AZIENDA OSPEDALIERO UNIVERSITARIA CAREGGI 1° ANELLO 2° ANELLO 8° EuHPN Workshop and Seminar 13-15 June, 2005 Future Technology and Life Cycle Planning in Health NEW CAREGGI: TWO RINGS PAVILION HOSPITAL Dr. Grazia Campanile Board of Sanitary Services Azienda Ospedaliero – Universitaria Careggi, Florence, Italy Pohto, Vellamontie 12, OULU 8° EuHPN Workshop and Seminar 13-15 June, 2005 AZIENDA OSPEDALIERO UNIVERSITARIA CAREGGI Future Technology and Life Cycle Planning in Health 2° ANELLO 1° ANELLO AOUC CAREGGI Firenze ASL FIRENZE ASL SIENA AOUC LE SCOTTE Siena ASL EMPOLI ASL PRATO ASL LIVORNO ASL PISTOIA ASL PISA ASL GROSSETO ASL LUCCA ASL AREZZO Pohto, Vellamontie 12, OULU AOUC S. CHIARA Pisa ASL MASSA The “New Careggi” An University company hospital A pavilion hospital linked with a system of three horizontal ways with 1650 bed places H 8° EuHPN Workshop and Seminar 13-15 June, 2005 AZIENDA OSPEDALIERO UNIVERSITARIA CAREGGI Future Technology and Life Cycle Planning in Health 1° ANELLO 2° ANELLO Careggi is a university, highly specialized pavilions-structured hospital of national relevance, located in the near outskirts of Florence. It is under a complete renovation program thanks special governative funds (about 300,000,000 €) Pohto, Vellamontie 12, OULU The “New Careggi” Circuit of the programmed activities and election Circuit of the emergency THE CAREGGI EQUIPMENTS • 1650 Bed Places • 36 Surgical Rooms • • • • • 55 Diagnostic for images 20 Ecographic Rooms 31 Surgical Outpatients' departments 200 Clinical Rooms 200 Medical Studies Bed Places 965 • Surgical Places 17 • • Diagnostic for images 31 • Eco 8 • Surgical Rooms 12 The distances of Sanitary, Logistic and System interconnection H • • • • • Bed Places 685 Surgical Places 19 Diagnostic for images 24 Eco 12 Surgical Rooms 19 8° EuHPN Workshop and Seminar 13-15 June, 2005 AZIENDA OSPEDALIERO UNIVERSITARIA CAREGGI Future Technology and Life Cycle Planning in Health 1° ANELLO 2° ANELLO The humanization of the hospital from three points of view: 1. whole area (two wide indoor foot pathways); 2. building (in terms of orientation, mobility, interpersonal relation and socialization); 3. hospitalization area, in terms of comfort and privacy. The bedrooms are double, only 10% single, but in all the patient can choose to stay alone, or with onether patient, or with an accompanying person. Pohto, Vellamontie 12, OULU “San Luca” New Medicine Clinic - € 16,3M New Surgery Clinic - First Aid & Emergency Area – HI Care 8° EuHPN Workshop and Seminar 13-15 June, 2005 AZIENDA OSPEDALIERO UNIVERSITARIA CAREGGI Future Technology and Life Cycle Planning in Health 1° ANELLO 2° ANELLO In the planning phase it was necessary to consider the future Different configurations of the structure, according to prevailing Socio-political and health objectives. Flexibility has revelead as being particularly important, since the University hospital deed foreseeing the Integrated Health Care-giving Department as a model for assistance activities, in order to reach the best possible realization of the medical-chirurgical pathway. Pohto, Vellamontie 12, OULU 8° EuHPN Workshop and Seminar 13-15 June, 2005 AZIENDA OSPEDALIERO UNIVERSITARIA CAREGGI Future Technology and Life Cycle Planning in Health 1° ANELLO 2° ANELLO In the Integrated Health care-giving Department the following is guaranteed: 1. integrated and multidisciplinary health care; 2. coordination between the heads of the different organizing structures; 3. care-giving approach focused on the patient and on his whole medical and chirugical diagnostical, therapeutical pathway (not only on any of its single phases). Pohto, Vellamontie 12, OULU 8° EuHPN Workshop and Seminar 13-15 June, 2005 AZIENDA OSPEDALIERO UNIVERSITARIA CAREGGI Future Technology and Life Cycle Planning in Health 1° ANELLO 2° ANELLO A such organizational approach needed a re-adjustment of the project on the following bases: patients' health care pathway ensured by any single department; integration with university