Watch Service on-line ... click here!
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Video Unomattina service Saturday and Sunday
Watch Service on-line ... click here!
Watch Service on-line ... click here!
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Wednesday, July 16, 2008
New Facialcompilations
The story of the Policlinico San Donato
This blog starts with a series of reflections and considerations on the issue of the Policlinico San Donato, Milan.
Frankly I wonder why we wonder.
Or rather, those working in health, certainly not surprised.
Wonder and the index finger we expected, or rather I expected, who is estreaneo the management of "public" in the field of health.
Which promptly came.
certainly do not want to take up the defense of anyone, there's something rotten in health, ease in administration can not be hidden, but we try to understand where this "scandal", this "scam", which is not the first and You can be sure, not the last.
Indeed, more and more they will spend the month "management" will become more frequent and casual, relaxed, in Italy!
I hope to be proved wrong, but I fear that it will not be!
prerchè Have you ever wondered what happens? Maybe yes.
hard though, I think, you were able to give an answer that has had an established base.
The reason is simple, only the insiders know the exact mechanism of financing of health facilities, the mode of application of the law governing the payment of services provided by health facilities, by regions.
To learn more, do not be surprised, to reduce outrage and be prepared, in my view, the explosion of these increasingly frequent cases of "administrative casual," you have to start from a distance.
must start from the introduction of a law of the Italian State, which was approved 10 years ago (year over year younger) who has borrowed the American health organization (who also dropped today), the finanziameto of public health facilities or contracted private. The infamous
Act which introduced the system of remuneration of health care "benefit" or DRG (Diagnosis-related Group, including: classification system for acute hospital admissions associated with iso-diagnosis). Let me explain.
Up to a certain day (Dec. 31 fell to a year of the last century ... however!), all directors of public health facility or arrangement with a private, threw the money in its budget at year end (management costs) and was paid dalloStato with formula called "on budget".
This funding mechanism of health facilities by the State, was independent of the number of patients who were hospitalized, how many days each patient was hospitalized, of which type of disease was love and care.
the day after that famous December 31, then from January 1 next year, the remuneration system was completely changed. The Italian State
dedcise that: the care of a diabetic patient, for example, or the intervention of appendicitis (just to cite two well-known disease) would have been "paid" by the National Health (I un'esplificazione for simplicity) 100 lire (then again we were not scheme €!).
The payment was approved by the regulator of the Italian citizen, regardless of the structure of care was a public hospital or a private health center, so-called "accredited" (another magic word!).
What is accredited?.
private facility if you want to work you need to have appendicitis and organizational arrangements of standards that I impose the same for everyone, public and private sectors.
seem a high productivity and organizational health, and never imagined before. How he would have benefited from the Italian citizen: of course the system provides, or rather ought to have "competition" (another magic word) the public or private facilities, among them, to "grab the patients."
After three years of experimentation (this was the end of proof that the Italian conecesse to all facilities for "accreditation"), before they officially apply the new law, the first cracks began to show itself, which today lead to the "scandals "the Policlinico San Donato, Clinica Villa Clara a month ago, and all health facilities, you'll find, jumping like champagne corks.
But why this? It seems impossible but if you follow me, patiently, in the story you will see that everything could be predicted (and perhaps it was too) but it could especially be avoided. Small example.
I will report numbers that are obviously in the explanation of fantasy and not real, but the proportions are very real, and then give an idea of \u200b\u200bwhat we are talking about.
A 30-bed surgical ward (since there were now no more), before that fateful January 1, gave it an average 250 patients a year.
The cost of the department, the salary of the primary to the last new hire sedan (now called OTA-Opetratore Technical Assistance) including costs for medicines, meals, utilities (water, electricity, heating and so on and so forth), etc. .. it cost 10,000 pounds each year.
Going to monetize every patient treated (the 250 in a year) at the rates of the new law introduced that fateful January 1, we get a "sales" department of about 4,000 pounds.
Question: where I'm going to take the 6,000 pounds that are missing to send in the balance of the accounts department of the hospital is public or private?
The answer was immediately apparent. He said the administrative staff of the Primary: Gentlemen must increase the average revenue of at least 50-60% per year over the next 3 years! That means you may ask?
It 's simple: the first year instead of 250 surgical procedures they need to do at least 400, at least 600 the second year and so on. Of course, "zero cost"! Without a clear increase in spending than those for consumption of materials (medication, IV, gauze, sutures, etc. ...).
If you did not or does not lafate, decrease the money in the budget and we may be forced to lay off, remove the primary etc.!
The trouble was another one: of course "all" accredited private hospitals and had to adjust and begin to "run" to increase admissions and withdrawals. This
a distance of about 10 years has resulted, of course, the emergence of a problem that should be considered in perspective
from the beginning: they are, practically, FINISHED THE SICK! Over the past three years, prevention (thank God) means that more and more diseases are diagnosed at an early stage and treated, thanks to modern technology, in-patient and day hospital.
This reduces the need for hospitalization.
How do we go? It 's too long to explain, but I've got some ideas. If any of my twelve players (as said by one of our greatest writer), was curious to know more, or tell her, I letissimo to compare experiences and ideas.
