NIGUARDA GENERAL HOSPITAL AND COMPREHENSIVE CENTERS

MILANO HEALTH CAPITAL

ABOUT US HIGHLIGHTS

CLINICAL AREAS

GOVERNANCE ANDPERFORMANCE

NIGUARDA’S DATA

NEW NIGUARDA: A MODEL OF CARE

A MODERN HOSPITAL:TECHNOLOGY AND SERVICES

ROOMS AND FACILITIES

RESEARCH

INTERNATIONAL TEACHING HOSPITAL

INTERNATIONAL RELATIONSHIPS

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NIGUARDA GENERAL HOSPITAL AND COMPREHENSIVE CENTERS

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The Italian National Health System is

one of the best in the world.

Given the data, it’s the second best

overall globally for quality, accessibility

and cost-effectiveness1, and ranked third

most efficient globally2.

In this system, Milan has a prominent

role, and can be considered the

italian capital of health, with an

exceptional concentration of large and

small institutions anchored in a glorious

past that has its roots in the

Renaissance.

The historic supremacy in Europe of

Milan hospital care model has remained

intact over the centuries due to its

ability to conjugate health needs and

innovation.

Thanks to a careful and strategic

partnership among public and

private operators and health players and

Institutions, today Milan is a health

center in the world which includes

excellence throughout the health sector:

structures leaders in technological

equipment and integration between

research and care, specialized institutes,

university hospitals, a chemical and

pharmaceutical industry that makes

Milan and Lombardy the most important

biotech cluster in Italy and important

research centers.

// MILANOHEALTH CAPITAL

The secular vocation of Milan reception of

the disease makes it an ideal place of care,

across the border.

The integration of innovation, research and

clinical and leading position established

internationally make it a world-class health

center.

1World Health Report, 2000

2Bloomberg, 2014 data provided by the World Bank, International Monetary Fund and World Health Organization

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Niguarda is a general hospital and

offers all clinical and surgical specialties

for adults and children, but its core

identity that brings it to the highest

levels of excellence is the ability to

integrate care competences and

technology, from diagnosis

to rehabilitation.

Situated in the North of Italy, in the

heart of Europe, Lombardy represents a

bridge to the Mediterranean. With its

surface area of about 24.000 square km

and almost 10 million inhabitants, it can

be compared to a nation.

The Lombard territory, symbol of

modernity and development, present a

great number of natural, artistic and

cultural beauties.

The health system in Lombardy protects

the health of patients with a mixed

system, based on synergies between the

public and private sectors, focused on

quality and efficiency, in order to

increase the accessibility of its strong

network of hospitals, clinics and

pharmacies.

Niguarda is located in the north of Milan,

the main city, but it’s a point of

reference for all Lombardy and Italy too.

// Highlights

ABOUT US

A LEADING

ITALIAN GENERAL HOSPITAL

As a General Hospital, Niguarda hosts all the

disciplines for adult and children.

All medical disciplines and technologies,

from diagnosis to rehabilitation,

are integrated on serving the best care even

in situations of emergency

or high complexity.

Physicians, scientists, and nurse staff are

trained to work together

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ONCOLOGIC SURGERY AREAThe diagnostic clinical activity is over the

highest standard and in a continuous

development in the treatment of all

tumours. The patient can rely on a

multidisciplinary team with the

guarantee of a certain diagnosis, surgical

operations high technologically

supported and personalized

chemiotherapy targeted on individual

molecular basis. The goal for the

oncologic patients is to improve the

survival rate and the quality of life

supported by innovative technologies

(mininvasive approach, magnetic

resonance guided focused ultrasound

surgery, robotic surgery).

TRANSPLANT AREANiguarda is the only centre in Lombardy

that has performed transplants of

every organ (heart, lung, pancreas,

kidney, liver, cornea), and tissues and

cells transplants. In the hospital there

is a Skin Bank, a laboratory specialized

in engineered skin and cartilage for re-

constructive operations, able to sustain

the internal need and to supply other

national and international structures.

Also the robotic surgery is applied to the

transplantation area with

considerable advantages to the donor.

// CLINICAL AREAS

NIGUARDA ALSO HOSTS:

• Burned Care Unit

• Tissue Bank

• Anti-Poisoning Center

• Stroke Unit

• Rare Disease Center

• Mobile Unit for maxi emergency

DIAGNOSTIC AREAThe hospital is equipped with

laboratories that guarantee a wide range

of diagnostic-therapeutic services,

as an effective support to the clinical

activity.

The laboratories, national centres for the

diagnosis and treatment of specific

pathologies, are developed by highly

specialized and authomatic technologies.

