the titles “climatic
health spa town” and “Kneipp health spa town”.
The MediClin Seniorenresidenz Am Baar-Zentrum is located on the Baar, a plateau between the Black Forest and
Schwäbischer Alb. The region is particularly characterised
by its healthy subalpine climate and high level of air quality.
MediClin Seniorenresidenz Hermann-Schall-Haus
MediClin Seniorenresidenz Am Baar-Zentrum
Parkstrasse 12, 78126 Königsfeld, Germany
Alte Wolterdinger Strasse 70, 78166 Donaueschingen, Germany
Phone + 49 (0) 77 25/96-13 70, Fax + 49 (0) 77 25/96-13 59
Phone + 49 (0) 7 71/8 51-203, Fax + 49 (0) 7 71/8 51-475
[email protected]
[email protected]
www.mediclin.de/hermann-schall-haus
www.mediclin.de/baar-zentrum-pflege
113
Information sources
Hermann-Schall-Haus
Königsfeld
}
114
I N F O R M AT I O N S O U R C E S
115
120
125
Overview of the MediClin facilities
Glossary
Imprint
Overview of the facilities
REHABILITATION
REHABILITATION
Auf der Rötsch 2
45219 Essen-Kettwig
Germany
Phone + 49 (0) 20 54 / 88-0
Fax
+ 49 (0) 20 54 / 88-20 01
[email protected]
www.mediclin.de/rhein-ruhr
PAGE 62
Jakob-Herz-Strasse 1
95445 Bayreuth
Germany
Phone + 49 (0) 9 21/ 3 09-0
Fax
+ 49 (0) 9 21/ 3 09-120
[email protected]
www.mediclin.de/roter-huegel
PAGE 66
North Rhine-Westphalia
region
PAGE 67
ACUTE CARE
PAGE 64
53129 Bonn-Dottendorf
Germany
Phone + 49 (0) 2 28 / 53 06-0
Fax
+ 49 (0) 2 28 / 53 06-176
[email protected]
www.mediclin.de/robert-janker
PAGE 107
MVZ MediClin Bonn
Radiotherapy · Neurosurgery
53129 Bonn
Germany
Phone + 49 (0) 2 28 / 53 06-202
Fax
+ 49 (0) 2 28 / 53 06-205
Radiotherapy
Phone + 49 (0) 2 28 / 53 06-203 / -204
Neurosurgery
Phone + 49 (0) 2 28 / 53 06-201
[email protected]
Lower Saxony region
PAGE 65
Zur Reha-Klinik 1
51580 Reichshof-Eckenhagen
Germany
Phone + 49 (0) 22 65 / 9 95-0
Fax
+ 49 (0) 22 65 / 9 95-100
[email protected]
www.mediclin.de/reichshof
Parkstrasse 45 – 47
Germany
Phone + 49 (0) 52 34 / 9 07-0
Fax
+ 49 (0) 52 34 / 9 07-777
[email protected]
www.mediclin.de/rose
NURSING CARE
PAGE 112
Am Rosengarten
Parkstrasse 41
Germany
Phone + 49 (0) 52 34 / 9 07-555
Fax
+ 49 (0) 52 34 / 9 07-558
[email protected]
PAGE 112
MediClin Ambulanter Pflegedienst
Am Rosengarten
Parkstrasse 41– 43
Germany
Phone + 49 (0) 52 34 / 9 07-570
Fax
+ 49 (0) 52 34/ 9 07-558
[email protected]
ACUTE CARE
REHABILITATION
PAGE 69
Hedonallee 1
49811 Lingen
Germany
Phone + 49 (0) 5 91/ 9 18-0
Fax
+ 49 (0) 5 91/ 9 18-15
[email protected]
www.mediclin.de/hedon
PAGE 70
Oeninger Weg 59
29614 Soltau
Germany
Phone + 49 (0) 51 91/ 8 00-0
Fax
+ 49 (0) 51 91/ 8 00-200
[email protected]
PAGE 72
Sebastian-Kneipp-Strasse 1
29389 Bad Bodenteich
Germany
Phone + 49 (0) 58 24 / 21-0
Fax
+ 49 (0) 58 24 / 21-200
[email protected]
www.mediclin.de/seepark
REHABILITATION
PAGE 73
Lug ins Land 5
31848 Bad Münder
Germany
Phone + 49 (0) 50 42 / 6 00-0
Fax
+ 49 (0) 50 42 / 6 00-600
[email protected]
www.mediclin.de/deister-weser-reha
115
Information sources
MediClin
Okenstrasse 27
77652 Offenburg
Germany
Phone + 49 (0) 7 81/ 4 88- 0
Fax
+ 49 (0) 7 81/ 4 88-133
[email protected]
www.mediclin.de
NURSING CARE
PAGE 112
Deister Weser
Lug ins Land 5
31848 Bad Münder
Germany
Phone + 49 (0) 50 42 / 6 00-520
Fax
+ 49 (0) 50 42 / 6 00-584
[email protected]
www.mediclin.de/deister-weser-pflege
Mecklenburg-Vorpommern
region
ACUTE CARE
PAGE 75
MediClin
Krankenhaus am Crivitzer See
Amtsstrasse 1
19087 Crivitz
