// Main app — composes the Christoph Napierala homepage. // Order of script tags in index.html: react, react-dom, babel, tweaks-panel.jsx, art.jsx, app.jsx const { useState, useEffect } = React; // Asset resolver — in a bundled standalone file, image paths are lifted into // window.__resources (blob URLs) via . // Falls back to the raw path in the normal multi-file dev version. const ASSET_IDS = { "assets/portrait.jpg": "portrait", "assets/talk-enso.webp": "enso", "assets/talk-snow-pano.webp": "snowPano", "assets/talk-lake-reflection.webp": "lakeReflection", "assets/talk-fruit.webp": "fruit", "assets/talk-peak-golden.webp": "peakGolden", "assets/talk-lake-sunrise.webp": "lakeSunrise" }; function asset(p) { const id = ASSET_IDS[p]; if (id && window.__resources && window.__resources[id]) return window.__resources[id]; return p; } const TWEAK_DEFAULTS = /*EDITMODE-BEGIN*/{ "accent": "#b4321f", "bg": "#f4efe6", "displayFont": "Source Serif 4", "language": "de", "darkHero": false } /*EDITMODE-END*/; const ACCENT_OPTIONS = [ { label: "Swiss Red", value: "#b4321f" }, { label: "Ink Blue", value: "#1f3b6e" }, { label: "Forest", value: "#2d4a3e" }, { label: "Ochre", value: "#b07a1f" }, { label: "Graphite", value: "#2a2a2a" }]; const BG_OPTIONS = [ { label: "Paper", value: "#f4efe6" }, { label: "Bone", value: "#ece6d6" }, { label: "Cool White", value: "#f3f3f1" }, { label: "Slate Mist", value: "#e8eaec" }]; const FONT_OPTIONS = [ { label: "Source Serif", value: "Source Serif 4" }, { label: "Fraunces", value: "Fraunces" }, { label: "Crimson Pro", value: "Crimson Pro" }, { label: "EB Garamond", value: "EB Garamond" }]; /* ------------------------------------------------------------------ */ /* Content */ /* ------------------------------------------------------------------ */ const COPY = { de: { nav: ["Profil", "Philosophie", "Themen", "Beiträge", "Vorträge", "Publikationen", "Kontakt"], heroMetaL: "Bern · Biel/Bienne", heroMetaC: "Vol. 12 — Ausgabe Frühling 2026", heroMetaR: "Dr. phil. · Healthcare Management", heroTitle1: "Gesundheit", heroTitle2: "ist", heroTitleEm: "Strategie", heroTitle3: "—", heroTitle4: "und kein", heroTitle5: "Zufall.", heroLede: "Christoph Napierala denkt das Schweizer Gesundheitswesen vom Ergebnis her: integriert, bezahlbar, nahe an den Menschen, die Versorgung brauchen.", heroRoles: ["Geschäftsführer Spitex Biel-Bienne Regio", "Sciana Health Leaders Network", "Dozent · Universität Luzern (CHPE)"], statsLabel: ["Jahre Versorgungs­forschung", "Geleitete Organisationen", "Publikationen & Working Papers", "Vorträge & Keynotes"], statsNum: ["18", "07", "24", "60"], aboutNum: "01 / Profil", aboutTitle: ["Versorgung neu", "denken."], aboutKicker: "Über", aboutSidebar: "Gesundheits­ökonom, Praktiker und Brücken­bauer zwischen Spitalfinanzierung, ambulanter Versorgung und Forschung.", aboutP1: "Christoph Napierala ist Gesundheitsmanager mit über fünfzehn Jahren Erfahrung an der Schnittstelle von Spital­finanzierung, integrierter Versorgung und Public Health. Er hat als Forscher die Einführung von SwissDRG begleitet und führt heute die Spitex Biel-Bienne Regio.", aboutP2: "Seine Arbeit verbindet ökonomische Klarheit mit dem Glauben, dass gute Versorgung ein lokales Handwerk ist — getragen von Pflegenden, Hausärzt:innen und Familien, nicht von Tabellen.", cv: [ ["2024 –", "Geschäftsführer", "Leitung der Geschäftsstelle, ca. 280 Mitarbeitende.", "SPITEX BIEL-BIENNE REGIO"], ["2022 – 24", "Strategy & Operations", "Konzernweite Programme zur Versorgungs­integration.", "SWISS MEDICAL NETWORK"], ["2019 – 22", "Leitung Projekte / Region", "Aufbau ambulanter Versorgungs­modelle in der Deutsch­schweiz.", "MEDBASE"], ["2014 – 19", "Wissenschaftlicher Mitarbeiter", "Promotion zu DRG-Effekten, Compliance LOS, Versorgungs­forschung.", "UNI LUZERN · CHPE"], ["2012 – 14", "Projektleiter Healthcare", "Strategische Portfolio-Visualisierung für Universitätsspitäler.", "SIEMENS HEALTHCARE"]], philoNum: "02 / Philosophie", philoTitle: ["Was mich ", "trägt."], philoSidebar: "Vor jedem Modell, jeder Tabelle, jedem Tarif: ein paar Bilder, an denen sich meine Arbeit ausrichtet. Sie kommen aus Bergen, vom Wasser, aus dem Zen — und aus dem Spitex-Alltag.", philoLede: "Führen heisst Spuren legen. Im Schnee sieht man, ob sie tragen.", philo: [ { img: "assets/talk-enso.webp", caption: "Enso — der unvollständige Kreis. In einem Strich, ohne Korrektur. Was bleibt, ist Haltung.", tag: "Klarheit" }, { img: "assets/talk-snow-pano.webp", caption: "Erste Spur im Schnee. Eine Entscheidung, die alle anderen formt — und der Weg zurück bleibt sichtbar.", tag: "Verantwortung" }, { img: "assets/talk-lake-reflection.webp", caption: "Stilles Wasser zeigt, was über ihm steht. Reflexion ist kein Luxus, sondern Steuerungs­instrument.", tag: "Reflexion" }, { img: "assets/talk-fruit.webp", caption: "Eigene Ernte. Was wirklich gesund ist, hat selten ein Etikett — und reift in seiner eigenen Zeit.", tag: "Mass" }, { img: "assets/talk-peak-golden.webp", caption: "Zwei Seilschaften am Grat. Tempo verhandelt sich nicht über Worte, sondern über das Seil dazwischen.", tag: "Vertrauen" }, { img: "assets/talk-lake-sunrise.webp", caption: "Bielersee, kurz vor sechs. Tage, die so beginnen, vertragen schwierige Sitzungen.", tag: "Rhythmus" }], expertiseNum: "03 / Themen", expertiseTitle: ["Worüber ich", "schreibe und spreche."], expertiseSidebar: "Sechs Themen­felder, in denen ich seit Jahren publiziere, beraten habe oder operativ Verantwortung trage.", expertise: [ ["Spital­finanzierung & SwissDRG", "Wirkung, Limiten und nächste Generation des fallpauschalen Systems."], ["Integrierte Versorgung", "Ambulant vor stationär — und was dazwischen liegt: Spitex, HA-Netze, Reha."], ["Strategische Portfolio-Steuerung", "Datengetriebene Entscheidungen über Leistungs­angebote im Spital."], ["Healthcare Leadership", "Organisationen führen, in denen Pflege, Medizin und Verwaltung Augenhöhe haben."], ["Public Health Policy", "Gesundheits­politik zwischen Effizienz, Solidarität und föderaler Realität."], ["Versorgungs­forschung", "Outcome-Messung, Compliance LOS, Wochenend-Effekte, Qualitäts­indikatoren."]], blogNum: "04 / Beiträge", blogTitle: ["Notizen zum", "System."], blogSidebar: "Längere Texte, Kommentare und Working Papers — auf Deutsch, gelegentlich Englisch.", blogAll: "Alle Beiträge ansehen", posts: [ { tag: "Essay", read: "12 min", date: "14.04.2026", title: "Was nach der Fallpauschale kommt — Versorgungs­finanzierung jenseits von SwissDRG.", excerpt: "Vierzehn Jahre nach Einführung des fallpauschalen Systems hat sich die Realität verändert: ambulant vor stationär, chronische Leiden, Personal­knappheit. Eine Skizze für die nächste Generation.", art: "PostArt1" }, { tag: "Analyse", read: "8 min", date: "02.03.2026", title: "Spitex als zentrales Stück integrierter Versorgung.", excerpt: "Was die Hausarzt­netze von der Spitex lernen — und umgekehrt.", art: "PostArt2" }, { tag: "Kommentar", read: "6 min", date: "21.01.2026", title: "Tarife 2026 — eine ehrliche Lektüre.", excerpt: "Was die Tariflandschaft wirklich steuert, und was nur Symptom ist.", art: "PostArt3" }], talksNum: "05 / Vorträge", talksTitle: ["Vorträge &", "Präsentationen."], talksSidebar: "Eine Auswahl aktueller, kommender und früherer Auftritte — von Keynotes bis zu archivierten Prezi-Präsentationen. Für Anfragen zu Keynotes, Panels und Inhouse-Workshops bitte direkt kontaktieren.", talksAll: "Vollständiges Programm", talks: [ { d: "29", my: "Apr 2026", upcoming: false, title: "Healthcare Leadership & Governance — Bilder einer Führungs­praxis.", ctx: "Universität Luzern · Executive MBA", venue: "Frohburgstrasse", city: "Luzern, CH", format: "Vortrag · 75 min", href: "leadership-talk.html", linkLabel: "Vortrag lesen ↗" }, { d: "07", my: "Sep 2025", upcoming: false, title: "Strukturen des Schweizer Gesundheitswesens — Akteure, Tarife, Reformen.", ctx: "ZHAW · CAS Gesundheitswesen", venue: "Lehrveranstaltung", city: "Männedorf, CH", format: "Seminar · 2 Tage", href: "gesundheitswesen-talk.html", linkLabel: "Vortrag lesen ↗" }, { d: "27", my: "Mär 2025", upcoming: false, title: "Spitalplanung im Vergleich — internationale «Lessons Learnt» für den Kanton Bern.", ctx: "GSOK · Kanton Bern", venue: "Spitalplanungs­vergleich", city: "Bern, CH", format: "Fachvortrag · 60 min", href: "spitalplanung-talk.html", linkLabel: "Vortrag lesen ↗" }, { d: "18", my: "Sep 2014", upcoming: false, title: "Timing in der radiologischen Intervention — ökonomische Effekte im DRG-System.", ctx: "MTRA-Kongress · Pontresina", venue: "Rondo Kongresszentrum", city: "Pontresina, CH", format: "Vortrag · 30 min", href: "https://prezi.com/qebd_95dayus/mtra-kongress-pontresina-2014/?present=1", external: true, linkLabel: "Prezi ansehen ↗" }, { d: "06", my: "Mai 2014", upcoming: false, title: "Health Innovation — wenn Daten das Leistungs­portfolio formen.", ctx: "Siemens Healthcare · Innovation Forum", venue: "Siemens", city: "Erlangen, DE", format: "Präsentation · 20 min", href: "https://prezi.com/5sqwltqsrmqv/siemens-health-innovation/?present=1", external: true, linkLabel: "Prezi ansehen ↗" }, { d: "21", my: "Mär 2013", upcoming: false, title: "eHealth zwischen Versprechen und Versorgungs­alltag.", ctx: "Swiss eHealth Summit · Bern", venue: "BERNEXPO", city: "Bern, CH", format: "Vortrag · 25 min", href: "https://prezi.com/misafrjm8zhc/swiss-ehealth-summit-bern/?present=1", external: true, linkLabel: "Prezi ansehen ↗" }], pubsNum: "06 / Schriften", pubsTitle: ["Auswahl", "Publikationen."], pubsSidebar: "Peer-reviewed Artikel, Working Papers und Beiträge in der Volkswirtschaft.", pubs: [ ["Is the timing of radiological intervention and treatment day associated with economic outcomes in DRG-financed health care systems", "BMC Health Services Research", "2017", "PEER-REVIEWED"], ["Why Compliance Length of Stay (LOS) is the Stronger Outcome Measure than Crude LOS in DRG Systems", "CHPE Working Paper Nr. 14", "2017", "WORKING PAPER"], ["Visualisierung