CARDIOTHORACIC & VASCULAR AREABuilt on the heritage of one of the first

Cardiothoracic surgery centers this area

provides all medical interventional and

surgical options for patients with any

kind of disease at any age (e.g. from

newborn and pediatric cardiac surgery,

including pediatric transplantation, to

transcatheter aortic valve implants).

Multidisciplinary team case discussion,

highly specialized cardiac and anaesthe-

siology intensive care staff, intermediate

facilities, active outpatient and tele-

cardiology services, provide the full

spectrum of care in both the emergency

and long-term care settings.

Niguarda is national referral Center for

heart transplantation and assist

device for advanced heart failure,

complex arrhythmias, acute and chronic

coronary artery disease.

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EMERGENCY-URGENCY AREANiguarda is able to host patients from

the whole metropolitan area of Milan, in

very severe conditions, thanks also to the

helicopter service.

Its emergency- urgency dedicated

services, including: Coronary Unit and

ICU, Stroke Unit, Trauma Team, Centre of

Poison Control, Emergency Medicine and

Surgery and Burn Unit.

Moreover the hospital has a national role

for the maxi-emergencies in case of

natural disaster and nuclear catastrophe.

SPECIALIST MEDICINE AREANiguarda offers the widest set of high

complexity services of general and

specialist medicine.

The hospital is the headquarter for many

Regional and National reference Centres

in allergology, diabetes, nutritional,

endocrinology, rheumatology, infectious

diseases, pneumology, as well as in pre

and post transplantation treatments for

heart, lung, liver, kidney-pancreas and

pancreatic islet.

It has an important role for diagnosis and

treatment for more than 120 rare

pathologies too.

It hosts one of the main psychiatric

department of the town.

NEUROSCIENCE AREAThe aim of thi area is to coordinate

specialist competence and the most

up-to-date technologies to guarantee

a diagnostic and therapeutic excellence

path for therapy of nervous system

pathologies.

The strengths are the treatment of the

medullar lesions, the surgery of

pharmacoresistant epilepsy and of

Parkinson’s disease, the use

of gamma-knife for tumor pathologies,

the presence of the stroke unit for

emergency treatment.

GENERAL SURGERY AREAThanks to its high professionals and

technological competences, the

hospital is a national and international

reference point for the general surgery,

treated with a minimal invasive

approach and with the robotic surgery.

The goal is to develop the excellence in

the surgical activity both in emergency

and in elective areas, through a

multiprofessional cooperation, integrted

application of the most advanced

technologies and the operators training.

MOTHER AND CHILD AREAThe mother and the child are

protagonists of a health project that

goes beyond the prevention, the

treatment and the rehabilitation, that

places them at the centre of the research

and care activity, from the conception to

the adul age. In fact, the service for the

family includes a full phases assistance,

from the wish of the procreation to the

delivery. The child treatment is

assured for every type of pathology,

even the rare, through personalized

technologies and routes in the respect

of the religious, social and cultural

diffrences.

ADVANCED TECHNOLOGIESAdvanced MRI, PET, interventional

radiology, linear accelerators, robotic

surgery, hybrid OR, gamma knife,

focused ultrasound: the constant

updating of the technological park is

driven by the development of

professional skills of high profile.

Diagnostic tests are shared in real time

in safe and responsible way through our

ICT system.

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Economic and financial performance prediction data budget 2016

// GOVERNACE AND PERFORMANCE

We want to create places for the promotion

of the culture of life and health where doctors

are motivated to improve themselves.

Every day at Niguarda we are committed to

meet the health needs of our people.

As providers of the Regional Health care

services, our clinical activity and research

must comply with quality standards

according to the government criteria, which

calls for the provision of appropriate

health care without waste, within the

economicandfinancialruleswhich

guarantee the best use of public fund.

The hospital is also strongly oriented to the

development of new organizational and

administrative procedures aimed to improve

the quality of its services in terms of

efficiencyandeffectivenessaccordingtothe

national guidelines planned by the

Social Health Care Plan of the Lombardy

Region.

Clinical activitydata 2015

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BEDS1.173

30

42

340

BABY CRIBS

NEONATAL PATHOLOGYBABY CRIBS

INTENSIVE CARE BABY CRIBS

OPERATING ROOMS

AMBULATORY ROOMS

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// NIGUARDA’S DATA

NURSING STAFF

MEDICAL OFFICERS

CLINICAL UNIT DIRECTORS

TOTAL EMPLOYEES

712

39

1967

4116

data 2015

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The New Niguarda project, started in 2007

and completed by 2014, is based on a

health organization specialized for the

intensity of care and on the optimization

of the efficiency putting the patient at

the center of the healthcare service

organization.

