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Area Funzionale Amministrativa : Principali risultati conseguiti dalla struttura nell'anno 2012
Azioni
invio prospetti ecomico-finanziari e monitoraggi richiesti da organi
istituzionali ( modello CE e Flussi di cassa frequenza mensile)
attività finalizzata alla certificazione di bilancio
Pagamento con cadenza mensile delle imposte dirette/indirette e oneri
sociali personale dipendente e non - Mod. F24/ENC- Mod F24/Ord Mod
F23
solleciti di pagamento su fatture aperte per € 120.000
predisposizione di un percorso strutturato per la gestione dei contratti
implementazione Contabilità analitica
riorganizzazione della gestione ordini
partecipazione a gruppi di lavoro per trasferimento ospedale
Assegnazione alla struttura della responsabilità delle procedure per
l'acquisizione degli arredi sanitari e non sanitari per nuovo ospedale
riorganizzazione parco auto e logistica
Collaborazione con servizi di salute mentale
apertura sinistri
richieste risarcitorie a gestione diretta
incontri regionali di settore
Aggiornamento tempestivo del database regionale
gara per l'affidamento dei servizi assicurativi
obiettivo
risultato
rispetto scadenze
conseguito
certificazione bilancio 2012
conseguito
rispetto scadenze
conseguito
recupero crediti
Programma Contrattuale 2013
apertura nuovo ospedale
implementazione tempestiva
Contabilità analitica
apertura nuovo ospedale
> inserimenti lavorativi terapeutici
creazione di nuovi reparti e CDC
Revisione procedure di carico ordini
Assicurata presenza
nr inserimenti da 9 (2011) a 11 (2012)
rispetto tempistica regionale Max 15gg < a 15 giorni
presa in carico pratiche pervenute
nr 96 anno 2011 - 99 anno 2012
sistema regionale gestione rischio
clinico
partecipazione incontri
implementazione database
Partecipazione a collegio tecnico gare
Estav
Assicurata presenza
167 anno 2011
Attività contrattuale:presa in carico
delle pratiche pervenute
Pratiche scarti d'archivio
Istruttoria pratiche di contenzioso e costituzione in giudizio per alcune.
Apertura pratiche di patrocinio legale di dipendenti coinvolti in
procedimenti penali per
delibera 172 del 23/4/2013
individuazione RUP E DEC per arredi
Nuovo Ospedale
effettuata
riduzione di nr. 21 auto in service e rottamazione di 9
auto di proprietà
Razionalizzazione auto aziendali
repertoriazione contratti
Pratiche donazione
effettuati solleciti
-463 anno 2012
46
10
attività istruttoria per nr. 83 cause
costituzione in giudizio per 47 cause
10 pratiche di patrocinio legale
presa in carico pratiche contenzioso
Area Funzionale Amministrativa : Principali risultati conseguiti dalla struttura nell'anno 2012
Azioni
obiettivo
risultato
Realizzazione del piano occupazionale
Realizzare le procedure di assunzione
previste dal piano occupazionale e
dalla programmazione aziendale
Sono state realizzate 165 assunzioni in base alla
programmazione aziendale
Attivazione della nuova procedura Presenze-assenze WHR-PA
Avviare la nuova procedura WHR-PA
dal 1.1.2012
La procedura è stata attivata nei tempi previsti
(1.1.2012) e non si sono registrati particolari problemi
tecnici.
E' stata effettuata una formazione a tutti i dipendenti prevista nel piano della formazione - per consentire
l'utilizzo del Portale del dipendente; si è quindi attivato
progressivamente alle strutture il Portale.
Applicazione della "Rifoma Fornero" in materia di pensionamenti
Applicazione della Riforma per i
pensionamenti del personale
sono stati collocati a riposo 60 dipendenti in coerenza
con la norma e le successive circolari interpretative
Supporto alla U.O. Affari generali e legali per quanto attiene al
contenzioso del personale dipendente
Supporto in fase di istruttuoria alla
U.O. Affari generali e legali per quanto
attiene il contenzioso relativo al
personale dipendente
Compilazione della rilevazione secondo
le modalità specificate dalla Ragioneria
Generale dello Stato
rispetto delle scadenze definite dal
DFP
Soddisfazione del debito informativo
v/s RT
Predisposte relazioni a supporto dell'attivtà istruttoria
della U.O. Affari generali e legali
Implementazione del Portale del Dipendente
Rilevazione del Conto Annuale e monitoraggio trimestrale dello stesso
Anagrafe delle prestazioni (art. 24 della L. 412/1991 )
Rilevazioni per la Regione Toscana:
- Ruolo Nominativo Regionale
- monitoraggio mensile del personale
- rilevazione tasso di assenteismo (Laboratorio MeS)
Rilevazione effettuata come da specifiche definite dalla
RGS e certificata da questa.
Gli inserimenti sono stati effettuati nel rispetto delle
scadenze del DFP
Rilevazioni completate nei tempi previsti
Area Funzionale Tecnica : Principali obiettivi conseguiti dalla struttura nell'anno 2012
Azioni
Manutenzioni Immobili e impianti
presa in carico richieste di manutenzione fatte on line
interventi di manutenzione
lavori per la realizzazione del nuovo ospedale
Completamento lavori di ristrutturazione
lavori ristrutturazione Laboratorio analisi
-redazione di perizie di stima
-valutazione idoneità locali da prendere in affitto
-verifiche catastali e metriche
obiettivo
riduzione spesa
risultato
2.940.934 anno 2011Bilancio)
2.672.772 anno 2012 (fonte
inserimento on line richieste manutenzione Conseguito
mantenimento efficienza strutturale dei presidi
strutture
Pramma annuale manutenzioni
Apertura ospedale con 5 gg di anticipo rispetto alla
scadenza contrattuale del 25 luglio 2013
rispetto cronoprogramma lavori NH
Apertura Presidio Villa Ankuri
ristrutturazione locali laboratorio Analisi P.O.