von Leistungs­portfolios als Grundlage strategischer Spital­planung", "HEALTHINF Conference", "2015", "PROCEEDINGS"], ["Weekends influencing Process and Economic Results in a Swiss University Hospital in the Era of SwissDRG", "CHPE Technical Report", "2014", "REPORT"], ["Effizienz im Gesundheits­wesen — was die DRG-Einführung uns gelehrt hat", "Die Volkswirtschaft", "2017", "ESSAY"]], contactNum: "07 / Kontakt", contactTitle: ["Reden wir", "darüber."], contactSidebar: "Für Vorträge, Beratungs­mandate, redaktionelle Anfragen oder einen Kaffee in Bern.", footerTag: ["Versorgung", "ist eine ", "Frage der", "Haltung."], marqueeItems: ["Versorgung vor System", "Daten dienen Menschen", "Ambulant vor stationär", "Pflege ist Arbeit, nicht Berufung", "Ökonomie als Werkzeug, nicht als Ziel"], draft: { tag: "In Vorbereitung", text: "Die Beiträge sind in Arbeit — die folgenden Vorschauen sind Platzhalter. Echte Texte folgen in Kürze." }, footer: { contactH: "Kontakt", intro: "Anfragen für Vorträge, Mandate oder Gespräche an ", topicsH: "Themen", topics: ["Spitalfinanzierung", "Integrierte Versorgung", "Healthcare Leadership", "Public Health"], formatH: "Format", formats: ["Essays", "Keynotes", "Panels & Workshops", "Publikationen"], elsewhereH: "Anderswo", elsewhere: ["LinkedIn ↗", "ResearchGate ↗", "Academia ↗", "Newsletter abonnieren"], legal: "Site v.2026.04 — Impressum · Datenschutz" } }, fr: { nav: ["Profil", "Philosophie", "Thèmes", "Articles", "Conférences", "Publications", "Contact"], heroMetaL: "Berne · Bienne", heroMetaC: "Vol. 12 — Édition printemps 2026", heroMetaR: "Dr phil. · Healthcare Management", heroTitle1: "La santé", heroTitle2: "est", heroTitleEm: "Stratégie", heroTitle3: "—", heroTitle4: "pas le", heroTitle5: "hasard.", heroLede: "Christoph Napierala pense le système de santé suisse à partir du résultat : intégré, abordable, proche des personnes qui ont besoin de soins.", heroRoles: ["Directeur Spitex Biel-Bienne Regio", "Sciana Health Leaders Network", "Chargé de cours · Université de Lucerne (CHPE)"], statsLabel: ["Ans de recherche sur les soins", "Organisations dirigées", "Publications & working papers", "Conférences & keynotes"], statsNum: ["18", "07", "24", "60"], aboutNum: "01 / Profil", aboutTitle: ["Repenser", "les soins."], aboutKicker: "À propos", aboutSidebar: "Économiste de la santé, praticien et bâtisseur de ponts entre financement hospitalier, soins ambulatoires et recherche.", aboutP1: "Christoph Napierala est gestionnaire de santé avec plus de quinze ans d'expérience à l'intersection du financement hospitalier, des soins intégrés et de la santé publique. Chercheur, il a accompagné l'introduction de SwissDRG et dirige aujourd'hui la Spitex Biel-Bienne Regio.", aboutP2: "Son travail allie la clarté économique à la conviction que de bons soins sont un artisanat local — portés par le personnel soignant, les médecins de famille et les familles, non par des tableaux.", cv: [ ["2024 –", "Directeur", "Direction du siège, env. 280 collaborateurs.", "SPITEX BIEL-BIENNE REGIO"], ["2022 – 24", "Strategy & Operations", "Programmes de groupe pour l'intégration des soins.", "SWISS MEDICAL NETWORK"], ["2019 – 22", "Direction projets / région", "Mise en place de modèles de soins ambulatoires en Suisse alémanique.", "MEDBASE"], ["2014 – 19", "Collaborateur scientifique", "Doctorat sur les effets DRG, compliance LOS, recherche sur les soins.", "UNI LUCERNE · CHPE"], ["2012 – 14", "Chef de projet Healthcare", "Visualisation stratégique de portefeuille pour hôpitaux universitaires.", "SIEMENS HEALTHCARE"]], philoNum: "02 / Philosophie", philoTitle: ["Ce qui me ", "porte."], philoSidebar: "Avant chaque modèle, chaque tableau, chaque tarif : quelques images qui orientent mon travail. Elles viennent des montagnes, de l'eau, du zen — et du quotidien de la Spitex.", philoLede: "Diriger, c'est tracer une trace. Dans la neige, on voit si elle tient.", philo: [ { img: "assets/talk-enso.webp", caption: "Enso — le cercle inachevé. En un seul trait, sans correction. Ce qui reste, c'est l'attitude.", tag: "Clarté" }, { img: "assets/talk-snow-pano.webp", caption: "Première trace dans la neige. Une décision qui façonne toutes les autres — et le chemin du retour reste visible.", tag: "Responsabilité" }, { img: "assets/talk-lake-reflection.webp", caption: "L'eau calme révèle ce qui se tient au-dessus d'elle. La réflexion n'est pas un luxe, mais un instrument de pilotage.", tag: "Réflexion" }, { img: "assets/talk-fruit.webp", caption: "Sa propre récolte. Ce qui est vraiment sain porte rarement une étiquette — et mûrit à son rythme.", tag: "Mesure" }, { img: "assets/talk-peak-golden.webp", caption: "Deux cordées sur l'arête. Le rythme ne se négocie pas par des mots, mais par la corde entre les deux.", tag: "Confiance" }, { img: "assets/talk-lake-sunrise.webp", caption: "Lac de Bienne, juste avant six heures. Les journées qui débutent ainsi supportent les réunions difficiles.", tag: "Rythme" }], expertiseNum: "03 / Thèmes", expertiseTitle: ["Ce dont j'écris", "et je parle."], expertiseSidebar: "Six champs thématiques dans lesquels je publie, conseille ou assume une responsabilité opérationnelle depuis des années.", expertise: [ ["Financement hospitalier & SwissDRG", "Effets, limites et prochaine génération du système de forfaits par cas."], ["Soins intégrés", "L'ambulatoire avant le stationnaire — et ce qui se trouve entre : Spitex, réseaux de médecins, réadaptation."], ["Pilotage stratégique de portefeuille", "Décisions fondées sur les données concernant l'offre de prestations hospitalières."], ["Healthcare Leadership", "Diriger des organisations où soins, médecine et administration sont à égalité."], ["Politique de santé publique", "La politique de santé entre efficience, solidarité et réalité fédérale."], ["Recherche sur les soins", "Mesure des résultats, compliance LOS, effets de week-end, indicateurs de qualité."]], blogNum: "04 / Articles", blogTitle: ["Notes sur le", "système."], blogSidebar: "Textes plus longs, commentaires et working papers — en allemand, parfois en anglais.", blogAll: "Voir tous les articles", posts: [ { tag: "Essai", read: "12 min", date: "14.04.2026", title: "Ce qui vient après le forfait par cas — financer les soins au-delà de SwissDRG.", excerpt: "Quatorze ans après l'introduction du système de forfaits par cas, la réalité a changé : ambulatoire avant stationnaire, maladies chroniques, pénurie de personnel. Une esquisse pour la prochaine génération.", art: "PostArt1" }, { tag: "Analyse", read: "8 min", date: "02.03.2026", title: "La Spitex, pièce centrale des soins intégrés.", excerpt: "Ce que les réseaux de médecins apprennent de la Spitex — et inversement.", art: "PostArt2" }, { tag: "Commentaire", read: "6 min", date: "21.01.2026", title: "Tarifs 2026 — une lecture honnête.", excerpt: "Ce qui pilote vraiment le paysage tarifaire, et ce qui n'est que symptôme.", art: "PostArt3" }], talksNum: "05 / Conférences", talksTitle: ["Conférences &", "présentations."], talksSidebar: "Une sélection d'interventions actuelles, à venir et passées — des keynotes aux présentations Prezi archivées. Pour des demandes de keynotes, panels et ateliers internes, merci de contacter directement.", talksAll: "Programme complet", talks: [ { d: "29", my: "avr. 2026", upcoming: false, title: "Healthcare Leadership & Governance — images d'une pratique de direction.", ctx: "Université de Lucerne · Executive MBA", venue: "Frohburgstrasse", city: "Lucerne, CH", format: "Conférence · 75 min", href: "leadership-talk.html", linkLabel: "Lire la conférence ↗" }, { d: "07", my: "sept. 2025", upcoming: false, title: "Structures du système de santé suisse — acteurs, tarifs, réformes.", ctx: "ZHAW · CAS Système de santé", venue: "Cours", city: "Männedorf, CH", format: "Séminaire · 2 jours", href: "gesundheitswesen-talk.html", linkLabel: "Lire la conférence ↗" }, { d: "27", my: "mars 2025", upcoming: false, title: "Planification hospitalière comparée — «Lessons Learnt» internationales pour le canton de Berne.", ctx: "GSOK · Canton de Berne", venue: "Comparaison hospitalière", city: "Berne, CH", format: "Exposé · 60 min", href: "spitalplanung-talk.html", linkLabel: "Lire la conférence ↗" }, { d: "18", my: "sept. 2014", upcoming: false, title: "Timing de l'intervention radiologique — effets économiques dans le système DRG.", ctx: "Congrès TRM · Pontresina", venue: "Centre de congrès Rondo", city: "Pontresina, CH", format: "Exposé · 30 min", href: "https://prezi.com/qebd_95dayus/mtra-kongress-pontresina-2014/?present=1", external: true, linkLabel: "Voir la Prezi ↗" }, { d: "06", my: "mai 2014", upcoming: false, title: "Health Innovation — quand les données façonnent le portefeuille de prestations.", ctx: "Siemens Healthcare · Innovation Forum", venue: "Siemens", city: "Erlangen, DE", format: "Présentation · 20 min", href: "https://prezi.com/5sqwltqsrmqv/siemens-health-innovation/?present=1", external: true, linkLabel: "Voir la Prezi ↗" }, { d: "21", my: "mars 2013", upcoming: false, title: "eHealth, entre promesse et quotidien des soins.", ctx: "Swiss eHealth Summit · Berne", venue: "BERNEXPO", city: "Berne, CH", format: "Exposé · 25 min", href: "https://prezi.com/misafrjm8zhc/swiss-ehealth-summit-bern/?present=1", external: true, linkLabel: "Voir la Prezi ↗" }], pubsNum: "06 / Écrits", pubsTitle: ["Sélection de", "publications."], pubsSidebar: "Articles évalués par les pairs, working papers et contributions économiques.", pubs: [ ["Is the timing of radiological intervention and treatment day associated with economic outcomes in DRG-financed health care systems", "BMC Health Services Research", "2017", "PEER-REVIEWED"], ["Why Compliance Length of Stay (LOS) is the Stronger Outcome Measure than Crude LOS in DRG Systems", "CHPE Working Paper Nr. 14", "2017", "WORKING PAPER"], ["Visualisation des portefeuilles de prestations comme base de la planification hospitalière stratégique", "HEALTHINF Conference", "2015", "PROCEEDINGS"], ["Weekends