Germany
Phone + 49 (0) 38 63 / 5 20-0
Fax
+ 49 (0) 38 63 / 5 20-158
[email protected]
www.mediclin.de/crivitzer-see
PAGE 76
Weinbergstrasse 19
17192 Waren (Müritz)
Germany
Phone + 49 (0) 39 91/ 77-0
Fax
+ 49 (0) 39 91/ 77-20 05
[email protected]
www.mediclin.de/mueritz-klinikum
PAGE 78
19395 Plau am See
Germany
Phone + 49 (0) 3 87 35 / 87-0
Fax
+ 49 (0) 3 87 35 / 87-110
[email protected]
www.mediclin.de/plau-akut
116
PAGE 106
Urology · Neurology · ENT medicine
19395 Plau am See
Germany
Phone + 49 (0) 3 87 35 / 87-280
Fax
+ 49 (0) 3 87 35 / 87-113
Urology
Phone + 49 (0) 3 87 35 / 87-283
Fax
+ 49 (0) 3 87 35 / 87-284
Neurology
Phone + 49 (0) 3 87 35 / 87-315
Fax
+ 49 (0) 3 87 35 / 87-113
ENT
Phone + 49 (0) 3 87 35 / 87-313
Fax
+ 49 (0) 3 87 35 / 87-113
[email protected]
REHABILITATION
PAGE 80
19395 Plau am See
Germany
Phone + 49 (0) 3 87 35 / 86-0
Fax
+ 49 (0) 3 87 35 / 86-200
[email protected]
www.mediclin.de/plau-reha
PAGE 81
Dünenstrasse 1
17449 Ostseebad Trassenheide
Germany
Phone + 49 (0) 3 83 71/ 70-0
Fax
+ 49 (0) 3 83 71/ 70-199
[email protected]
www.mediclin.de/duenenwald
Eastern region
ACUTE CARE
PAGE 83
Lerchenfeld 1
06869 Coswig
Germany
Phone + 49 (0) 3 49 03 / 49-0
Fax
+ 49 (0) 3 49 03 / 49-100
[email protected]
www.mediclin.de/herzzentrum-coswig
PAGE 84
Gustav-Adolf-Strasse 15 a
04849 Bad Düben
Germany
Phone + 49 (0) 3 42 43 /76-0
Fax
+ 49 (0) 3 42 43 /76-1120
[email protected]
www.mediclin.de/bad-dueben-akut
PAGE 106
General medicine · Orthopaedics
04849 Bad Düben
Germany
Phone + 49 (0) 3 42 43 / 79-22 33
Fax
+ 49 (0) 3 42 43 / 79-22 34
[email protected]
Branch
Eilenburg – General medicine
Rosa-Luxemburg-Strasse 55 b
04838 Eilenburg
Germany
Phone + 49 (0) 34 23/75 34 59
Fax
+ 49 (0) 34 23/75 73 24
Branch
Wurzen – Orthopaedics
Badergasse 7– 9
04808 Wurzen
Germany
Phone + 49 (0) 3 42 59 / 2 0150
Fax
+ 49 (0) 3 42 59 / 2 0140
[email protected]
Information sources > Overview of the MediClin facilities
PAGE 106
PAGE 86
Orthopaedics · Cardiology ·
General medicine · Internal medicine
Richard-Wagner-Strasse 1
04109 Leipzig
Germany
General medicine
Phone + 49 (0) 3 41/ 3 08 99-0
Fax
+ 49 (0) 3 41/ 3 08 99-24
Orthopaedics
Phone + 49 (0) 3 41/ 3 08 99-15
Fax
+ 49 (0) 3 41/ 3 08 99-10
Cardiology
Phone + 49 (0) 3 41/ 3 08 99-221
Fax
+ 49 (0) 3 41/ 3 08 99-222
[email protected]
www.mediclin.de/leipzig-mvz
Endersstrasse 5
08645 Bad Elster
Germany
Phone + 49 (0) 3 74 37/ 8-0
Fax
+ 49 (0) 3 74 37/ 8-32 01
[email protected]
www.mediclin.de/brunnenberg-reha
Branch
Leipzig – General medicine
Permoser Strasse 2
04347 Leipzig
Germany
Phone + 49 (0) 3 41/ 2 33 07 17
Fax
+ 49 (0) 3 41/ 2 34 56 03
Branch
Torgau – Orthopaedics
Bahnhofstrasse 7
04860 Torgau
Germany
Phone + 49 (0) 34 21/ 90 25 14
Fax
+ 49 (0) 34 21/ 7 37 98 28
REHABILITATION
PAGE 85
04849 Bad Düben
Germany
Phone + 49 (0) 3 42 43 /79-0
Fax
+ 49 (0) 3 42 43 / 2 50 81
[email protected]
www.mediclin.de/bad-dueben-reha
PAGE 87
99891 Tabarz
Germany
Phone + 49 (0) 3 62 59 / 64-0
Fax
+ 49 (0) 3 62 59 / 64-100
[email protected]
www.mediclin.de/rennsteig
Hesse region
ACUTE CARE
REHABILITATION
PAGE 90
am Hahnberg
MediClin Klinik für
Akutpsychosomatik am Hahnberg
Ziergartenstrasse 9
34537 Bad Wildungen
Germany
Phone + 49 (0) 56 21/7 96-0
Fax
+ 49 (0) 56 21/7 96-296
[email protected]
www.mediclin.de/hahnberg
REHABILITATION
PAGE 91
PAGE 88
Zur Spreewaldklinik 14
03096 Burg
Germany