Pescia
Attività di Supporto alle Zone distretto per la
gestione del patrimonio
inaugurazione mese di luglio 2012
prevista apertura settembre 2013
Richieste soddisfatte
Allegato B - Verifica Obiettivi di budget 2012 - rivalutazioni
indicatore
2011
2012
obtv
verso
peso
med
peso
inf
peso Peso Peso
tecn Altri psic
Var ass
Var%
%
%
peso ragg
%
ragg
ragg
rival med
med
rival
tipo
probl
note
ENDOSCOPIA DIGESTIVA PT
% partecipanti al corso su rischio biologico
Colonscopie per screening (totale
aziendale)
% soddisfazione domanda EGDS
Consulenze per interni c/o PO Pistoia (con
gastro PE)
% soddisfazione domanda colonscopie
Partecipazione a gruppi Nuovo
Ospedale
Non è stata presa risorsa medica in
REDISTR più. E' andata via un'ulteriore
risorsa medica
0
70
>=
3
-70
-100,00%
0
0,0
94
131
800
>=
10
-669
-83,63%
16
1,6
89,18%
84,81%
90%
>=
10
-5,19%
-5,77%
94
9,4
11,1
10,4
113
110
2011
>=
5
-3
-2,65%
97
4,9
6,1
5,9
97,70%
96,19%
95%
>=
10
1,19%
1,25%
REDISTR
100
10,0
11,1
11,1
Accreditamento
si
mantenimento
3
100
3,0
4,1
4,1
Buone Pratiche
si
implementazione
3
100
3,0
4,1
4,1
Colonscopie totali
1.852,00
1.851,00
2011
>=
15
-1
-0,05%
100
15,0
16,1
16,1
Consumo farmaci
6.604.341,00
4.447.817,00
2011
<=
5
-2.156.524,00
-48,48%
100
5,0
6,1
6,1
dato di area
Consumo presidi sanitari
2.740.085,00
2.620.545,00
2011
<=
5
-119.540,00
-4,56%
100
5,0
6,1
6,1
dato di area
1.340,00
1.348,00
2011
>=
15
8
0,60%
100
15,0
16,1
16,1
64
86
2011
>=
5
22
34,38%
100
5,0
6,1
6,1
61
2011
>=
5
61
100
5,0
6,1
6,1
1.554.827,82
1.848.717,00
2011
>=
6
293.889
100
6,0
7,1
7,1
87,9
100
99,1
EGDS totali
ERCP totale
Prime visite per esterni/amb complesso
c/o PO Pistoia (con gastro PE)
Valore consegna diretta
-
16%
100,0
ENDOSCOPIA DIGESTIVA VDN
% partecipanti al corso su rischio biologico
Colonscopie per screening (totale
aziendale)
EGDS totali (fatte da medici endoscopia)
94
0
70
>=
3
-70
-100,00%
0
0,0
131
800
>=
10
-669
-83,63%
16
1,6
Partecipazione a gruppi Nuovo
Ospedale
Non è stata presa risorsa medica in
REDISTR più. E' andata via un'ulteriore
risorsa medica
REDISTR
772
651
2011
>=
15
-121
-15,67%
84
12,6
16,3
13,7
% soddisfazione domanda EGDS
82,55%
77,56%
2011
>=
10
-4,99%
-6,05%
94
9,4
11,3
10,6
% soddisfazione domanda colonscopie
96,00%
95,34%
95%
>=
10
0,34%
0,36%
100
10,0
11,3
11,3
4,3
Accreditamento
si
mantenimento
3
100
3,0
4,3
Buone Pratiche
Colonscopie totali (fatte da medici
endoscopia)
Consumo farmaci
si
implementazione
3
100
3,0
4,3
4,3
1.267,00
1.283,00
2011
>=
15
16
1,26%
100
15,0
16,3
16,3
3.099.365,00
2.783.124,00
2011
<=
5
-316.241,00
-11,36%
100
5,0
6,3
6,3
dato di area
Consumo presidi sanitari
1.258.277,00
1.008.430,00
2011
<=
5
-249.847,00
-24,78%
100
5,0
6,3
6,3
dato di area
235
280
2011
>=
15
45
19,15%
100
15,0
16,3
16,3
1.554.827,82
1848717
2011
>=
6
293.889
16%
100
Nr polipectomie
Valore consegna diretta
100,0
6,0
7,3
7,3
85,6
100
96,7
Allegato B - Verifica Obiettivi di budget 2012 - rivalutazioni
indicatore
2011
2012
obtv
verso
peso
med
peso
inf
peso Peso Peso
tecn Altri psic
Var ass
Var%
%
%
peso ragg
%
ragg
ragg
rival med
med
rival
redistr
redistr
redistr
tipo
probl
note
GASTROENTEROLOGIA VDN
corretta compliazione campi SPA e SDO per
monitoraggio tempi attesa
redistr
redistr
% partecipanti al corso su rischio biologico
redistr
redistr
0,0
0,0
0,0
0,0
0,0
REDISTR
0
70
>=
3,2
-70
-100,00%
0
0,0
Colonscopie per screening (tot aziendale)
94
131
800
>=
10,5
-669
-83,63%
16
1,7
Nr ricoveri con attivazione ADI
28
17
2011
>=
5,3
-11
-39,29%
61
3,2
18,64%
48,30%
5%
<=
5,3
43,30%
865,99%
0
0,0
% media mensile SDO aperte a fine mese
% ricoveri ordinari medici brevi
% soddisfazione domanda cirrosi
scompensata depurato dei trapianti
EGDS totali (fatte da medici gastro)
% soddisfazione domanda infiammazione
cronica dell'intestino
% dimessi da liv. 2a con drg 174/tot drg
174
