Recovery Plan: 18.5 billion for “new” Healthcare. The digital supporting pillar

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Strengthen prevention and health services in the area, modernize and digitize the health system and guarantee equity of access to care. This is the objective of the Health mission of the National Recovery and Resilience Plan which it allocates as a whole 18.5 billion, of which 15.6 billion from the Recovery and Resilience Facility and 2.9 billion from the Fund. The mission is part of the larger mission 4 “Education and Research”, For which they will be available 31.9 billion euros – of which 30.9 billion from the Recovery and Resilience Facility and 1 billion from the Supplementary Fund.

This is an important endowment to overcome the limits and criticalities of our health system that the Covid 19 pandemic has dramatically highlighted. “The experience of the pandemic has also highlighted the importance of being able to count on an adequate exploitation of the most advanced technologies, on high digital, professional and managerial skills, on new processes for the provision of services and care and on a more effective connection between research, data analysis, treatments and their programming at the system level – reads the plan – The strategy pursued with the NRP is aimed at addressing all these critical aspects in a synergistic way. A significant effort in terms of reforms and investments is aimed at aligning services to the care needs of patients in every area of ​​the country. A large part of the resources is destined to improve infrastructural and technological equipment, to promote research and innovation and to develop the personnel’s technical-professional, digital and managerial skills ”.

Component one of the Mission – Telemedicine

The first component of the mission – allocated 7 billion – aims at the creation of proximity networks, intermediate structures and telemedicine for territorial health care. The interventions of this component intend to strengthen the services provided in the territory thanks to the strengthening and creation of territorial structures and facilities (such as Community Homes and Community Hospitals), the strengthening of home care, the development of telemedicine and a more effective integration with all social and health services. Resources of 4 billion are foreseen for this last action.

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“The intervention translates into the financing of telemedicine projects proposed by the Regions on the basis of the priorities and guidelines defined by the Ministry of Health – continues the Pnrr – The projects may concern every clinical area and promote a wide range of functions along the ‘entire path of prevention and treatment: tele-assistance, tele-consultation, tele-monitoring and tele-reporting “. To obtain funding, however, the projects must first of all be able to integrate with the Electronic Health Record, achieve quantitative performance targets linked to the main objectives of telemedicine and the National Health System, as well as ensure that their development translates into an effective harmonization of services. sanitary “.

In fact, the government intends to favor projects that focus on several Regions, leverage existing successful experiences, and aim to build real “telemedicine platforms” that can be easily downloaded..

Component 2 of the Mission – Innovation, research and digitization

For the second pillar, 8.63 billion is allocated. The measures included in this component will allow the renewal and modernization of the existing technological and digital structures, the completion and dissemination of the Electronic Health Record (ESF), a better delivery and monitoring capacity of the Essential Levels of Assistance (Lea) through more effective information systems. Significant resources are also earmarked for scientific research and to promote technology transfer, as well as to strengthen the skills and human capital of the NHS also through the strengthening of staff training.

Half of these funds (4.05 billion) will be used to modernize the technological and digital park of hospitals.

The investment involves the digital modernization of the hospital technology park, through the purchase of 3,133 new large high-tech equipment (CT scan, magnetic resonance imaging, Linear Accelerators, Fixed X-ray System, Angiographs, Gamma Camera, Gamma Camera / Tac, Mammography , Ecotomographs) characterized by an age greater than 5 years, both with interventions aimed at enhancing the level of digitization of 280 health facilities located in the Emergency and Acceptance Departments (Dea) of I and II level. In addition, the intervention (implementing Article 2 of Law Decree no.34 / 2020) provides for the structural strengthening of the NHS hospitals, through the adoption of a specific plan to enhance the hospital offer.

The amount also includes the portion, already included in the trend (and equal to 1.41 billion euros) relating to projects already launched by the Ministry of Health relating to the structural strengthening of the NHS in the hospital sector prepared to deal with the Covid-19 emergency. .

For the strengthening of the technological infrastructure there are instead 1.67 billion on the plate. Crucial objective is the enhancement of the Electronic Health Record (ESF) through the full integration of all health documents and types of data, the creation and implementation of a central archive, the interoperability and service platform, the design of a user interface. standardized and the definition of the services that the ESF will have to provide.

The project includes initiatives already launched for the creation of the electronic health card system, the design of the infrastructure for interoperability and the management of the ESF as part of the interventions for the digitization of public administrations.

The Ministry of Health, the Ministry of Economy and Finance and the Ministry of Technological Innovation and Digital Transition will be jointly responsible for the overall management of the project.

The total resources absorbed by the project are equal to 1.38 billion euros, of which 0.57 billion relating to the project already in place for the creation of the electronic health card system. An action plan at central and one at local level is envisaged for the implementation of the initiative.

Digital is stronger even “inside” the Ministry of Health. The aim of the project is to strengthen the New Health Information System (Nsis), that is the infrastructure and analysis tools of the Ministry of Health for the monitoring of Leafs and the planning of health care services for the population that are in line with the needs, the evolution of the demographic structure of the population, trends and the epidemiological picture. The aim is also to create a national platform where the demand and supply of telemedicine services provided by accredited subjects can meet. The project absorbs resources for a total of 0.29 billion euros. In particular, for the enhancement of the central infrastructure, an expenditure of 0.09 billion is expected, destined – after the completion of a specific tender procedure by mid-2022 – to the completion and enhancement of the open data platform, to the creation of tools for analysis and reports for the monitoring, supervision and control of health care activities at a national level, as well as the support of evolutionary maintenance costs.

For the re-engineering of the Nsis at the local level, a cost of 0.10 billion is expected, while the construction of a complex tool for simulation and prediction of medium / long-term scenarios of the NHS is expected, to be started after the publication of the relative procedure. by the first quarter of 2023, concerns an expenditure of 0.08 billion. The estimated cost for the telemedicine platform is 0.02 billion.

Digital skills

The investment aims to strengthen basic medical training, introduce an extraordinary training plan on hospital infections and ensure a strengthening of the managerial and digital skills of healthcare personnel. The enhancement of the technical, digital and managerial skills of the health system personnel will take place through a program for the assignment of scholarships and the provision of specific training courses to be carried out within the horizon of the NRP (mid 2026). The total cost of these interventions is estimated at 0.74 billion.

Digital health at Forum PA 2021

On June 24, from 9.30 to 11, experts and companies confronted to analyze priorities for action to operate on for fill i weaknesses of the National Health System, which emerged strongly during theat stage emergency. The event aims in particular to deepen the main initiatives to strengthen the NHS envisaged by the NRP, in particular for what concerns theproximity assistance, the telemedicine, l’innovationee la digitization of health carehe, the definition of a new institutional structure of prevention.

For more info and to register https://forumpa2021.eventifpa.it/it/event-details/?id=9919

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