The new hospital has been planned

on three blocks:

> The Emergency-Urgency (DEA block)

> The South Block for high intensity of

care patients (surgery, onco-hematholo-

gy, cardiology and transplantation)

> The North Block for medium intensity

of care patients and medical services.

The hospital structure is designed

according to the patient’s need.

The process of care is completely realized

within one single unit, in order to avoid

moving the patient.

// New Niguarda

A MODEL OF CARE

Modern medicine requires a new model

of hospital organization designed around

the patient

COMPREHENSIVE CENTERS

New Niguarda has changed the organization developing multidisciplinary team focus on 4 core business:

• CANCER CENTER

• “DE GASPERIS” CARDIO CENTER

• TRANSPLANT CENTER

• TRAUMA CENTER

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Imaging advanced technologies RMN,

PET, interventional radiology, linear

accelerators, robotic surgery, gamma

knife, focalized ultrasound: the constant

update of the technological park is driven

by a development of high profile professional

competences. Diagnostic tests are shared

in real time in liability and safety through

our ICT system.

The integration between diagnosis and

treatment in 25 the different special-

ties is at the base of rational clinical,

an appropriate use of the resources and

a better efficiency of the intervention,

even with high complexity situations or

emergencies.

DA VINCI SURGICAL SYSTEMWith the da Vinci Surgical System, surgeons

operate through just a few small incisions.

The da Vinci System features a magnified

3D high-definition vision system and

tiny wristed instruments that bend and

rotate far greater than the human wrist.

As a result, it enables your surgeon to

operate with enhanced vision, precision,

dexterity and control.

We use da Vinci in urolgy, cancer and

general surgey treatments.

The robotic surgery is also applied to

the transplantation area.

// TECHNOLOGY AND SERVICES

The integration between diagnosis and

treatment in 25 the different specialties is at

the base of rational clinical, an appropriate

useoftheresourcesandabetterefficiency

of the intervention, even with high

complexity situations or emergencies.

HYBRID ORA hybrid OR is huge room, with radiological

equipments, permits to carry out both

the traditional and the radiological guided

operational activity. The hybrid OR allows

interventions invasivelyreduced for the

valves surgery, the by-pass, the instal-

lation of aortic endoprothesis and the

“hybrid” installation of devices for the

cardiac resynchronization.

It is the “integrated” room, it means

that the machines are linked together

and consent the use of videoconference

technologies, intervention fied records

in hd with the possibility for the

operators to utilize wide screens and

touch screen use.

GAMMA KNIFE SURGERYGamma Knife surgery sometimes refer-

red to as stereotactic radiosurgery (SRS),

is a non-invasive method for treating

brain disorders. It is the delivery of a

single, high dose of irradiation to a small

and critically located intra-cranial volu-

me through the intact skull. It is preferred

for its extreme accuracy, efficiency and

outstanding therapeutic response.

System benefits include faster set-up

and treatment delivery to one or more

tumors in a single session.

Perfexion allows treatment of a wider

range of targets faster and more

efficiently than ever before.

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The hospital is equipped with more

than 40 front offices for booking and

check in: the modern “centralized”

system for managing the customers

flow, drives the patient from the ac-

cess to the hospital and it conducts

him, through the front office activities,

to the call in the

outpatient where the doctor is waiting.

Throughout the integration of digital

signage systems, algorithms and

complex technologies it is possible to

design and customize systems of

information facilities and welcome and

booking processes managing both with

the National Health System and in

private area.

PATIENTS HAVE ACCESS TO:

• single-double beds rooms with

private bathroom

• foreign patients’ office

• free service of language assistance

• vegetarian menu on demand

• relatives: hotels at special price

• children’s or over 65 ‘ relatives

can stay all the day long with the

patient

• coffee shops, self-service

restaurants

• cash point

• shopping centers

• internal paying parking

// ROOMS AND FACILITIES

Niguarda has custom-made furnishings

with a design concept that reaches

beyond the basic requirements of quality,

duration and ergonomics.

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In recent years a positive trend in

clinical trial has been observed, in

neuroscience, diabetology, pain

therapy, gene therapy, cardiovascular

diseases, haematology, oncology,

resulting in an improved scientific impact

factor.

Niguarda is a public hospital dedicated

to care; clinical research and knowledge-

sharing are fully integrated in the

hospital strategy.

The presence of professional skills,

technological competences, certified

laboratories and high complexity

patient cohorts make Niguarda a

unique and interesting partner for

future cooperation.

It offers concrete opportunities to

Pharma and Biotech Companies that are

looking for a reliable and expert clinical/

scientific partner.

