1. 1 HealthY Economy: the outlines and the structure of the sub-project Gianluigi Carlini University of Trieste Project Manager

2. 2 The subproject HealthY Economy HOSPITALS & SMEs FOR HEALTHCARE ECONOMIC CLUSTER: OPPORTUNITIES FOR LOCAL ECONOMY, QUALITY OF CARE AND COST OF CARE REDUCTION HOSPITALS & SMEs FOR HEALTHCARE ECONOMIC CLUSTER: OPPORTUNITIES FOR LOCAL ECONOMY, QUALITY OF CARE AND COST OF CARE REDUCTION The partnership: The partnership: - University of Trieste - Medical Holding Hradec Kralove - ASL 4 Matera

3. 3 The demo-scientific landscape Population1.2 million Area7,845 km2 ProvincesTrieste, Udine, Pordenone, Gorizia GDP 26.7 billion N. Companies85,105 Imports 1.46 billion Exports 2.37 billion Researchers per 1,000 inhabitants: Friuli Venezia Giulia10.5 Italy 3.3 European Union 5.3 USA 8.1 Trieste35.0

4. 4 Friuli Venezia Giulia: the research system Three Universities: Universities of Trieste, University of Udine, International School for Advanced Studies (PhD school) ~ 100 Research Centers, internationally recognised, focusing on science and technology (6,000 R&D workers) Un. Trieste Un. Udine SISSA Students (2005) 24.00017.000160 Departments4128NA Bachelor programmes 5043NA PhD Programmes 401913

5. 5 International Centre for Genetic Engineering and Biotechnology (ICGEB) ELETTRA Synchrotron Light Laboratory National Institute for the Physics of Matter International Centre for Science and High Technology (ICS) International Centre of Theorethical Physics (ICTP) CENMAT – Centre of excellence for Nanotechnology Consortium for Biomolecular Medicine ……………

6. 6 AREA Science Park, about 1,600 people, 75 R&D laboratories and high-tech companies Sviluppo Italia FVG Business Innovation CentresTriesteGoriziaSpilimtotal Created Companies 1042728159 … went out 79186103 Present companies 2492255 Employment impact 10771841071348 Incubation average time 4,22,91,63,7 Friuli Venezia Giulia: the technology transfer – business incubators system

7. 7 Friuli Venezia Giulia: the healthcare system and public costs Year 2004 M%Personnel71138,8 Goods & services purch 54529,7 Ground med 975,2 Pharmac23212,6 Private hospitalisation 774,2 Private specialistic 482,6 Other costs 1216,6 TOT1.831 1.521 / citizen

8. 8 Italian healthcare costs dynamic (1995-2004) +80,79%

9. 9 Possible solutions to keep high the quality of care and to stop the costs growing re-engineering healthcare processes (*) re-design the healthcare system and the role of the players (*) produce added value through healthcare clusters (*) Experimented or under experimentation

10. 10 … inside areas undergoing development at expected development at expected high rate within FVG… high rate within FVG… (Monitor Group) (Monitor Group) Appropriate care Innovation Research Participation and role of the Regional Health System inside the development programs of the regional community (healthcare economic cluster): Healthcare as asset and not only as cost Advanced healthcare serv. Technologies The general idea: healthcare cluster

11. 11 Healthcare cluster actors Hospitals and other healthcare players Public research organisation (Univ et al.) Private and public companies Healthcare cluster supporters Technology parks Business Incubators Development agencies

12. 12 Roles of Healthcare cluster actors The development of a Healthcare Economy Cluster is a sort of chemical reaction which need two reagents: the main players, i.e. know-how providers (hospitals, universities, public research organisation), and the entrepreneurship providers. To raise the reaction, even if there is a good base of human resources, in most cases other players (intermediate players) are needed: business incubators, technology parks, technology transfer entities, private equity, public investment funds etc.

13. 13 Objectives of the project Production of 2 feasibility studies about regional healthcare public-private economy clusters; Production of 1 feasibility study about inter- regional virtual cluster about healthcare R&D; Design of an Integrated Project to be proposed within Structural Funds in 2007-13 programming period, for competitiveness cluster in healthcare economy. Exchange experiences in integrated project management;

14. 14 Schedule of the project Months 1 – 6 : SURVEY AND ANALYSIS The objective of this component is to map, in a sort of competences cartography, the possible actors of an Healthcare Economy Cluster in determined areas of Friuli Venezia Giulia, Hradec Kralové. Basilicata will provide a map of competences in healthcare structures. Intellectual property included. STATE OF ART: GUIDELINES AND QUESTIONNAIRES, READY; COMPETENCE CARTOGRAPHY, WORK IN PROGRESS Months 7 – 12 : INTEGRATED PROJECT DESIGN The objective of this component is to write and integrated project in healthcare economic cluster.

15. 15 Integrated project priorities Preliminary feasibility of Healthcare Economic Clusters (HEC), based on human resource and capital availability analysis. Homogeneity of the HEC focuses among the participants regions (for example feasibility of Health ICT HEC in 2 or 3 regions, and then high level of possible synergies) Complementarities among regions (for example hospital needs in one region can be satisfied by industrial availability)