Viaggi per dimissione con ambulanza
% soddisfazione domanda epatocarcinoma
Partecipazione a gruppi Nuovo
Ospedale
Non è stata presa risorsa medica in
REDISTR più. E' andata via un'ulteriore
risorsa medica
REDISTR Pochi casi isolati
Difficoltà di rispetto termini
REDISTR chiusura SDO per riduzione di una
risorsa medica
REDISTR
9,85%
11,78%
2011
<=
5,3
0,02
19,66%
80
4,2
7,1
5,7
88,57%
74,19%
2011
>=
5,3
-14,38%
-16,23%
84
4,4
7,1
6,0
772
651
2011
>=
10,5
-121
-15,67%
84
8,8
12,4
10,4
75,90%
69,33%
2011
>=
5,3
-6,57%
-8,66%
91
4,8
7,1
6,5
57,26%
54,83%
2011
>=
5,3
-2,43%
-4,24%
96
5,1
7,1
6,8
10.443,00
10.751,00
2011
<=
5,3
308
2,95%
97
5,1
7,1
6,9
60,23%
63,29%
2011
>=
5,3
3,06%
5,09%
Accreditamento
Buone Pratiche
si
mantenimento
si
implementazione
3,2
5,3
7,1
7,1
3,2
5,0
5,0
100
3,2
5,0
5,0
1.267,00
1.283,00
2011
>=
10,5
16
1,26%
100
10,5
12,4
12,4
Consumo farmaci
3.099.365,00
2.783.124,00
2011
<=
5,3
-316.241,00
-11,36%
100
5,3
7,1
7,1
dato di area
Consumo presidi sanitari
1.258.277,00
1.008.430,00
2011
<=
5,3
-249.847,00
-24,78%
100
5,3
7,1
7,1
dato di area
Valore consegna diretta
1.554.827,82
1848717
2011
>=
6,3
293.889
16%
100
6,3
8,2
8,2
76,3
100
94,3
Colonscopie totali (fatte da medici gastro)
3,2
100
100
100,0
Allegato B - Verifica Obiettivi di budget 2012 - rivalutazioni
indicatore
2011
2012
obtv
verso
peso
med
peso
inf
peso Peso Peso
tecn Altri psic
Var ass
Var%
%
%
peso ragg
%
ragg
ragg
rival med
med
rival
redistr
redistr
redistr
tipo
probl
note
ONCOLOGIA MEDICA PT
corretta compliazione campi SPA e SDO per
monitoraggio tempi attesa
redistr
redistr
% partecipanti al corso su rischio biologico
% ricoveri >30gg
% ricoveri medici oltre soglia >= 65 anni
Nr ricoveri con attivazione ADI
0
redistr
redistr
0,0
70
>=
3,2
0,0
0,0
0,0
0,0
REDISTR
-70
-100,00%
0
0,0
Partecipazione a gruppi Nuovo
Ospedale
REDISTR Hospice chiuso da maggio 2012
REDISTR
12,70%
22,22%
2011
<=
5,3
0,1
75,00%
25
1,3
9,52%
15,38%
2011
<=
5,3
5,86%
61,54%
38
2,0
6,0
2,3
2,6
14
6
2011
>=
5,3
-8
-57,14%
43
2,3
6,0
% ricoveri medici oltre soglia globale
11,11%
12,77%
2011
<=
5,3
1,65%
14,89%
85
4,5
6,0
5,1
% soddisfazione domanda DRG 410
61,44%
59,20%
2011
>=
21,1
-2,24%
-3,65%
96
20,2
21,8
20,9
4,88%
4,93%
2011
<=
5,3
0,05%
1,02%
99
5,2
6,0
5,9
% ricoveri ripetuti entro 30 giorni stesso
MDC
Accreditamento
si
mantenimento
3,2
100
3,2
3,9
3,9
Buone Pratiche
si
implementazione
3,2
100
3,2
3,9
3,9
Consumo presidi sanitari
Nr prime visite per esterni
2.740.085,00
2.620.545,00
2011
<=
5,3
-119.540,00
-4,56%
100
5,3
6,0
6,0
387
445
2011
>=
15,8
58
14,99%
100
15,8
16,5
16,5
11,2
Spesa per farmaci oncologici
2.105.587,78
1.980.583,28
2011
<=
10,5
-125.004,50
-5,94%
100
10,5
11,2
Valore consegna diretta
1.554.827,82
1.848.717,00
2011
>=
6,3
293.889
16%
100
6,3
7,0
7,0
2.093,00
2.674,00
2011
>=
5,3
581
27,76%
100
5,3
6,0
6,0
84,9
100
91,1
Visite di controllo (89.01)
100,0
valore aziendale, fonte MeS (non
disponibile per reparto causa
cambio modalità identificazione
paziente)
dato di area
Allegato B - Verifica Obiettivi di budget 2012 - rivalutazioni
indicatore
2011
2012
obtv
verso
peso
med
peso
inf
peso Peso Peso
tecn Altri psic
Var ass
Var%
%
%
peso ragg
%
ragg
ragg
rival med
med
rival
redistr
redistr
redistr
tipo
probl
note
MALATTIE INFETTIVE PT
corretta compliazione campi SPA e SDO per
monitoraggio tempi attesa
redistr
redistr
% partecipanti al corso su rischio biologico
Indice di performance degenza media
% ricoveri medici oltre soglia globale
Nr ricoveri con attivazione ADI
% ricoveri ordinari medici brevi
0
redistr
redistr
0,0
70
>=
3,2
0,0
0,0
0,0
0,0
-70
-100,00%
REDISTR
0
0,0
0,3
2,1
4,13
2011
<=
10,5
2,03
96,90%
3
5,86%
6,92%
2011
<=
5,3
1,06%
18,03%
82
4,3
25
6
2011
>=
5,3
-19
-76,00%
24
1,3
Partecipazione a gruppi Nuovo
Ospedale
REDISTR Casistica
REDISTR
REDISTR Casistica
6,8
1,6
7,91%
8,43%
2011