Phone + 49 (0) 3 56 03 / 63-0
Fax
+ 49 (0) 3 56 03 / 63-100
[email protected]
www.mediclin.de/spreewald
NURSING CARE
PAGE 112
MediClin Seniorenpflegeeinrichtung
Rennsteigblick
99891 Tabarz
Germany
Phone + 49 (0) 3 62 59 / 64-219
Fax
+ 49 (0) 3 62 59 / 64-100
[email protected]
www.mediclin.de/rennsteigblick
Spessartstrasse 20
63619 Bad Orb
Germany
Phone + 49 (0) 60 52 / 8 08-0
Fax
+ 49 (0) 60 52 / 8 08-659
[email protected]
www.mediclin.de/bad-orb
Saarland region
REHABILITATION
PAGE 93
Am Spitzenberg
66440 Blieskastel
Germany
Phone + 49 (0) 68 42 / 54-0
Fax
+ 49 (0) 68 42 / 54-25 41
[email protected]
www.mediclin.de/bliestal
PAGE 113
Brunnenbergblick
Endersstrasse 5 a
08645 Bad Elster
Germany
Phone + 49 (0) 3 74 37/ 8-14 12
Fax
+ 49 (0) 3 74 37/ 8-14 11
[email protected]
www.mediclin.de/brunnenberg-pflege
PAGE 94
Am Bosenberg 15
66606 St. Wendel
Germany
Phone + 49 (0) 68 51/14-0
Fax
+ 49 (0) 68 51/14-100
[email protected]
www.mediclin.de/bosenberg
117
NURSING CARE
PAGE 113
Auf dem Bellem
Zur Kurklinik 16
66440 Blieskastel
Germany
Phone + 49 (0) 68 42 / 54-24 08
Fax
+ 49 (0) 68 42 / 54-22 10
[email protected]
www.mediclin.de/bellem
PAGE 107
PAGE 108
Orthopaedics · Neurology
and psychiatry
Wissstrasse 35
76571 Gaggenau
Orthopaedics
Germany
Phone + 49 (0) 72 25 / 46 68
Fax
+ 49 (0) 72 25 /12 88
Neurology and psychiatry
Phone + 49 (0) 72 25 / 98 27 00
Fax
+ 49 (0) 72 25 /12 88
[email protected]
www.mediclin.de/gaggenau-mvz
Surgery · Neurology · Psychiatry ·
Vascular surgery
Hauptstrasse 88
77652 Offenburg
Germany
Surgery
Phone + 49 (0) 7 81/ 9 48 39 40
Fax
+ 49 (0) 7 81/ 9 48 39 42
Neurology and psychiatry
Phone + 49 (0) 7 81/ 9 70 95 13
Fax
+ 49 (0) 7 81/ 2 30 13
[email protected]
www.mediclin.de/offenburg-mvz
PAGE 107
PAGE 108
MediClin MVZ Achern
Orthopaedics · Dermatology ·
Phlebology
Berliner Strasse 1
77855 Achern
Germany
Orthopaedics
Phone + 49 (0) 78 41/18 74
Fax
+ 49 (0) 78 41/ 2 88 75
Dermatolgy, phlebology
Phone + 49 (0) 78 41/ 2 33 43
Fax
+ 49 (0) 78 41/ 2 44 20
[email protected]
www.mediclin.de/achern-mvz
Orthopaedics · Surgery
Okenstrasse 27
77652 Offenburg
Germany
Orthopaedics and surgery
Phone + 49 (0) 7 81/4 88-620
Fax
+ 49 (0) 7 81/4 88-629
Orthopaedics
Phone + 49 (0) 7 81/4 88-610
Fax
+ 49 (0) 7 81/4 88-619
ACUTE CARE
PAGE 96
Hohbergweg 2
77933 Lahr
Germany
Phone + 49 (0) 78 21/ 9 25-0
Fax
+ 49 (0) 78 21/ 9 25-39 25 00
[email protected]
www.mediclin.de/herzzentrum-lahr
PAGE 97
Bertha-von-Suttner-Strasse 1
77654 Offenburg
Germany
Phone + 49 (0) 7 81/ 91 92-0
Fax
+ 49 (0) 7 81/ 91 92-100
[email protected]
PAGE 97
Day clinic and psychiatric outpatient clinic
for children and adolescents in Rastatt
Engelstrasse 37
76437 Rastatt
Germany
Phone + 49 (0) 72 22 / 5 95 06-0
Fax
+ 49 (0) 72 22 / 5 95 06-99
[email protected]
118
PAGE 107
ENT medicine · Surgery
Josef-Hund-Strasse 4
77855 Achern
Germany
ENT
Phone + 49 (0) 78 41/ 2 20 20
Fax
+ 49 (0) 78 41/ 2 22 24
Surgery
Phone + 49 (0) 78 41/ 5 08 81 61
Fax
+ 49 (0) 78 41/ 6 66 88 90
[email protected]
www.mediclin.de/achern-zentrum-mvz
PAGE 108
Gynaecology · Cardiology
Hohbergweg 2
77933 Lahr
Germany
Phone + 49 (0) 78 21/ 92 54 58 00
Fax
+ 49 (0) 78 21/ 9 25 39 58 00
[email protected]
ACUTE CARE
REHABILITATION
PAGE 98
Hebelweg 4
79415 Bad Bellingen
Germany
Phone + 49 (0) 76 35 / 30-0
Fax
+ 49 (0) 76 35 / 30-177
[email protected]
www.mediclin.de/seidel
Information sources > Overview of the MediClin facilities