influencing Process and Economic Results in a Swiss University Hospital in the Era of SwissDRG", "CHPE Technical Report", "2014", "REPORT"], ["Efficience dans le système de santé — ce que l'introduction des DRG nous a appris", "Die Volkswirtschaft", "2017", "ESSAI"]], contactNum: "07 / Contact", contactTitle: ["Parlons-en", "ensemble."], contactSidebar: "Pour des conférences, des mandats de conseil, des demandes éditoriales ou un café à Berne.", footerTag: ["Les soins", "sont une ", "question", "d'attitude."], marqueeItems: ["Les soins avant le système", "Les données servent les personnes", "L'ambulatoire avant le stationnaire", "Soigner est un travail, pas une vocation", "L'économie comme outil, non comme but"], draft: { tag: "En préparation", text: "Les articles sont en cours de rédaction — les aperçus ci-dessous sont des espaces réservés. Les textes réels suivront prochainement." }, footer: { contactH: "Contact", intro: "Demandes de conférences, mandats ou entretiens à ", topicsH: "Thèmes", topics: ["Financement hospitalier", "Soins intégrés", "Healthcare Leadership", "Santé publique"], formatH: "Format", formats: ["Essais", "Keynotes", "Panels & ateliers", "Publications"], elsewhereH: "Ailleurs", elsewhere: ["LinkedIn ↗", "ResearchGate ↗", "Academia ↗", "S'abonner à la newsletter"], legal: "Site v.2026.04 — Mentions légales · Confidentialité" } }, en: { nav: ["Profile", "Philosophy", "Topics", "Articles", "Talks", "Publications", "Contact"], heroMetaL: "Bern · Biel/Bienne", heroMetaC: "Vol. 12 — Spring 2026 Edition", heroMetaR: "Dr phil. · Healthcare Management", heroTitle1: "Health is", heroTitle2: "a", heroTitleEm: "Strategy", heroTitle3: "—", heroTitle4: "not a", heroTitle5: "coincidence.", heroLede: "Christoph Napierala thinks about the Swiss healthcare system from the outcome: integrated, affordable, close to the people who need care.", heroRoles: ["Managing Director, Spitex Biel-Bienne Regio", "Sciana Health Leaders Network", "Lecturer · University of Lucerne (CHPE)"], statsLabel: ["Years of health services research", "Organisations led", "Publications & working papers", "Talks & keynotes"], statsNum: ["18", "07", "24", "60"], aboutNum: "01 / Profile", aboutTitle: ["Rethinking", "care."], aboutKicker: "About", aboutSidebar: "Health economist, practitioner and bridge-builder between hospital financing, outpatient care and research.", aboutP1: "Christoph Napierala is a healthcare manager with more than fifteen years of experience at the intersection of hospital financing, integrated care and public health. As a researcher he accompanied the introduction of SwissDRG and today leads Spitex Biel-Bienne Regio.", aboutP2: "His work combines economic clarity with the belief that good care is a local craft — carried by nurses, family doctors and families, not by spreadsheets.", cv: [ ["2024 –", "Managing Director", "Leading the head office, approx. 280 staff.", "SPITEX BIEL-BIENNE REGIO"], ["2022 – 24", "Strategy & Operations", "Group-wide programmes for care integration.", "SWISS MEDICAL NETWORK"], ["2019 – 22", "Head of Projects / Region", "Building outpatient care models in German-speaking Switzerland.", "MEDBASE"], ["2014 – 19", "Research Associate", "PhD on DRG effects, compliance LOS, health services research.", "UNI LUCERNE · CHPE"], ["2012 – 14", "Healthcare Project Lead", "Strategic portfolio visualisation for university hospitals.", "SIEMENS HEALTHCARE"]], philoNum: "02 / Philosophy", philoTitle: ["What carries ", "me."], philoSidebar: "Before every model, every spreadsheet, every tariff: a few images that orient my work. They come from mountains, from water, from Zen — and from everyday life at Spitex.", philoLede: "To lead is to lay a track. In the snow you see whether it holds.", philo: [ { img: "assets/talk-enso.webp", caption: "Enso — the unfinished circle. One stroke, no correction. What remains is attitude.", tag: "Clarity" }, { img: "assets/talk-snow-pano.webp", caption: "First track in the snow. A decision that shapes all the others — and the way back stays visible.", tag: "Responsibility" }, { img: "assets/talk-lake-reflection.webp", caption: "Still water shows what stands above it. Reflection is no luxury, but an instrument of steering.", tag: "Reflection" }, { img: "assets/talk-fruit.webp", caption: "Your own harvest. What is truly healthy rarely carries a label — and ripens in its own time.", tag: "Measure" }, { img: "assets/talk-peak-golden.webp", caption: "Two rope teams on the ridge. Pace is negotiated not in words, but through the rope between them.", tag: "Trust" }, { img: "assets/talk-lake-sunrise.webp", caption: "Lake Biel, just before six. Days that begin like this can bear difficult meetings.", tag: "Rhythm" }], expertiseNum: "03 / Topics", expertiseTitle: ["What I write", "and speak about."], expertiseSidebar: "Six thematic fields in which I have published, advised or held operational responsibility for years.", expertise: [ ["Hospital financing & SwissDRG", "Effects, limits