For years, there have been endeavors to optimize clinics. Constructional legacies have been removed, kitchens were optimized and cleaners hired. Merely, the medical processes often remained untouched.

Against this background, the SPI pilot ACQUA Clinic was built in Leipzig in 2009. The spatial and content structure of the hospital adheres to the principle of ensurance of best healthcare and high reproducibility by structuring, digitalization and automation of all processes along a patient´s pathway.

Meanwhile, SPI has successfully implemented the concept in many other hospitals. Though, all medical processes are considered perpetually.


Example of surgery: SPI has developed an in-house process standard in cooperation with doctors and nurses: step sequences, surgical instruments used, safety-relevant landmarks, documentation depth. The surgery of the prevalent – that means surgeries always following the same pattern and thus being performed highly standardized – are particularly suitable for these procedures. Of course, the doctors decide whether standardization is useful or limits need to be set.

“First, we had to elaborate the requirements in order to make all our steps (and incisions) detectable and measurable. Today, the surgical procedures are determined in detail in a Standard Operating Handbook (SOH) and digitally available through the Surgical Procedure Manager (SPM).”

Professor Gero Strauss, Head surgeon of ACQUA Klinik

Digitale Medizin

All medical processes need to be digitized, since only that way they may be mandatory implemented, continuously improved and be measured according to their outcome quality. This is affected using software solutions that have specifically been developed for this purpose by SPI. The General Operation Manager (GOM) supports the perioperative process whilst the Surgical Procedure Manager (SPM) leverages the surgical process.

A prime example is the computerized voice guidance in the OR supporting the experienced surgeon by keeping up concentration even on standard procedures and helping the young surgeon to quickly learn the standards.

Structured healthcare should be performed in excellently equipped operating rooms. Only rooms linked with the entire house, allowing both access to the different hospital systems and input of image and voice data, may reach a high degree of automation. Primarily, pre-configured systems may remain in order to become optimized according to the individual field of application.


The introduction of the concept of structured digital healthcare requires a stringent training program. There are three key aspects to be mentioned. First, all employees attending patients in the perioperative area are trained by professional coaches from service and hotel industry. Secondly, medical process training with surgeons, anesthetists and OR-nursing is provided. Additionally, SPI offers a specific software solution – the SPM-Tutor for this purpose. Thus, young surgeons and nurses may train the in-house standard using the computer first. The third pillar is an interdisciplinary training in order to improve cooperation and communication within the team, which is carried out by experienced trainers from the aviation industry for example.

Methodik Training

“First and foremost, for me structured digital healthcare is determined as pursuing a common goal for all occupation groups. When establishing the highly standardized outpatient SPI-center in Dusseldorf, this was one of the main levers.”

Elisabeth Schreurs, Projektmangement Care Management, Universitaetsklinik Duesseldorf

Medizin mit System

Times when hospitals believed in differentiating themselves from others by sheer size, professorships or medical technology are finally gone for good. Debating with patients, politics and health insurances, clinic operators need to prove that all treatment procedures are provided in a consistently high quality. First and foremost, to meet the according service commitment, a deep transparency across all treatment processes is required.

By introducing structured digital healthcare, clinic operators are able to ensure that their patients perpetually receive equal medical and service standards – regardless the team being on duty. In the future, this brand promise will be one of the most important decision-making factors for the patient selecting any hospital.

“We must leave behind random healthcare in order to arrive at structured treatment processes. This is the only way to successfully meet future challenges of increasing quality expectations of patients and limited capacity of social security.”

Prof. Heinz Lohmann, Health Entrepeneur