REHABILITATION
PAGE 99
Parkstrasse 10
78126 Königsfeld
Germany
Phone + 49 (0) 77 25 / 96-0
Fax
+ 49 (0) 77 25 / 21 74
[email protected]
www.mediclin.de/albert-schweitzer
[email protected]
www.mediclin.de/baar-klinik
PAGE 100
Germany
Phone + 49 (0) 7 71/ 8 51-0
Fax
+ 49 (0) 7 71/ 8 51-222
[email protected]
www.mediclin.de/donaueschingen
PAGE 101
Fritz-Hagner-Promenade 15
74906 Bad Rappenau
Germany
Phone + 49 (0) 72 64 / 8 02-0
Fax
+ 49 (0) 72 64 / 8 02-115
[email protected]
www.mediclin.de/kraichgau-klinik
PAGE 104
Burgunderstrasse 24
77770 Durbach
Germany
Phone + 49 (0) 7 81/4 73-0
Fax
+ 49 (0) 7 81/4 73-265
[email protected]
www.mediclin.de/staufenburg
NURSING CARE
PAGE 113
Hermann-Schall-Haus
Parkstrasse 12
78126 Königsfeld
Germany
Phone + 49 (0) 77 25 / 96-13 70
Fax
+ 49 (0) 77 25 / 96-13 59
[email protected]
www.mediclin.de/hermann-schall-haus
PAGE 113
Am Baar-Zentrum
Germany
Phone + 49 (0) 7 71/ 8 51-203
Fax
+ 49 (0) 7 71/ 8 51-475
[email protected]
www.mediclin.de/baar-zentrum-pflege
PAGE 102
Langer Weg 3
76593 Gernsbach
Germany
Phone + 49 (0) 72 24 / 9 92-0
Fax
+ 49 (0) 72 24 / 9 92- 410
[email protected]
www.mediclin.de/gernsbach
PAGE 103
Renchtalstrasse 2
77740 Bad Peterstal-Griesbach
Germany
Phone + 49 (0) 78 06 / 86-0
Fax
+ 49 (0) 78 06 / 86-202
[email protected]
www.mediclin.de/schluesselbad
119
Glossary
Acoustic neuroma
Tumour of the auditory nerve
AU
Invalidity
ADHD
Attention Deficit Hyperactivity
Disorder
Audiometry
Measurement of the characteristics
and parameters of a person’s hearing
Adiposity
Obesity
Audit
Analytical method for evaluating
processes in terms of their fulfilment
of requirements and guidelines
AHB
Subsequent nursing treatment;
medical rehabilitation measures
Alumni
Plural of alumnus (pupil, student,
etc.) originally from the Latin alumnat
meaning reformatory, used today to
mean former students of a university,
organisation, etc. with whom the
company or organisation want to
maintain connections via alumni
networks, reunion meetings, etc.
Aneurysm
Vascular dilation in the walls of
an artery
Angiography
Representation of the blood
vessels using X-ray images (with
a contrast dye)
Angiology
Branch of internal medicine that
deals with vascular diseases
AR
Subsequent rehabilitation;
medical rehabilitation measures
120
“audit berufundfamilie”
The Hertie Foundation audits companies who bring the occupational
and family interests of their employees into harmony
AWMF
Association of Scientific Medical
Societies in Germany
ÄZQ
Agency for Quality in Medicine, Berlin
Balneo-physiotherapy
Physiotherapy measures such as
hydroelectric baths, massages,
mud packs, hay pillows and similar
therapies
BGSW
Professional Association for
Subsequent Inpatient Treatment
BGW
Employer’s liability insurance association for health and welfare, see also
DGUV and MAAS qu.int.as BGW
Bio-psychosocial factors
Also bio-psychosocial syndrome;
pathageneses of diseases from biological, social and psycho-mental
factors
BMI
Body mass index, a measurement
evaluating a person’s bodyweight
BQS
Federal Office for Quality Assurance
Bullying
To attack or harass, in a workplace
context primarily used for displacement tactics against colleagues
Cardiovascular
Referring to the heart and vascular
system
BEM
Integration management programme
according to Section 84 (2) SGB IX
(German Social Security Code) for