and the next generation of the case-based payment system."], ["Integrated care", "Outpatient before inpatient — and what lies between: Spitex, GP networks, rehab."], ["Strategic portfolio steering", "Data-driven decisions about hospital service offerings."], ["Healthcare Leadership", "Leading organisations where nursing, medicine and administration meet as equals."], ["Public Health Policy", "Health policy between efficiency, solidarity and federal reality."], ["Health services research", "Outcome measurement, compliance LOS, weekend effects, quality indicators."]], blogNum: "04 / Articles", blogTitle: ["Notes on the", "system."], blogSidebar: "Longer texts, commentary and working papers — in German, occasionally in English.", blogAll: "View all articles", posts: [ { tag: "Essay", read: "12 min", date: "14.04.2026", title: "What comes after the case-based flat rate — financing care beyond SwissDRG.", excerpt: "Fourteen years after the introduction of the case-based system, reality has changed: outpatient before inpatient, chronic conditions, staff shortages. A sketch for the next generation.", art: "PostArt1" }, { tag: "Analysis", read: "8 min", date: "02.03.2026", title: "Spitex as a central piece of integrated care.", excerpt: "What GP networks learn from Spitex — and vice versa.", art: "PostArt2" }, { tag: "Commentary", read: "6 min", date: "21.01.2026", title: "Tariffs 2026 — an honest reading.", excerpt: "What really steers the tariff landscape, and what is merely a symptom.", art: "PostArt3" }], talksNum: "05 / Talks", talksTitle: ["Talks &", "presentations."], talksSidebar: "A selection of current, upcoming and past appearances — from keynotes to archived Prezi presentations. For keynote, panel and in-house workshop enquiries, please get in touch directly.", talksAll: "Full programme", talks: [ { d: "29", my: "Apr 2026", upcoming: false, title: "Healthcare Leadership & Governance — images of a leadership practice.", ctx: "University of Lucerne · Executive MBA", venue: "Frohburgstrasse", city: "Lucerne, CH", format: "Talk · 75 min", href: "leadership-talk.html", linkLabel: "Read the talk ↗" }, { d: "07", my: "Sep 2025", upcoming: false, title: "Structures of the Swiss healthcare system — actors, tariffs, reforms.", ctx: "ZHAW · CAS Healthcare", venue: "Lecture", city: "Männedorf, CH", format: "Seminar · 2 days", href: "gesundheitswesen-talk.html", linkLabel: "Read the talk ↗" }, { d: "27", my: "Mar 2025", upcoming: false, title: "Hospital planning compared — international «Lessons Learnt» for the Canton of Bern.", ctx: "GSOK · Canton of Bern", venue: "Hospital planning review", city: "Bern, CH", format: "Lecture · 60 min", href: "spitalplanung-talk.html", linkLabel: "Read the talk ↗" }, { d: "18", my: "Sep 2014", upcoming: false, title: "Timing of radiological intervention — economic effects in the DRG system.", ctx: "MTRA Congress · Pontresina", venue: "Rondo Congress Centre", city: "Pontresina, CH", format: "Talk · 30 min", href: "https://prezi.com/qebd_95dayus/mtra-kongress-pontresina-2014/?present=1", external: true, linkLabel: "View the Prezi ↗" }, { d: "06", my: "May 2014", upcoming: false, title: "Health Innovation — when data shapes the service portfolio.", ctx: "Siemens Healthcare · Innovation Forum", venue: "Siemens", city: "Erlangen, DE", format: "Presentation · 20 min", href: "https://prezi.com/5sqwltqsrmqv/siemens-health-innovation/?present=1", external: true, linkLabel: "View the Prezi ↗" }, { d: "21", my: "Mar 2013", upcoming: false, title: "eHealth between promise and everyday care.", ctx: "Swiss eHealth Summit · Bern", venue: "BERNEXPO", city: "Bern, CH", format: "Talk · 25 min", href: "https://prezi.com/misafrjm8zhc/swiss-ehealth-summit-bern/?present=1", external: true, linkLabel: "View the Prezi ↗" }], pubsNum: "06 / Writings", pubsTitle: ["Selected", "publications."], pubsSidebar: "Peer-reviewed articles, working papers and contributions in economics.", pubs: [ ["Is the timing of radiological intervention and treatment day associated with economic outcomes in DRG-financed health care systems", "BMC Health Services Research", "2017", "PEER-REVIEWED"], ["Why Compliance Length of Stay (LOS) is the Stronger Outcome Measure than Crude LOS in DRG Systems", "CHPE Working Paper No. 14", "2017", "WORKING PAPER"], ["Visualising service portfolios as a basis for strategic hospital planning", "HEALTHINF Conference", "2015", "PROCEEDINGS"], ["Weekends influencing Process and Economic Results in a Swiss University Hospital in the Era of SwissDRG", "CHPE Technical Report", "2014", "REPORT"], ["Efficiency in healthcare — what the introduction of DRGs taught us", "Die Volkswirtschaft", "2017", "ESSAY"]], contactNum: "07 / Contact", contactTitle: ["Let's talk", "about it."], contactSidebar: "For talks, advisory mandates, editorial enquiries or a coffee in Bern.", footerTag: ["Care", "is a ", "question of", "attitude."], marqueeItems: ["Care before system", "Data serves people", "Outpatient before