<=
5,3
0,52%
6,51%
93
4,9
6,8
6,4
89,59%
86,25%
2011
>=
10,5
-3,34%
-3,73%
96
10,1
12,1
11,6
% ricoveri ripetuti entro 30 giorni stesso
MDC
4,88%
4,93%
2011
<=
10,5
0,05%
1,02%
99
10,4
12,1
12,0
% ricoveri medici oltre soglia >= 65 anni
9,32%
8,26%
2011
<=
10,5
-1,06%
-11,34%
100
10,5
12,1
12,1
% soddisfazione della domanda (over 17)
Accreditamento
si
mantenimento
3,2
100
3,2
4,7
4,7
Buone Pratiche
si
implementazione
3,2
100
3,2
4,7
4,7
valore aziendale, fonte MeS (non
disponibile per reparto causa
cambio modalità identificazione
paziente)
Consumo farmaci
6.604.341,00
4.447.817,00
2011
<=
5,3
-2.156.524,00
-48,48%
100
5,3
6,8
6,8
dato di area
Consumo presidi sanitari
2.740.085,00
2.620.545,00
2011
<=
5,3
-119.540,00
-4,56%
100
5,3
6,8
6,8
dato di area
Nr ricoveri per polmonite
33
33
2011
<=
10,5
0,00%
100
10,5
12,1
12,1
1.554.827,82
1.848.717,00
2011
>=
6,3
293.889
16%
100
6,3
7,9
7,9
10.443,00
10.751,00
2011
<=
5,3
308
2,86%
100
5,3
6,8
6,8
80,8
100
93,8
Valore consegna diretta
Viaggi per dimissione con ambulanza
100,0
-
Allegato B - Verifica Obiettivi di budget 2012 - rivalutazioni
indicatore
2011
2012
obtv
verso
peso
med
peso
inf
peso Peso Peso
tecn Altri psic
Var ass
Var%
%
%
peso ragg
%
ragg
ragg
rival med
med
rival
redistr
redistr
redistr
tipo
probl
note
NEUROFISIOPATOLOGIA VDN
corretta compliazione campi SPA e SDO per
monitoraggio tempi attesa
redistr
redistr
% partecipanti al corso su rischio biologico
0
redistr
redistr
0,0
0,0
0,0
0,0
0,0
REDISTR
70
>=
3,2
-70
-100,00%
0
0,0
REDISTR
Partecipazione a gruppi Nuovo
Ospedale
EEG e EMG per interni
305
190
2011
>=
15,8
-115
-37,70%
62
9,8
REDISTR
A PE stessa èquipe di PT. Stesso
numero di personale, ma non
dipendente che non concorre alla
turnistica su Pescia.
Consulenze per interni (escluse EEG e
EMG)
601
405
2011
>=
15,8
-196
-32,61%
67
10,6
REDISTR
A PE stessa èquipe di PT. Stesso
numero di personale, ma non
dipendente che non concorre alla
turnistica su Pescia.
1.192,00
1.019,00
2011
>=
15,8
-173
-14,51%
85
13,4
REDISTR
A PE stessa èquipe di PT. Stesso
numero di personale, ma non
dipendente che non concorre alla
turnistica su Pescia.
Nr prime visite per esterni
% di visite erogate entro 15gg
45,49%
59,88%
2011
>=
10,5
14,39%
31,64%
100
10,5
16,9
16,9
% EEG entro 7gg
85,71%
86,05%
2011
>=
10,5
0,33%
0,39%
100
10,5
16,9
16,9
% EMG (NO AGO) entro 45gg
98,96%
99,47%
2011
>=
5,3
0,50%
0,51%
100
5,3
11,6
11,6
Accreditamento
si
mantenimento
3,2
100
3,2
9,5
9,5
Buone Pratiche
si
implementazione
3,2
100
3,2
9,5
9,5
Consumo farmaci
3.099.365,00
2.783.124,00
2011
<=
5,3
-316.241,00
-11,36%
100
5,3
11,6
11,6
dato di area
Consumo presidi sanitari
1.258.277,00
1.008.430,00
2011
<=
5,3
-249.847,00
-24,78%
100
5,3
11,6
11,6
dato di area
Valore consegna diretta
1.554.827,82
1848717
2011
>=
6,3
293.889
16%
100
6,3
12,6
12,6
83,3
100
100
100,0
Allegato B - Verifica Obiettivi di budget 2012 - rivalutazioni
indicatore
2011
2012
obtv
verso
peso
med
peso
inf
peso Peso Peso
tecn Altri psic
Var ass
Var%
%
%
peso ragg
%
ragg
ragg
rival med
med
rival
redistr
redistr
redistr
tipo
probl
note
NEFROLOGIA E DIALISI PT
corretta compliazione campi SPA e SDO per
monitoraggio tempi attesa
redistr
redistr
% partecipanti al corso su rischio biologico
Nr ricoveri con attivazione ADI
% ricoveri medici oltre soglia globale
% ricoveri medici oltre soglia >= 65 anni
Valore viaggi per emodialisi/totale prestaz
emodialisi
% ricoveri ripetuti entro 30 giorni stesso
MDC
% nuovi pz in dialisi peritoneale/totale
nuovi pz
% ricoveri ordinari medici brevi
11
8,40%
redistr
redistr
0,0
0
70
>=
3,2
-70
-100,00%
0
0,0
1
2011
>=
10,5
-10
-90,91%
9
0,9
12,31%
2011
<=
10,5
0,0
0,0
0,0
0,0
3,90%
46,46%
54
REDISTR
5,7
Attivati percorsi di day service e day
hospital riducendo il numero dei
REDISTR ricoveri ordianari, che rimangono
solo per casi più gravi e di maggior
