Lombardy Health System

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OSPEDALE NIGUARDA
Grande Ospedale
Metropolitano Niguarda
General Hospital and
Care Centers
Beijing 28 Jan 2016
Signature of a memorandum of understanding between
the Italian Minister of Health
and the Chinese Minister of Health
“The Italian model is an example of quality:
doctors and managers will go to study in Italy”
Li Bin
Milano 17 th January 2017
… Welcome!
Lombardy Health System
The Lombardy Health System
is well known for its high standards and
efficiency
There are over 200 private and public
accredited hospitals and 18 research
hospitals (IRCCS). The majority of
hospitals are run by the Lombardy Health
Service, while about 22.4% of beds are
located in private hospitals, either profit
or not-for-profit.
Hospitals, in order to receive public funding
from the National Health System, are
required to comply with high structural,
technological and organizational standards
established by the Lombardy Region.
INHS: financing system
HEALTH SYSTEM IN LOMBARDY
Regionally-based
National Health System
Ex post funding
•
•
•
Mixed public/private
Freedom of choice
Separation providers/purchasers
REGION
DG Welfare
Regional financing
(capitation)
8 ATS
Agency for Health
and Social Care
Planning
Contractual agreements
27 public ASST
Hospital Trusts and
Social Care
6.500 GPs
(27% in group practice)
Remuneration
(from Fee for Service to
Global Tariff)
Contractual agreements
Private Accredited
Hospitals
Regional Reform Act 2015
Focus on chronic conditions
About us
Niguarda is a general hospital
offering all clinical specialities for
adults and children.
It integrates at 360° care
competences and technology from
diagnosis to rehabilitation to offer
the best quality of care.
Niguarda is a referral hospital for
Milan, where is located, Lombardy
region and Italy.
NIGUARDA'S DATA
1213
BEDS
ORDINARY
(Sept. 2015)
4116
TOTAL EMPLOYEES
1138
712
DAY HOSPITAL &
DAY SURGERY
MEDICAL OFFICERS
75
39
BABY CRIBS
NEONATAL PATHOLOGY
BABY CRIBS
INTENSIVE CARE
BABY CRIBS
OPERATING ROOMS
AMBULATORY ROOMS
30
20
8
42
340
1967
CLINICAL UNIT
DIRECTORS
NURSING STAFF
Economical and financial performances*
*(prediction budget 2015, Euro/000)
179.849
OUTPATIENTS
SERVICE
55.289
PRIVATE INCOME
12.525
OTHER HEALTH
SERVICES
23.399
HIGH COST
DRUGS
38.301
OTHER REVENUES
210.074
ADMISSIONS
TOTAL REVENUES
519.437
Economical and financial performances*
*(prediction budget 2015, Euros/000)
HR COSTS
(more than 4.100 emplyees)
GOOD AND
SERVICES
OTHER COSTS
230.371
227.164
61.902
TOTAL COSTS
519.437
Evolution of a leading
italian general hospital
The hospital was inaugurated on
October 3, 1939, but its history
could be: "respect of tradition in
continuous evolution”.
The New Niguarda Project started in
2007 and finished at the beginning
2014. The daily activity never stopped.
New Hospital structure has been organized
according to Intensity Model organization
Map
today
New Niguarda
Intensity care model
is centred on patients’ needs
According to intensity care model
the new hospital structure is
designed on the needs of the patient
and the entire care process is
provided within a single block:
• Emergency-Urgency block
• High Intensity block
• Medium Intensity block
DEA
Block:
Emergency
Urgency
Nord
Block:
Medium
intensity
Sud
Block:
High
intensity
Departments
• Cardio Vascular
• Multi specialist Surgery
• Hematology-Oncology
• EAR
• Mother and child
• Laboratory medicine
• Multispecialist medicine
• Neuroscience
• Mental health
• Advanced Diagnostic-Therapeutic
technologies
Highlights
• Head quarter of the 118 Emergency
• Mobile Unit for Maxi Emergency
• Helicopter service
• Burned Care Unit
• Tissue Bank
Highlights
• Stroke Unit
• Trauma Team
• Anti-Poisoning Center
• Rare Desease Center
• Equestrian Rehabilitation Center
• Unipolar Spinal Unit
Multidisciplinary
care centers
Multidisciplinaries teams
work in sinergy
from diagnosis
to rehabilitation:
• Cancer Center
• Cardio Center
• Transplant Center
• Trauma Center
Clinical areas
Emergency- Uregency area
We hosts patients from all the whole metropolitan area of Milan with about
91.896 ER admissions/year.
Neuroscience area
The aim of thi area is to coordinate specialist competence and the most
up-to-date technologies to guarantee a diagnostic and therapeutic
excellence path for therapy of nervous system pathologies.
