medical directorate - clinical activity management · medical directorate - clinical activity...

26

scientific report 2012

Medical Directorate - Clinical Activity Management

MEDICAL DIRECToRATE - CLINICAL ACTIVITY MANAgEMENT

MEDICAL DIRECTORGustavo Galmozzi, MD

MEDICAL DIRECTIONPaola Notti, MDGiovanna Pomponi, MDMagda Giulia Santini, MD

SECRETARIATSalvatrice Caltabiano Carla Bettinardi

HOSPITAL SECRETARIATMarinella Lilliu Massimiliano Mazzeo

NURSING COORDINATORPatrizia Tabeni

FOOD SERVICES REFERENTRosaria Demundo – Food Technologist

DATA ENTRY Gaetano Buglino Paolo Francesco Spada Maria Anna Xerra

OFFICE OF EMPLOYEE HEALTH PROTECTIONSebastiano Caltabiano - NurseCinzia Locatelli - NurseRita Marsela - NurseGloria Pratobevera - Healthcare AssistantAntonello Sonno - Healthcare AssistantPatrizia Galbiati - Administrative Assistant

CLINICAL ARCHIVESIride Spino - Administrative AssistantMaria Rey - Nurse

RELIGIOUS SERVICESFather Tullio ProserpioFather Giovanni Sala

In 2012, the activity of Medical Directorate mainly involved the following: 1) appropriateness of outpatient visits and hospitalization; 2) modality of patient admission, as well as welcoming procedures, and discharge; 3) means through which patient assistance is provided in case of urgency/emergency or during unforeseen events while admitted. As part of the overall management of the hospital within INT, management of epidemiological data is also carried out regarding: a) collection, processing, and transmission of data on clinical activity (inpatient admissions, day hospital, DRG, ambulatory activity); b) management of information flow and transmission of data to the Ministry of Health and to Regional/Local Health authorities. Medical Directorate also coordinates multidisciplinary projects and programs, as well as diagnostic and therapeutic pathways, which are necessary to adequately respond to the clinical needs of patients at the INT. Medical Direction further coordinates the Committee for the Fight Against Nosocomial Infection, the Therapeutic Commission, and the Transfusion Commission of the Hospital. A risk management plan has been devised, which is aimed at overseeing clinical management and risk by providing interventions to improve the safety of both patients and healthcare operators. Medical Directorate lastly coordinates all the activities of preventive medicine and environmental health activities for prevention of infection in a clinical setting.

BACK TO CONTENTS-----------------------------------------------

27



outside 1%

6%

Lombardy

Northeast

64%

6%

5%

6%

12%

7%

Northwest

Center

South

Islands

INpatIeNts by GeoGraphIcal area (overall 13,947)

Number of normal admissions during 2012 divided according to major geographic areas. The total number of admissions increased (13,904 in 2012 vs. 12,380 in 2011).

4%

Lombardy

Northeast

78%4%

4%

3%

Northwest

Center

South

Islands

Number of admissions in a Day Hospital (DH) setting during 2012 in each major area. The total number of admission in DH decreased (7727 in 2012 vs. 8424 in 2011). The slight decrease refers to patients from the Lombardy region, and is due to the introduction of a new type of assistance, namely complex ambulatory activity.

oUtpatIeNts by GeoGraphIcal area (overall 7727)

28



INpatIeNts: over the years (leNGth of stay >1 Day)

Surgery

Medical Oncology

5045

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

53475574 5508 5452 5594 5804 5427

69257145

68026705

598761745965625059596347

69456735

Number of total admissions, medical and surgical, with recovery times exceeding one day, which increased compared to 2011.

INpatIeNts: averaGe leNGth of stay over the years

Surgery

Medical Oncology

10.23

9.03 8.95 8.918.34 8.49 8.49 8.53

7.42

7.14

6.23 5.965.47 5.66 5.80 5.90 5.90 5.92

4.93

4.83

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Average duration of admission in days, both medical and surgical, among those lasting more than one day. Compared to last year, a decrease in the mean duration of admission decreased for both medical and surgical admissions.

BACK TO CONTENTS-----------------------------------------------

29



sUrGIcal proceDUres

Endoscopic Surgery

Gastrointestinal, Hepatopancreatobiliary Surgery, and Liver Transplantation

Colorectal Surgery

Breast Surgery

Melanoma and Sarcoma

Plastic and Reconstructive Surgery

Urologic Surgery

Gynecologic Surgery

Private Patients

Thoracic Surgery

Otolaryngology Surgery

Cranio-maxillo-facial Surgery

976

1178

51

81

445

452

472

486

511

527

552

671

Diagnosis-related group (DRG) surgeriesrelative to normal admissions, for each Unit. The total number of DRG surgeries increased (6402 in 2012 vs. 6267 in 2011). The proportion of surgical recoveries for each Unit was substantially the same, with the exception of the Endoscopic Surgery (in 2012 it was 0.8, while in 2011 it was 0.2)

oUtpatIeNt vIsIts

Overall 159,268

Private Patients 17,836

Transfusion Unit 6530 Surgery

52,612

Medical Oncology48,248

Diagnostic Imaging & Radiotherapy 13,146

Anesthesia, Intensive Care, Palliative Care 20,896

medical directorate - clinical activity management · medical directorate - clinical activity...

Documents