the reintegration of sick employees
into working life
Case management
Patient case management; clinical
social work
Best practice approach
Approach using proven and inexpensive processes of an exemplary nature
Catamnesis
A report about the success of
medical treatment
Case manager
See Case management
Information sources > Glossary
CIRS
Critical Incident Reporting System,
error reporting system
Coaching
Personal advice for individual people
or groups
Coils
Vascular implants
Coloproctology
Specialist area of surgery dealing
with the rectum and anus
Commitment
An employee’s identification with
the company, affective commitment: action-based identification
with the company; performance
and motivation
Compliance
A patient’s conformity with behavioural rules, etc. and their
willingness to actively take part in
the treatment process
Computer tomography
Computer-based evaluation of a
large series of X-ray images taken
from different directions
Consultation /consultation
indicators
Patient-focused advice with relevant
treatment indicators provided to a
physician by another physician
COPD
Chronic Obstructive Pulmonary
Disease
Coronary angiography
Image-based representation of the
coronary arteries
CRM
Customer Relationship Management
CT
See Computer tomography
Very early rehabilitation treatment
where significant neurological restrictions still exist
DDG
German Diabetes Association
Echocardiography
An examination of the heart using
ultrasound
DGNR
German Society for Neurological
Rehabilitation
EDAMS-OP
Enzephalo-Duro-Arterio-MyoSynangiosis Operation
DGUV
German Statutory Accident Insurance; umbrella organisation of the
employers’ liability insurance association and accident insurers
EKG
Electrocardiograph, records the electrical activity of all heart muscle fibres
Diabetes mellitus
Type 1 = “juvenile diabetes”
caused by immune reactions,
Type 2 = “adult-onset diabetes”
caused by the insulin resistance
of insulin-dependent body cells
A quality management standard
Disease Management Programme
Systematic treatment programme
for chronically ill people, supported
by the findings of evidence-based
medicine
DRG
Diagnosis Related Groups
Dysthymia
Chronic form of depressive moods
that does not fulfil all of the diagnostic criteria for a major depression
EQR
Excellent Quality in Rehabilitation,
a certification process
Ergotherapy
Occupational therapy; comprehensive medical treatment method to
preserve or recover the highest possible level of self-sufficiency
EVA Reha
Evaluation of the success of postacute care treatment
Fibromyalgia
Soft-tissue rheumatism
Gap analysis
Management model from business
administration, systematic determination of requirements in a company
Gerontopsychiatry
Specialist area of psychiatry, deals
with psychiatric illnesses in old age
GiB-DAT
Database for geriatrics in Bavaria
121
GKV
Public health insurance
GKV modernisation law
Law for the modernisation of public
health insurance; legal foundations
for the measures taken to reform the
German public health care system
based on cost factors that began in
2003
HV
Curative procedures; until SGB IX
came into effect under German social
law, inpatient services for medical
rehabilitation (“convalescence”) were
referred to as “Heilverfahren”
Hydrocephalus
Water on the brain
Hyperacusis
Intolerance to loud noise
Hypertension
High blood pressure
Hypotension
Low blood pressure
Hypoxic
Oxygen deficiency
