I.R.C.C.S.
ISTITUTO ORTOPEDICO GALEAZZI
ISOC 2010
ELENA BOTTINELLI
ISOC 2010
Ceo of Istituto Ortopedico Galeazzi since 2005
Biomedical engineer
Past experience in orthopaedics companies
(Smith+Nephew, Zimmer)
Working in Istitututo Ortopedico Galeazzi since 2000
ISOC 2010
ITALIAN HEALTHCARE SYSTEM
•“BEVERIDGE”
UNIVERSALITY AND SOLIDARITY
•REGIONALISED
REGIONS ARE PAYERS AND RULERS
•DRG SYSTEM (ICD9CM24:
LUM:primary:8.695 revision:8.789,
E.R:9.357 revision: 17.712, tuc:9.070)
•LUMBARDY FREE CHOICE:
COMPETITION
Founded in 1961, has been for years a clear choice for any kind of muskuloskeletal pathologies.
In May 2000 the hospital has joined Gruppo Ospedaliero San Donato, the largest Italian private owned health group (760mil€, 6.600 hip and knee replacements).
In 2006 it has become centre of research in muskuloskeletal pathologies for Italian Health Ministry (IRCCS).
ISOC 2010
IRCCS ISTITUTO ORTOPEDICO GALEAZZI
934 employees 242 MDs
(80 ortho)
357 beds:Musculoskeletal area:
•166 orthopaedic surgery
•15 neurosurgery
•128 rehabilitation
•5 rheumatology
•8 intensive care
Ancillary area:
•15 vascular surgery
•10 plastic and reconstructive surgery
•10 maxillofacial surgery
ISOC 2010
IRCCS ISTITUTO ORTOPEDICO GALEAZZI
Excellence in clinics:First orthopaedic institute in
Lumbardy since 2000Education:Teaching hospital
(University of Milan) since 2002 and site of
Bioengeneering practice Politecnico di Milano (Technical
school)Research:IRCCS (research hospital of the italian health
ministry) since april 2006
ISOC 2010
IRCCS ISTITUTO ORTOPEDICO GALEAZZI
16.550 SSN HOSPITALIZATIONS in 2009
other
ortho
ISOC 2010
Lumbardy
71%
Others italian
regions 28%
Foreign
Countries 1%
12.024 ORTHOPAEDIC HOSPITALIZATIONS
11.021 SURGICAL (1942 hips and knees replacements
819 spine surgeries)
2.085 EMERGENCY HOSPIT.
SUPPLIES- 11 operating theaters (9 ORTHO): 1 Digital O.R., 1 O.R. with OARM (intraop. CT scan), all with PACS technology
- Radiology, Image analysis dept: 3 MRI, 1 dedicated MRI (20.000 ex), 1 CT scan, 1 angiography, 1 MOC, 5 traditional RX systems, 2 orthopantomographies and 5 ultrasound systems, PACS/RIS technology.
- 3 rehabilitation rooms supplied with isokinetic instruments, lasertherapy, gait analysis and lokomat system (robot-assisted treadmill), shock wave.
- Research laboratories of Molecolar genetic, Molecolar Biology, Immunoreumathology, Bioimages, Biological structure Mechanic, Gait Analysis, Prosthesis surgery, Cellular Colture, Prosthesic Ortopaedic Register of Lumbardy (ROLP),.
ISOC 2010
•Joint replacement unit
•Sports medicine and arthroscopy surgery unit
•Knee unit
•Foot and ankle unit
•Hip unit
•Surgical arthritis unit
•Hand and elbow unit
•Shoulder unit
•Spine and scoliosis unit
•Pediatric orthopaedic surgery unit
•Orthopaedic Trauma unit
•Ortopaedic infection unit
•Bone tumor unit
ORTHOPAEDIC SURGERY:
ISOC 2010
ORTHOPAEDICS HOSPITALIZATION(ORDINARY )
IN LUMBARDY – 2003-2008
0
2000
4000
6000
8000
10000
12000
14000
2003 2004 2005 2006 2007 2008
GALEAZZI
PINI
SAN MATTEOPV
Source: Data bank of Lumbardy, D.M. 23/12/96 ISOC 2010
UNIVERSITY:
ISOC 2010
RESEARCH (400 I.F.):
•Statistics in orthopaedics and registry-
- 8 projects
•Bioengineer and tissue engineer- 16 projects
•Imaging- 23 projects
•Orthopaedic surgery- 18 projects
•Rehabilitation- 11 projects
•Spine- 9 projects
•University teachings (medical school)
•Orthopedic fellowships (15)
•Stages
•International and national meetings
•Trainings
•Professional education
•On site cme programs
•PROFIT
•FOLLOW THE RULES OF THE REGION:
“accreditamento” (org/struct)
Growth limit for regional patients
drg
Inpatients/outpatients
Physician contracts
Use of beds
CHALLENGES:
(PRIVATE OWNED HOSPITAL):
ISOC 2010
• benchmarks (measure, compare)
•Flexibility (organization, assets)