1. E-Services for Life and Health
Giuseppe Banfi
Scientific Director IRCCS Galeazzi, Milano, Italy
General Manager Fondazione Centro San Raffaele, Milano, Italy

2. Gruppo San Donato
First private healthcare group in Italy
18 hospitals
Including three research and teaching hospitals
San Raffaele (molecular medicine, gene therapy, neurosciences, haematology…)
San Donato (cardiovascular diseases)
Galeazzi (orthopedics)

3. Teaching and research hospital specialized in
Orthopaedic Sciences

4. Surgical departments Galeazzi
2 operating blocks
11 operating rooms
24 surgical teams
14000 Interventions per year - 50/70 per day
190 people on staff per day (104 nurses)
Coordination: 14 wards, intensive care unit, sterilization department, equipment service, pharmacy, blood bank, laboratory, emergency department

5. Project IRCCS Galeazzi - HCS
A pilot project (first in Europe) of applied operations research aimed to the implementation of an innovative technology platform specifically designed to handle real-time, critical events and activities of the patient flow into the hospital
The project would improve the management process of the flow of surgical patients
The project would improve productivity, efficiency, effectiveness (of hospital), safety and compliance (of patients and personnel staff) in surgery

6. Enhancement of the productivity productivity
To value the factors of production with the support of innovative technologies now available
To transform the work of a high operational complexity area, as Operating Theatre, in a highly coordinated organization in real time

7. HCS Technology

8. Galeazzi: Configuration Control SystemR
- Real Time Tracking Patient Path - 11 States
- 30+ Functions
- Interface (HL7) betwen planning system and clinical/surgical
records
Infrastructure:
- 115 Access Points:
- 76 Operational qualification
- 29 Consultation
- 10 Web Access
users per day (managers, surgeons, nurses)

9. Galeazzi: Performance Indicators
Turnover of surgeries Punctuality of first surgical interventions
Changing time in operating theaters
Saturation of operating theaters and preparative rooms
Time call
Waiting time
Downtime
Overtime
Reprogramming / ER
Compliance protocols
Patients safety
Patients satisfaction
Caregivers satisfaction

10. Project HCS - IOG Results Results:
100% femur fractures treated before 48hs from hospitalization (vs. 82% 2014)
Punctuality (first patient) improved by 9%
Use of preparating rooms (near to theater, before entering theaters) increased by 17%
Rates of rotation of operating rooms improved by 7%
Saturation of the operating theaters increased by 3%
Patient call (average time) from operating block reduced to 22 min.

13. Registry of pathology with PROMS Patient Related Outcome Measurements
vertebral surgery

16. Scores reported directly by
the patient on tablet into the hospital
or through a link at home
Scores
Oswestry
Fabq
COMI back
SF36

17. Scores registered by the surgeon during
the follow-up