inpatient", "Nursing is work, not a calling", "Economics as a tool, not a goal"], draft: { tag: "In preparation", text: "The articles are still being written — the previews below are placeholders. Real texts will follow soon." }, footer: { contactH: "Contact", intro: "Enquiries for talks, mandates or conversations to ", topicsH: "Topics", topics: ["Hospital financing", "Integrated care", "Healthcare Leadership", "Public Health"], formatH: "Format", formats: ["Essays", "Keynotes", "Panels & workshops", "Publications"], elsewhereH: "Elsewhere", elsewhere: ["LinkedIn ↗", "ResearchGate ↗", "Academia ↗", "Subscribe to newsletter"], legal: "Site v.2026.04 — Imprint · Privacy" } }, it: { nav: ["Profilo", "Filosofia", "Temi", "Articoli", "Conferenze", "Pubblicazioni", "Contatto"], heroMetaL: "Berna · Bienne", heroMetaC: "Vol. 12 — Edizione primavera 2026", heroMetaR: "Dr phil. · Healthcare Management", heroTitle1: "La salute", heroTitle2: "è", heroTitleEm: "Strategia", heroTitle3: "—", heroTitle4: "non un", heroTitle5: "caso.", heroLede: "Christoph Napierala pensa il sistema sanitario svizzero a partire dal risultato: integrato, sostenibile, vicino alle persone che hanno bisogno di cure.", heroRoles: ["Direttore Spitex Biel-Bienne Regio", "Sciana Health Leaders Network", "Docente · Università di Lucerna (CHPE)"], statsLabel: ["Anni di ricerca sui servizi sanitari", "Organizzazioni dirette", "Pubblicazioni & working paper", "Conferenze & keynote"], statsNum: ["18", "07", "24", "60"], aboutNum: "01 / Profilo", aboutTitle: ["Ripensare", "le cure."], aboutKicker: "Chi sono", aboutSidebar: "Economista sanitario, pratico e costruttore di ponti tra finanziamento ospedaliero, cure ambulatoriali e ricerca.", aboutP1: "Christoph Napierala è manager sanitario con oltre quindici anni di esperienza all'incrocio tra finanziamento ospedaliero, cure integrate e sanità pubblica. Come ricercatore ha accompagnato l'introduzione di SwissDRG e oggi dirige la Spitex Biel-Bienne Regio.", aboutP2: "Il suo lavoro unisce la chiarezza economica alla convinzione che le buone cure siano un artigianato locale — sostenuto da personale infermieristico, medici di famiglia e famiglie, non da tabelle.", cv: [ ["2024 –", "Direttore", "Direzione della sede, ca. 280 collaboratori.", "SPITEX BIEL-BIENNE REGIO"], ["2022 – 24", "Strategy & Operations", "Programmi di gruppo per l'integrazione delle cure.", "SWISS MEDICAL NETWORK"], ["2019 – 22", "Direzione progetti / regione", "Sviluppo di modelli di cure ambulatoriali nella Svizzera tedesca.", "MEDBASE"], ["2014 – 19", "Collaboratore scientifico", "Dottorato su effetti DRG, compliance LOS, ricerca sui servizi.", "UNI LUCERNA · CHPE"], ["2012 – 14", "Project manager Healthcare", "Visualizzazione strategica di portafoglio per ospedali universitari.", "SIEMENS HEALTHCARE"]], philoNum: "02 / Filosofia", philoTitle: ["Ciò che mi ", "sostiene."], philoSidebar: "Prima di ogni modello, ogni tabella, ogni tariffa: alcune immagini a cui si orienta il mio lavoro. Vengono dalle montagne, dall'acqua, dallo Zen — e dalla quotidianità della Spitex.", philoLede: "Guidare significa lasciare una traccia. Nella neve si vede se regge.", philo: [ { img: "assets/talk-enso.webp", caption: "Enso — il cerchio incompiuto. In un solo tratto, senza correzione. Ciò che resta è l'atteggiamento.", tag: "Chiarezza" }, { img: "assets/talk-snow-pano.webp", caption: "Prima traccia nella neve. Una decisione che forma tutte le altre — e la via del ritorno resta visibile.", tag: "Responsabilità" }, { img: "assets/talk-lake-reflection.webp", caption: "L'acqua calma mostra ciò che le sta sopra. La riflessione non è un lusso, ma uno strumento di governo.", tag: "Riflessione" }, { img: "assets/talk-fruit.webp", caption: "Il proprio raccolto. Ciò che è davvero sano raramente porta un'etichetta — e matura nei suoi tempi.", tag: "Misura" }, { img: "assets/talk-peak-golden.webp", caption: "Due cordate sulla cresta. Il ritmo non si negozia con le parole, ma con la corda nel mezzo.", tag: "Fiducia" }, { img: "assets/talk-lake-sunrise.webp", caption: "Lago di Bienne, poco prima delle sei. Le giornate che iniziano così reggono le riunioni difficili.", tag: "Ritmo" }], expertiseNum: "03 / Temi", expertiseTitle: ["Di cosa scrivo", "e parlo."], expertiseSidebar: "Sei campi tematici in cui pubblico, ho consigliato o ho responsabilità operativa da anni.", expertise: [ ["Finanziamento ospedaliero & SwissDRG", "Effetti, limiti e prossima generazione del sistema a forfait per caso."], ["Cure integrate", "L'ambulatoriale prima dello stazionario — e ciò che sta nel mezzo: Spitex, reti di medici, riabilitazione."], ["Governo strategico di portafoglio", "Decisioni basate sui dati sull'offerta di prestazioni ospedaliere."], ["Healthcare Leadership", "Guidare organizzazioni dove cure, medicina e amministrazione sono alla pari."], ["Politica di sanità pubblica", "La politica sanitaria tra efficienza, solidarietà e realtà federale."], ["Ricerca sui servizi sanitari", "Misurazione