activities, that is a simultaneous training and care-giving pathway with fully integrated spaces dedicated to both kinds of activities; focus on health care-giving activities: decreasing of hospitalized patients and reorganization of the offer by reducing beds and increasing space for outpatients; a consequent selection of patients in critical conditions lets us foresee a highly technological quality of beds, also thanks to the most recent technological development. Pohto, Vellamontie 12, OULU D.A.I. Medicine and general Surgery D.A.I. Surgical Medical Specialties D.A.I. Sensorial Organs D.A.I. Neurological and Psychiatric sciences D.A.I. Orthopedics Planned Activity Emergency AZIENDA OSPEDALIERO UNIVERSITARIA CAREGGI 2° ANELLO 1° ANELLO D.A.I. Diagnostic for Images D.A.I. Biomedicine D.A.I. DEA and Acceptance D.A.I. Cardiological and circulation D.A.I. Laboratory D.A.I. Maternal infantile D.A.I. Oncology D.A.I. Regional Agency for Medullary Lesions 2° RING 1° RING AZIENDA OSPEDALIERO UNIVERSITARIA CAREGGI INTEGRATED BUILDING FOR EMERGENCY PLANAR BUILDING FOR SERVICES BIOMEDICINE ORTHOPEDICS SENSORIAL ORGANS BIOMEDICINE CARDIOLOGY GEN.MED. SURG LABORATORY DEA ACCEPTANCE SURG MED. SPEC. DIAGN. IMAGES 1 DIAGN. IMAGES NEUR. PSYC. SC. 4 DIAGN. IMAGES 2 3 ORTHOPEDICS SURG. MED. SPEC. RIABILITATION H EX CTO 5 DIAGN. IMAGES GEN. MED. SURG 6 DIAGN. IMAGES ONCOLOGIC NEUR. PSYC SC. DEA ACCEPTANCE SAN LUCA 7 DIAGN. IMAGES MATERNAL INF. EX MEDICAL CLINIC EX GINEC OBSTETRICIAN. CLINIC 1° RING 2° RING AZIENDA OSPEDALIERO UNIVERSITARIA CAREGGI INTEGRATED BUILDING FOR EMERGENCY BIOMEDICINE PLANAR BUILDING FOR SERVICES BIOMEDICINE ORTHOPEDICS SENSORIAL ORGANS CARDIOLOGY GEN. MED. SURG DEA ACCEPTANCE SURG MED. SPEC. DIAGN. IMAGES NEUR. PSYC. SC. LABORATORY DIAGN. IMAGES DIAGN. IIMAGES ORTHOPEDICS SURG. SPEC. MED. RIABILITATION H EX CTO DIAGN. IMAGES GEN. MED. SURG. DIAGN. IMAGES ONCOLOGIC NEUR. PSYC SC. MATERNAL INF. DEA ACCEPTANCE SAN LUCA DIAGN. IMAGES EX MEDICAL CLINIC EX GINEC OBSTETRICIAN. CLINIC 1° RING 2° RING AZIENDA OSPEDALIERO UNIVERSITARIA CAREGGI INTEGRATED BUILDING FOR EMERGENCY BIOMEDICINE PLANAR BUILDING FOR SERVICES BIOMEDICINE LABORATORY ORTHOPEDICS SENSORIAL ORGANS CARDIOLOGY GEN.MED. SURG DEA ACCEPTANCE SURG MED. SPEC. DIAGN. IMAGES NEUR. PSYC SC. DIAGN. IMAGES DIAGN. IMAGES ORTHOPEDICS SURG. MED. SPEC. RIABILITATION H EX CTO DIAGN. IMAGES DIAGN. IMAGES GEN MED. SURG. ONCOLOGIC NEUR. PSYC SC. MATERNAL INF. DEA ACCEPTANCE SAN LUCA DIAGN. IIMAGES EX MEDICAL CLINIC EX GINEC OBSTETRICIAN. CLINIC . AZIENDA OSPEDALIERO UNIVERSITARIA CAREGGI 1° RING 2° RING INTEGRATED BUILDING FOR EMERGENCY PLANAR BUILDING FOR SERVICES BIOMEDICINE ORTHOPEDICS SENSORIAL ORGANS BIOMEDICINE CARDIOLOGY GEN.MED. SURG. LABORATORY DEA ACCEPTANCE MED. SURG. SPEC. DIAGN. IMAGES DIAGN. IMAGES NEUR. PSYC. SC. DIAGN. IMAGES ORTOPEDIA MED. SURG. SPEC. RIABILITATION H EX CTO DIAGN. IMAGES GEN. MED. SURG. DIAGN.IMAGES ONCOLOGIC NEUR. PSYC. SC MATERNAL INF. DEA ACCEPTANCE SAN LUCA DIAGN. IMAGES EX MEDICAL CLINIC EX GINEC OBSTETRICIAN. CLINIC . 1° RING 2° RING AZIENDA OSPEDALIERO UNIVERSITARIA CAREGGI INTEGRATED BUILDING FOR EMERGENCY PLANAR BUILDING FOR SERVICES 2 PET - TAC 5 Gamma rooms 3 TAC 2 RMN 6 Angiography 2 Angigraphies leg 1 Angiofrafo bip. 7 RX traditional 1 RX interventionist 2 Rx portable 12 Ecographics 2 TAC 1 RMN 1 Telecomandato 1 RX Invasive 3 RX Traditional 1 RX Digital thoracic 1 RX Portable 1 MOC 1 Lithotriptor 2 Ecographics H EX CTO 1 TAC 1 RMN 1 RX direct digital 1 Rx portable 2 Ecographics SAN LUCA 1 TAC 1 RMN 1 RX Traditional 2 Ecographics EX MEDICAL CLINIC 3 Mammography 1 Remote Control 1 MOC 2 Ecographics EX GINEC OBSTETRICIAN. CLINIC . . AZIENDA OSPEDALIERO UNIVERSITARIA CAREGGI RADIOLOGY INFORMATION SYSTEM WORK FLOW RESERVATION CUP ACCEPTANCE EXECUTION RIS MODALITA’ dati DELIVERY work list HIS STAMPA immagini ARCHIVIO WEB immagini dati DISTRIBUTION immagini dati STAZIONE REFERTAZIONE Immagini elaborate DATABASE REPORT AZIENDA OSPEDALIERO UNIVERSITARIA CAREGGI