1. The Italian pilot project Expert meeting on pilot project Brussels, June 24 th 2015

2. A quick look at the institutional HWF planning process In Italy specific laws rule the HWF planning process ACTORS Ministry of Health; Ministry of University ; Regions; Professional Orders FREQUENCY and DEADLINE Every year By the end of April FACTORS TO CONSIDER Objectives and essential level of assistance; service delivery models; Labour market (spupply and demand) In order to define the number of intakes at universities (not entrants in medical specialization schools)

3. Steps in the Italian Health Workforce planning Forecasting health workforce needs from Regions’ and health professional Associations’ data Data collection, synthesis and analysis Data comparison between Regions and health professional Associations (Boards and others) Ministry of Health proposes NHS workforce needs Government-Regional Agreement Communication of results to Ministry of Education, University and Research to regulate the access to academic courses

4. Current critical issues in the process SUM Regions define their own needsNational needs as sum of regional needs Collectivity considered Variables investigated Methodology applied Actors involved Indicators used

5. Pilot project in the institutional framework Objective of the project Determination of the need of HWF by April 30° of each year – Agreement State - Regions Introduction of standards of health professionnels per level f assistance, even through the valorization of EU initiatives, in order to forecast HWF need at a national level Art 6 ter D.LGS. 502 / 92 Art 22 - Pact for Helath2014-2016 Institutional fullfillments Agreement State-Regions2016 Include specific session dedicated to the methodology agreed in order to plan and forecast the need By april 30 2016, definr the need followiong a methodology agreed during the experimentation for doctors, dentists, pharmacists, nurses and midwifes

6. ….walking towards the Handbook way Stakeholders involvement and networking Stakeholders involvement and networking A wider timeframe Arising from the good practice to construct a solid and shared methodology

7. Steering Committe Ministry of Health, Ministry of University, Ministry of Finance, Regions, Professional Orders, ISTAT, ENPAM, COGEAPS Working Group SUPPLY Working Group DEMAND Working Group ORGANIZATION and COMMUNICATION Supporting TEAM The pilot project organization STEP by STEP approach Working group organization Continous knowledge exchange

8. 1 January 2015 29 January 2015 First Steering Committee START Second Steering Committee Third Steering Committee 19 March 2015 2 July 2015 … … …. 30 April 2016 The timing of the Project, a challenge Government Regions agreement FINISH 16 MONTHS 4 June 2015 Stakeholders meeting STEP 1 STEP 2 STEP 3-6

9.  Planning the total number of professionals (both private and public sector)  Medium-long term projection period  Forecasting exercise on professionally active  Different data sources for each profession  Individual database (where available) to feed the forecasting model AGREED UPON ISSUES

10. SUPPLY DEMAND ORGANIZATION to refine and finalize the Professionally Active Stocks defining the data sources for each profession to select forecasting tools from those already available to develop the Demand model proposed in the Minimum Data Set (D051) to find further solutions for forecasting the HWF demand to analyze in depth the regional and national stakeholders’ panel and, in accordance to this analysis, is implementing the “stakeholders’ involvement plan”. to develop and implement a web site on the Pilot Project progress and main issues ( Working group major activities and issues

11. In synthesis what have we done until now? COGEA PS IGOP FOCUS ON THE DATA MODEL both supply and demand side TAKING ADVANTAGE of current expertises PROPOSAL OF TWO MODELS on supply side (Enpam, Emilia Romagna Region) PROPOSAL OF a THEORICAL MODEL on demand side

12. Next steps to develop and feed the Supply forecasting models and deliver them to the Regions to develop the Demand models and deliver a basic model to implement the Pilot Project web site to develop and feed the Supply forecasting models and deliver them to the Regions to develop the Demand models and deliver a basic model to implement the Pilot Project web site Regions will finalize the supply and demand model with their data they will improve and develop the proposed scenario they will discuss on the results and on the scenario with their stakeholders Regions will finalize the supply and demand model with their data they will improve and develop the proposed scenario they will discuss on the results and on the scenario with their stakeholders we will collect the regional findings and we will harmonize them at national level in agreement with the Regions and the main national stakeholders we will evaluate the experience of the pilot project and will report the evaluation to the stakeholders we will collect the regional findings and we will harmonize them at national level in agreement with the Regions and the main national stakeholders we will evaluate the experience of the pilot project and will report the evaluation to the stakeholders we will formalize the Agreement between Regions and Government; we will have a follow up to decide, on the base of the evaluation of our experience how to go on we will formalize the Agreement between Regions and Government; we will have a follow up to decide, on the base of the evaluation of our experience how to go on Mar/Apr16Jul 15Oct15Dec15/Jan 16Jun15 STEP 3 STEP 4 STEP 5 STEP 6

14. STOCK ATTUALE DI PROFESSIONISTI (tempo t) PROIEZIONI SU FLUSSI IN ENTRATA PROIEZIONI SU FLUSSI IN USCITA + - NUMERO ATTESO DI PROFESSIONISTI NEL FUTURO (tempo t+x i ) = IL MODELLO DI BASE – LATO OFFERTA -Da formazione -Da migrazione -Per pensionamenti -Per migrazione x1x1 x2x2 x3x3 x4x4 5 10 15 25

15. IL MODELLO TEORICO DI BASE

16. Attività e timing