ICD-10
International statistical classification
of illnesses and related health problems, version 10
ICPM
International Classification of
Procedures in Medicine
122
Integral
Completeness, an integral whole,
in an integral concept the individual
components merge into one complete whole, see integrate
Integrate
Incorporate, combine components
into a whole
Integrated medical care contracts
Contracts for integrated medical
care according to Section 140 b
Integrated provision
Interdisciplinary form of medical
provision in the German public
health care system, it demands the
powerful networking of different
specialities and sectors (General
Practitioners, specialist physicians,
hospitals) to improve the quality
of patient provision and simultaneously reduce health costs
Interventional techniques
Process in radiology in which vascular changes (such as narrowing) can
be corrected without an operation,
supported by X-ray imagery
IQMP Reha
Integrated quality management
programme for rehabilitation
IQWiG
Institute for Quality and Economic
Viability in Health Care, created in
2004 in the course of the GKV modernisation law to improve the quality of patient provision in Germany
IRENA
Intensive rehabilitation care
KTQ®
Cooperation for transparency and
quality in the public health care
system, supplier of quality management analysis systems for health
care facilities in Germany
KTQ® Reha
Cooperation for transparency and
quality in the public health care
system in the area of rehabilitation
Logopaedics
Speech therapy
Lysis therapy
Dissolving of blood clots using
medicines
MAAS qu.int.as BGW
Management requirements for safety at work from the BGW, quality
management standards with integrated safety at work measures
(qu.int.as)
Magnetic resonance imaging
See Magnetic resonance tomography
Magnetic resonance tomography
Imaging process based on the use of
powerful magnetic fields, as well
as alternating electromagnetic fields
within radio frequency ranges
Malformations
Abnormalities
Information sources > Glossary
MDK
Medical Review Board of the
Statutory Health Insurance Funds
Interdisciplinary, physician-led
facilities
Medical care levels (hospitals)
Medical care levels:
Basic medical care
Standard medical care
Specialist medical care
Maximum medical care
Minimally invasive
Surgical intervention resulting in
the smallest damage to skin and
soft tissue
Morbidity
Probability of an individual getting
an illness; statistical value
Morbus Menière
Disorder of the inner ear
Mortality
Mortality or death rate; term taken
from the science of demographics
MRT
Magnetic resonance tomography
MVZ
See Medical care centres
Neuro-biofeedback
Psychological therapy in which activity in the central nervous system is
controlled through biofeedback
Neuroenhancer
Hypothetical group of substances
with which healthy people can significantly increase the cognitive performance of their brains – without
having to worry about any obvious
side effects or after effects
Platinum coils
Soft platinum wires used to treat
aneurysms; the coil is inserted into
the aneurysm
Neurological workup
Detailed neurological examination
Prevention
Primary prevention = illness
prevention;
Secondary prevention = early
diagnosis of illness;
Tertiary prevention = prevents
worsening of the illness
Ombudsman
Impartial arbitration body or person
Oncology
Branch of medicine dealing with the
