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Premio forum pa sanita 2019 asl latina

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+VITA è l’innovativo modello di gestione della ASL di Latina rivolto ai pazienti cronici volto a favorire una precoce individuazione del problema di salute e una corretta programmazione del percorso di cura nel rispetto dei principi di presa in carico e continuità assistenziale, senza orizzonte temporale.

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Premio forum pa sanita 2019 asl latina

  1. 1. #FORUMPASANITÀ forumpasanita2019.eventifpa.it PREMIO
  2. 2. FORUM PA 2019 Premio PA sostenibile – II EDIZIONE 100 progetti per raggiungere gli obiettivi dell’Agenda 2030 ______________________________ ASL LATINA ______________________________
  3. 3. FORUM PA 2019 Premio PA sostenibile – II EDIZIONE 100 progetti per raggiungere gli obiettivi dell’Agenda 2030 IL GRUPPO DI LAVORO Il team impegnato nel Progetto +VITA, è un team multidisciplinare, composto a livello organizzativo da tutta la filiera in staff all’organizzazione, gestione e monitoraggio dell’assistenza (es. Direttore Distretto, Direzione Assistenza Primaria, Responsabile PDTA, Responsabile Sistemi Informativi, Responsabile professioni sanitarie, PM tecnico e PM organizzativo, Responsabile Formazione, Responsabile CUP e liste d’attesa, etc). Importante e fondamentale è stato il coinvolgimento della Medicina Generale, con la quale è stato siglato un accordo sindacale. Ad oggi, sono coinvolti: • 6 UCP con 53 Medici di Medicina Generale (MMG); • 2 Centrali di Continuità Territoriale con 7 infermieri; • 7 centri di offerta specialistica territoriale (poliambulatori), con 7 discipline specialistiche coinvolte (es. pneumologia, diabetologia, cardiologia, oculistica).
  4. 4. FORUM PA 2019 Premio PA sostenibile – II EDIZIONE 100 progetti per raggiungere gli obiettivi dell’Agenda 2030 PRESENTAZIONE DELLA SOLUZIONE 1/2 +VITA è l’innovativo modello di gestione della ASL di Latina rivolto ai pazienti cronici volto a favorire una precoce individuazione del problema di salute e una corretta programmazione del percorso di cura nel rispetto dei principi di presa in carico e continuità assistenziale, senza orizzonte temporale. L’approccio sistematico alla gestione della cronicità della ASL di Latina poggia su quattro elementi: • Il PATTO DI CURA. Il Paziente, il MMG e la ASL, diventano co-responsabili nella definizione e nell’attuazione del piano di assistenza individuale (PAI). • Il PDTA per condividere, tra professionisti, il processo di cura di gruppi di pazienti con caratteristiche omogenee. Rappresenta il punto di partenza per la declinazione del PAI, adattandolo alle esigenze del singolo paziente. • LA TECNOLOGIA. Una piattaforma tecnologica per la gestione dei pazienti cronici, in grado di connettersi con i software della Medicina Generale, i sistemi della ASL e i sistemi regionali; soluzioni di telemedicina per attività di tele-consulto e second opinion in territori e aree disagiate. • L’INTEGRAZIONE OSPEDALE-TERRITORIO. Coinvolgimento della Medicina Generale, organizzata principalmente in UCP, in cui la vicinanza con alcuni servizi territoriali della ASL (es. distretti) rappresenta la grossa potenzialità di integrazione multi-disciplinare e multi-professionale.
  5. 5. FORUM PA 2019 Premio PA sostenibile – II EDIZIONE 100 progetti per raggiungere gli obiettivi dell’Agenda 2030 PRESENTAZIONE DELLA SOLUZIONE 2/2 I destinatari di +VITA sono i pazienti cronici. Attraverso una medicina proattiva il progetto mira alla presa in carico della fascia di popolazione autosufficiente che richiede una tipologia di assistenza prevalentemente territoriale e un accesso limitato alle tipologie di servizi ad alta complessità. Forte presenza della Medicina Generale come principale interlocutore e attore dedicato alla gestione della patologia cronica. Il modello della ASL di Latina si basa sull’organizzazione dell’assistenza attualmente presente in ogni contesto sanitario facendo leva: - sulla medicina generale; - sulla componente infermieristica aziendale; - sulle attività specialistiche già erogate dalla ASL; - sui sistemi informativi regionali. presentando forti elementi di adattabilità e scalabilità sia dal punto di vista territoriale che organizzativo, oltre che per tipologia di PDTA e patologie.
  6. 6. FORUM PA 2019 Premio PA sostenibile – II EDIZIONE 100 progetti per raggiungere gli obiettivi dell’Agenda 2030 PER ULTERIORI APPROFONDIMENTI IL PROCESSO +VITA: • il MMG registra in piattaforma la presa in carico di un paziente in uno o più PDTA e, in relazione alle specifiche condizioni dell’assistito, personalizza il Piano di Assistenza Individuale (PAI) • le prestazioni pianificate nel PAI vengono prenotate direttamente dal MMG con la Piattaforma, in agende CUP riservate dalla ASL, evitando al paziente code, attese • le prestazioni sono erogate in ambulatori più vicini al paziente, limitandone gli spostamenti • un team di infermieri organizzati in Centrali di Continuità Territoriali (CCT) affianca il paziente nella gestione del proprio percorso di cura con counseling su stili di vita e corretti comportamenti connessi al proprio stato di salute • un sistema di remind ricorda al paziente le attività previste nel PAI e al MMG le prestazioni in scadenza • l’integrazione della Piattaforma con i diversi sistemi informativi aziendali (es. ricovero, accesso al PS), consente di monitorare l’aderenza del paziente al PAI e di tracciare il verificarsi di episodi di cura considerati estemporanei
  7. 7. FORUM PA 2019 Premio PA sostenibile – II EDIZIONE 100 progetti per raggiungere gli obiettivi dell’Agenda 2030 ANAGRAFICA DEL REFERENTE Nome e Cognome: Anna Di Marco Email: a.dimarco@ausl.latina.it Altre informazioni: Project Manager Progetto +VITA

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