AIM – HOPE International Conference Paris, 20-21 January 2005
1. THE INSTITUT MUTUALISTE MONTSOURIS
Mr Jean-Jacques Monteil, General Manager of the Institut Mutualiste
Montsouris, France
Status
The Institut Mutualiste Montsouris (I.M.M.) is the umbrella organization for the Centre MédicoChirurgical de la Porte de Choisy, which was set up in 1963, and the Hôpital International de
l'Université de Paris (H.I.U.P.), which since 1991 has been managed by the Mutualité Fonction
Publique (M.F.P.). These two organizations joined forces in 1999.
This is a private not-for-profit hospital that is involved in the public hospital service (PSPH) and is open
to all. It is a model to be followed in terms of treatment, research and training. The total investment
cost is 734 million francs.
Activities
The hospital has adopted a novel approach to hospital organization. Overall patient care is assured
thanks to 14 departments, 2 units and an innovative management system. With its 420 hospital beds,
the IMM cares every year for 17,000 inpatients and 120,000 outpatients.
The hospital has 9 clinical departments (thoracic surgery, orthopaedics, urology, mother and child
department, child psychiatry, digestive pathology, cardiac pathology, internal medicine and vascular
surgery)
and
6
medico-technical
departments
(anaesthesiology,
anatomopathology,
pharmacy/medical equipment, biology, medical imagery and intensive care).
Its technical wing comprises: 12 operating theatres in the central block, 3 outpatient surgical rooms
and 2 technical rooms, 16 all-purpose reanimation beds, 18 cardiac reanimation beds, laboratories,
scanners and MRI facilities.
Resources
The IMM employs the equivalent of 1,122 full-time persons. A total of 926 of these persons are in
direct contact with the patients (124 doctors and surgeons, 17 interns and 786 caregivers or ancillary
staff), and 196 representing the many professional sectors that work to keep the vital functions of the
hospital running.
The hospital has 55,000 m² of buildings and an annual budget of € 115 million.
Targets and values
The IMM has set several targets:
-
To be at the cutting edge in all the specialities offered by the hospital
The IMM has taken a deliberate policy decision to aim for innovation to benefit patients, both in the
medico-technical or medico-surgical fields and in the field of organizational methodology.
Therefore, the quality of surgery offered in all the specialities represented in the hospital is stateof-the-art, thanks to the professionalism of the staff and the use of the most up-to-date techniques,
from video surgery to therapeutic strategies that involve teamwork during the same operation
between the radiologist, the endoscopist and the surgeon or cooperation between two surgical
teams in the context of operations on certain rare tumours. This high level of technicity is also a
feature of non-surgical disciplines. For example, the psychiatry department has developed an
international dimension and specializes in food disorders that affect the behaviour of adolescents.
AIM – HOPE International Conference Paris, 20-21 January 2005
-
To optimize organization
Dividing the hospital into various medico-surgical departments and the presence of an exemplary
technical platform are two factors that help the IMM achieve an important target: to be certain that
it is always offering the patients the medical, surgical or mixed therapeutic strategy that is best
suited to the situation, following an examination by doctors and surgeons who work in the same
teams. In addition, teams from the IMM have made interdisciplinary cooperation one of the key
priorities of the Hospital Medical Project. The IMM aims to develop outpatient medicine and
surgery as much as is reasonably possible. This involves having very tight scheduling of
hospitalizations, so that the patient can go home in the evening after having a checkup or an
operation during the day. Furthermore, this type of hospitalization creates possibilities for
maintaining close cooperation between the hospital and "community" medicine, which is one of
the IMM's priority aims.
For this type of hospitalization, the IMM has 5 operating theatres, 15 places in outpatient surgery,
10 places in medicine (Internal Medicine Department), 5 places in medically assisted reproduction
(the Mother-Child Department) and 30 places in psychiatry. Thanks to haemodialysis, 20% of
patients are admitted without recourse to conventional hospitalization.
-
To constantly improve quality
The IMM has done pioneering work in the field of hospital organization. As part of this quality
drive, it took steps to achieve accreditation through the Canadian Accreditation Council, even
before the French National Accreditation and Health Evaluation Agency published its standards
and methods. To this end, since 1997 all the staff of the IMM, in all the disciplines represented
within the organization, have been participating in a continuous quality assessment and
improvement system.
-
To promote research
On the strength of its assets, the IMM is determined to continue to pursue its ambitious research
program in all the specialities represented within the organization. Every year, the IMM's teams
produce over 150 scientific articles and miscellaneous contributions towards the work of different
learned societies.
2