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INCO-HEALTH Partners
Region of Lombardy www.sanita.regione.lombardia.it Contact: Regione Lombardia is the fourth largest region in Italy, with an extension of 23.860 square kilometres. With 9.065.440 inhabitants (15,72% of the national population), Lombardia is Italy’s most populated region. It is subdivided into 11 provinces and 1.546 municipalities. Regional economy represent about 1/5 of the whole Italian GDP (229 billion euro in 2000) amounting to 20,7% of the national one. The 15% of the Italian enterprises are located in Lombardia amounting to 740.000 units. Import represents about 96 billion euro (2000) with an export share of 73 billion euro, equal to 30% of the national quota. With respect to the national context, the Region is the most advanced in terms research, innovation and ICT having a relevant number of universities and research centres. As government authority the Region has stated its own main strategic objectives for the period 2000-2005 in the Regional Growth Programme, which is based on four thematic areas of commitment: institutional, social-economic and cultural growth, services to individuals and territorial. The area interested in the proposal is the Directorate General for Healthcare which deals within the thematic area of services to individuals and is articulated in Organizational Units and Departments which objectives are:
The main Organizational Units of Directorate General for Healthcare are developing their activity in the following thematic sub-areas:
The Lombardia Regional Government, in these last years, has introduced a
new organizational model for the healthcare service, based on the
acknowledgement of the freedom to choose between public and private
facilities. In addition, a distinction has been made between those that
co-ordinate and manage the “demand”, namely the local healthcare centres
that buy-in the services on behalf of the citizens, and those that
ensure the “solutions”, namely the accredited public and private
facilities. Furthermore, the new regional social-health plan foresees an
experiment to transform a number of public hospitals into foundations.
The health reform, promoted by Lombardia Region with the law n° 31/1997,
is directed to recognize a distinction between organisation which
provide health services (public or private hospitals) and organisation
responsible for purchasing health services. Healthcare territorial
services are delivered through a network of 15 Local Healthcare
Authorities (ASLs) and about 8.280 GPs. Considering the HealthCare
provision (which in Italy is fully delegated to Regions within the
framework of nationally agreed “minimum service levels”), Lombardia has
in place an infrastructure composed of 120 public hospitals with a total
of 47.981 (2002) beds with an average stay of about 8,4 days (in 2003).
The private sector has 84 hospitals, unevenly distributed across the
Region with a higher density in the Milan and Brescia provinces. The
global budget for healthcare is about 11.850 million Euro and represents
more than 60% of the global regional budget. The CRS-SISS project In January 1997 the Regional Government of Lombardia started a large project to design and realize a new Health Information System for the regional Public Administration to improve the level of services provided and to manage, better, the Regional expenditure. This project named “Cards for Regional Services - HealthCare Information System” (or, in Italian, Carta Regionale dei Servizi - Sistema Informativo Socio Sanitario referenced as S.I.S.S. here after) aims to obtain a modular open system able to grow with the needs of regional Public Administration with a first application to the Health Care environment. The first application of the project has been focused on Healthcare environment and, from the beginning, an analysis of the processes of Health Care has been started and the final users (regional administrators, professionals, citizens, etc.) has been involved. The project is based on the implementation of a Virtual Private Network able to support all the communications among the different actors, through the use of a “public network”. This network is actually covering a wide geographical area corresponding to a part of the region. The network provides a broad range of services aiming to connect different levels of care between themselves and with the citizens SISS is a part of a broader project of the Regione Lombardia, the “Service Regional Card” which will be the only way of access to the electronic services provided by the Region and by the Lombardia local Public Administration. The aim of the project is the development of info-telematics system highly innovative, based on a communication and co-operation advanced infrastructure, for the use of HC professionals to optimise and enhance their performance and thus the services to citizens. |