complessità assistenziale
Attivati percorsi di day service e day
hospital riducendo il numero dei
REDISTR ricoveri ordianari, che rimangono
solo per casi più gravi e di maggior
complessità assistenziale
9,68%
12,73%
2011
<=
10,5
3,05%
31,52%
68
7,2
3.474,61
3.991,31
2011
<=
5,3
516,7
14,87%
85
4,5
4,88%
4,93%
2011
<=
10,5
0,05%
1,02%
Partecipazione a gruppi Nuovo
Ospedale
REDISTR Pochi casi isolati
REDISTR
8,7
7,4
99
10,4
14,0
13,9
19,3
16%
21%
20%
>=
15,8
1,00%
5,00%
100
15,8
19,3
7,55%
3,51%
2011
<=
5,3
-4,04%
-53,51%
100
5,3
8,7
8,7
100
3,2
6,6
6,6
Accreditamento
Buone Pratiche
si
mantenimento
si
implementazione
3,2
100
3,2
6,6
6,6
Consumo farmaci
6.604.341,00
4.447.817,00
2011
<=
5,3
-2.156.524,00
-48,48%
100
5,3
8,7
8,7
dato di area
Consumo presidi sanitari
2.740.085,00
2.620.545,00
2011
<=
5,3
-119.540,00
-4,56%
100
5,3
8,7
8,7
dato di area
58,9
43,15
2011
<=
5,3
-15,75
-26,74%
100
5,3
8,7
8,7
1.554.827,82
1.848.717,00
2011
>=
6,3
293.889
16%
100
6,3
9,8
9,8
78,2
100
99
Tempo attesa medio prima visita
Valore consegna diretta
3,2
valore aziendale, fonte MeS (non
disponibile per reparto causa
cambio modalità identificazione
paziente)
100,0
Allegato B - Verifica Obiettivi di budget 2012 - rivalutazioni
indicatore
2011
2012
obtv
verso
peso
med
peso
inf
peso Peso Peso
tecn Altri psic
Var ass
Var%
%
%
peso ragg
%
ragg
ragg
rival med
med
rival
tipo
probl
note
ORTOPEDIA PT
% partecipanti al corso su rischio biologico
0
70
>=
3
-70
-100,00%
0
0,0
REDISTR
Partecipazione a gruppi Nuovo
Ospedale
% di visite erogate entro 15gg
49,07%
31,46%
2011
>=
5
-17,60%
-35,88%
64
3,2
REDISTR Riduzione personale non sostituito
% fratture anca operate in 2 gg
79,10%
64,21%
2011
>=
15
-14,89%
-18,83%
81
12,2
REDISTR Riduzione personale non sostituito
Numero DRG chirurgici
1.433,00
1.168,00
2011
>
10
-265
-18,49%
82
8,2
REDISTR Riduzione personale non sostituito
Peso totale DRG chirurgici
2.482,90
2.109,85
2011
>
10
-373,05
-15,02%
85
8,5
REDISTR Riduzione personale non sostituito
64,67%
57,58%
2011
>=
5
-7,09%
-10,96%
89
4,5
REDISTR Riduzione personale non sostituito
435
28
2011
>=
5
-407
-93,56%
6
0,3
REDISTR
5
-46,89
-52,09%
48
2,4
10,9
5,2
10
-6,60%
-9,80%
90
9,0
15,9
14,3
% soddisfazione della domanda
Nr ricoveri con attivazione ADI
corretta compliazione campi SPA e SDO per
monitoraggio tempi attesa
Drg LEA Chirurgici: % standard raggiunti
(più di 10 dimessi in un anno per drg)
Viaggi per dimissione con ambulanza
43,11
67,32%
60,73%
10.443,00
Compilazione check list (dato di Area)
90
2011
>
10.751,00
2011
<=
5
308
2,95%
97
4,9
10,9
10,6
99%
100%
5
-1%
-1,00%
99
5,0
10,9
10,8
8,9
Accreditamento
si
mantenimento
3
100
3,0
8,9
Buone Pratiche
si
implementazione
3
100
3,0
8,9
8,9
Consumo farmaci
Media della % di compilazione della
classe di priorità e del data
prenotazione (fonte: SDO)
681.297,00
583.368,00
2011
<=
5
-97.929,00
-16,79%
100
5,0
10,9
10,9
dato di area
Consumo presidi sanitari
4.443.204,00
3.523.428,00
2011
<=
5
-919.776,00
-26,10%
100
5,0
10,9
10,9
dato di area
Valore consegna diretta
1.554.827,82
1.848.717,00
2011
>=
6
293.889
16%
100
6,0
11,9
11,9
80,0
100
92
100,0
Allegato B - Verifica Obiettivi di budget 2012 - rivalutazioni
indicatore
2011
2012
obtv
verso
peso
med
peso
inf
peso Peso Peso
tecn Altri psic
Var ass
Var%
%
%
peso ragg
%
ragg
ragg
rival med
med
rival
redistr
redistr
redistr
tipo
probl
note
CARDIOLOGIA PT
corretta compliazione campi SPA e SDO per
monitoraggio tempi attesa
redistr
redistr
% partecipanti al corso su rischio biologico
0
Revisione protocollo aziendale valutazione
preoperatoria
redistr
redistr
0,0
70
>=
3,2
-70
-100,00%
0
0,0
REDISTR
Partecipazione a gruppi Nuovo
Ospedale
5,3
-60%
-60,00%
40
2,1
REDISTR
Obiettivo congiunto con Anestesia e
Rian. La revisione è stata effettuata
ma non applicata per volontà
indipendente dalla struttura.
