An Open Source architecture to collect and analyze performance measurement data to local health authorities in the Tuscany Region

The aim of this article is to present a hardware and software architecture that shows how to combine different open source technologies in order to realize an efficient system to collect and analyze data from a web survey. The framework presented has been used, in the context of the Performance Evaluation System, to measure the level of satisfaction of the employees of the Tuscany Health Authorities, compared with some specific variables in the internal organizational climate. Using that framework, about 42,000 employees were given the opportunity to fill in a web questionnaire. The survey has collected 20,294 cases.web survey, local health authorities, performance evaluation system

Can equity be included in a performance evaluation system? Some evidences from the tuscan health care system

Objectives. Can Equity be included in a performance evaluation system? In Italy, the Tuscan Region has tested and now is adopting an integrated model for performance measurement to which the regional administration, the local health authorities, and other stakeholders may refer either in terms of indicators and shared responsibilities. Thoughout this performance evaluation system it is now possible to measure also the capacity to persue equity at a regional and local level. Methods. In 2005 aspects as equity and access to services, that, in a public system, are very relevant and characterize the political strategy, were included in the performance evaluation system to evaluate the action carried out by the local health authorities, i.e. the operative actors of the system. This was achieved identifing equity measures and including them in an essential number of indicators, classified in six dimensions and represented in diagram targets. Results. This comprehensive performance evaluation system helped managers and the regional healthcare system as a whole to learn and to consider equity not only as a political issue but as a management goal. Conclusions. This system, used continuously and systematically at a regional level, is now a public policy tool and supports the Local Health Authorities in keeping equity in their management goals.Performance, Evaluation, Balanced Scorecard, Equity, Health Service Access, Health Targets.

Fiducia dei cittadini e valutazione della performance nella sanità italiana - Una sfida aperta

Collana “Creare un valore nella sanità pubblica

il governo dell innovazione farmaceutica in italia quali strumenti di governance regionale proporre

Within the Italian federalist framework, national and regional governance tools for pharmaceutical care have been developed in recent years. From a financial perspective, the pharmaceutical outpati..