11

HealthY Economy: the HealthY Economy: the outlines and the structure outlines and the structure

of the sub-projectof the sub-project

Gianluigi CarliniGianluigi Carlini

University of TriesteUniversity of Trieste

Project ManagerProject Manager

PROJECT PART-FINANCED

BY THE EUROPEAN UNION

22

The subproject HealthY EconomyThe subproject HealthY Economy

HOSPITALS & SMEs FOR HEALTHCARE ECONOMIC HOSPITALS & SMEs FOR HEALTHCARE ECONOMIC CLUSTER:CLUSTER: OPPORTUNITIES FOR LOCAL ECONOMY, OPPORTUNITIES FOR LOCAL ECONOMY, QUALITY OF CARE AND COST OF CARE QUALITY OF CARE AND COST OF CARE REDUCTIONREDUCTION

The partnership:The partnership:

- University of Trieste- University of Trieste

- Medical Holding Hradec Kralove- Medical Holding Hradec Kralove

- ASL 4 Matera - ASL 4 Matera

33

The demo-scientific landscapeThe demo-scientific landscape

Population 1.2 million

Area 7,845 km2

Provinces Trieste, Udine,

Pordenone, Gorizia

GDP € 26.7 billion

N. Companies 85,105

Imports € 1.46 billion

Exports € 2.37 billion

Researchers per 1,000 inhabitants:

Friuli Venezia Giulia 10.5

Italy 3.3

European Union 5.3

USA 8.1

Trieste 35.0

                                                                        

44

Friuli Venezia Giulia: the research systemFriuli Venezia Giulia: the research system

Three Universities: Universities of Trieste, University of Udine,

International School for Advanced Studies (PhD school)

~ 100 Research Centers, internationally recognised, focusing on

science and technology (6,000 R&D workers)

Un. TriesteUn. Trieste Un. UdineUn. Udine SISSASISSA

Students Students (2005)(2005)

24.00024.000 17.00017.000 160160

DepartmentsDepartments 4141 2828 NANA

Bachelor Bachelor programmesprogrammes

5050 4343 NANA

PhD PhD ProgrammesProgrammes

4040 1919 1313

55

International Centre for Genetic Engineering and Biotechnology (ICGEB)

ELETTRA Synchrotron Light Laboratory

National Institute for the Physics of Matter

International Centre for Science and High Technology (ICS)

International Centre of Theorethical Physics (ICTP)

CENMAT – Centre of excellence for Nanotechnology

Consortium for Biomolecular Medicine

…………………………

66

AREA Science Park, about 1,600 people, 75 R&D

laboratories and

high-tech companies

Sviluppo Italia FVG Business Innovation Centres

TriesteTrieste GoriziaGorizia SpilimSpilim totaltotal

Created Created CompaniesCompanies 104104 2727 2828 159159

… … went out went out 7979 1818 66 103103

Present Present companiescompanies 2424 99 2222 5555

Employment Employment impactimpact 10771077 184184 107107 13481348

Incubation Incubation average timeaverage time 4,24,2 2,92,9 1,61,6 3,73,7

Friuli Venezia Giulia: the technology transfer – Friuli Venezia Giulia: the technology transfer – business incubators systembusiness incubators system

77

‘Maggiore’ Hospital

Cattinara District & Hospital

Burlo New site within Cattinara District

Udine Hospital District

Cividale Hospital

A.O. Pn Pordenone Hospital

C.R.O. Aviano C.R.O. Hospital

Gorizia Hospital

Management site GO

District S.Polo-Monfalcone.

A.S.S. n.3 Tolmezzo Hospital

S. Daniele Hospital

I.M.F.R. Gervasutta

District of Cividale

A.S.S. n.5 Latisana Hospital

S. Vito Hospital

Cittadella della salute (Pordenone)

Other utilities Other structures

A.O.U. Ts

A.O. Ud - PUGD

A.S.S. n.2

A.S.S. n.4

A.S.S. n.6

‘Maggiore’ Hospital

Cattinara District & Hospital

Burlo New site within Cattinara District

Udine Hospital District

Cividale Hospital

A.O. Pn Pordenone Hospital

C.R.O. Aviano C.R.O. Hospital

Gorizia Hospital

Management site GO

District S.Polo-Monfalcone.