40%
100%
0,0
0,0
0,0
0,0
REDISTR
Nr ricoveri con attivazione ADI
22
1
2011
>=
5,3
-21
-95,45%
5
0,3
5,9
% di visite erogate entro 15gg
34,67%
32,30%
2011
>=
5,3
-2,37%
-6,83%
93
4,9
5,9
5,5
10.443,00
10.751,00
2011
<=
5,3
308
2,95%
97
5,1
5,9
5,7
% soddisfazione domanda coronarografie
82,85%
81,58%
2011
>=
5,3
-1,28%
-1,54%
98
5,2
5,9
5,8
% ricoveri ripetuti entro 30 giorni stesso
MDC
4,88%
4,93%
2011
<=
10,5
0,05%
1,02%
99
10,4
11,1
11,0
11,1
Viaggi per dimissione con ambulanza
0,3
% soddisfazione della domanda
85,57%
87,63%
2011
>=
10,5
2,06%
2,41%
100
10,5
11,1
% soddisfazione domanda PTCA
79,16%
79,14%
2011
>=
5,3
-0,02%
-0,03%
100
5,3
5,9
5,9
100
3,2
3,8
3,8
Accreditamento
si
Buone Pratiche
mantenimento
100
3,2
3,8
3,8
Consumo farmaci
65.218,00
50.127,00
2011
<=
5,3
-15.091,00
-30,11%
100
5,3
5,9
5,9
Consumo presidi sanitari
Impiego presidi come da indicazioni
Regionali
98.620,00
50.430,00
2011
<=
5,3
-48.190,00
-95,56%
100
5,3
5,9
5,9
100
15,8
16,4
16,4
5,3
5,9
5,9
6,3
6,9
6,9
87,9
100
94
Nr ricoveri per scompenso
Valore consegna diretta
si
3,2
implementazione
si
3,2
si/no
15,8
32
9
2011
<=
1.554.827,82
1.848.717,00
2011
>=
5,3
-23
-71,88%
100
6,3
293.889
16%
100
100,0
valore aziendale, fonte MeS (non
disponibile per reparto causa
cambio modalità identificazione
paziente)
Valutazione ottima nel Bersaglio
Mes
Allegato B - Verifica Obiettivi di budget 2012 - rivalutazioni
indicatore
2011
2012
obtv
verso
peso
med
peso
inf
peso Peso Peso
tecn Altri psic
Var ass
Var%
%
%
peso ragg
%
ragg
ragg
rival med
med
rival
redistr
redistr
redistr
tipo
probl
note
CARDIOLOGIA VDN
corretta compliazione campi SPA e SDO per
monitoraggio tempi attesa
redistr
redistr
% partecipanti al corso su rischio biologico
0
Revisione protocollo aziendale valutazione
preoperatoria
redistr
redistr
0,0
70
>=
3,2
-70
-100,00%
0
0,0
REDISTR
Partecipazione a gruppi Nuovo
Ospedale
5,3
-60%
-60,00%
40
2,1
REDISTR
Obiettivo congiunto con Anestesia e
Rian. La revisione è stata effettuata
ma non applicata per volontà
indipendente dalla struttura.
40%
100%
0,0
0,0
0,0
0,0
REDISTR
Nr ricoveri con attivazione ADI
27
11
2011
>=
5,3
-16
-59,26%
41
2,2
5,8
% di visite erogate entro 15gg
78,99%
69,68%
2011
>=
5,3
-9,31%
-11,79%
88
4,6
5,8
5,1
% soddisfazione della domanda
87,28%
84,18%
2011
>=
10,5
-3,11%
-3,56%
96
10,1
11,1
10,6
702.546,00
733.060,00
2011
<=
5,3
30.514,00
4,16%
96
5,1
5,8
5,6
10.443,00
10.751,00
2011
<=
5,3
308
2,95%
97
5,1
5,8
5,7
% soddisfazione domanda coronarografie
82,85%
81,58%
2011
>=
5,3
-1,28%
-1,54%
98
5,2
5,8
5,7
% ricoveri ripetuti entro 30 giorni stesso
MDC
4,88%
4,93%
2011
<=
5,3
0,05%
1,02%
99
5,2
5,8
5,8
% media mensile SDO aperte a fine mese
20,16%
18,02%
2011
<=
5,3
-2,14%
-10,64%
100
5,3
5,8
5,8
% soddisfazione domanda PTCA
79,16%
2011
>=
5,3
-0,02%
-0,03%
Consumo presidi sanitari
Viaggi per dimissione con ambulanza
Accreditamento
Buone Pratiche
Consumo farmaci
Impiego presidi come da indicazioni
Regionali
Nr DRG LEA medici
Valore consegna diretta
79,14%
si
mantenimento
si
66.914,00
3,2
implementazione
3,2
49.802,00
2011
98
89
2011
<=
1.554.827,82
1848717
2011
>=
si
<=
si/no
5,3
2,4
100
5,3
5,8
5,8
100
3,2
3,7
3,7
100
3,2
3,7
3,7
100
5,3
5,8
5,8
-17.112,00
-34,36%
100
15,8
16,4
16,4
5,3
-9
-9,18%
100
5,3
5,8
5,8
6,3
293.889
16%
100
6,3
6,9
6,9
89,0
100
95
15,8
100,0
valore aziendale, fonte MeS (non
disponibile per reparto causa
cambio modalità identificazione
paziente)
Allegato B - Verifica Obiettivi di budget 2012 - rivalutazioni
indicatore
peso
med
peso
inf
peso Peso Peso
tecn Altri psic
Var ass
Var%
%
%
peso ragg
%
ragg
ragg
rival med
med
rival
redistr
redistr
2011
2012
obtv
verso
redistr
redistr
redistr
redistr
0,0
70
>=
3,2
-70
-100,00%
0
0,0
tipo
probl
note
OTORINO VDN
Nr ricoveri con attivazione ADI
% partecipanti al corso su rischio biologico
Peso totale DRG chirurgici (in base a
disponibilità ore di sala)
Numero DRG chirurgici (in base a
disponibilità ore di sala)
% soddisfazione della domanda
0
0,0
0,0
0,0
redistr
160,21
83,42
2011
>
15,8
-76,78
-47,93%
52
8,2
181
119
2011
>
10,5
-62
-34,25%
66
6,9
51,16%
37,08%
2011
>
10,5
-14,08%
-27,52%
72
7,6
5,3
-19,98
-22,20%
78
4,1
9,7
10,5
-0,56%
-7,48%
100
10,5
15,0
corretta compliazione campi SPA e SDO per
monitoraggio tempi attesa
% media mensile SDO aperte a fine mese
0,0
7,43%
70,02
90
6,87%
2011
<
REDISTR pochi casi isolati
Partecipazione a gruppi Nuovo
REDISTR
Ospedale
Cessazione medico responsabile.