prevention, diagnosis, therapy
and subsequent care for malignant
diseases
OPS
Medical and surgical procedures
in the public health care system;
German modification of the International Classification of Proce dures in Medicine (ICPM)
Percutaneous
Refers to something being absorbed
through the skin (medicine) or
being administered through the skin
(catheter, tubes)
PET
Positron emission tomography; imaging process in nuclear medicine
PKV
Private health insurance
Portfolio
Range of services
Process management
Deals with identifying, formulating,
documenting and improving internal
processes in facilities
Process quality
Quality of the treatment processes
Progressive muscle relaxation
Process in which the conscious and
deliberate tensioning and relaxing of
particular muscle groups achieves a
state of deep relaxation for the whole
body (according to the approach
invented by Edmund Jacobson)
Psy-BaDo
Basic documentation in psychotherapy
Psychological education
Training provided to people who
suffer from a psychological disorder
123
Psychoticism
Attenuated traits of schizophrenia
in healthy people
PTCA
Percutaneous Transluminal Coronary
Angioplasty, procedure for the internal expansion of a narrowed coronary artery without open surgery
QS-Reha®
Quality assurance system for
medical rehabilitation
Quality of results
Quality of treatment results
Quality of structures
The quality of a hospital’s structures:
buildings, equipment, personnel, etc
RAL
German Institute for Quality Assurance and Certification, formerly
National Committee for Delivery
Conditions (Reichsausschuss für
Lieferbedingungen)
Rehabilitation phases
Phase A: Acute care
Phase B: Early rehabilitation,
Barthel index < 25
Phase C: Continued rehabilitation (mostly in need of care,
Barthel index 30 – 65)
Phase D: Post-hospital follow-up
treatment (AHB; mostly self-sufficient, Barthel index 70 –100)
Phase E: Follow-up and occupational rehabilitation
Phase F: Activating (long-term)
treatment care, outpatient or
inpatient
.
124
Retention Management
Measures for increasing employee
loyalty to the company and developing a sense of personal commitment,
see Commitment
SGB V
German Social Security Code, fifth
book, statutory health insurance
(SGB V); regulation for statutory
health insurance
SGB IX
German Social Security Code, ninth
book, rehabilitation and participation
of disabled people
TOAST classification
International standard for classifying
subtypes of ischemic strokes, based
on the evaluation of diagnostic examinations for known risk factors, as
well as the neurological deficits of
a patient
Top down – bottom up
Two oppositely functioning processes:
top down = measured from above
or centrally defined;
bottom up = impulses, suggestions
from the bottom upwards
Short-term care
Inpatient care; additional medical
care for those receiving existing care
at home
Transoesophageal
echocardiography
Ultrasound examination of the heart,
where the transducer is pushed
behind the heart via the patient’s
oesophagus
Stent implants
Introduction of a tubular implant into
a blood vessel (see Interventional
techniques)
Visitation
Visit from auditors/testers within the
framework of quality management
certification (see KTQ, DIN EN ISO)
Stroke Unit
Specialised unit for stroke patients
Subtraction angiography
Form of angiography for examining
blood vessels
Telemetric monitoring
Telemetric transfer of electrocardiograms to a monitor
