What it does. Ribera Salud is the leading health management company in the administrative sector of concessions for Spain

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2 Ribera Salud is the leading health management company in the administrative sector of concessions for Spain What it does The company has developed the Alzira Model of State- Private Collaboration in Health which, with long-term strategy and vision, is based on the loyal collaboration of the Civil Service- the commitment by professionals to the citizens to provide an efficient quality service.

3 What it can do Ribera Salud field of activity is based on the PPP model of public-private collaboration for the integral management of medical services, and sociomedical ones, as well as for the development of projects in the health sector at a national and international level.

4 collaboration and trust Future health

5 Ribera Salud is a project with a future Ribera Salud started in 1997 for the development of initiatives of public-private health collaboration. From the beginning, its activity has been supported supported by the values of collaboration, trust, loyalty, excellence, honesty and managerial solidity.

6 Ribera Salud A new way of understanding health Ribera Salud is a Challenge Due to the quality and medical efficiency at the patients` service. For a modern, intimate, humane and excellent public health care service. Due to its great professionals and the best technology at the service of the citizen, his health and quality of life. Ribera Salud is Commitment Towards the society that it serves. With the professionals that make a daily effort to provide the best health service. With the local Civil Service providing its acquired experience and projects in which it takes part.

7 Loyalty and excellence A model of health care

8 Modelo ALZIRA The Alzira Model is set up On 1 January 1999, and as part of the firm commitment of the Valencian Generalitat (Regional Government) for the development and implementation of the health concession model, the La Ribera Hospital was established in Alzira (Valencia). It was the first privately run Spanish public hospital.

9 The keys to the ALZIRA model The new model brought forth a quality public health service providing its citizens, professionals and Civil Service with the best benefits and advantages

10 The keys to the ALZIRA model For the patients For the professionals Work stability Innovative payment system Opportunity for development and professional career Training, teaching and research University Hospitals Commitment to technology Family conciliation policy Recognition Obvious quality More humane medical care Personalized treatment Better privacy and comfort Easier access Less waiting time Hospital and Professional free choice Technology at citizens disposal Health care without regulations An integration model For the administration Easing of State budget Lower average cost of State management The contractor to be in charge of investments throughout administrative period Individual financial payment, lowering financial risk Innovation in Technology and Administrative systems Human Resources advanced management contribution

11 The keys to the ALZIRA model Public Funding The system of compensation is based on the Individual s financial payment. The Government pays the contract company a fixed annual amount and it is pre-established by each of the appointed inhabitants. Public Control The contract company is subject to complying to the established clauses in the specifications. The Government has the capacity to control and inspect and it also has the regulatory power. Alzira model Private Social Services Health Service facilities are awarded during a pre-established time to a contract company that is committed to the good running and management of the public service. Public Property The public nature of the Health Service is guaranteed at all times. The centre that is contracted is a public hospital, built on public land and belonging to a network of public hospitals.

12 Honesty and solidity company investing in Health

13 Ribera Salud Group invests in technology and research Innovation in Know -How Medical Care Integration model Completely computerized systems.electronic Medical History and Digital Radiology Integrated Monitoring Systems Telemedicine and non-present work Mobile message systems Patient information points automated Health portal Technological innovation at health service

14 Best equipment at the hands of best team Ribera Salud knows that the organizations true value rests on the people who are part of it. With advanced social corporative responsibility policy, the company relies on professional development, work stability and on family and work conciliation of all its professionals. All of this is in a commitment environment and is a permanent search for dialogue and social consensus. Ribera Salud is committed to people. It offers them the means to provide the best medical care, with a human resources management based on the Training and Teaching of its professionals.

15 Ribera Salud Group Presence Other projects b2b salud, Purchasing, Logistics and shared services platform which services the centres taking part and is open to the rest of the national territory operators. Technological supplier of several hospitals in Chile -Florence being the electronic medical record. Technical advice in the first PPP projects in Latin America: Callao Hospital and Villa María del Triunfo Hospital, Peru. Valencia Community There is comprehensive management of four Health Departments in four hospitals and more than a hundred primary health care centres: Alzira, Torrevieja, Denia and Vinalopo. Erescanner Salud, which is a company that manages the Magnetic Resonance Service. Madrid Community BR salud, service managing company of the Central Laboratory of the Infanta Sofia Hospital of Sebastian de los Reyes which covers six public hospitals and more than citizens. The group has taken part in the planning, building, setting up and consolidation of the Manises Hospital (Valencia) and of the Torrejon de Ardoz Hospital ( Madrid).

