1. CO - OPERATION FOR REGIONS AND WITHIN REGIONS P AOLA C ASUCCI H EAD OF THE I NFORMATION S YSTEMS AND H EALTH M OBILITY S ERVICE R EGIONAL H EALTH A UTHORITY, U MBRIA OPEN DAYS 2010 EUROPEAN MODELS THE UMBRIA REGION EXPERIENCE

2. Networks Specialization : Improved significantly both the quality of the product and the production costs. Characterization : the exchange/sharing of those services of excellence that can greatly benefit the economy scale. Ensures: Appropriatness Timeliness Efficacy Adequacy Quality OPEN DAYS 2010 A response to the challenges of hospitals and territorial services. The balance between centralization and decentralization, specialization and research.

3. ENRICH European network of regions improving citizens health Is a network of European Regions and Local Authorities working together to improve health and healthcare through active cooperation with Network members. OPEN DAYS 2010 The main purpose of the Network is to facilitate policy implementation

4. ENRICH Partners Tuscany (Italy) Andalusia (Spain) East Midlands (Great Britain) Aquitaine (France) Umbry (Italy) Sachsen-Anhalt (Germany) Walloon (Belgium) Drama Kavala Xanthi (Greece) Malopolska (Poland) Steiermark (Austria) 3rd Regional Health Authority of Macedonia Algarve (Portugal) OPEN DAYS 2010 Obesity Transplants Equity ………….. ENRICH Working groups the Regional Health Authority - Umbria the ENRICH experience

5. Clinical Networks in the Umbria Region Mother and Infant care Laboratory Analysis Oncology Pharmaceutical Rare Diseases …………. OPEN DAYS 2010

6. Router / Firewa ll Application Server Data Base Serv er Server di Servizio Server WEB Regional Health Information System Server WEB Application Server Router / Firewa ll Data Base Serv er Server di Servizio Router / Firewa ll Application Server Dat a Base Serv er Server di Servizio Server WEB Application Server Router / Firewa ll Data Base Serv er Server di Servizio Foligno Città di Castello Perugia Terni Integration of Services at all levels OPEN DAYS 2010

7. Integration: Obesity (but not only) PASSI surveillance system OPEN DAYS 2010 Health determinants should: be representative of the whole population provide reliable and timely information about relevant public health situations and the way they are changing allow fine-tuning of efficient corrective action for health programs provide detailed information at local level Data collection - to design, implement and assess public health actions. Database for evaluating the results of actions: early changes (improvement of perception, adjustment of behavior) changes in the long term (arrest and reversal)

8. OPEN DAYS 2010 Systematic evidence on inequalities and inequities in access to health and social services Evaluate the impact policies have on health (HIA): - to promote multiculturalism in social-health facilities - to monitor access to general practitioners and pediatrician Train general practitioners and pediatricians Support the use of economic evaluation and HIA tools Support policy makers to in strategy choices Produce research reports on health conditions of the population Integration: Equity PERGH (Poverty and equity research group in heath)

9. OPEN DAYS 2010 ENRICH Regional Strategies Are examples of the topics that are important to all areas in Europe and Networks are an essential element to foster growth between our experiences.

10. Grazie pcasucci@regione.umbria.it OPENS DAY 2010