Population:

Lombardy Region has around 9.300.000 citizens.

Health Care System:

Health Care system is constituted by:

• Health clinics: 844
• Socio Sanitary Units: 15
• GPs 9.000
• Paediatricians 1.000
• Hospitals: 132
• Other public clinics: 66
• Hospices:381
• Research institutes:18
• Primary Care Clinics: 37
• Emergency Rooms: 99
• Beds in Hs: 45.849
• Beds in DHs: 4.294

Expenditure:

€ 14,5 billion budget for public healthcare.

HIS:

the Regional Government of Lombardia started a large project to design and realise a new Information System for the regional Public Administration to improve the level of services provided and to manage, better, the Regional expenditure. This project named “Cards for Regional Services - HealthCare Information System” (or, in Italian, Carta Regionale dei Servizi - Sistema Informativo Socio-Sanitario referenced as SISS. here after) aims to obtain a modular open system able to grow with the needs of regional Public Administration with a first application to the Health Care environment. The project is based on the implementation of a  Virtual Private Network able to support all the communications  among the different actors, through the use of a "public network This network is actually covering a wide geographical area corresponding to a part of the region. The network provides a broad range of  services aiming to connect different levels of care between themselves and with the citizens SISS is a part of a broader project of the Regione Lombardia, the “Service Regional Card” which will be the only way of access to the electronic services provided by the Region and by the  Lombardy local Public Administration.

Policy of RAPS

To reduce RAPS Lombardy Region adopted a incident reporting system and every

Management:

six month it promotes a round-table with General Director of Public Hospital. Lombardy Region has optimized a web database to monitor risk and to manage insurance.

SUUPOHJA REGION – KAUHAJOKI HOSPITAL

Population:

Suupohja represents in REMINE a region in Western Finland of about 200.000 citizens. Presentation of the region is in http://www.epliitto.fi/?page=index&lang=en

Health Care System:

Health Care system is constituted by:

• Primary health care
• health centres
• Secondary health care
• 1 central hospital
• Private health care

Expenditure:

€ 5.895 million budget for public healthcare. Incidence of RAPS on Total Expenditure amount to  12%.

HIS:

Finland Government realized a regional division in Health care government, each region chooses the main point of interest.

Policy of RAPS Management:

Each health institution has to have a quality system (SFS-EN ISO 9001:2000), and to use a incident reporting system. Each health institute at the end of year has to draw up a social annual report, highlighted incidence of RAPS like number, quality and expenditure.

SOUTH YORKSHIRE – THE ROTHERHAM NHS FOUNDATION TRUST

Population:

South Yorkshire has ar ound 252.000 citizens.

Health Care System:

Health Care system is constituted by:

• Primary health care
• health centres
• Secondary health care
• 45 hospital districts
• 10 university hospitals
• 15 central hospitals

Expenditure:

£ 20.895 million budget for public healthcare. Incidence of RAPS on Total Expenditure amount to  £ 201.500.

HIS:

The South Yorkshire gave its institutes a microsoft windows environment, thus each institute extends its software.

Policy of RAPS Management:

Each organisation carries out research or technological development as one of its main objectives, for reduction of 7% of RAPS.