The attitude to a real multidisciplina-

ry approach offered to researcher makes

Niguarda as a unique “one stop shop” for

research and development.

The main strength point is the high

volume of diagnostic/ therapeutic

// RESEARCH

Niguarda is at the forefront of research for

trials testing new therapies supported by

international cooperation activities.

activities that allows an optimal integra-

tion between research and patient care,

defining Niguarda as one of the best

possible clinical sites for translational

research.

It offers concrete opportunities to

pharma and biotech company.

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High professional competences, high tech

and teaching accreditation, make

Niguarda Hospital a centre of attraction

for professional figures which want to

bring themselves up to date on new

technologies, diagnostic and therapeutic

procedures to gain an excellent operative

methodology and new skills.

International training activity is based on

different standards:

• TWINNING among international

hospitals scheduled by international

cooperation programs

• TRAINING STAGES included in

international institutions agreements.

// INTERNATIONAL TEACHING HOSPITAL

Affiliatedto:

Università degli Studi Statale -Milan

Università Bicocca- Milan

AORTIC PROSTHESES IMPLANTATIONNiguarda is an European training

school adopting the advanced system of

the hybrid room that performs

delicate surgeries in an accurate and

minimally invasive way.

ADVANCED INTERNATIONAL MINI-INVASIVE SURGERYAIMS Academy (the first multidisciplina-

ry structure in Italy dedicated to research

and training in minimally invasive

advanced surgery, third pole of an

European network with Strasbourg and

Guildford. The program includes demon-

strations of laparoscopic surgery, theory

sessions and practice sessions made of

simulations in the wet lab.

ECOCARDIOGRAFY CENTERNiguarda and its ecocardiografy center

is accredited by European Association of

Cardiovascular Imaging . An Ecolab is

fully equipped for training.

NIGUARDA FACULTY OF NURSINGNiguarda is a University Teaching Center

for Nursing ( Università degli Studi Milan).

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COMPANIESNiguarda is connected in a network of

international collaboration toward to

provide the best medical practices to

patients coming from all over the world.

Niguarda has partnerships and

agreements with Helthcare Consultancy

companies, Health Management compa-

nies, Travel&Health Companies, Health

Insurance companies, for:

• consultations

• taking care patients with private treat-

ment

CONSULATES AND EMBASSIESDuring Expo due to its international

skills and its relevant role in Lombardy

Niguarda has been selected among the

public Hospitals to provide healthcare

services to people coming from other

countries and, in particular, the Hospital

has been designated as reference for the

treatment of the eminent people.

The aptitude and competence to

understand the needs of people coming

from all over the world allows the

Hospital to manage also the healthcare

requirements of international patients,

travelling or living in this area.

Tailored health service can be arranged for

• compatriots living in Italy

•compatriots coming from foreign

countries

// INTERNATIONAL RELATIONSHIPS

To the aim to abet exchanges of

professional experiences among

Hospitals, tailored meetings can be

arranged to visit Niguarda and get in

touch with the Board, the doctors and the

service Providers.

Niguarda usually receives:

• Hospital Board Delegations

• Medical and Nurse staff

• Authorities and Ministerial Delegations

HEALTH COOPERATION

Every year Niguarda hosts patients from other nations affected by pathologies that are incurable in their own countries. Niguarda also plays an active role in international cases of health emergencies.

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Niguarda is a relevant structure even from

the architectural and artistic point of view.

The hospital hosts a series of permanent

works of art and itinerant exibitions,

aware of the social and therapeutic role

of the art.

OSPEDALENIGUARDA.IT/ ARTGALLERY

NIGUARDA IS ITSELF A MASTERPIECE OF ARCHITECTURE Niguarda is protected by the ministry of

fine arts and it has been always sensitive to

“the beauty” and to the artistic culture.

In 1940 it has been defined as “the city of

art” by the historian Costantini, it expresses

a strong connection with the city of Milan

and its history by its monumental and

rationalist structure.

Up to its entrance moving through the

paths and in the indoor sections, it is

possible to admire works of art made by

great artists as Arturo Martini, Francesco

Messina, Franco Lombardi, Mario Sironi

and Aldo Carpi.

MODERN ARTNiguarda hosts MAPP museum (Museo

d’Arte Paolo Pini) and artworkshops in

the area of mental disorders treatment.

Over time it has formed a collection of

internationally and wellknown artists,

including Enrico Baj, Emilio Tadini,

Gunter Brus, Martin Disler.

With new ideas and projects MAPP

participates in international fairs of

modern art and organizes and supports

various initiatives.

Niguarda also hosts extemporary exhibitions

and installations of contemporary artists

and promotes cultural events.

// HOSPITALBETWEEN HISTORY AND ART

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