Abbandono della chirurgia
REDISTR
oncologica a cui esclusivamente
dedicato.
Cessazione medico responsabile.
Abbandono della chirurgia
REDISTR
oncologica a cui esclusivamente
dedicato.
Cessazione medico responsabile.
Abbandono della chirurgia
REDISTR
oncologica a cui esclusivamente
dedicato.
Media della % di compilazione della
7,6
classe di priorità e del data
prenotazione (fonte: SDO)
15,0
% prime visite entro 15 giorni
31,35%
32,47%
2011
>
5,3
1,12%
3,58%
100
5,3
9,7
9,7
% screening audiologico
86,16%
91,74%
2011
>
15,8
5,58%
6,47%
100
15,8
20,2
20,2
Accreditamento
si
mantenimento
3,2
100
3,2
7,6
7,6
Buone Pratiche
si
implementazione
3,2
100
3,2
7,6
7,6
Consumo farmaci
489.967,00
444.111,00
2011
<=
5,3
-45.856,00
-10,33%
100
5,3
9,7
9,7
dato di area
Consumo presidi sanitari
3.017.140,00
2.896.441,00
2011
<=
5,3
-120.699,00
-4,17%
100
5,3
9,7
9,7
dato di area
Valore consegna diretta
1.554.827,82
1.848.717,00
2011
>=
6,3
293.889
16%
100
6,3
10,8
10,8
81,6
100
98
100,0
Allegato B - Verifica Obiettivi di budget 2012 - rivalutazioni
indicatore
2011
2012
obtv
verso
peso
med
peso
inf
peso Peso Peso
tecn Altri psic
Var ass
Var%
%
%
peso ragg
%
ragg
ragg
rival med
med
rival
tipo
probl
note
OSTETRICIA E GINECOLOGIA
% partecipanti al corso su rischio biologico
% di visite erogate entro 15gg
Nr ricoveri con attivazione ADI
0
67,24%
56,13%
94 -
corretta compliazione campi SPA e SDO per
monitoraggio tempi attesa
51,33
70
>=
3
-70
-100,00%
0
0
Partecipazione a gruppi Nuovo
Ospedale
REDISTR La struttura non fa prime visite
REDISTR
2011
>=
5
-11,11%
-16,52%
83
4,15
2011
>=
5
-94
-100,00%
0
0
5,5
0
5
-38,67
-42,97%
57
2,85
5,5
3,1
90
Consumo presidi sanitari
797.187,00
613.179,00
2011
<=
5
-184.008,00
-30,01%
100
5
5,5
5,5
Consumo farmaci
158.621,00
126.371,00
2011
<=
5
-32.250,00
-25,52%
100
5
5,5
5,5
38,95%
35,29%
2011
<=
2,5
-3,65%
-9,38%
100
2,5
3,0
3,0
80
>=
10
-7
-0,084625
92
9,2
10,5
9,7
% episiotomia depurato (NTSV)
tempestività registrazione CAP, IVG e AS
73,23
% parti indotti
16,75%
16,24%
2011
<=
2,5
-0,51%
-3,02%
100
2,5
3,0
3,0
% soddisfazione della domanda
73,33%
72,66%
2011
>=
10
-0,67%
-0,92%
99
9,9
10,5
10,4
% cesarei depurati
12,57%
15,18%
15%
<=
5
0%
1%
99
4,95
5,5
5,4
4,88%
4,93%
2011
<=
5
0,05%
1,02%
99
4,95
5,5
5,4
% ricoveri ripetuti entro 30 giorni stesso
MDC
Numero DRG chirurgici
Peso totale DRG chirurgici
Valore consegna diretta
Drg LEA Chirurgici: % standard raggiunti
(più di 10 dimessi in un anno per drg)
389
403
2011
>=
10
14
3,60%
100
10
10,5
10,5
495,37
528,94
2011
>=
10
33,57
6,78%
100
10
10,5
10,5
1.554.827,82
1.848.717,00
2011
>=
6
293.889
16%
100
6
6,5
6,5
74,67%
87,72%
2011
>=
5
13,05%
17,48%
100
5
5,5
5,5
Accreditamento
si
mantenimento
3
100
3
3,5
3,5
Buone Pratiche
si
implementazione
3
100
3
3,5
3,5
88,0
100
91
100,0
Media della % di compilazione della
classe di priorità e del data
prenotazione (fonte: SDO)
dato MeS relativo a flussi CAP, IVG,
AS, SDO, SPA, SPF, FED, RIC
valore aziendale, fonte MeS (non
disponibile per reparto causa
cambio modalità identificazione
paziente)
Allegato B - Verifica Obiettivi di budget 2012 - rivalutazioni
indicatore
2011
2012
obtv
verso
peso
med
peso
inf
peso Peso Peso
tecn Altri psic
Var ass
Var%
%
%
peso ragg
%
ragg
ragg
rival med
med
rival
redistr
redistr
redistr
tipo
probl
note
DIABETOLOGIA PT
corretta compliazione campi SPA e SDO per
monitoraggio tempi attesa
redistr
redistr
% partecipanti al corso su rischio biologico
Fughe per interventistica periferica e del
piede diabetico
Tasso di amputazioni per diabete
Residenti con Diabete che hanno effettuato
almeno una misurazione di Emoglobina
Glicata
0
redistr
redistr
0,0
70
>=
3,2
0,0
0,0
0,0
0,0
-70
-100,00%
0
REDISTR
REDISTR
0,0
29
23
15
<=
15,8
8
53,33%
47
7,4
30,71%
37,53%
2011
<=
15,8
6,82%
22,22%
78
12,3
17,7
13,8
74,6
60,1
2011
>=
8,4
-14,5