16 Hospital concessions Ribera Salud Group * According to the Population Information System ** foreseen investment for the concession period, including the building. Nº of beds Health centers Population* Investment ** Hospital Univ. de La Ribera MM Hospital de Torrevieja MM Hospital de Denia MM Hospital del Vinalopó MM Total MM Alzira (Valencia) University Hospital of La Ribera and Health Department Torrevieja (Alicante) Torrevieja Hospital and Health Department Denia (Alicante) Elche (Alicante) Denia Hospital and Health Department Vinalopo Hospital and Health Department

17 A history of acknowledgments Important Milestones Passing of the 15/97 Law of new management methods. Establishment of the Ribera Salud group. The Valencian Generalitat awards Ribera Salud UTE the first administrative concession contract for the management of Specialized Attention in the Ribera area Opening of La Ribera Hospital (Alzira) La Rivera Hospital. TOP 20 award as the Best Spanish Hospital in its field New administrative concession contract for the management of complete medical care (primary and specialized health care) in La Ribera`s Health Department. La Ribera Hospital, TOP 20 Award as Best Spanish Hospital in its field Torrevieja Salud is awarded the second administrative health care concession in the Valencian Community for the management of complete medical care in the Torrevieja department. La Ribera Hospital, TOP 20 Award as the Best Spanish Hospital in its field. NOVA Prize for its business quality.

18 Important Milestones La Ribera Hospital, TOP 20 Award as the Best Spanish Hospital in its field Marina Salud is awarded the third heath care administrative concession in the Valencian Community for the management of complete medical care in Denia Health Department. La Ribera Hospital, TOP 20 Award in the General Surgery and Digestive Area and TOP 20 Award as the Best Spanish Hospital in its field during five consecutive years Opening of Torrevieja Hospital. The fourth health care administrative concession was awarded for the management of complete medical care in Manises Health Department. La Ribera Hospital. Medical Daily Prize for the Best Health Ideas in its Professional Career model The Vinalopo Salud company was awarded the fifth health care administrative concession in the Valencian Community for the management of complete medical care in the Elche-Vinalopo Health Department. La Ribera Hospital is renamed La Ribera University Hospital. Torrevieja Hospital gets the Medical Daily Prize for the Best Health Ideas for emergency care during holiday period Erescanner Salud, company awarded the management of the Magnetic Resonance in the Valencian Community. BR Salud, company awarded the management of the central clinical laboratory service of six public hospitals in the Madrid community. Opening of Denia Hospital. La Ribera Hospital gains Certificate ISO14001 in environmental matters. Torrevieja Hospital. Computer World Prize for the Citizens Impact due to TIC use in the health care sector. TOP20 Award for Best Spanish Hospital in its field and TOP 20 Award for the Nervous System Area.

19 Important Milestones Opening of Manises Hospital. Opening of the Central Clinical Laboratory of San Sebastian de los Reyes in Madrid. Torrejon salud, company awarded the management of the Torrejon de Ardoz Public Hospital in Madrid. La Ribera Hospital gained TOP 20 Award for Hospital management, in the Digestive Surgery and nervous system Areas and a Special Prize for the X Anniversary of TOP 20 as Spain`s Best Hospital - one of the most awarded centres during this period. Vinalopo Hospital was the first hospital in Spain gaining the Accessibility Certificate by Rheinlad according to the UNE170001:2007 norm, before its opening. Torrevieja Hospital received the TOP20 Award as Spain`s Best Hospital in its field and in the Respiratory, Orthopedic and Digestive Surgery Areas. Torrevieja Hospital received several awards for its electronic clinical record. Florence: TECNOS Award by the Secretary of Economic Development from the Nuevo Leon (Mexico) government. Save Customers Money Award by Microsoft. Professor Barea Award from the Signo Foundation, Favourites on the Network of Medical Daily Award Ribera Salud certified by AENOR for its Quality Management System according to the UNE norm in ISO 9001:2008. Opening of Vinalopo Hospital. The purchases and shared services platform b2bsalud started. La Ribera Hospital, Best in Class Award. Best Nephrology Service and Honours Award to the Orthopedic Surgery Service. Torrevieja Hospital, admittance Certificate by TUV Rheinlad according to the UNE170001:2007 norm. Torrevieja Hospital, TOP20 Award as Spain`s Best Hospital in its field and in the Orthopedic, Digestive Surgery and Nervous System Areas. Best in Class Award. Best Orthopedic Surgery Service and Best Hospital Honours Prize Opening of Torrejon Hospital. Ribera Salud, Dintel Award Best Technological Project in Health and Medical Daily Award to The Best Health Ideas for its Multihospital model of shared services in the Torrevieja, Vinalopo and Torrejon Hospitals. La Ribera Hospital, First public hospital with the AENOR certificate of Energetic Management according to the UNE-EN 1600 norm.

