Akureyri Hospital 2018 The first hospital in Akureyri

The first hospital in Akureyri 1873 8 beds

1899 A new hospital 12 beds. 1920 extension to 40 beds

Akureyri Hospital • Existing buildings 1953 (120 beds) • Additional buildings 19731990 (170 beds)

Specialities • • • Internal medicine – Cardiology – Endocrinology – Gastroenterology – Infectious

CEO Nursing Executive Committee Medical Executive Committee Chief nursing executive Chief medical executive Financial

Activities 2017 • • • Admissions Patient days Outpatients, persons Surgical procedures Number of

Co-operation • e-systems – Inter-connected – Same system • Specialist support/vistis

Teaching Hospital for. . . • University of Akureyri – Nursing – Occupational

Operating expenses - USD • Operating expenses 2017 USD 75 million – Wages 73%

Employees • FTE 490 • Total heads 630 – – – Specialist doctors 50+

Into the future …… There is a long way to go. . . but

Values: Safety – Team Work - Professional Improvement

Recruit and Retain How to Get and Keep People in Remote Rural Areas: A

Recruit and Retain Recruitment and Retention of Health Care Providers and Public Service Sector

Objective Recruit and Retain is a project which sets out to find solutions to

Seven Steps – What To Do Next 1. 2. 3. 4. 5. 6. 7.

Safety – Team Work - Professional Improvement

Total expenditure on health care 1980 -2011 Government expenditure on health care, % of

Health personnel 1981 -2011 Number of inhabitants per employee Biomedical scientists Dental hygienists Dentists

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Akureyri Hospital 2018

The first hospital in Akureyri 1873 8 beds

1899 A new hospital 12 beds. 1920 extension to 40 beds

Akureyri Hospital • Existing buildings 1953 (120 beds) • Additional buildings 19731990 (170 beds) • Kristnes Hospital consolidated 1993 • Additional buildings 19942007 • Beds 2017 are 138 – Inpatients 110 – Outpatients 28

Specialities • • • Internal medicine – Cardiology – Endocrinology – Gastroenterology – Infectious disease – Neurology General surgeries – Vascular surgery – Plastic surgery – Urology Orthopedic surgery Pediatrics Gynaecologyand Obstetrics Psychiatry Radiology Intensive care medicine and Anesthesia Geriatrics • • • Rehabilitation medicine Ear, nose and throat surgery Pathology Laboratory Child and adolescent psychiatry • Air ambulance - fixed wing – Medical services • • Rheumatology Dermatology Oncology Pulmonology

Greenland Air ambulance - fixed wing

CEO Nursing Executive Committee Medical Executive Committee Chief nursing executive Chief medical executive Financial and Operational Services Chief executive of. . . Human Resources HR Manager Emergency Services and Development Chief executive of. . . Surgical Services Internal Medicine Services Chief executive of. . .

Activities 2017 • • • Admissions Patient days Outpatients, persons Surgical procedures Number of births Emergency unit, visits Laboratory analysis Diagnostic imaging Air ambulance flights 6. 400 29. 500 6. 000 3. 400 390 17. 200 282. 400 30. 400 800

Co-operation • e-systems – Inter-connected – Same system • Specialist support/vistis

Teaching Hospital for. . . • University of Akureyri – Nursing – Occupational Therapy • University of Iceland – – – Medicine Radiography Physical Therapy Midwifery Psychology

Operating expenses - USD • Operating expenses 2017 USD 75 million – Wages 73% – State funding USD 65 million (88%) – Own income USD 10 million (13%)

Employees • FTE 490 • Total heads 630 – – – Specialist doctors 50+ Nurses 180 Midwives 18 Biomedical scientist 23 Radiology technicians 13. . .

State of the art technology

Development New inpatient unit

Cornerstone in the community

Into the future …… There is a long way to go. . . but we are on our way. . . !!

Values: Safety – Team Work - Professional Improvement

. . and won´t get lost 25

Recruit and Retain How to Get and Keep People in Remote Rural Areas: A Northern European Perspective

Recruit and Retain Recruitment and Retention of Health Care Providers and Public Service Sector Workers in Remote Rural Areas

Objective Recruit and Retain is a project which sets out to find solutions to the persistent problem of difficulties in recruiting and retaining high quality people to work in the public sector in the remote rural areas of Northern Europe

Seven Steps – What To Do Next 1. 2. 3. 4. 5. 6. 7. The Yearly Wheel Culture Find Out Who Are You Looking For? Information, information Get Your Community Engaged Support Your Staff and Their Families You Need Well Educated and Trained Staff Find the Money to Ensure You Meet Your Obligation to Provide a High Quality Professional Workforce

Safety – Team Work - Professional Improvement

Total expenditure on health care 1980 -2011 Government expenditure on health care, % of GDProduct 1996 6, 80 2001 7, 56 2006 7, 48 2011 7, 29 Government expenditure on health care as % of total government expenditure 15, 38 19, 25 19, 47 16, 48 Government expenditure on health care at constant prices, Million ISK 87. 213 109. 398 123. 022 118. 511 € 960 million Government expenditure on health care per capita at constant prices, Thousand ISK 371, 5 € 2. 150

Health personnel 1981 -2011 Number of inhabitants per employee Biomedical scientists Dental hygienists Dentists Environmental health officers Exam. pharmacists Midwives Nurses Occupational therapists Pharmacy technicians Physicians and surgeons Physiotherapists Practical nurses Proprietary pharmacists Radiographers Social workers Veterinary surgeons 1996. . 974 6, 747 5, 867. . 132 4, 353 1, 267. . 322 937. . 4, 998. . 4, 089 2001 978. . 1, 006. . 7, 348 1, 309 123 3, 257 1, 179. . 289 691 202 4, 409 3, 412 2, 349 3, 412 2006 1, 026 16, 193 1, 076 5, 805 10, 609 1, 282 120 1, 865 986. . 281 724 192 5, 594 3, 496. . 2, 987 2011 1, 069 21, 305 1, 129 5, 918 13, 895 1, 150 116 1, 500 895 1, 775 285 680. . . 5, 417 2, 708 845 2, 641