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I.R.C.C.S. ISTITUTO ORTOPEDICO GALEAZZI

I.R.C.C.S. ISTITUTO ORTOPEDICO GALEAZZI. ELENA BOTTINELLI. Ceo of Istituto Ortopedico Galeazzi since 2005 Biomedical engineer Past experience in orthopaedics companies (Smith+Nephew, Zimmer) Working in Istitututo Ortopedico Galeazzi since 2000. ITALIAN HEALTHCARE SYSTEM.

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I.R.C.C.S. ISTITUTO ORTOPEDICO GALEAZZI

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  1. I.R.C.C.S. ISTITUTO ORTOPEDICO GALEAZZI

  2. ELENA BOTTINELLI Ceo of Istituto Ortopedico Galeazzi since 2005 Biomedical engineer Past experience in orthopaedics companies (Smith+Nephew, Zimmer) Working in Istitututo Ortopedico Galeazzi since 2000

  3. ITALIAN HEALTHCARE SYSTEM • “BEVERIDGE” • UNIVERSALITY AND SOLIDARITY • REGIONALISED • REGIONS ARE PAYERS AND RULERS • DRG SYSTEM (ICD9CM24: • LUM:primary:8.695 revision:8.789, • E.R:9.357 revision: 17.712, tuc:9.070) • LUMBARDY FREE CHOICE: • COMPETITION

  4. IRCCS ISTITUTO ORTOPEDICO GALEAZZI Founded in 1961, has been for years a clear choice for any kind of muskuloskeletal pathologies. In May 2000 the hospital has joined Gruppo Ospedaliero San Donato, the largest Italian private owned health group (760mil€, 6.600 hip and knee replacements). In 2006 it has become centre of research in muskuloskeletal pathologies for Italian Health Ministry (IRCCS).

  5. IRCCS ISTITUTO ORTOPEDICO GALEAZZI • 357 beds: • Musculoskeletal area: • 166 orthopaedic surgery • 15 neurosurgery • 128 rehabilitation • 5 rheumatology • 8 intensive care • Ancillary area: • 15 vascular surgery • 10 plastic and reconstructive surgery • 10 maxillofacial surgery 934 employees 242 MDs (80 ortho)

  6. IRCCS ISTITUTO ORTOPEDICO GALEAZZI Excellence in clinics: First orthopaedic institute in Lumbardy since 2000 Education:Teaching hospital (University of Milan) since 2002 and site of Bioengeneering practice Politecnico di Milano (Technical school) Research:IRCCS (research hospital of the italian health ministry) since april 2006

  7. 16.550 SSN HOSPITALIZATIONS in 2009 Foreign Countries 1% Others italian regions 28% Lumbardy 71% 12.024 ORTHOPAEDIC HOSPITALIZATIONS 11.021 SURGICAL (1942 hips and knees replacements 819 spine surgeries) 2.085 EMERGENCY HOSPIT.

  8. SUPPLIES - 11 operating theaters (9 ORTHO): 1 Digital O.R., 1 O.R. with OARM (intraop. CT scan), all with PACS technology • Radiology, Image analysis dept: 3 MRI, 1 dedicated MRI (20.000 ex), 1 CT scan, 1 angiography, 1 MOC, 5 traditional RX systems, 2 orthopantomographies and 5 ultrasound systems, PACS/RIS technology. - 3 rehabilitation rooms supplied with isokinetic instruments, lasertherapy, gait analysis and lokomat system (robot-assisted treadmill), shock wave. • Research laboratories of Molecolar genetic, Molecolar Biology, Immunoreumathology, Bioimages, Biological structure Mechanic, Gait Analysis, Prosthesis surgery, Cellular Colture, Prosthesic Ortopaedic Register of Lumbardy (ROLP),.

  9. ORTHOPAEDIC SURGERY: • Joint replacement unit • Sports medicine and arthroscopy surgery unit • Knee unit • Foot and ankle unit • Hip unit • Surgical arthritis unit • Hand and elbow unit • Shoulder unit • Spine and scoliosis unit • Pediatric orthopaedic surgery unit • Orthopaedic Trauma unit • Ortopaedic infection unit • Bone tumor unit

  10. ORTHOPAEDICS HOSPITALIZATION(ORDINARY )IN LUMBARDY – 2003-2008 Source: Data bank of Lumbardy, D.M. 23/12/96

  11. UNIVERSITY: • University teachings (medical school) • Orthopedic fellowships (15) • Stages • International and national meetings • Trainings • Professional education • On site cme programs RESEARCH (400 I.F.): • Statistics in orthopaedics and registry- • - 8 projects • Bioengineer and tissue engineer- 16 projects • Imaging- 23 projects • Orthopaedic surgery- 18 projects • Rehabilitation- 11 projects • Spine- 9 projects

  12. CHALLENGES: (PRIVATE OWNED HOSPITAL): • PROFIT • FOLLOW THE RULES OF THE REGION: • “accreditamento” (org/struct) • Growth limit for regional patients • drg • Inpatients/outpatients • Physician contracts • Use of beds • benchmarks (measure, compare) • Flexibility (organization, assets)

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