Thrombolytic medicine
Medicine for dissolving blood clots
Tinnitus
Abnormal ringing in the ears
Information sources > Imprint
Imprint
MediClin
Concept consulting and design
Okenstrasse 27
Designerwerk /Janine Weise,
77652 Offenburg
Frankfurt am Main
Germany
Phone + 49 (0) 7 81 / 4 88-0
Fax
+ 49 (0) 7 81 / 4 88-133
E-mail [email protected]
www.mediclin.de
Project management /coordination
Gabriele Eberle, Public Relations
Consulting and text design
Katharina Daniels, Unternehmenskommunikation, Falkensee (Berlin)
Consulting and media design
medienhaus:frankfurt GmbH,
Frankfurt am Main
Kathrin Heuing
Conceptual design /copywriting
Gabriele Eberle, Public Relations
Copyright ©2010
125
126
19.10.2010
14:44 Uhr
Seite u3
THE PRESENCE OF MEDICL IN
Acute care
Page 94
Page 66
Page 112
Page 69
MediClin Bosenberg Kliniken, St. Wendel
Page 73
MediClin Reha-Zentrum Reichshof,
Reichshof-Eckenhagen
Deister Weser, Bad Münder
Page 83
MediClin Deister Weser Kliniken,
Bad Münder
Page 62
Page 113
MediClin Herzzentrum Coswig, Coswig
Page 96
Page 81
MediClin Reha-Zentrum Roter Hügel,
Bayreuth
Hermann-Schall-Haus, Königsfeld
MediClin Herzzentrum Lahr/Baden, Lahr
MediClin Dünenwald Klinik,
Ostseebad Trassenheide
Page 97
MediClin Klinik an der Lindenhöhe,
Offenburg
Page 65
MediClin Fachklinik Rhein/Ruhr,
Essen-Kettwig
Page 88
MediClin Reha-Zentrum Spreewald,
Burg
Page 67
MediClin MVZ Achern, Achern
Page 107
am Hahnberg, Bad Wildungen
Page 69
MediClin Rose Klinik,
Horn-Bad Meinberg
Page 103
Page 70
Page 86
MediClin Klinik am Brunnenberg,
Bad Elster
MediClin Schlüsselbad Klinik,
Bad Peterstal-Griesbach
Page 90
Page 75
Page 107
MediClin MVZ Achern Zentrum,
Achern
Page 106
Page 72
MediClin MVZ Bad Düben,
Bad Düben
MediClin Krankenhaus am Crivitzer See,
Crivitz
Page 87
Page 107
MediClin Klinik am Rennsteig, Tabarz
Page 98
MVZ MediClin Bonn, Bonn
Page 78
Page 100
Page 107
MediClin Krankenhaus Plau am See,
Plau am See
MediClin Klinik am Vogelsang,
Donaueschingen
Page 104
MediClin MVZ Gaggenau, Gaggenau
MediClin Staufenburg Klinik, Durbach
Page 108
Page 76
Page 71
MediClin Müritz-Klinikum, Waren (Müritz)
Nursing care
Page 106
Page 64
Page 101
Page 112
MediClin MVZ Leipzig, Leipzig
MediClin Robert Janker Klinik, Bonn
MediClin Kraichgau-Klinik, Bad Rappenau
Page 108
Page 72
Page 90
MediClin Seniorenpflegeeinrichtung
Rennsteigblick, Tabarz
Page 113
Page 108
Page 98
MediClin Reha-Zentrum am Hahnberg,
Bad Wildungen
Page 85
Am Baar-Zentrum, Donaueschingen
MediClin MVZ Offenburg am Bahnhof,
Offenburg
Page 84
MediClin Reha-Zentrum Bad Düben,
Bad Düben
Page 112
Page 106
Page 91
Am Rosengarten, Horn-Bad Meinberg
MediClin MVZ Plau am See,
Plau am See
MediClin Waldkrankenhaus Bad Düben,
Bad Düben
MediClin MVZ Lahr/Baden, Lahr
MediClin Reha-Zentrum Bad Orb, Bad Orb
Page 113
Rehabilitation
Page 102
Page 99
MediClin Reha-Zentrum Gernsbach,
Gernsbach
Auf dem Bellem, Blieskastel
MediClin Baar Klinik, Königsfeld
Page 93
Page 80
MediClin Reha-Zentrum Plau am See,
Plau am See
MediClin MVZ Offenburg, Offenburg
Page 113
Brunnenbergblick, Bad Elster
To some extent, multiple facilities at
one location are counted as one clinic
19.10.2010
14:45 Uhr
Seite u4
OVERVIEW OF MEDICAL SERVICES 2010/2011
www.mediclin.de
Prevention | Acute care | Rehabilitation | Nursing care

overview of medical services

Transcription

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