Clinical areas
Diagnostic area
Our laboratories guarantee a wide range of diagnostic services as
effective support to clinical activity thanks to highly specialized and
authomatic technologies.
Oncologic area
A multidisciplinary team threats all type of tumors with the highest
standards of innovative diagnostic and chirurgical technologies, (robotic
surgery, mininvasive approach, magnetic resonance guided focused
ultrasound surgery…) personalized chemiotherapy based on targeted
individual molecular basis.
Clinical areas
Transplant area
Niguarda is the only hospital that has performed all types of
transplants. The Skin Bank is a laboratory specialized in enginereed
skin and cartilage for reconstructive operations.
Cardiothoracic & vascula area
Provides all medical interventional and surgical options for patients with
any kind of disease at any age.
Niguarda is national referral Center for heart transplantation and assist
device for advanced heart failure, complex arrhythmias, acute and
chronic coronary artery disease.
Clinical areas
General Surgery area
Niguarda is a national and international reference point for general
surgery treated with a minimal invasive approach and with robotic
surgery.
Specialist Medicine area
Niguarda offers the widest set of high complexity services of general
and specialist medicine. It is the headquarter for many Regional and
National reference Centers.
Clinical areas
Mother and Child
area
This area includes a
full phase assistance,
from the wish of
procreation to delivery.
The child treatment is
assured for every type
of pathology, even the
rare ones.
Clinical areas
FOCUSED ULTRASOUND
ROBOTIC SURGERY
LINEAR ACCELERATOR
GAMMA KNIFE
DIGESTIVE ENDOSCOPY
Advanced technologies
Advanced MRI, PET, interventional radiology, linear accelerators,
robotic surgery, hybrid OR, gamma knife, focused ultrasound:
the constant updating of the technological park is driven by the
development of professional skills of high profile.
Da Vinci
Surgical System
The Da Vinci System features a
magnified 3D high-definition
vision system and tiny wristed
instruments that bend and rotate
far greater than the human wrist.
As a result, surgeon operate with
enhanced vision, precision,
dexterity and control. We use
Da Vinci in urology, cancer and
general surgery treatments.
Hybrid OR
A hybrid OR is a huge room
with radiological equipments, it
permits to carry out both
traditional
and
radiologic
guided operational activity.
The hybrid OR allows
interventions invasively
reduced.
Gamma knife Surgery
It is a non-invasive method for
treating brain disorders.
It is the delivery of a single high
dose of irradiation to a small
and critically located
intra-cranial volume through
the intact skull.
It performs extreme accuracy,
efficiency and outstanding
therapeutic response.
Research and
knowledge sharing
The presence of professional
skills, technological
competences, certified
laboratories and high
complexity patient cohorts,
make Niguarda at the forefront
of research for trials testing new
therapies supported by
international cooperation
activities.
International teaching
centers
High professional
competences, high tech and
teaching accreditation, make
Niguarda Hospital a strong
centre of attraction for
professional figures which want
to bring themselves up to date
on new technologies,
diagnostic and therapeutic
procedures to gain an excellent
operative methodology and
new skills.
International teaching centers
• AIMS Academy is the first multidisciplinary structure in Italy dedicated
to research and training in minimally invasive advanced surgery, third
pole of an European network with Strasbourg and Guildford. The
program includes demonstrations of laparoscopic surgery, theory
sessions and practice sessions made of simulations in the wet lab.
• Ecocardiografy center is accredited by European Association of
Cardiovascular Imaging . An Ecolab is fully equipped for training.
• Aortic prostheses implantation is an European training school
adopting the advanced system of the hybrid room that performs
delicate surgeries in an accurate and minimally invasive way.
International health
cooperation
•Twinnings among international
hospitals scheduled by international
cooperation programs.
•Training stages included in
international institutions agreements.
•International cases of health
emergencies Niguarda plays an active
role as Italian hospital.
•Niguarda hosts patients from other
countries affected by pathologies that
are incurable in their own countries.
A modern hospital
Relativs have access to:
• Hotels at special price
• Coffee shops
• Self-service restaurants
• Cash points
• Shopping centers
• Internal paying parking
A modern hospital
More than 40 front offices for
booking and check in: the
modern “centralized” system for
managing the customers flow,
drives the patient from the
access to the hospital and it
conducts him, through the front
office activities, to the call in the
outpatient where the doctor is
waiting.
A modern hospital
Patients have access to:
• Single-double beds rooms
withprivate bathroom
• Foreign patients’ office
• Free service of language
assistance
• Vegetarian menu on demand
THANK YOU
Communication & Public Relations Office
[email protected]
www.ospedaleniguarda.it
http://www.ospedaleniguarda.it/CHI/
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