However in the next post, soon, will explain the contradictions, in my opinion, these are blasting ... champain. Good day
This blog starts with a series of reflections and considerations on the issue of the Policlinico San Donato, Milan.
Frankly I wonder why we wonder.
Or rather, those working in health, certainly not surprised.
Wonder and the index finger we expected, or rather I expected, who is estreaneo the management of "public" in the field of health.
Which promptly came.
certainly do not want to take up the defense of anyone, there's something rotten in health, ease in administration can not be hidden, but we try to understand where this "scandal", this "scam", which is not the first and You can be sure, not the last.
Indeed, more and more they will spend the month "management" will become more frequent and casual, relaxed, in Italy!
I hope to be proved wrong, but I fear that it will not be!
prerchè Have you ever wondered what happens? Maybe yes.
hard though, I think, you were able to give an answer that has had an established base.
The reason is simple, only the insiders know the exact mechanism of financing of health facilities, the mode of application of the law governing the payment of services provided by health facilities, by regions.
To learn more, do not be surprised, to reduce outrage and be prepared, in my view, the explosion of these increasingly frequent cases of "administrative casual," you have to start from a distance.
must start from the introduction of a law of the Italian State, which was approved 10 years ago (year over year younger) who has borrowed the American health organization (who also dropped today), the finanziameto of public health facilities or contracted private. The infamous
Act which introduced the system of remuneration of health care "benefit" or DRG (Diagnosis-related Group, including: classification system for acute hospital admissions associated with iso-diagnosis). Let me explain.
Up to a certain day (Dec. 31 fell to a year of the last century ... however!), all directors of public health facility or arrangement with a private, threw the money in its budget at year end (management costs) and was paid dalloStato with formula called "on budget".
This funding mechanism of health facilities by the State, was independent of the number of patients who were hospitalized, how many days each patient was hospitalized, of which type of disease was love and care.
the day after that famous December 31, then from January 1 next year, the remuneration system was completely changed. The Italian State
dedcise that: the care of a diabetic patient, for example, or the intervention of appendicitis (just to cite two well-known disease) would have been "paid" by the National Health (I un'esplificazione for simplicity) 100 lire (then again we were not scheme €!).
The payment was approved by the regulator of the Italian citizen, regardless of the structure of care was a public hospital or a private health center, so-called "accredited" (another magic word!).
What is accredited?.
private facility if you want to work you need to have appendicitis and organizational arrangements of standards that I impose the same for everyone, public and private sectors.
seem a high productivity and organizational health, and never imagined before. How he would have benefited from the Italian citizen: of course the system provides, or rather ought to have "competition" (another magic word) the public or private facilities, among them, to "grab the patients."
After three years of experimentation (this was the end of proof that the Italian conecesse to all facilities for "accreditation"), before they officially apply the new law, the first cracks began to show itself, which today lead to the "scandals "the Policlinico San Donato, Clinica Villa Clara a month ago, and all health facilities, you'll find, jumping like champagne corks.
But why this? It seems impossible but if you follow me, patiently, in the story you will see that everything could be predicted (and perhaps it was too) but it could especially be avoided. Small example.
I will report numbers that are obviously in the explanation of fantasy and not real, but the proportions are very real, and then give an idea of \u200b\u200bwhat we are talking about.
A 30-bed surgical ward (since there were now no more), before that fateful January 1, gave it an average 250 patients a year.
The cost of the department, the salary of the primary to the last new hire sedan (now called OTA-Opetratore Technical Assistance) including costs for medicines, meals, utilities (water, electricity, heating and so on and so forth), etc. .. it cost 10,000 pounds each year.
Going to monetize every patient treated (the 250 in a year) at the rates of the new law introduced that fateful January 1, we get a "sales" department of about 4,000 pounds.
Question: where I'm going to take the 6,000 pounds that are missing to send in the balance of the accounts department of the hospital is public or private?
The answer was immediately apparent. He said the administrative staff of the Primary: Gentlemen must increase the average revenue of at least 50-60% per year over the next 3 years! That means you may ask?
It 's simple: the first year instead of 250 surgical procedures they need to do at least 400, at least 600 the second year and so on. Of course, "zero cost"! Without a clear increase in spending than those for consumption of materials (medication, IV, gauze, sutures, etc. ...).
If you did not or does not lafate, decrease the money in the budget and we may be forced to lay off, remove the primary etc.!
The trouble was another one: of course "all" accredited private hospitals and had to adjust and begin to "run" to increase admissions and withdrawals. This
a distance of about 10 years has resulted, of course, the emergence of a problem that should be considered in perspective
from the beginning: they are, practically, FINISHED THE SICK! Over the past three years, prevention (thank God) means that more and more diseases are diagnosed at an early stage and treated, thanks to modern technology, in-patient and day hospital.
This reduces the need for hospitalization.
How do we go? It 's too long to explain, but I've got some ideas. If any of my twelve players (as said by one of our greatest writer), was curious to know more, or tell her, I letissimo to compare experiences and ideas.
However in the next post, soon, will explain the contradictions, in my opinion, these are blasting ... champain. Good day
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