The DITA is a strategic project of finalized research, predisposed by the Puglia Region, with the support of ISBEM as an operating unit. It has been introduced within the special programmes former art. 12, paragraph 2, Legislative Decree 502/92 of the Health Ministry.

LEGAL RESPONSIBLE:     Dr.ssa Silvia Papini

SCIENTIFIC RESPONSIBLE:     Prof. Luigi Donato

The purpose is that to implement - in the Inter-company context of a local health unit and of an hospital of the Puglia Region - the process of transfer, diffusion and validation of the SPERIGEST system, and to design, to institute and to experiment an Inter-company Technological Assistance Department (DITA), by validating its processes and activities.

The objective of the Puglia Region in the new Functional Economic Model is the progressive constitution of a network organization of the healthcare assistance, intended as organic and unitary, and tending towards increasing levels of integration and of functional complementariness. Thus, the Region is carrying out a functional re-aggregation policy, aiming at designing, developing and experimenting Inter-company Departments, on a provincial base, so as to favour the contraction of the structural diseconomies. The verification of feasibility in a cross-sectional field can represent a valid instrument in order to support the expansion to the other Health Units of the Puglia Region.

The National Sanitary Plan 1998-2000 - in its Chapter on " Research, experimentation and development " lists the priority fields on which to invest, with particular reference to the following areas of development:

• analysis and assessment of the information needs of customers and of effective communication models;

• analysis and economic evaluation of the healthcare interventions;

• study and experimentation of clinical and organizational guidelines and relative impact assessment;

• economic analysis of the productive fields operating within the healthcare system;

• evaluation of the economic and organizational impact of  healthcare technologies;

• development and experimentation of new organizational and managerial models.

The present proposal touches the six areas above mentioned because the constitution of an Inter-company Technological Assistance Department (DITA), between the Local Health Unit BR.1 and the Hospital Di Summa, together with the introduction of the SPERIGEST model in the management of the Cardiological Assistance, constitute an Organizational tool, wanted by the Puglia Region, and oriented towards the " progressive arrangement of the missions of the Hospitals and of the Local Health Units according to principles of integration and complementariness ".

The DITA project will use the SPERIGEST modules already present, or transferred as a consequence of this project. This will allow to recreate the actual cost-patient for each hospitalisation and/or for each healthcare performance, starting from the data of the cost centres, from the activities of the Functional “Isles” and from the computerised clinical file, in order to compare it to the remuneration system for each DRG and/or with the regional rating system of the ambulatory performances. This will allow to characterize the assistance demand for the evaluation of the indices of standard functionality of both structures and equipment, in order to identify and to monitor the specific DRG and in order to devise performance indicators.

• TO DEFINE A METHODOLOGY FOR THE TRANSFER OF THE SPERIGEST PROJECT, THAT TAKES INTO ACCOUNT THE PERFORMANCE MODALITIES IN THE TWO HEALTH UNITS AND THE RELATIVE QUALITY HANDBOOK;

• TO IDENTIFY, BOTH IN THE HEALTH UNIT BR.1 AND IN THE HOSPITAL DI SUMMA, THE FUNCTIONAL UNITS TARGET OF THE VALIDATION, AND TO DESIGN AND DEVELOP A PROPER PROGRAM OF QUALIFICATION AND OF PROFESSIONAL TRAINING, SO AS TO SUPPORT A NEW ORGANIZATIONAL MODEL;

• TO TRANSFER IN THE DI SUMMA HOSPITAL SOME SPERIGEST MODULES SELECTED AMONG THOSE AVAILABLE, SUCH AS THE FUNCTIONAL “ISLE”  UNIT MANAGEMENT, COMPUTERIZED CLINICAL FILES, HEMODYNAMICS;

• TO EXTEND TO THE ENTIRE HEALTH UNIT BR.1 ALREADY TRANSFERRED SPERIGEST MODULES AND TO IMPLEMENT AT LEAST IN ONE SITE OTHER FUNCTIONAL “ISLES”, SUCH AS THE UNIT MANAGEMENT, THE COMPUTERIZED CLINICAL FILE, HEMODYNAMICS;

• THE SYSTEMATIC USE OF AN HARMONIZED LANGUAGE INCLUDING THE TABLES OF INTERCROSSED MAPPING, OF THE FUNCTIONAL UNITS TARGET OF THE VALIDATION;

• TO DESIGN AN INTER-COMPANY TECHNOLOGICAL ASSISTANCE DEPARTMENT (DITA) AS THE INSTRUMENT THAT, FROM AN ORGANIZATIONAL POINT OF VIEW, ENABLES TO GOVERN THE INTER-COMPANY PROBLEMS INCLUDING SITUATIONS OF DIVERSITY, UNCERTAINTY AND/OR CONFLICT, IN A PRE-ARRANGED WAY, AND THE INTER-COMPANY DIFFUSION OF THE TECHNOLOGIES;

• TO PREDISPOSE AN INFORMATIVE SYSTEM FOR THE INTER-COMPANY TECHNOLOGICAL ASSISTANCE DEPARTMENT (DITA);

• TO CONTROL THE CARRYING OUT OF THE PROJECT; IN PARTICULAR, TO VERIFY THE PROCEEDING OF THE INTER-COMPANY TECHNOLOGICAL ASSISTANCE DEPARTMENT (DITA), TO REVIEW THE PRODUCED DOCUMENTATION AND  THE METHODOLOGY DOCUMENT FOR THE INTER-COMPANY PROCESSES GOVERNMENT.

1.   Local Health Unit BR 1 - Brindisi

Legal responsible:               Dr. Domenico Lagravinese

Scientific responsible:          Dr. Gianfranco Iannarelli

2.   Hospital "Di Summa" - Brindisi

Legal responsible:                Dr. Giuseppe Giuri    

Scientific responsible:           Dr. Gianfranco Ignone

3.   CREAS - IFC/ CNR Pisa 

Legal responsible:                 Prof. Luigi Donato

4.   ISBEM (Euro Mediterranean Biomedical Scientific Institute) 

Legal responsible:                Prof. Mario Campa

Scientific responsible:           Prof. Alessandro Distante

for further information please contact:

Dr. Elena Gianicolo

tel.  +39-0831/507338

email:  gianicolo@isbem.cnrsm.it