Clinical management design
Reorganization of the service network in Turin and clinical management sizing of the new hospital of the ASL CDT
Technical support for the Alba-Bra Hospital Foundation ONLUS for the analysis of the healthcare delivery network in Turin, the identification of critical issues (redundancies, inefficiencies, under-sizing) and the definition of reorganization actions, including the clinical-management sizing of the new ASL City of Turin hospital. The project integrates the activities of the Maria Vittoria and Amedeo di Savoia hospitals into a single organization, optimizing the flow of admissions and responses to the health needs of the resident population.
Business Challenge
Critical demographic context
Under-resourced network resources
Resource optimization
Care standards of territorial service units inadequate to the needs
Milestones
1. Analysis of the context (sociodemographic and epidemiological), evaluation of hospital and territorial supply, and analysis of health mobility to identify needs and critical issues.
2. Definition of guidelines for the reorganization of the care network, focusing on the optimization of hospital bed availability (alignment with national benchmarks) and the strengthening of territorial beds.
3. Definition of the strategic positioning, the catchment area, and the functional equipment of the new Hospital of ASL Città di Torino, including calculations for production volumes and areas for each function.
4. Evaluation of possible locations for the new Hospital through a multicriteria analysis with multiple parameters, including relative distances to the catchment area, transport infrastructure, acquisition costs, and environmental constraints.
Conclusions
The project produced a reorganisation plan for the Turin network containing the priority reordering actions and the guidelines for the design of the new ASL Hospital (detailed sizing and functional programme, assessment of the optimal installation area). The results have been used as DIP (Guidance Document for Design) for the subsequent phases of the intervention's design.