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ITI Projects - Salute-Zdravsto

salute

 

HEALTHCARE PROJECT SALUTE-ZDRAVSTVO
(01.04.2017- 31-03-2021, 5.000.000 Euro)



The project “Construction of a network of cross-border health services” aims at improving the use and the performance of social-health services within the cross-border territory of the EGTC GO, through a work of integration between the services and health facilities involved in the project (Azienda per l’Assistenza Sanitaria n.2 “Bassa Friulana – Isontina”, Splošna bolnišnica dr.Franca Derganca Nova Gorica, Zdravstveni dom Nova Gorica, Psihiatrična Bolnišnica Idrija).
The project contemplates the constitution of a network made up of excellences from both territories,considering the needs of the citizens and the necessity to renew the programming of the services in order to have an efficient system that will ensure the universal right to healthcare.
The project includes the establishment of three cross-border medical teams in the field of mental health, autism and physiological pregnancy and the creation of a single centre for the booking of social and health services shared by Italian and Slovenian health facilities.
The project contemplates also some solutions for the inclusion of disadvantaged groups in order to integrate social assistance services.
The project will be developed with the collaboration of the Slovenian Ministry of Health and the Autonomous Region of Friuli Venezia Giulia.

 

Project summary: 

The project involves the establishment of joint cross-border medical teams in the field of mental health, autism and normal pregnancy, as well as the creation, on an experimental basis, of a Single Centre for cross-border reservations. In the perspective of integration with the social-assistance sphere, the project dedicates a pilot action to cross-border services and interventions for the inclusion of vulnerable groups in the population.

1. CUP: cross border health services;

2. Mental health: publication of the call for projects “individual health budget”, cross-border agreement and training course for workers who are not responsible for mental health issues; 

3. Autism: training course on the ESDM method, medical protocol for the treatment of autistic children and adaptation of rooms in Gorizia for the operation of integrated teams;

4. Normal pregnancy: cross-border agreement;

5. Social inclusion: training event, three thematic workshops and start of work for the construction of an info-point in Gorizia.

CUP

The activity aims to overcome administrative and operational obstacles, in order to give to the citizens of the EGTS area the possibility to book and use cross-border health services from both parts of the border, regardless of the state of origin, thus putting into practice the principle of the free movement of patients from the EU Directive 2011/24. The healthcare offerings of the two territories, the booking systems and the supplying system of Italian and Slovenian healthcare services were analyzed, in order to find administrative and legal solutions that would allow the creation of a network of cross-border healthcare services. All activities are carried out in close collaboration with the Slovenian Ministry of Health and with the Central Health Administration, Social Policies and Disabilities Department of the Friuli Venezia Giulia Region, and with the entities that deal with the technical, administrative and financial aspects of booking and providing health services: Insiel, the Slovenian National Institute for Public Health NIJZ (Nacionalni inštitut za javno zdravje Republike Slovenije) and the Slovenian Institute for Health Insurance ZZZS (Zavod za zdravstveno zavarovanje Republike Slovenije). 

The list of health services that will be provided in the territory of the EGTC GO has been approved and the number of places reserved for the pilot action has been identified on a weekly basis. 

An agreement was reached on how to implement the cross-border booking system. 

On the basis of the indications provided by the analysis and taking into account the technical characteristics of the two Italian and Slovenian IT systems, a cross-border group of computer scientists is developing a single joint booking system, which will allow citizens of the EGTC GO area to book and use the services of both states. 

MENTAL HEALTH

Thanks to the project, a joint Italian-Slovenian team was created with the task of drawing up common guidelines for taking care of patients between 18 and 35 years of age with mental health problems. The guidelines describe the actions that need to be carried out in the event of an acute situation and provide for the socio-professional reintegration of young people with mental health disorders. 

The first project activity consists of an analysis of the differences and synergies of the methods of treatment of people with mental health problems in Italy and Slovenia. The aim was to understand if and how it is possible to activate a joint service for the treatment of Italian and Slovenian patients. T cross-border team developed a joint model capable of increasing the quality and accessibility of cross-border services. 

The model requires that the multidisciplinary team carries out the following activities: 

• Information and prevention activities. Promotion of informative meetings with other local figures (health district, schools, general medicine doctors, social services). Carried out on 11/12/2018. 

• Community intervention in the crisis. The joint team will define a crisis management protocol which will make it possible the use of the geographically closer reception structures (Mental Health Centers), , as an alternative to normal hospitalization practices active in Slovenia; 

• Socio-professional reintegration. According to the guidelines developed by the mixed team, personalized rehabilitation projects will be activated, aiming at the re-acquisition of social skills/job capacity by the patients. This will be achieved thanks to a personalized rehabilitation health budget, tool that is widespread in Italy, but which an absolute novelty for Slovenia. In February 2019, Slovenian members of the cross-border team participated in a training session on use of the health budget. 

In September and October, the training course for the joint medical team on community mental health practices, deinstitutionalization courses and individual rehabilitation courses took place. 

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On 17.6.2019, the call for applications for the implementation of individual health budgets was published on the EGTS GO telematic platform. On 6.11.2019 the winner was announced. The co-planning meetings were held in November and December. The agreement was signed on 16.12.2019. 

