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Bienvenue au

Bienvenue au. Colloque co-organisé par. en partenariat avec. Introduction Thierry PHILIP Vice-président du Conseil régional Rhône-Alpes délégué à la santé et au sport. Introduction Luciano BRESCIANI Assesseur à la santé, Région Lombardie. REGIONE LOMBARDIA. Regional Healthcare Ministry.

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Bienvenue au

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  1. Bienvenue au Colloque co-organisé par en partenariat avec

  2. IntroductionThierry PHILIPVice-président du Conseil régional Rhône-Alpes délégué à la santé et au sport

  3. IntroductionLuciano BRESCIANIAssesseur à la santé,Région Lombardie

  4. REGIONE LOMBARDIA Regional Healthcare Ministry Dr. Luciano A. Bresciani 20/09/2014 Dott. Luciano A. Bresciani 4

  5. where are we ? PSSR 2007 - 2009 20/09/2014 Dott. Luciano A. Bresciani 5

  6. The Regional Healthcare System • 9.500.000 inhabitants • 75.000 healthcare professionals • 8.150 GPs e Pediatricians • 2.500 Pharmacies • 15 Provincial Health Units • 100 Health Districts • 17 I.R.C.C.S. (Healthcare, Research and Hospitalization Institutes) • 212 Hospitals • 745 Ambulatories • 138 Laboratories including radiology • 770 Shelters for elders and disable • 160.000 employees 20/09/2014 Dott. Luciano A. Bresciani 6

  7. The Regional Healthcare System • 160 millions ambulatory treatments, • 2.5 millions hospitalization, • 62 millions pharmaceutical prescriptions • more than 10% of treatments provided to non-regional citizens, with spikes up to 50% in highly specialized treatments (above all in oncology) 20/09/2014 Dott. Luciano A. Bresciani 7

  8. The Regional Healthcare System Life and working healthcare environments Active Mobility Hospital healthcare District healthcare 20/09/2014 Dott. Luciano A. Bresciani 8

  9. Comparison National vs. Regional Indices Case-mix Index per average hospitalization period Average cost per hospitalizationYearly per capita expenditure Source: Ministero della salute, 2005. 20/09/2014 Dott. Luciano A. Bresciani 9

  10. where are we going ? PSSR 2007 - 2009 20/09/2014 Dott. Luciano A. Bresciani 10

  11. two strategic pathways 20/09/2014 Dott. Luciano A. Bresciani 11

  12. 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 20/09/2014 Dott. Luciano A. Bresciani 12

  13. System Development Health Care Network Development in Vertical and Horizontal Subsidiarity Continuous Improvement of the Quality System 20/09/2014 Dott. Luciano A. Bresciani 13

  14. Prevalence of Health Care Hospital 3° care level Hospitals Outpatient Dep Rpa RSA Territorial Structure 1°-2° care level CAT Territorial Assistance Centres Home Care H 24 Home Assistance Social Health Voucher GP+PDT Family Socio-Healthcare prevalence 20/09/2014 Dott. Luciano A. Bresciani 14

  15. The University Regional System 20/09/2014 Dott. Luciano A. Bresciani 15

  16. The Lombard University System 14 Macro areas of research 117 Areas Of research 1364 products of research 20/09/2014 Dott. Luciano A. Bresciani 16

  17. 2 3 4 5 1 7 8 9 10 11 13 14 15 16 12 26 27 17 6 31 28 29 30 32 20 21 23 36 34 35 24 25 19 22 33 18 The Lombard University System 20/09/2014 Dott. Luciano A. Bresciani 17

  18. The Regional Healthcare and University Regional Systems allied are qualified to create researches and new technology andvalidate the applications. 20/09/2014 Dott. Luciano A. Bresciani 18

  19. System Development High Technology development ICT; e-health Continuous Improvement of the Quality System 20/09/2014 Dott. Luciano A. Bresciani 19

  20. Development of High Technology: ICT; e-health The interaction between industry and public and private research funded with risk-capital must be enhanced and developed in the frame of the regional healthcare technology platform for targeting the development of products for public utility, and of processes and services with social and economic high added value. 20/09/2014 Dott. Luciano A. Bresciani 20

  21. Development of High Technology: ICT; e-health With such a synergy, industry will be part of the regional healthcare system and will be able to propose technology development plan also exploiting licenses and patents and the related marketing: In this scenario SMEs will reinforce their position. The regional healthcare system is committed to actively take part to the technological development through its platform in order to achieve public utility. 20/09/2014 Dott. Luciano A. Bresciani 21

  22. The Regional Healthcare System is qualified by the effort to create prosperity and well-being, not only provision of treatments and funding of providers. The Regional Healthcare Fund gives added-value 20/09/2014 Dott. Luciano A. Bresciani 22

  23. Exploding the alliances 20/09/2014 Dott. Luciano A. Bresciani 23

  24. European MacroArea For Technological Development 20/09/2014 Dott. Luciano A. Bresciani 24

  25. European MacroArea For Technological Development 20/09/2014 Dott. Luciano A. Bresciani 25

  26. MacroArea For Technological Transfer 20/09/2014 Dott. Luciano A. Bresciani 26

  27. Budget Main objectives can be listed as following: • Stabilization of payment time; • Payment policies homogenous at Regional level; • Monitoring of the expenditures by Provincial Health Units; • Monitoring of the costs for passive interests; • Rationalization of the financial flow of the Regional system. Finlombarda 20/09/2014 Dott. Luciano A. Bresciani 27

  28. ? An Healthcare System which is not only “expenditure”, but also a tool for well-being and development, technology products and prosperity of the community ? 20/09/2014 Dott. Luciano A. Bresciani 28

  29. Thank you 20/09/2014 Dott. Luciano A. Bresciani 29

  30. IntroductionDr Jean DERRIENPrésident de l’Union Régionale des Médecins Libéraux Rhône-Alpes(URMLRA)

  31. IntroductionPr Michel AMIELPrésident d’ASTRH@

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