The Five-Layer
Diagnostic.
25 questions. Five operating layers.
One honest answer about your hospital.
Derived from seven years of operational work inside a German geriatric department that went from a loss-making unit to the only profitable department in its hospital group. The questions are designed to surface operational reality, not to sell you a consulting engagement. Most readers will not proceed to a scoping call — and that is by design.
Both formats produce the same diagnostic. The interactive version scores itself in real time. The PDF is for readers who prefer to sit with the questions offline.
Seven years.
8,355 patients.
One operational dataset.
The diagnostic is the outward-facing distillation of the operating-system methodology developed at Main-Kinzig-Kliniken Schlüchtern between 2019 and 2026 under the formal academic guidance of Prof. Dr. Rainer Sibbel, Chair of Health Care Management at Frankfurt School of Finance & Management.
Five research manuscripts are complete. The FLOW methodology is the flagship paper. Outcomes include 17.6% length-of-stay reduction, 36% throughput increase, and structural turnaround from loss-making to the only profitable department in a 13-department hospital group — held for three consecutive years.
More at medops.healthcare/research.
A composite score.
Five layer readings.
One honest territory.
Composite score
A single number from 25 to 125 that summarises how your hospital performs across the five-layer operating system. Aggregate enough to compare to other hospitals; precise enough to track over time.
Per-layer breakdown
Each of the five layers — ANCHOR, ORBIT, PRIME, FLOW, CAPTURE — scored separately. Two hospitals with identical composite scores can have different operational problems. The layer scores tell you which.
Territory interpretation
One of three territories: Strategic Rebuild (do not book a scoping call), Phase A (a diagnostic engagement is appropriate), or Quick-Wins (a narrower targeted engagement makes sense). Honest interpretation, not upsell.
Three audiences.
And three who should probably skip.
A selective practice publishes what it accepts and what it refuses. Anything less wastes the reader’s time and ours.
Hospital CEO
Facing margin pressure you did not inherit and cannot fix with the tools your predecessors used.
Clinic Owner
Running established operations who senses the next five years will require different discipline than the last ten.
Healthcare Investor
Conducting operational due diligence on a DACH hospital asset, or executing post-close value creation.
Physician Leader
Wants the underlying diagnostic architecture, not the slides. Reads enough consulting output to know when something is different.
Not for — vendors
Sales teams at vendor companies looking to prospect MedOps. The diagnostic is not a sales intelligence tool.
Not for — internal audits
Internal staff looking for a self-audit tool to report upward. Team-scored diagnostics become political negotiations.
Take it interactive.
Or download and sit with it.
The interactive version scores itself in real time and delivers your results to your inbox. The PDF is the same 25 questions as a downloadable document — for readers who prefer to sit with the questions offline, print them, or run them as a leadership-team exercise.
Where should we send it?
The PDF arrives in your inbox within a minute. You can opt out of follow-up emails at any time. We use MailerLite for delivery and do not share contact details.