REGIONE LOMBARDIA. Regional Healthcare Ministry. Dr. Luciano A. Bresciani. 24/10/2011 Dott. Luciano A. Bresciani 1
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1 REGIONE LOMBARDIA Regional Healthcare Ministry Dr. Luciano A. Bresciani 24/10/2011 Dott. Luciano A. Bresciani 1
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4 System Development High Technology development ICT; e-health Regional Agency for Emergency Participation of Stakeholders to Programming and Development Phases Health Care Network Development In Vertical and Horizontal Subsidiarity Continuous Improvement of the Quality System 24/10/2011 Dott. Luciano A. Bresciani 4
5 System Development Health Care Network Development in Vertical and Horizontal Subsidiarity Continuous Improvement of the Quality System 24/10/2011 Dott. Luciano A. Bresciani 5
6 Hospital 3 Hospital level of complexity Poliambulatory 1-2 level of complexity Rpa Subacute Hospital GP+Ped Family Home Assistance Home Care H 24 Cronic Patient Social Health Voucher 24/10/2011 Dott. Luciano A. Bresciani 6
7 Rpa Subacute Patients Acute Patients Cronic Patients 24/10/2011 Dott. Luciano A. Bresciani 7
8 1 Level 2 Level 3 Level TERITORIAL FUNCTIONS GP & paediatricians Doctors Associations Poliambulatory Hospitals network for acute care Day Hospital Day Surgery Home Care Structures Social rehabilitation Community Cronic H, Hospice, Post acute rehabilitation ACTORS GP, Paediatricians,GP s Associations, Territorial Specialists, Hospital Specialists, Accredited Private Structures, Third Sector, Voluntary Associations. 24/10/2011 Dott. Luciano A. Bresciani 8
9 HOME CARE Continuity of Care 100% Status of care Shelters Home Care Physician Quality of Life RESIDENTIAL CARE Day Hospital Specialized Hospitals Ambulatory care Hospitals ACUTE CARE UCI 0% $1 $10 $100 $1,000 $10,000 Daily cost of treatments 24/10/2011 Dott. Luciano A. Bresciani 9
10 System Development High Technology development ICT; e-health Continuous Improvement of the Quality System 24/10/2011 Dott. Luciano A. Bresciani 10
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13 Key features: inhabitants healthcare professionals GPs e Pediatricians Pharmacies 15 Provincial Health Units 100 Health Districts 212 Hospitals 17 I.R.C.C.S. (Healthcare, Research and Hospitalization Institutes) 745 Ambulatories 138 Laboratories including radiology 770 Shelters for elders and disable employees Activities per years: Lombardia Health care System 160 millions ambulatory treatments, 2,42 millions hospitalization, 70 millions pharmaceutical prescriptions Over 10% of treatments provided to non-regional citizens, with spikes up to 50% in highly specialized treatments (above all in oncology)
14 Regional Alliances 24/10/2011 Dott. Luciano A. Bresciani 14
15 Lombardia University System Key features: 14 Macro areas of research. 119 Areas of research products of research. For the objectives of the Regional Healthcare Research System: 6 Faculties of Medicine operating in synergy in research process. Each faculty is leading specific two macro areas. Non-medicine technological faculties cooperate with Medicine faculties for achieving objectives planned by the Regional System.
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17 Regional Alliances 24/10/2011 Dott. Luciano A. Bresciani 17
18 Finlombarda S.p.A. is a society public capital hold 100% by Regione Lombardia Provides economical financial support and assistance to regional policies of development and competitiveness through initiatives and instruments of management, elaboration of comparative representation of managment performances and data analysis to support regional planning Objectives: Finlombarda S.p.A. Finlombarda provided a great contribution to reach top performance ratings for social and healthcare system in Lombardy. In particular realize and consolidated: Development and promotion of project finance and co-operation between public and private structures. Control and razionalization of healthcare expenses. Management models that significantly lowered payments delay of private suppliers. Creation of economical financial platforms for healthcare to improve territorial economies. Exchange, transfer and implementation of management models and methods for the social and healthcare system as well as scientific and technological excellence in Lombardy. Realization of management content for international integration purpose.
19 Regional Alliances 24/10/2011 Dott. Luciano A. Bresciani 19
20 Lombard Healthcare System Finlombarda S.p.A. Top quality management system Regional Top quality financial activities and analysis Top quality research platforms Platform for Technology Innovative project and production strategies Development Lombard University System Industry
21 Industry Industry Regional Network for Regional Platform for Technology Development Technological Development Industry Industry Financial Network University Network Healthcare Network
22 Regional Healthcare Platform for Technological Development, 42 research projects approved by the Regional Ministry of Health, presented by industries and funded with risk capital, of which 39 are currently running. 24/10/2011 Dott. Luciano A. Bresciani 22
23 EXPANDING THE ALLIANCES
24 Lombardia Interregional Regional Platform Platform for Veneto Friuli Technology Development Trentino Emilia Romagna
25 PRST PRST PRST Interregional Network for Technological Development PRST PRST
26 The Platform involves: 21 Mil. Citizens; Mil. Euro Healthcare expenditure; Mil Euro investment in research and development, 1,1 of GDP 24/10/2011 Dott. Luciano A. Bresciani 26
27 THE NETWORK Italy: Lombardia Veneto Friuli Trentino Emilia Roagna EXTENDS European Spain: Andalusia Catalogna Pais Vasco Valencia Macroarea for France: Alsace Rhone Alpes Technology Germany: Baden Wuttemberg Development Israele Switzerland Republic Cantone Ticino European Network for Technology Development
28 The Platform involves: 60 Mil. Citizens; Mil. Euro Healthcare expenditure; Mil Euro investment in research and development, 2,05 of GDP 6 research projects NETCARDS; REMINE; VPH2; epsos; STORK; ALIAS; 24/10/2011 Dott. Luciano A. Bresciani 28
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33 Rete Ematologica 6 Organizzazione Ospedaliera 4 Farmaco 3 Telemedicina 2 Assistenza Domiciliare 2 Terapie Cellulari 2 Diagnostica Laboratorio 1 Ricerca Clinica 1 Risk Management 1 Prevenzione 1 24/10/2011 Dott. Luciano A. Bresciani 33
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