20 Important Milestones La Ribera Hospital, Best in Class Prize. Best Hospital in Clinical Security. Vinalopo Hospital, Business Innovation Award for the implantation of a CERTPER system which helps the development of the organization`s workers. Torrevieja Hospital, TOP 20 Award in the Orthopedic and Digestive Surgery, Respiratory Apparatus and Global Hospital Management. Computer World Prize in the Health section. Best in Class Prize in the Ophthalmology and Orthopedic Surgery areas Torrejon Hospital is renamed Torrejon University Hospital. Torrejon Hospital, award from the Dintel Foundation to one of the best Technological Projects and Citizens Services for the use of 2.0 technology in the Emergency Service. B2b salud Daily Medical Prize to The Best Ideas on Health. Ribera Salud, Special Medal from the Cultural, Scientific and Literary Ateneo of Alicante for its important teaching and research activity. La Ribera Hospital, First public hospital given the 0HSAS certificate from AENOR for its management of labour risks. La Ribera Hospital, Best in Class Award. Best Nephrology and Psychiatry Service. Vinalopo Hospital, First Spanish Hospital to receive the Certificate of People according to the UNE-EN ISO/IEC Vinalopo Hospital, TOP 20 Award in the Heart and Hospital Management areas- awarded in the edition of Enterprise and Employment Prizes for the innovation in RR.HH for its pioneering project in the Trust Management for the humanization of health care. Torrevieja Hospital, Best in Class Award. Best Orthopedic Surgery Service. TOP 20 Prize in the Hospital Management, Heart and Respiratory areas. Denia Hospital, First Spanish Hospital to reach the maximum international recognition for its electronic clinical record (level 7 over 7 of the HIMSS) Ribera Salud gained the prize from the Spanish Association of Pharmaceutical Law (ASEDEF ) in the field of Private Health Institution. Ribera Salud, award To your Health 2013 from La Razon newspaper for its policy of Health Promotion in the Departments of Torrevieja and Vinalopo. b2b salud obtains the certificate ISO 9001:2008 from AENOR for its Quality Management System. Best Ideas in Healthcare Award, from Diario Médico Magazine, in the healthcare policy category, for the Chronic Plan in Torrevieja and Vinalopó Health Department. Central Laboratory in Madrid ISO 9001 Certification for Quality Control System according to BUREAU VERITAS Best Idea Award from Actualidad Economica Magazine in the ranking of the 100 best ideas for the BI Cognos project in Vinalopo and Torrevieja Health Departments. "Best Management" Award from Dirigentes Magazine.

21 At the forefront of health care

22 With a future calling Since its foundation in 1997 for the development of initiatives of public-private collaboration in the field of public health care, Ribera salud Group has kept its initial innovation spirit and leadership. A pioneering commitment, with a vision for the future, has been constant in the development of its business activity. Nowadays, Ribera Salud is one of the main hospital groups in Spain. It is a national and international reference as regards health management. But also, its future calling has led the group to explore new areas, models and health care projects.

23 Hospital management, health centres and socioheath care Complete clinical management of services and functional units Valencia Edificio Sorolla Center - Oficina 1104 Avda. de las Cortes Valencianas Valencia Madrid C/ Núnez de Balboa, 31-6º - 3ª Madrid. Spain Technological and medical care innovations Tel Fax info@riberasalud.es