-19,44%
81
6,8
10,3
8,4
Residenti con Diabete che hanno effettuato
almeno un esame della Retina
31,1
30,05
2011
>=
7,4
-1,05
-3,38%
97
7,1
9,3
9,0
Accessi medi per paziente
1,28
1,29
2011
<=
10,5
0,01
0,80%
Partecipazione a gruppi Nuovo
Ospedale
REDISTR Non si tratta di pazienti diabetici
99
10,4
12,4
12,3
Accreditamento
si
mantenimento
3,2
100
3,2
5,1
5,1
Buone Pratiche
si
implementazione
3,2
100
3,2
5,1
5,1
Consumo farmaci
6.604.341,00
4.447.817,00
2011
<=
5,3
-2.156.524,00
-48,48%
100
5,3
7,2
7,2
dato di area
Consumo presidi sanitari
Nr ricoveri per diabete 20-74 anni effettuati
in ASL3
Valore consegna diretta
2.740.085,00
2.620.545,00
2011
<=
5,3
-119.540,00
-4,56%
100
5,3
7,2
7,2
21
11
2011
<=
15,8
-10
-47,62%
100
15,8
17,7
17,7
dato di area
Valutazione ottima nel Bersaglio
Mes
1.554.827,82
1.848.717,00
2011
>=
6,3
293.889
16%
100
6,3
8,2
8,2
83,1
100
94
100,0
DIABETOLOGIA VDN
corretta compliazione campi SPA e SDO per
monitoraggio tempi attesa
redistr
redistr
% partecipanti al corso su rischio biologico
Fughe per interventistica periferica e del
piede diabetico
Tasso di amputazioni per diabete
Residenti con Diabete che hanno effettuato
almeno una misurazione di Emoglobina
Glicata
Residenti con Diabete che hanno effettuato
almeno un esame della Retina
Accessi medi per paziente
0
redistr
redistr
0,0
70
>=
3,2
0,0
0,0
0,0
0,0
redistr
redistr
redistr
-70
-100,00%
0
REDISTR
0,0
REDISTR
17
14
10
<=
15,8
4
40,00%
60
9,5
30,71%
37,53%
2011
<=
15,8
6,82%
22,22%
78
12,3
17,7
13,8
74,6
60,1
2011
>=
8,4
-14,5
-19,44%
81
6,8
10,3
8,4
31,1
30,05
2011
>=
7,4
-1,05
-3,38%
97
7,1
9,3
9,0
12,4
Partecipazione a gruppi Nuovo
Ospedale
REDISTR Non si tratta di pazienti diabetici
2,7
1,5
2011
<=
10,5
-1,19
-44,23%
100
10,5
12,4
Consumo presidi sanitari
1.258.277,00
1.008.430,00
2011
<=
5,3
-249.847,00
-24,78%
100
5,3
7,2
7,2
dato di area
Consumo farmaci
3.099.365,00
2.783.124,00
2011
<=
5,3
-316.241,00
-11,36%
100
5,3
7,2
7,2
dato di area
Valore consegna diretta
Nr ricoveri per diabete 20-74 anni effettuati
in ASL3
Accreditamento
1.554.827,82
1848717
2011
>=
6,3
293.889
16%
100
6,3
8,2
8,2
11
13
2011
<=
15,8
2
18,18%
100
15,8
17,7
17,7
Buone Pratiche
si
mantenimento
3,2
100
3,2
5,1
5,1
si
implementazione
3,2
100
3,2
5,1
5,1
85,2
100
94
100,0
Valutazione ottima nel Bersaglio
Mes
Allegato B - Verifica Obiettivi di budget 2012 - rivalutazioni
indicatore
2011
2012
obtv
verso
peso
med
peso
inf
peso Peso Peso
tecn Altri psic
Var ass
Var%
%
%
peso ragg
%
ragg
ragg
rival med
med
rival
tipo
probl
note
OCULISTICA VDN
% partecipanti al corso su rischio biologico
lentine per miopia
Tempo attesa interventi cataratta
16,7
70
>=
3
-53,3
-76,14%
24
0,7
REDISTR
36.295,00
56.648,00
2011
<=
5
20353
56%
44
2,2
5,3
2,3
165
238
2011
<=
10
73
44,24%
56
5,6
10,3
5,7
5
-22,55
-25,05%
75
3,8
5,3
3,9
92
9,2
10,3
9,4
corretta compliazione campi SPA e SDO per
monitoraggio tempi attesa
67,45
% prime visite entro 15 giorni
23,77%
% soddisfazione domanda per cataratta
79,24%
21,75%
2011
>=
10
-2,02%
-8,48%
2011
>=
15
-1,63%
-2,06%
98
14,7
15,3
14,9
Accreditamento
si
mantenimento
3
100
3,0
3,3
3,3
Buone Pratiche
si
implementazione
3
100
3,0
3,3
3,3
Consumo farmaci
Consumo presidi sanitari
Numero prestaz ambu chirurgiche
Std regionale interventi su cristallino
Valore consegna diretta
77,61%
90
Partecipazione a gruppi Nuovo
Ospedale
fonte direzioni di presidio
Media della % di compilazione della
classe di priorità e del data
prenotazione (fonte: SDO)
489.967,00
444.111,00
2011
<=
5
-45.856,00
-10,33%
100
5,0
5,3
5,3
dato di area
3.017.140,00
2.896.441,00
2011
<=
5
-120.699,00
-4,17%
100
5,0
5,3
5,3
dato di area
1.563,00
1.589,00
2011
>
20
26
1,66%
100
20,0
20,3
20,3
97,03%
97,58%
2011
>=
10
0,55%
0,57%
100
10,0
10,3
10,3
1.554.827,82
1.848.717,00
2011
>=
6
293.889
16%
100
6,0
6,3
6,3
88,2
100
90
100,0