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Impact stories

How LOGEX helps equally distribute fees under independent and contracted medical specialists at Medisch Spectrum Twente 

Medisch Spectrum Twente (MST) in Enschede is one of the Netherlands’ largest top clinical teaching hospitals. Besides regular patient care, science and education, MST offers special supra-regional care for patients referred from other hospitals.  

We have been supporting medical specialists at MST with the distribution of fees since 2015. We are also helping the hospital to increase its grip on the planning and control cycle.  

MST is part of the Santeon network, which consists of seven top clinical hospitals. By working closely and learning from each other, we strive to provide the best possible care for the patient.  

In some cases, independent medical specialists (freelancers) switched to permanent employment forms because those were more attractive. Medisch Spectrum Twente wanted to equally distribute fees under independent and contracted medical specialists while giving them control over their business operations – the provision of good care and the organisation of their practice was paramount.  

All contracted professional groups received an entrepreneurial employment agreement within which the AMS applies as a basis, and they can realise a “plus” based on the LOGEX Physician Performance models and additional quality agreements – up to the same level as freelancers.  

Departments remain responsible for arranging their business operations, such as recruiting new staff.

All contracted professional groups received an entrepreneurial employment agreement within which the AMS applies as a basis, and they can realise a “plus” based on the LOGEX Physician Performance models and additional quality agreements – up to the same level as freelancers.  

Departments remain responsible for arranging their business operations, such as recruiting new staff.  

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