“The new Lea guarantee system marks a change of pace compared to the old Lea compliance system, but like all reforms it is an experiment and experiments are measured along the way: in the light of needs and evidences they are adjusted and modernized, expanded and possibly corrected “. Like this Andrea Urbani, Director General of Health Planning of the Ministry of Health, in his speech at the National Seminar ‘Analysis of the new Lea guarantee system’, promoted today in Rome by Salutequità , with the unconditional contribution of the Servier Group in Italy, in the presence of numerous experts and decision makers. Objective of the initiative: to contribute constructive ideas to the change that the country needs.
“Lea’s new warranty system now measures three levels of assistance (hospital, district and prevention) – states Urbani – while the old system measured the Region as a whole. For example, in the case of a Region that did well on hospital care and bad on prevention and territorial assistance, the evaluation was watered down in the overall score. Today, however, we are able to make tailor-made assessments. A Region may be asked to enhance one level of assistance and not another and this is a very important signal “.
The new guarantee system of Lea “has actually chosen to change philosophy – adds the Dg – This tool begins to make assessments only on the basis of information flows relating to everything that is actually measurable. If previously the assessments were made substantially on adoptions of decrees, documents and self-declarations by the Regions themselves, today we are much more interested in measuring the level of delivery of a service “.
According to Urbani, “some emergencies of the National Health Service are there for all to see”. The pandemic “has inevitably generated waiting lists – he notes – Clearly a country focused on managing the largest world health emergency in the last 100 years has had to put some ordinary activities in the background. We have lost over 140 million outpatient services, 750 thousand planned hospitalizations “.
“Already in July 2020 the Parliament allocated over 470 million euros to recover the waiting lists, but in October the second wave arrived, then the third and fourth wave – recalls Urbani – In the 2022 Budget Law, Parliament allocated an additional 500 million and above all gave the Regions the task of measuring the performance lost on their territories, to prepare a recovery plan that we monitor. The recovery plans were all delivered on February 24, 2022. The first performance recovery monitoring with data is on March 30. The second monitoring will take place on June 30th, and we are noticing that the Regions have started to recover the lost performances. We will see in the second monitoring in June if the trend has consolidated “, concludes the director general of health planning of the ministry.