-
Management
and Methodological
Such subproject is realized in the constitution and in the
functioning of a coordination for the interoperability of the
healthcare services, that supervises the management of the
SISA-PU project, common for both the cities of Bari and
Taranto, so as to avoid the risk of a plan turning out from
the mere sum of the single interventions, and thus
guaranteeing the coordination of the strategic choices that
follow a logic referred to the entire city and to all the
services safeguarding health. In particular:
o
It
will experiment functional and regulations models
o
It
will be in charge of the management of all the lines of
action
Furthermore,
the CISS (Coordination for the Inter-operability of the
Healthcare Services) will be in charge of detecting the
infrastructural prerequisites pertaining the coordination and
the inter-operability of the healthcare services, without
interfering with the daily work of each Service and
Hospitals of the National Healthcare Service and
without weighing on the work they carry out. Such
prerequisites are: the optimisation of healthcare runs,
guidelines, the monitoring of the quality and of the safety,
the work environment, the existence of a Registry of the
healthcare resources which is integrated, dynamic and has
geographical references, as well as the professional training
of healthcare staff
according to the Healthcare Communication rules.
-
Infrastructural
Telematic
Problems concerning the accessibility and the assistance
continuity on the territory will be faced with the
experimentation of a series of harmonized measures,
aimed at developing diversified managerial models
for the reorganization of the existing territorial
Healthcare Services and Hospitals of Bari and Taranto. In
this specific case, all this will be achieved through the
integration of institutional, private and public subjects,
such as the Local Health Units, the Hospitals of Bari and
Taranto, the General Hospital, the Scientific Nursing
Homes, the Communes of Bari and Taranto, the service
industry and the enterprises of the social-healthcare and
biomedical sector. In particular, the following
infrastructural interventions are foreseen:
-
The
creation of
Assisted Nursing Homes, with a particular attention
towards elderly people and
disabled, in order to control both the human and
the economic costs of the hospitalisation, limiting it to
the treatment of acute states in compliance with what has
been established by the National Healthcare Plan 98-00.
The creation of an Open
Polyvalent Centre is also foreseen, in order to
guarantee multispecialistic, rehabilitative, psychological
and cultural socialization services. Moreover, so as to
enrich the alternative solution to the hospitalisation, it
will be necessary to adopt the telematic monitoring
system, thus allowing the remote control of the chronic
phases of the patient’s pathology.
-
The
creation of a mobile network, the establishment of maps
with geographical references, as well as the improvement
of both accesses and runs.
-
The
planning and the implementation of a computer system able to
connect, within a special network, general practitioners with
the Local Health Units and to realize a system of clinical
files (in conformity with the guidelines suggested by the
subproject ”Management and Methodological”). Therefore,
doctors will have at their disposal a series of services, from
the patient’s healthcare registry, to the possibility of
booking examinations via a telematic access to the Sole
Reservation Centre, from the use of diagnostic-therapeutic
guidelines (decided by the subproject ”Management and
Methodological”), to the automatic verification of the
pharmacological compatibility, from the consultation of
clinical files, to the use of automatic " flag "
warnings that signal the opportunity to perform preventive
analyses (mammographies, dental visits, blood tests, etc).
-
the
creation of inter-company operating units for:
1.
The
management of departments for clinical specialties such
as: Cardiovascular and Endocrino-Metabolic Diseases,
Neurosciences, Maternal infantile and woman’s health
with the integrated management of biomedical technologies
and information technology, so as to guarantee the
communication among the clinical inter-company departments
and the access to clinical information;
2.
The
implementation and the management of integrated computer
clinical files in which it should converge the entire
clinical history of the patient, so as to render it
accessible - to authorized healthcare staff – whenever
there is the necessity (lack of communication due to the
patient’s trauma or psychological uneasiness, necessity
to operate a quick monitoring of a pathology’s evolution
or necessity to have an overall picture of the situation,
etc);
3.
The
implementation of a telematic monitoring system in order
to control the pathologies’ chronic phase, so as to
enable a clinical survey in non hospital structures, such
as
houses, Assisted Nursing Homes, general
physician’s surgeries, etc
4.
The
accomplishment of a metropolitan Sole Reservation Centre that
will allow the citizens of Bari to gain access to any
specialist service existing within the city’s Health Unit.
In this ambit, under the coordination of the Puglia Region -
that with the Ministry of Health has started projects based on
the Former art.12, paragraph 2 letter B of the Legislative
Decree 502/92 and further modifications – it is possible to
register initiatives of the Local Health Unit, of the Hospital
and the General Hospital in order to determine common
diagnostic-therapeutic protocols that favour the exchange of
information and the univocal treatment of some pathologies of
interest for the departments mentioned at the point 2.a.
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The
identification of a permanent social-healthcare observatory
for disabled and underprivileged subjects, and the location of
a data bank of all the services’ activities, that act as a
base, both for primary and secondary prevention initiatives,
and for a standardization of the information most suitable to
favour a correct method of assistance, as well as a proper
healthcare and social support for such subjects.
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Structural-technological.
This subproject intends to bring about specific
interventions that, whilst considering the
characteristics, the necessities and the opportunities of
the metropolitan areas of Bari and Taranto, will allow a
more immediate accessibility and availability of the
healthcare services. The structural interventions should
be made more evident and it should be made clear how much
the SISA-PU project considers the characteristics and the
necessities of the city of Bari, where the attention is
mainly focused on the San Paolo district, in which the
rate of social deviance is high because of the
infrastructural degradation and because of the lack of
social-healthcare and productive structures. In particular
the project foresees:
-
The
city requalification of the San Paolo district by means
of:
1. The
creation of an events’ centre so as to have an
attraction pole for conventions, professional training
stages, etc. The operating units dedicated to the
integrated management of biomedical technologies and
information technology, as well as those dedicated to the
epidemiological observatory of weak subjects, will be
located in the same centre.
2. Interventions
on the insufficient road network that does not allow an
easy access to the San Paolo Hospital from the State Roads
16 and 16 bis.
-
Interventions
on the practicability all around the Hospital " Fallacara
" of Triggiano;
- Requalification
of the centre of assistance " A. Moro "
belonging to the Opera Pia " Di Venere " former
IPAB (Ceglie del Campo), to be used as an Assisted Nursing
Home.
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