Support for
medical services

A medical strategic plan provides direction for the development of a medical service. It aligns the ambitions of the medical staff with the hospital’s overall care strategy and with external developments in regulation, funding, technology, and collaboration. We help you critically assess your department’s position and develop a realistic roadmap for the next three to five years.

• Strategic positioning within the hospital, healthcare network, and region
• Analysis of pathologies, care pathways, activities, and patient flows
• Decisions on growth, specialisation, concentration of care, and centres of excellence
• Assessment of available expertise, subspecialisations, and workforce capacity
• Business cases for new services, equipment, or technology
• Collaboration strategies with other hospitals and referral centres

The integration of medical services is often one of the most sensitive aspects of a hospital merger or subsequent harmonisation process. Differences in culture, ways of working, responsibilities, and financial arrangements can slow down collaboration. That is why we start not with the organisational structure, but with a shared medical vision, clear ambitions, and mutual trust.

We guide the entire integration process, from strategic positioning to the formal and operational agreements required to function as a single medical service.

• Shared mission, vision, values, and medical-organisational ambitions
• Organisational and governance model for the integrated service
• Internal Rules and Regulations with clear decision-making arrangements
• Allocation of responsibilities, on-call schedules, capacity, and staff deployment
• Financial pooling, revenue-sharing arrangements, and fiscal or legal structuring
• Strategic HR plan for physicians, nurses, allied health professionals, and support staff

Not every collaboration needs to result in a merger. Medical services are increasingly joining forces to combine expertise, improve quality, share scarce capacity, and optimise the regional distribution of care. Moore helps you identify the most appropriate collaboration model and provides the legal and organisational framework to support it.

• Collaboration models with other hospitals or medical services
• Regional distribution and concentration of activities
• Referral and patient transfer agreements
• Integrated care pathways with primary care, rehabilitation, and home care providers
• Integration within hospital networks
• Legal and financial structuring of collaborative arrangements

A strong medical service requires clear leadership, well-defined responsibilities, and effective governance structures. We support heads of department and physician groups in strengthening the way they work, while preserving the unique character and medical autonomy of the service.

• Clear roles and responsibilities for physicians, nurses, allied health professionals, and support staff
• Efficient governance and decision-making structures with clear accountability
• Capacity planning, workload analysis, and task differentiation
• Recruitment, retention, engagement, and professional development strategies
• Coaching for heads of department and the development of medical leadership
• Collaboration and alignment with hospital management and other departments

Where needed, we develop tailored training programmes covering management, financial literacy, project management, leadership, conflict management, digital transformation, and legal structures. In doing so, we bring management skills closer to the day-to-day reality of the medical service.

Medical services operate within a complex regulatory environment. Our legal experts provide support in areas including healthcare planning and accreditation, physicians’ legal status, professional practice, reimbursement nomenclature, data protection, patients’ rights, and disputes with the National Institute for Health and Disability Insurance (NIHDI). We translate regulations into practical agreements that reduce legal uncertainty.

We also provide comprehensive support to physician associations, covering everything from vision, values, and governance to quality agreements, service arrangements, pooling mechanisms, financial and tax agreements, legal structures, and reporting.

Difficult or long-standing conflicts can place significant strain on collaboration, quality, and the continuity of a medical service. As an independent partner, we create a safe environment where interests, expectations, and tensions can be discussed openly. We identify the underlying causes, whether related to governance, role allocation, communication, or financial arrangements, and work towards clear, sustainable solutions that are supported by all parties.

We assess the way your medical service operates from the perspective of the entire patient journey. By better aligning processes, planning, and capacity, waiting times can be reduced, handovers improved, and healthcare professionals can spend more time on their core responsibilities.

• Analysis and redesign of end-to-end care pathways and patient journeys
• Optimisation of outpatient consultation and operating theatre scheduling
• Capacity management for physicians, beds, facilities, and medical equipment
• Lean improvement programmes focused on lead times, waiting times, and waste reduction
• Optimisation of administrative, logistical, and financial processes
• Project management and implementation support

Clear financial information is essential for building trust and enabling well-informed decision-making. We support medical services in analysing revenues and costs, cost prices, reimbursement nomenclature, registration, and billing. We also help develop sustainable financial arrangements and contribution models that reflect the way the service operates and its strategic ambitions.

• Profitability and cost price analysis at the level of individual activities or pathologies
• Correct application of reimbursement nomenclature, DRG systems, and bundled payment schemes
• Business cases for investments and new care initiatives
• Budgeting, forecasting, and relevant financial dashboards
• Transparent pooling and revenue-sharing mechanisms

Quality and innovation are increasingly driven by data. We help medical services structure key performance indicators, make clinical performance transparent, and systematically monitor improvement initiatives. This may form part of an accreditation or recognition process, or support broader ambitions related to patient safety, clinical outcomes, and continuous improvement.

• Quality indicators, internal audits, and PDCA improvement cycles
• Support with accreditation and specific recognition requirements
• Dashboards for clinical quality, capacity, and patient outcomes
• Optimisation of electronic health record (EHR) use and digital care pathways
• AI applications, telemonitoring, and other relevant innovations
• Funding and grant support for clinical research and innovation