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)