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Medical environment in a stage of reform

Behind the starting of operations of Hogy Medical's new plant, there are three key phrases, "consolidation of acute care hospitals," "increase in elderly people" and "decline in working population." As the number of acute care hospitals decreases and the concentration of patients intensify, the number of surgical operations is expected to increase due to the aging of society.

In addition, the working population is declining due to the falling birthrate accompanying the aging of society, and a labor shortage is expected to occur even on the medical front.

The new surgical kit factory will contribute to solving these various issues.

1. Introduction of the Premium Kits

Acute care hospitals are now required to streamline business management more than before as a result of the 2025 Model and rapid decline in working population.

Hogy Medical launched "Premium Kits," significantly expanding the items included from current kits to further streamline surgery preparation and thereby contribute to streamlining hospital management. The various features of "Premium Kits" include Hogy Medical's unique packaging technique that reduces labor on preparation and arrangement as well as superior safety and cost effectiveness, and more.

All-in-One kit for pre/mid/post-surgery
Safe and smooth preparation by anyone

As Premium Kits are all-in-one products, labor spent picking before surgery can be reduced significantly and the time required for preparation will be shortened. People can concentrate on their primary tasks and unified preparation can be made just right by anyone, leading to improved safety. The kits will also contribute to hospital management from various aspects through further streamlining surgery preparation.

2. Background to Developing Premium Kits

Ⅰ. Consolidation of acute care hospitals due to government's medical policy

⬛Consolidation of advanced acute and acute care hospitals Estimated results by hospital function in 2025

Source: 5th expert panel on promotion of reform through utilization of medical and nursing care information held on June 15, 2015 <Office of the Prime Minister>

Ⅱ. Labor shortage in hospitals due to the aging of society accompanied with a falling birthrate

⬛Rapid aging of society and falling birthrate→Decline in working population

The aging of society and falling birthrate will advance rapidly and simultaneously, bringing the percentage of elderly people to 30% in 2025 and 40% in 2060.

⬛2025 issue→Social welfare costs continue to increase

The entire "Dankai no Sedai" (baby boomer generation) will be over 75 years of age Japan will be a super-aged society where one in every four people will be aged 75 years or older

What is required of acute care hospitals in the future?

Place 2.2 times more doctors for advanced acute care hospital beds

Working population will decrease despite increase in number of staff required in acute care hospitals to tackle 2025 Issue

Overall Emergency medical system Issues and future vision
Current status Hospital functions are undifferentiated and doctors are dispersed General hospitals have approx. 1,030,000 beds Emergency medical care center: 210 (including ERs) Number of patients using emergency transportation: Approx. 5 million/year With lack in both doctors and beds, patients are sometimes passed around at hospitals. Doctors are exhausted by repeating their usual shift and night shift. ERs also lack in number of emergency doctors, leading to insufficient treatments and nervous patients.
After reform Emphasize and enhance acute care hospitals. Assign 2.2 times more staff including doctors in advanced acute care hospitals, which have approx. 260,000 beds, than general hospitals. Focus on establishing advanced acute care hospitals by doubling number of staff, while doubling emergency medical system as well. Assign several doctors even to night-time emergency medical facilities and make the system sufficient. (Example) ER-type emergency medical care center: 400 locations ICU: 13,000 beds and number of patients using emergency transportation: Approx. 6.5 million/year

All patients with serious symptoms will be accepted at ER-type emergency medical care center within 15 minutes.

Doctors will work on shifts while systems for nurses will be enhanced as well.

Patients will feel secured. After-effects from strokes will be halved and even cases of returning to society at an early stage will increase. Ratio of people who have to use wheelchairs or bedridden people will decrease.

Source: Prepared based on materials for 8th sectional committee meeting on service guarantee (medical, nursing care and welfare) of National Council for Social Security System Reform held on October 23, 2008.

Increase in productivity of 1.6 times necessary for staff in acute care hospitals

◆Enhancement of system to accept patients will be required for acute care hospitals in the future. Their mission will be to provide high-quality medical treatment and enable patients to leave hospitals and return to local communities at an early stage.

◆Sharing of roles among local hospitals, hub hospitals and recovery period hospitals will progress and their cooperation will be enforced.

Source: 8th sectional committee meeting on service guarantee (medical, nursing care and welfare) of National Council for Social Security System Reform held on October 23, 2008

Importance of acute care facilities, the core of local medical treatment

3. Benefits of Using Premium Kits

Blister container is the result of pursuing easiness in using at medical front

Major features of blister container

Transparent package enables easy confirmation of contained items

Applied easy-peel method to ease opening

Designed to keep contained items from falling when opened

Allows for items to be moved at once by keeping them inside

Uses strong film which is soft but doesn't tear

Empty blister containers can be used as trays

Further ease in use and convenience pursued for "Premium Kits"

Some of the benefits at surgery front

Individual package with transparent film enable confirmation of contained items

New form of package prevents contained items from falling from instrument table

Items can be moved quickly and space can be organized easily

Enable securing sufficient space on instrument table

Major features of Premium Kits

Uniformed and just-right preparation can be made by anyone

Time required for preparation of surgery items will be shortened

Included packages can be arranged in order of use

Contribute to hospital management from the aspect of inventory management as well

Benefits from introduction of Premium Kits

Reduce preparation time

Prevent loss in item costs

Unified preparation made just right by anyone

Reduce time required for preparing items for surgery

Included packages can be arranged in order of use

Contribute to hospital management from the aspect of inventory management as well

Improve work efficiency

Improve safety

Improve labor efficiency

Create space by reducing inventory

Production of Premium Kits takes place at new factory having advanced robots

Improve quality/safety through production by robots

Reduce the number of adhesive bacteria and risk of tampering of products by eliminating human involvement

Prevent "including wrong items" through automated picking process

Reduce time required for preparation of surgery items!

When taking aortic valve replacement surgery for an example, 286 items of 172 types are being used per surgery over pre/mid surgery stages. Premium Kits can source 239 items of 135 types for the kit. Due to this, time the required for preparation and arrangement is expected to be reduced to 56 minutes from 4 hours and 42 minutes. This is a significant reduction of 3 hours and 46 minutes, or 83%.

Contribute to hospital management from various aspects!

The benefits of Premium Kits do not end at just streamlining surgery preparations. For instance, if an item that was prepared individually before is included in the kits, there will be no need to manage inventory or place a single order for the item, leading to a reduced burden required for the work. Premium Kits bring such benefits not only to nurses or anesthesiologists, but also to various functions of hospital such as logistics departments. In other words, we believe that the kit will lead to improving hospital management by adjusting human efforts, items, time and space within the hospital to their appropriate size.