Late Thursday afternoon, it was announced on Karolinskas here, Inside, that the cfo Margareta Firm leaving his post at the hospital. In the message, the DN taken note of, says that Margaret was Solid and the acting hospital director Annika Tibell jointly decided that the Firm will provide its services. The decision has, according to internmeddelandet ”emerged a time”, and the chief financial officer will terminate its service on 1 april.
" I want to thank Margaret for all the good work she did and the energy she has given Karolinska during his four years as chief financial officer. Margareta has been from an economic perspective, but at the same time, always tried to listen and understand the care and the health conditions. I would like to wish a big good luck with the new challenges ahead, " says Annika Tibell in a written comment to the DN.
A hospital-wide programme is underway to ensure that the hospital implements the savings required in 2019 and to create a sustainable long-term economic plan forward.
acting chief financial officer. He comes from an interim assignment within the MTR. He takes over the role on Monday.
Fixed type in internmeddelandet to the four years on the university has been very rewarding:
”together We have implemented both the development of operational and financial management in a broader perspective for the hospital and improved our specific accounting processes over the years, which I feel very proud of. In parallel, the intensive work carried out to improve the hospital's finances”.
Margareta Fixed came to the Karolinska 2015, and worked closely with the former master kai fa Melvin Samsom. Her predecessor in the post had then just implemented a large austerity programme. Tibell writes now that the Firm ”significantly contributed to the economy was turned into a budget in balance” when she came to Karolinska.
According to Tibell leaving Margareta Fixed their services when the hospital goes into a ”different phase for the hospital's ekonomiarbete”.
We shall bring order to the economy during this year and at the same time, put a realistic plan forward.
at the same time as the hospital began its large-scale reorganization. The new organization with value-based care, which are marketed and introduced with the help of the Boston Consulting Group, among other things, improve the efficiency of the hospital's economy by linking the costs to each individual patient in the respective patient flow. But the organizational model, heavily criticized by the employees, has so far not turned out well. Karolinska university hospital has now a very large economic problem, which is the DN previously revealed.
The new model was introduced at a high pace without it-the support was adapted, and in the current situation, there is no possibility to control the hospital's finances more than at the overall level, as DN has told. The heads of the flödesnivå that would get private financial responsibility can neither control or be financially accountable for their budget.
a record minusresultat at 822 million and for 2019 it was forecasted deficit of 1.1 billion - which the region temporarily subdued by shooting to 414 million as an exceptional measure. 420 million still need to be saved, and 400 posts will be removed.
Margareta Fixed during his time as director of finance from 2015 onwards also had a responsibility for the hospital's heavily criticised konsultinköp, which in particular accounts of the purchases from the Boston Consulting Group for the course has been poor. During the period between 2015 and 2017 was made on the purchase of 151 million, and DN revealed a majority of the invoices lacked the proper documentation. On the excel files that the hospital presented, it has not been specified which of the supplier's named consultants who have been inside and worked and who has done what in how many hours, but only anonymous ”functions”.
" For us it doesn't matter if it is Kalle Karlsson or Pelle Persson, who has carried out the work. What we care about is if the ordered services are performed. These bases are completely in accordance with the agreement, cfo Margareta Fixed previously said to DN.
the report was opposed by several experts, who noted that the procedure violated the county council's framework agreement, and should also be subject to legal challenge. Later would the hospital's internal audit noted that the number of consultants and hours worked made up on the e-mail and phone with BCG.
”It is not an adequate accounting,” said the hospital's internal auditor Ole Alvin. As a consequence, the hospital's procedures have been tightened.
And according to Annika Tibell, there are no suspicions of irregularities that explains to Margaret, so, hastily leaving its service. She refers to the investigation of Setterwalls law firm on the region ordered, if personkonflikter and conflicts of interest linked to konsultinköp at the Karolinska - for close to a billion between 2010-2017 - and which, although it found errors in the purchases for mångmiljonbeiopp, but whether a conflict of interest or irregularities.
Since autumn last year, the hospital's chairman of the board Håkan Sörman repeatedly stressed the importance of the hospital may order, on the economy and the information ows through the it system to the heads properly.
– It is very important now that the hospital receives the order of the economy. It must be done this year, otherwise it overshadows everything else, " said Håkan Sörman to DN in February.
currently In the hospital, after the rapid reorganisation, the master data that does not correspond with the new chefsstrukturen - which means that, among other things, cost centers do not match. In a critical report that the board presented at the end of January, and found among other things that the many patientflödena drives costs and that the economy is not going to control on the lower level among patientflödescheferna, as intended.
" I am convinced that it has significance to the information for förstalinjecheferna has been lacking. It is not so easy to keep their budget when you don't know how to proceed, " said Håkan Sörman to the DN then.
In an op-ed in Today's Society, said the board recently that the staff had been right in his criticism of the new organization. Among other things, it has increased the number of executives by 30 percent, and made it difficult to fit patients, especially people with co-morbidity with several diagnoses, in the new organization's narrow diagnosflöden.
the DN has sought Karolinskas chairman of the board Håkan Sörman referring to Annika Tibell.
the Board of directors: ”the Criticism of the Karolinskas new model is justified”
Nurses at the Karolinskas acute to resign in protest against the new agreement