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AUTISM

The project aims to introduce the early diagnosis (as early as 18 months of age) of the autism spectrum disorder. International studies continue to confirm that early treatment can significantly improve communication, relational, cognitive and adaptive skills. One of the most important objectives is to raise awareness of the importance of early diagnosis of primary care pediatricians as well as families and other operators who, for various reasons, use being in contact with children. 

A working group of experts was set up to draft a joint medical. The protocol plans the use, already in very young children, of the M-CHAT, one of the most internationally advanced tools for the diagnosis of the autism spectrum disorders. For the treatment it recommends the use of the ESDM method, which is currently the most effective in babies from 18 months onwards. For this end, the joint cross-border medical team took part in the ESDM course, taught by one of the most accredited American experts in this field at an international level. At the end of the course, experts will obtain a license to treat children with autistic spectrum disorder through this method. 

At the Basaglia Park in Gorizia, spaces have been redecorated for the joint medical team to use during the treatment of children with autism spectrum disorders from both the two states, through the ESDM method. Didactic material was purchased for the application of the ESDM method. The works were completed in July 2019. The new spaces were inaugurated on 21.11.2019 

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PHYSOLOGICAL PREGNANCY

Thanks to the project, pregnant women in the territory of the three municipalities will be able to benefit from pre and postpartum services, provided by a cross-border group of obstetricians and gynecologists who will take into account the best European practices. Currently these services are not present in Slovenian or Italian territory, as they represent an innovative method in today's obstetric practice. 

The first project activity analyses differences and synergies of the treatment methods for pregnant women in Italy and Slovenia. A transnational working group was established, who has developed a joint treatment model for normal pregnancy, which provides for the innovative services that will be provided by the joint cross-border medical. 

At the end of 2018, the cross-border agreement was signed for the adoption of the model, which is based on the excellences of the two territories, but above all takes into account the models adopted in the three most advanced European centers in the treatment of physiological pregnancy in Holland, Denmark, England , which the working group had the opportunity to visit between May and June 2018. 

In April 2019, the working group identified the activities that will be jointly provided. Information materials have been prepared to inform women about the cross-border services offered. Services include: Gymnastics for pregnant women, Aquatic courses in pregnancy, Aquatic courses for newborns and Meetings for Support groups. 

On 12.12.2019 the agreement was signed between Splošna bolnišnica "Dr. Franca Derganca" Nova Gorica and the Healthcare Agency n. 2 "Bassa Friulana-Isontina" for carrying out the swimming pool activities foreseen in the action of physiological pregnancy. 

In December 2019 the first scheduled activity started - Meetings with pregnant women. 

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The project plans the construction of new infrastructures where the activities of the cross-border multidisciplinary mixed team will be carried out. At the Basaglia Park spaces will be renovated to house the "Birth Path" center for pre-birth activities. The final project has been prepared and is currently being approved. At the Šempeter Hospital, a space has been identified within the maternity ward that will be used as a space for physiological delivery. An external technician was entrusted with the task of supporting the RUP for the preparation of the competition, for the assignment of the project and subsequently for the execution of the works. 

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SOCIAL INCLUSION 

The action, which takes place in collaboration with the three founding municipalities of the EGTC GO, aims to create a network of cross-border social services for the population of the EGTC GO area, in particular for the weaker groups. The result of the action will be a cross-border protocol, which will provide for the joint supply of social services, involving all the managing bodies of social services and private associations. Three information points will be created where citizens will be able to obtain information on the possibility of providing social services and on the type of cross-border services.  

A permanent cross-border working group has been set up consisting of staff from the three municipalities, which will deal with the construction of a network of social services that require joint assistance.  

Training and in-depth moments dedicated to the social services operators of the three cities were organized. The first training session was organized on May 13, 2019 in Nova Gorica followed by various thematic tables in June and September on the themes of "Seniors and disabilities", "Social unease and poverty" and "Minors and families". 

Three information points will be created in the three municipalities, where citizens will be able to receive information on existing services throughout the area and how they can use them. By creating a cross-border social network, Italian and Slovenian citizens will be able to use the services provided by all three municipalities. In Nova Gorica, the information point will be hosted at the Skupnostni center, which will be affected by important infrastructural works thanks to additional funds from the Municipality of Nova Gorica, which intends to carry out important interventions to adapt the building. The call was published in December 2019. 

In Gorizia the infopoint was created on the ground floor of the Multipurpose Center of Gorizia. The works ended in October 2019 and the spaces were inaugurated on 18.12.2019. 

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Main results: 

The results that are intended to be achieved are:

- greater skills and qualification of cross-border teams in the health and social field;

- analysis of the state of the art, methodologies and clinical, administrative and legal aspects in the health system in Slovenia and Italy and in the social-welfare sector;

- comparative analysis of the two health and social care systems (Slovenian and Italian);

- establishment of cross-border interdisciplinary teams and working groups;

- administrative and technical solutions to create cross-border health services;

- cross-border booking system ( CUP) for health and social services;

- infrastructures dedicated to cross-border services

 

Documents

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