A.S.S. n.3 Tolmezzo Hospital

S. Daniele Hospital

I.M.F.R. Gervasutta

District of Cividale

A.S.S. n.5 Latisana Hospital

S. Vito Hospital

Cittadella della salute (Pordenone)

Other utilities Other structures

A.O.U. Ts

A.O. Ud - PUGD

A.S.S. n.2

A.S.S. n.4

A.S.S. n.6

Friuli Venezia Giulia: the healthcare system and Friuli Venezia Giulia: the healthcare system and public costspublic costs

Year 2004Year 2004 M€M€ %%PersonnelPersonnel 711711 38,838,8

Goods & Goods & services purchservices purch

545545 29,729,7

Ground medGround med 9797 5,25,2

PharmacPharmac 232232 12,612,6

Private Private hospitalisationhospitalisation

7777 4,24,2

Private Private specialisticspecialistic

4848 2,62,6

Other costsOther costs 121121 6,66,6

TOTTOT 1.8311.831

1.521 € / citizen1.521 € / citizen

88

Italian healthcare costs dynamic (1995-2004)Italian healthcare costs dynamic (1995-2004)

+80,79%

99

Possible solutions to keep high the quality Possible solutions to keep high the quality of care and to stop the costs growingof care and to stop the costs growing

• re-engineering healthcare processes (*)

• re-design the healthcare system and the role of the players (*)

• produce added value through healthcare clusters

(*) Experimented or under experimentation

1010

… … inside areas undergoing inside areas undergoing development at expecteddevelopment at expected ‘ ‘high rate’ within FVG…high rate’ within FVG… (Monitor Group)(Monitor Group)

Appropriate careAppropriate careInnovationInnovation ResearchResearch

Participation and role of the Regional Health Participation and role of the Regional Health System inside the development programs System inside the development programs

of the regional community (healthcare economic of the regional community (healthcare economic cluster):cluster):

Healthcare as asset and not only as Healthcare as asset and not only as costcost

Advanced healthcare serv.Advanced healthcare serv.

TechnologiesTechnologies

The general idea: healthcare clusterThe general idea: healthcare cluster

1111

Healthcare cluster actorsHealthcare cluster actors

• Hospitals and other healthcare players

• Public research organisation (Univ et al.)

• Private and public companies

Healthcare cluster supportersHealthcare cluster supporters

• Technology parks

• Business Incubators

• Development agencies

1212

Roles of Healthcare cluster actorsRoles of Healthcare cluster actors

The development of a Healthcare Economy Cluster is a sort of chemical reaction which need two reagents: the main players, i.e. know-how providers (hospitals, universities, public research organisation), and the entrepreneurship providers.

To raise the reaction, even if there is a good base of human resources, in most cases other players (intermediate players) are needed: business incubators, technology parks, technology transfer entities, private equity, public investment funds etc.

1313

Objectives of the projectObjectives of the project

•Production of 2 feasibility studies about regional healthcare public-private economy clusters;

•Production of 1 feasibility study about inter-regional virtual cluster about healthcare R&D;

•Design of an Integrated Project to be proposed within Structural Funds in 2007-13 programming period, for competitiveness cluster in healthcare economy.

•Exchange experiences in integrated project management;

1414

Schedule of the projectSchedule of the project

Months 1 – 6 : SURVEY AND ANALYSIS

The objective of this component is to map, in a sort of competences cartography, the possible actors of an Healthcare Economy Cluster in determined areas of Friuli Venezia Giulia, Hradec Kralové. Basilicata will provide a “map of competences” in healthcare structures. Intellectual property included.

STATE OF ART: GUIDELINES AND QUESTIONNAIRES, READY; COMPETENCE CARTOGRAPHY, WORK IN PROGRESS

Months 7 – 12 : INTEGRATED PROJECT DESIGN

The objective of this component is to write and integrated project in healthcare economic cluster.

1515

Integrated project prioritiesIntegrated project priorities

• Preliminary feasibility of Healthcare Economic Clusters (HEC), based on human resource and capital availability analysis.

• Homogeneity of the HEC focuses among the participants regions (for example feasibility of Health ICT HEC in 2 or 3 regions, and then high level of possible synergies)

• Complementarities among regions (for example hospital needs in one region can be satisfied by industrial availability)