by Tartu University Hospital Foundation
supervisory board resolution no. 1.2-1/2 of 5 February 2018
We work in a rapidly changing and developing healthcare environment. The strategy of the Tartu University Hospital group was prepared in cooperation with different clinical specialities and support services to ensure the achievement of the Tartu University Hospital’s long-range goals and manage the changes necessary to achieve them. This plan is focused on the main strategic priorities.
The Tartu University Hospital is a university hospital that is widely recognized in Europe and plays a leading role in Estonian medicine.
The Tartu University Hospital’s mission is to ensure a sustainable future and development for Estonian medicine through high-calibre medical care, provision of education and research.
The core values of the Tartu University Hospital are encapsulated in the Latin motto “Compassio, Scientia, Fides” – in English, “Compassion, Competence and Trustworthiness”. In implementing the Tartu University Hospital’s values, we will adhere to these principles as follows:
Respect, compassion and ethics – Compassio
We treat all people with respect, dignity and cordiality, offering the best medical care. We respect and value the uniqueness and contribution of both patients and colleagues.
Our actions proceed, above all, from the patient’s interests, and we safeguard their dignity at a time when illness keeps them from doing so themselves. We honour patients’ right to privacy and confidentiality.
Expertise and innovativeness – Scientia
We encourage our colleagues to develop in all respects. We work unceasingly to develop skills and knowledge. We put our best knowledge to work in serving the Estonian state by improving the healthcare system.
Responsibility and teamwork – Fides
We achieve the best result in the cooperation between all specialities and employees. We take responsibility as individuals and as a team for our work and our performance.
We believe that we achieve the best result by involving patients and their loved ones in every respect.
Sustainability and development can be ensured only when all of the group’s companies are economically sustainable.
Changes in the operating environment: challenges and development areas
In the decade ahead, significant changes will take place in the population served by the Tartu University Hospital and the Tartu University Hospital itself. Some of the factors will call for adaptation to keep us from falling behind the natural development curve, while other processes must be managed in the direction that is best for patients.
The developments we anticipate are not unique to Tartu University Hospital but similar to those faced by all university hospitals. In context of this strategy, the challenges and development areas are focused on four fields, and “hospital” denotes developments in the group of healthcare institutions.
1. The ageing of the population
Against the backdrop of the shrinking population, the proportion of the elderly (65+) in Estonia and, in particular, southern Estonia will increase by the year 2030 by 10–15% and the share of those 85+ will grow by 25–-30%. As a result:
a) the number of patients in oncology will increase. The number of patients with diseases of the cardiovascular and nervous system, and patients with joint problems that require surgery and the number of those with eye diseases will increase;
b) there will be more patients with multimorbidity, i.e. those who are afflicted by several diseases at the same time;
c) the time during which patients will require treatment and recovery will lengthen;
d) there will be fewer inhabitants – particularly those under the age of 18 – in the Tartu University Hospital’s service area;
To cope with this challenge, we will need to do the following:
a) increase the work volumes of some specialities both in outpatient and inpatient care;
b) deepen cooperation between specialities in active care and implement case management to ensure continuity of patient care and smooth interdisciplinary cooperation;
c) decisively expand the options in the region for aftercare and ongoing care.
2. Expectations from patients and loved ones increasing
In a social welfare society, information technology bolsters growth of knowledge of what one might expect from the healthcare system, while historical skills for recognizing transient health problems decrease.
a) the capability for self-care is decreasing and demand for medical care is growing;
b) scepticism toward conventional medicine increases the appeal of alternative and personalized medicine;
c) the gap between the claimed possibilities of new technology and existing resources and funds increases.
To cope with this challenge, we will need to actively:
a) invest into provision of evidence-based information to patients;
b) engage in cooperation with the first tier in spreading evidence-based information;
c) support the making of smart decisions in managing and funding the healthcare system.
3. Changes in the Estonia healthcare system
Technological progress and the workforce shortage in Estonian healthcare in the decade ahead will lead medical institutions to seek patient-centred, affordable solutions for cooperation.
a) the networking of hospitals in north-eastern and southern Estonia has been accomplished in legal terms, but there are no long-term resources for ensuring implementation;
b) The hospitals in the Tartu University Hospital group are already now responsible for providing the predominant share of ongoing care and nursing care in the region;
c) first-tier healthcare centres will become a reality in 2020, which will significantly change the format and content of medical care outside hospitals.
Coping with this challenge will ensure a division of labour and cooperation that operate on the basis of a central plan: a) organization of outpatient specialist medical care for transport of patients between Tartu and other centres;
b) concentration of acute care patients in Tartu and expanding options for aftercare in other healthcare institutions;
c) uniform management of specialist medical care appointments and development of e-consultations.
4. Research and academic development areas
The development of research and provision of education will be impacted in the following directions in the years ahead:
a) rapidly developing virtual study technologies based on models, impressions and e-solutions;
b) requirements for medical curricula will become higher;
c) the role of academic clinical studies in the development of medicine will increase;
d) in the coming years, no growth is anticipated in domestic research and educational funding.
To cope with this challenge, we will need to do the following:
a) take part in as many and as extensive international research and development projects as possible;
b) provide additional incentives from the Tartu University Hospital for research and development work carried out by staff.
1. Patient and family centredness, best patient experience
We will create an inclusive atmosphere in regard to the patient and their loved ones, both in the physical environment and in e-solutions. Communication with patients will be attentive and compassionate.
We will guarantee that the patient enjoys the best possible living conditions while they are in the hospital. We will actively use various means of analysing all facets of patient satisfaction.
2. Our employees
The Tartu University Hospital is an attractive employer in all specialities and professions. Respect and inclusiveness are integral parts of our employment culture. We invest to ensure that our staff can constantly pursue development and strive to create a safe place to work, a motivational salary system and the best academic atmosphere. We support participation of employees in research. We will advocate for providing an academic education for a new generation of health care professionals in all specialities.
3. Integral healthcare region
Estonia’s only university hospital must ensure the best possible treatment, study and research environment. The Tartu University Hospital comprises a centre of excellence where all fields of medicine are developed within all possibilities. We ensure a sufficient clinical base for study and research in a collegial fashion by drawing on the best of our subsidiaries’ and partners’ experience. We also take part in international cooperation in order to ensure expertise. We make use of new opportunities in developing mobile services and digital technologies. We will continue to modernize the Maarjamõisa medical campus.
4. Integrated and consistent care
The close integration of care, study and research will ensure that scientific medicine is applied in the best possible manner for treating our patients. The members of the Tartu University Hospital group ensure the integrity of the patient’s treatment process. Good, close cooperation prevails between specialities. We engage in active cooperation both at the first tier and with other healthcare institutions and the social welfare system to ensure the continuity of the healthcare system.
5. Quality of medical care
The Tartu University Hospital is a quality leader and internationally acclaimed medical centre in Estonia. We develop quality control systems and expand our participation in international quality organizations and research networks.
6. Clinical education, research and innovation
In cooperation with the University of Tartu, Tartu Healthcare College and other educational institutions, we train healthcare professionals and researchers for all of Estonia. We ensure an innovative environment for study and a creative atmosphere. We value both learning and teaching. University students are welcomed young colleagues at the Tartu University Hospital. The Tartu University Hospital is a centre of excellence in Estonia for clinical research, including translational medicine and new therapies and implementation of diagnostic methods. We provide a research environment that facilitates cooperation between clinical specialities and fundamental knowledge. We are open to research cooperation with all interested parties both at home and abroad.