On the homepage, the Monitoring Dashboard, highlights and summarizes the numbers of the Electronic Health Record (FSE) which, specifically, are:the number of active Regions, i.e. regions in which there is at least one activated ESF;the number of subsidiarity Regions, ie regions that partially or 100% have their ESF services active at the
INI (National Interoperability Infrastructure);The number of structured and digitized laboratory reports produced by national public health structures;The number of ESFs activated on a national basis.
The surveys are made on a quarterly basis by the regions through the restricted access on the portal and the data are entered in the month following the reference quarter. At the end of the month, the data entered is made public on the portal in the Monitoring section and on the home page.
For more information, please refer to Annex B “Monitoring ESF implementation” of the “Guidelines for the presentation of regional project plans for the creation of the Electronic Health Record”, published on 31 March 2014 by the Agency for Digital Italy and by Ministry of Health.Thanks to telemedicine it is possible to activate a hospital-doctors-territory network, to monitor patients, assist them in chronic diseases and promote prevention.
We see technologies and methods that can help spread telemedicine in Italy, save lives and the national health system from collapse08 Apr 2020Domenico MarinoUniversity of Mediterranean Studies of Reggio CalabriaAntonio MiceliUniversity of MessinaDemetrio Naccari Carlizzi
P4C – Prepare for ChangeGiuseppe QuattroneMediterranean University of Reggio CalabriaAlso in the light of the Covid 19 epidemic, it is increasingly clear that a modern health system cannot ignore telemedicine and digital healthcare.
The stylized facts and the numbers of the epidemic observed in the different regions show that the effectiveness of the containment measures are closely linked to the responsiveness of the local health system.
The differences between the lethality rates and the spread rates of the contagion in Veneto and Lombardy can only be explained by the different efficiency of the territorial health system. In Lombardy there is a very strong public and private hospital system which, however, has actually decreased the weight of local healthcare.
Hospitals and their emergency medical facilities have effectively replaced the figure and role of the general practitioner. Under normal conditions this could also be a strength and a tool to reduce health care costs, but in the face of a widespread emergency in the area, hospitals soon entered into crisis and sometimes, without the filter of the territory, they are they have also become multipliers of the contagion.
The lesson we should learn from this epidemic is that reorganizing local health is, therefore, a necessity to fight the new pandemic risks and this reorganization must be technological and exploit all the potential of telemedicine.
Patient monitoring through sensors connected to the general practitioner can make patient management more efficient and effective and also improve the prognosis of the disease, improving prognosis which also means a lower rate of intensive care use.
A revolution is needed for healthcare, taking into account that by intervening today we can have results in at least two years. The network of local services needs to be redesigned, enhancing the role of general practitioners and introducing remote assistance and telemedicine tools. They are interventions at no cost, which do not require additional resources, but which only need programming skills and expertise.