Outline of the Tama Project

Integration of two hospitals operation;

New Acute hospital covering the west area of
Tokyo metropolitan Government (777beds)
Transfer the function of the existing acute hospital
New Children’s medical center (600beds)
Integrate 3 children’s hospitals
(the existing two physical hospitals
+the existing one mental hospital)
Duration of operation:15 years

Build Transfer Operate (BTO) type project

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PFI Scope of the Tama project
Management/BPR* of Non-Core services
Design Portering
Construction Security
Facility Management Car Parking Cleaning
IT Sample inspection
Purchasing (medicine, medical Nursing assistance
material, medical Equipment Reception
Catering ・・・・and so on
Linen

Advise to BPR* of the Core Business

Preparing the open of the hospital
Helpdesk
*BPR: Business Process Reengineering 4
The Meaning of the project
The most remarkable PFI project in Japan.
Investment Volume (Initial 70-80B Yen, running 50-60B
Yen/15yrs[excluding purchasing medicine and so on])
Value oriented project

Learn from the past hospital PFI projects in Japan

Kouchi
“Management” was not evaluated enough.
Too detailed description was required in the tendering process
(which is burdened to the candidate)

It will influence all of Japanese PFI market in the

future.
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We think “value” is important

We think “value” is key concept of PPP, so we hope

to realize “adding value” in this project.

How to add “value” to the PFI project:

“Change management” is solution, we think.

We hope the companies who can “add value” to the

project will participate in Tama hospital PFI projects .

So, we come to invite you to join this project in

Tokyo, Japan.

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Main Concept in selecting the applicants
Ⅰ.Partnerships
*Medical Service itself (Core Business) is not allowed to
commission.
So, staff of the public sector and staff of the private sector
work together in the same hospital.

Ⅱ.Management / BPR

→We’d like to select the private company

performing as “Service Provider ”.
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 What is partnership?

Partnership concept introduced Merely outsourcing

service service

hospital service service

ＶＳ hospital ＶＳ SPC service

service

Service service
Provider service

service service

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What is “Management” ?
Outsourcing : Established SPC* is just a “conduit”

service

service
hospital
SPC service

service

service
*SPC: Special purpose Company 9
What is “Management” ?
Management: Business Process Reengineering (BPR)

service

function
service
hospital function BPR
Service
Provider service
function

service

service
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 An example of a “function”
: an availability of surgical operation

Function “availability of surgical operation”

patient operation
① Air
(doctor) conditioning
Service cleaning
Provider disinfection
③

Operation
assistance Preparing
Operation
（nurse） ② medical
room
equipment

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An example of a “function”: an surgical operation
①Subcontractors provide service to the
Service Provider.

②The Service Provider Reengineering the

business process, and provide a “function
of availability for operation” to the hospital.

③The hospital provide a “function of

operation” to the patient.
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 Another example of Availability: nursing assistance

Output of Availability
-efficiency
patient -safety
Provide
service
nurse

Provide
service

Provide
The aim of the partnership service Nursing
Patient’s Satisfaction assistant

Output of Availability
-comfort
-cleanliness 13
What does the “Service Provider” do ?
Build partnership with the public sector

Manage the subcontractors

Business Process Reengineering

IT integration as a CIO (Chief Information Officer)

Keep the service level

Advice to improve the whole hospital service

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Evaluation Criteria (draft)
Evaluate the ability of the “Service Provider”
【A】Service Provider 【B】Subcontractors

service Asset Provider

function
service IT Provider
hospital function
Service
Provider service Facility
function Management

service Purchasing
-medicine
-medical
management / BPR equipments

Advise to core service

Preparing the hospital
Cleaning
Helpdesk : 15
:
Evaluation Criteria (draft)
■The public sector show: Service Level Specification
General Service Specification
Specific Service Specifications

Service Service Service Service

……………
1 2 3

■ The applicants propose :How to provide BPR

BPR 1 BPR 1

BPR 2

BPR 3 BPR 3
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① the Scope of BPR ② Specifications of how to provide BPR