degli esiti, compliance LOS, effetti del fine settimana, indicatori di qualità."]], blogNum: "04 / Articoli", blogTitle: ["Note sul", "sistema."], blogSidebar: "Testi più lunghi, commenti e working paper — in tedesco, talvolta in inglese.", blogAll: "Vedi tutti gli articoli", posts: [ { tag: "Saggio", read: "12 min", date: "14.04.2026", title: "Cosa viene dopo il forfait per caso — finanziare le cure oltre SwissDRG.", excerpt: "Quattordici anni dopo l'introduzione del sistema a forfait per caso, la realtà è cambiata: ambulatoriale prima dello stazionario, malattie croniche, carenza di personale. Uno schizzo per la prossima generazione.", art: "PostArt1" }, { tag: "Analisi", read: "8 min", date: "02.03.2026", title: "La Spitex come elemento centrale delle cure integrate.", excerpt: "Cosa imparano le reti di medici dalla Spitex — e viceversa.", art: "PostArt2" }, { tag: "Commento", read: "6 min", date: "21.01.2026", title: "Tariffe 2026 — una lettura onesta.", excerpt: "Cosa governa davvero il panorama tariffario, e cosa è solo sintomo.", art: "PostArt3" }], talksNum: "05 / Conferenze", talksTitle: ["Conferenze &", "presentazioni."], talksSidebar: "Una selezione di interventi attuali, futuri e passati — dai keynote alle presentazioni Prezi archiviate. Per richieste di keynote, panel e workshop interni, si prega di contattare direttamente.", talksAll: "Programma completo", talks: [ { d: "29", my: "apr 2026", upcoming: false, title: "Healthcare Leadership & Governance — immagini di una pratica di direzione.", ctx: "Università di Lucerna · Executive MBA", venue: "Frohburgstrasse", city: "Lucerna, CH", format: "Conferenza · 75 min", href: "leadership-talk.html", linkLabel: "Leggi la conferenza ↗" }, { d: "07", my: "set 2025", upcoming: false, title: "Strutture del sistema sanitario svizzero — attori, tariffe, riforme.", ctx: "ZHAW · CAS Sanità", venue: "Lezione", city: "Männedorf, CH", format: "Seminario · 2 giorni", href: "gesundheitswesen-talk.html", linkLabel: "Leggi la conferenza ↗" }, { d: "27", my: "mar 2025", upcoming: false, title: "Pianificazione ospedaliera a confronto — «Lessons Learnt» internazionali per il Canton Berna.", ctx: "GSOK · Canton Berna", venue: "Confronto ospedaliero", city: "Berna, CH", format: "Relazione · 60 min", href: "spitalplanung-talk.html", linkLabel: "Leggi la conferenza ↗" }, { d: "18", my: "set 2014", upcoming: false, title: "Timing dell'intervento radiologico — effetti economici nel sistema DRG.", ctx: "Congresso TSRM · Pontresina", venue: "Centro congressi Rondo", city: "Pontresina, CH", format: "Relazione · 30 min", href: "https://prezi.com/qebd_95dayus/mtra-kongress-pontresina-2014/?present=1", external: true, linkLabel: "Vedi la Prezi ↗" }, { d: "06", my: "mag 2014", upcoming: false, title: "Health Innovation — quando i dati formano il portafoglio di prestazioni.", ctx: "Siemens Healthcare · Innovation Forum", venue: "Siemens", city: "Erlangen, DE", format: "Presentazione · 20 min", href: "https://prezi.com/5sqwltqsrmqv/siemens-health-innovation/?present=1", external: true, linkLabel: "Vedi la Prezi ↗" }, { d: "21", my: "mar 2013", upcoming: false, title: "eHealth tra promessa e quotidianità delle cure.", ctx: "Swiss eHealth Summit · Berna", venue: "BERNEXPO", city: "Berna, CH", format: "Relazione · 25 min", href: "https://prezi.com/misafrjm8zhc/swiss-ehealth-summit-bern/?present=1", external: true, linkLabel: "Vedi la Prezi ↗" }], pubsNum: "06 / Scritti", pubsTitle: ["Pubblicazioni", "selezionate."], pubsSidebar: "Articoli sottoposti a revisione paritaria, working paper e contributi economici.", pubs: [ ["Is the timing of radiological intervention and treatment day associated with economic outcomes in DRG-financed health care systems", "BMC Health Services Research", "2017", "PEER-REVIEWED"], ["Why Compliance Length of Stay (LOS) is the Stronger Outcome Measure than Crude LOS in DRG Systems", "CHPE Working Paper Nr. 14", "2017", "WORKING PAPER"], ["Visualizzazione dei portafogli di prestazioni come base per la pianificazione ospedaliera strategica", "HEALTHINF Conference", "2015", "PROCEEDINGS"], ["Weekends influencing Process and Economic Results in a Swiss University Hospital in the Era of SwissDRG", "CHPE Technical Report", "2014", "REPORT"], ["Efficienza nel sistema sanitario — cosa ci ha insegnato l'introduzione dei DRG", "Die Volkswirtschaft", "2017", "SAGGIO"]], contactNum: "07 / Contatto", contactTitle: ["Parliamone", "insieme."], contactSidebar: "Per conferenze, mandati di consulenza, richieste editoriali o un caffè a Berna.", footerTag: ["Le cure", "sono una ", "questione di", "atteggiamento."], marqueeItems: ["Le cure prima del sistema", "I dati servono le persone", "L'ambulatoriale prima dello stazionario", "Curare è lavoro, non vocazione", "L'economia come strumento, non come fine"], draft: { tag: "In preparazione", text: "Gli articoli sono in lavorazione — le anteprime qui sotto sono segnaposto. 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