CriCoRM
Project on crisis communication in the area of risk
management
ASL BRESCIA DESCRIPTION
Dr Carmelo Scarcella
Drosbach building (12, rue Guillaume Kroll, L-1882 Luxembourg),,
28 June 2012
ASL MISSION AND STRATEGIC TARGETS
ASL is the territorial structure of the Italian National Health System
(ASL stands for Azienda Sanitaria Locale, Local Health Authority)
Mission:
ASL IS RESPONSIBLE FOR THE HEALTH STATUS OF THE POPULATION LIVING IN THE AREA
This mission is achieved by ASL guaranteeing the essential health care assistance levels, as defined at the national level
ASL BRESCIA FEATURES
Total budget for year 2011:
€ 1.658.641.000,00
3.465 Km2
333 Population/ Km2
164 Municipalities ƒ NORTH: mountains and valleys
ƒ CITY: high urbanization
ƒ SOUTH: plains
1.154.003 Population:
ƒ111.416 (65‐74 years old)
ƒ101.610 (over 74) ƒ162.242 Migrants
(data at 31.12.2011)
ASL STRUCTURE ASL ENCOMPASSES CENTRAL AND TERRITORIAL FACILITIES
Central Departments:
1. Department of Medical Prevention
2. Department of Veterinary Prevention 3. Department of Primary Care
4. Department of Programming and Control
5. Department of Integrated Social Welfare and Health 6. Department for Addiction Control
7. Administrative Department Territorial Organization:
‰ 12 Districts
Dpt of Programming and Control
‰ To investigate the population’s health needs
‰ To assess the weight of the most common risk factors for acute and chronic diseases in the area
‰ To plan the health services required to respond to the population’s health demands
‰ To pay health providers (hospitals, clinics, laboratories…) for the services they provide
‰ To evaluate the effectiveness, safety and cost‐benefit ratio of the health services provided according to standards of quality
Departments of Prevention and Primary Care
‰ Dpt of Medical Prevention directly provides services and implements control activities for prevention regarding: ‰
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Infectious diseases
Food safety
Chronic diseases prevention
Occupational safety
‰ Dpt of Medical and Veterinary Prevention implements control activities for prevention regarding: ‰ Food safety
‰ Veterinary Health
‰ Dpt of Primary Care is dedicated to ‰ Health services governance, through Primary Care Practitioners
‰ Governance of pharmaceutical and prosthetic supply
Departments of Social Welfare and for Addiction
‰ Dpt of Social Welfare assures the integration of social welfare and health care, in collaboration with municipalities, public/private and profit/no profit entities
‰ Family, ‰ Childhood/Adolescence, ‰ Residential, semi‐residential, or home care for the elderly and the disabled
‰ Dpt for Addiction Control coordinates the network of services dedicated to addiction control, both specifically for addicted people and in a public health perspective
ASL BRESCIA
DISTRICTS
6 Managerial district
12 Social and health districts
6 Veterinary districts
1.653 ASL employes
717 General Pratictioners
191 Health Care Continuity (for night and week‐
end)
131 Pediatricians
291 Pharmacies
3 Hospitals (10 Facilities ‐ 3.429 beds)
16 Clinics (2.450 beds)
16 Psichiatric Facilities
86 Long term Facilities (6.122 beds)
4 Rehabilitation Institutes (169 beds)
3 Residential Hospice (34 beds)
49 Daily Elderly Assistance Centre (988 beds)
6 Disabled Care Facilities ‐ 29 Daily Disabled Assistence Centre ‐ 20 Social and Health Centre (data at 31.12.2011)
WHY THE CriCoRM
PROJECT?
‰ During the emergencies ASL is responsible for the health of the population living in the area
‰ ASL in the past years faced several emergency situations in which it developed an internal organizational model aimed to optimize crisis preparedness
Examples: Millenium Bug 1999, Spongiliform Encephalopathy, Bioterrorism, Salò Earthquake 2004
‰The expertise in this field led to the EU HEALTHREATS Project (2007‐2010) aimed to the development of a Decision Support System for Health Crisis Management
EXPECTATIONS
FROM CRICORM
The essential role of communication with citizens/stakeholders has emerged clearly during emergencies that ASL Brescia faced and during the EU funded
HEALTHREATS Project coordinated by ASL Brescia
We aim to achieve an effective communication strategy, which will ultimately increase population compliance with public health recommendations