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Generating value with purchases and investments
After Covid-19, and in light of the PNRR, it seems evident that the requalification and strategic governance of healthcare purchasing and investment processes are an absolute priority and decisive factor to generate change, innovation, and value in the National Health Service (NHS). This requires new skills and a new approach, in both the public and private sectors, for the development of collaborative ...
Digitalization: Certainties and Opportunities
In light of the experiences initiated in the field in the last two years, we can understand the need and mandate for all Italian regions to adopt the digital tools necessary to safely innovate healthcare services. In addition to the development of an interoperable technological infrastructure, there are three priority areas for intervention: evidence based management in support of digital, the development ...
Innovation Wanted for Seniors
Services for the elderly have a tradition of low managerialization and innovation, due in part to their hybrid nature as social and health services, and in part to the profile of the managing entities, that are typically small, non-profit, and strongly tied to conventions with public welfare. The Covid-19 pandemic has however imposed a rethinking in terms of innovation, in three directions: people ...
The Contribution of Private Operators
From the conversion of entire departments or facilities into intensive or semi-intensive care units to making personnel available, from an intensive activity of procurement to the activation of various telemedicine services, in the past two years private operators have provided a precious contribution, in organizational-managerial terms, for the management of the pandemic emergency. However, some ...
The Impact of the PNRR on Care
The experience of the pandemic has forced Italian healthcare facilities to make use of managerial solutions already used on specific targets of the population, including Covid-19 patients. This was a managerial experiment on large numbers that marked their definitive entry into operation and that contributed to the redesign of some care pathways. The PNRR funds will allow for increasing the density ...
General Directors Face the Crisis
The ability of general directors of public health companies (“ASP”) to respond to crises depends on managerial practices aimed at effectively responding to the conditions of turbulence through timely decisions, clearly and directly communicating the reasons for those interventions. Proper management of a crisis can help identify the lines of evolution able to enrich and make the leadership of ...
The Four Eras of the SSN in Two Years
The growth of emergency appropriations and the high flexibility of hospital production lines are the result of the hurried transformation of the Italian National Health Service in the two years of the pandemic. The return to normal requires capitalizing on this experience, especially in light of the construction of the portfolio of projects that can be funded with the PNRR. At the management level, ...
Destination Value in Healthcare
In recent months, thanks to the goals indicated in the PNRR, a process of irreversible change has begun in our country, that will increasingly lead health companies to measure themselves with clear and defined goals (clinical functional, and patient experience outcomes), that are also related to costs sustained at the patient level. The change will not only affect the destination of healthcare services ...
The Great Challenge of Personnel
The response to the pandemic emergency by health companies represented a great organizational effort that brought into focus certain dysfunctions of the system and shed light on possible solutions for the future. Learning the lessons from this period means reconsidering certain organizational and managerial aspects, and in particular: the development and enhancement of new roles and skills; greater ...
Check-up on Healthcare
This dossier provides an overview of the principal current and future challenges for the healthcare sector, that is of extraordinary importance and characterized by a dense network of interconnections with our country’s economic and social system.