TBS Group fornisce alle strutture sociosanitarie, pubbliche e private, servizi integrati di Ingegneria Clinica e ICT e gestisce in outsourcing tutto il parco tecnologico, biomedico e informatico, in particolare delle apparecchiature mediche e dei sistemi ICT e di telemedicina & teleassistenza, nonché soluzioni e servizi di e-Government per la pubblica amministrazione.
Con una forte propensione all'internazionalizzazione, il Gruppo attualmente opera in 20 paesi del mondo.
TBS Group. Health Technology Management.
Innovating technology and processes to curb costs and enhance services
and performance quality.
The story of TBS is one of great innovation. Of a company born out of an innovative idea. Conceived out of the diverse traditions, processes and operating procedures that a certain group of people felt were antiquated, inefficient or costly and who designed their own different approach, a change, an innovation indeed.
It matters little whether the change happened through an intuition out of the blue rather than in the context of an experimental trial. The important thing is that the innovation was brought to life, proved its worth and became progressively stronger.
In the social sciences, it is said that society does not leave empty spaces, for each advance there is a corresponding step back. And vice versa. This theory has continuous application, not only in the vast field of individual action but also in the business sector, where companies compete in all possible fields of business life, be it products, organisation, processes of all kinds, markets, human resources and so on. And what else is competition if not the continuous process of innovation, the life force that consistently permeates the entire production system, sending it in the most varied directions and not always the right ones? As happens in Darwinian competition too.
Continuous tough competition never plays out in a straight line but more frequently in spurts, tensions, conflicts, agreements and in visions that are always new and intertwined.
TBS "invented" modern clinical engineering in Italy. Briefly stated, concepts such as "multi-vendor approach", "on-site technical team", "full risk management of biomedical equipment" and "independence from manufacturers" entered into the particular culture of the Italian healthcare system. These innovations enabled, first of all, large savings for the system as well as significant efficiency increases (one for all: reduced machine downtimes), the reduction of risks and the planning of expenditure. And a lot more.
Next, after consolidation of its position in Italy, in 2004 an opportunity for major expansion abroad presented itself. General Electric raised the white flag in the multi-vendor services sector in Europe (perhaps because of its more limited room for manoeuvre resulting from the greater efficiencies that TBS had brought to the market) and sold its European service activities.
TBS did not let the opportunity slip, it entered into negotiations with determination and won the deal. In a single night, TBS gained an international presence in France, Germany, Portugal, Spain, Belgium and the UK.
In fact, the doubling in size that occurred in that night, in long-ago back in 2004, was the first step of the long progression that led TBS to expand into the Netherlands and to expand further in Germany, France and Portugal, and lastly in Italy with the consolidation of its leadership through the acquisition and subsequent aggregation of the operations of EBM, then the main competitor in the Italian market and, subsequently, in India and other countries, a long progression into the European market first and then the global market.
Our workforce came to exceed 2,300 employees, distributed in twenty countries around the world.
TBS is now facing major decisions. On global strategy, first of all, and then on the modernisation and extension of its products and services; on adaptation of the same to market requirements, anticipating demand from the world of healthcare, not just in Italy, and the continuous drive to reduce expenditure.
Healthcare is inevitably changing constantly and continually offering new challenges.
TBS's vocation is towards the world and it will tend more and more towards internationalisation, seeking to establish itself, with the particular aim of offering, first to the local area and then, if possible, to the country the benefits of its efforts and its achievements. But for there to be benefits, there must be successes and therefore TBS cannot take its eye off the complex and demanding challenges it encounters in its everyday development path.
These challenges fall under three main strands.
The first is that of improving efficiency in the delivery of our services to keep pace with a changing competitive environment, also taking advantage of the significant acceleration in technological developments. The buzzword is Industry 4.0 and therefore it is essential to talk about Medical Engineering 4.0 which will force us to increase our skills and our training.
We will also have to work on framework agreements and partnerships on the critical issue of industrial costs management.
We will invest further in the modernisation of our information systems in order to apply to our company, especially for the optimisation of industrial costs and for improving the productivity of our technical staff, the very sound principle: "You can't improve what you don't measure" “If you can't measure it, you can't improve it”.
We will have to know how to move from preventive to predictive maintenance when dealing with the Internet of Things (IoT) platforms.
The second strand is the renewal of the product and service portfolio with the modification and updating of our models as well as the introduction of new types of services.
In this context, the most important project is Health Technology Management (HTM) which provides for the management of the entire lifecycle of medical equipment, supporting hospitals right from procurement planning as part of the equipment renewal cycle, helping them to better define the real needs of individual departments.
This project involves close cooperation and synergies between the area of services in a hospital environment and the area of finance, called to make available the considerable resources necessary for a fundamental renewal of the technological equipment in Italy, which suffers from an endemic state of obsolescence with more than 50% of the equipment in place below acceptable levels.
To all this should be added the projects being implemented for the development of services on diagnostic imaging equipment in international markets. In this sector, TBS has reached an impressive level both in volumes and in skills in the Italian market and is aiming for a rapid development in other markets with the creation of top-level specialist centres like the one recently opened in Lisbon and the one being set up in India.
Then there is the increasing role in the management of turnkey equipment supply projects and System Integrators, concerning both hardware and software. From operating theatres in Italy to projects involving international cooperation to those financed by the World Bank or the United Nations, and to large-scale projects for entire turnkey hospitals under the auspices of public-private partnerships, especially in emerging countries. A world which we have entered only recently, but where our particular skills can bring significant added value.
Even more impressive are the projects which aim to provide access to primary care, at affordable costs, to growing swathes of population in developing countries.
These are the Mobile Health projects that we are trialling in India and neighbouring countries through telecare services, supported by "Apps" we have developed on the Android platform, and through the provision of fitted-out mobile clinics, using containers adapted for this purpose.
The third and last strand concerns, on the one hand, the consolidation of our position in mature European markets to a level long established in Italy and, on the other, the development of new geographical areas such as India, South-east Asia, francophone and anglophone Africa, China, the countries of the Gulf and other areas too.
The last 30 years have been exciting. We are confident that the coming years will be even more so.
TBS Group is present in numerous countries with over 20 companies.
More than 2,000 highly qualified staff, 350 workshops, 46 Regional operational centers, 26 competence centers.
More than 1,000 healthcare structures, 930,000 medical equipment and devices managed, 1,480,000 maintenance activities, 29,500 systems of telecare and telemedicine installed.