Public health and laboratory organization

A.Y. 2019/2020
6
Max ECTS
60
Overall hours
SSD
ING-INF/05 MED/42 SECS-P/06
Language
Italian
Learning objectives
The learning objectives are:
1. Acquire the basic principles of epidemiology to interpret the results of scientific publications and to collaborate in the execution of epidemiological studies.
2. Know the main methodologies of disease prevention and control to understand the basis of different intervention strategies.
3. Have a general view of the organization of a "laboratory system" that meets the needs of a correct medical practice.
4. Know the basic concepts of computerization of an analysis laboratory.
Expected learning outcomes
Have a general view of the organization of a "laboratory system" that meets the needs of a correct medical practice.
- Know the basic concepts of computerization of an analysis laboratory
- Acquire the basic principles of epidemiology to interpret the results of scientific publications and to collaborate in the execution of epidemiological studies.
- Know the main methodologies of disease prevention and control to understand the basis of different intervention strategies.
- Understand the configuration and dynamics of the health sector and specifically of the NHS;
- Understand the organization and governance of a health organization/hospital and the role of lab medicine in the evolving scenario of corporatization of health services;
- Understand the evolution of the role of lab professionals, with reference to expectations on their contributions to economic sustainability, efficiency and clinical governance of health services delivery;
- Develop competencies on fundamental tools for the future professional development: business planning, budgeting, business modeling, HTA.
Course syllabus and organization

Single session

Responsible
Prerequisites for admission
There are no prerequisites for admission.
Assessment methods and Criteria
The learning assessment takes place through the final exam, which verifies the acquisition of the knowledge and skills expected for the integrated course through a written test that takes 1 hour and a half.
The test is based on quizzes with multiple choice answers.
Sistemi di elaborazione delle informazioni
Course syllabus
The clinical analysis laboratory
∙ Definition
∙ Mission
∙ Areas of activity
∙ Laboratory technician
The regulatory situation
∙ Institutional accreditation requirements
∙ Certification standards and ISO standards
∙ The construction of a Quality Management System
∙ Privacy Policy
∙ Regulations concerning professional liability
Organizational models: hospital companies, foundations
∙ POAS (Strategic Business Organizational Plan)
∙ Departments
∙ UOC (Complex Operating Units)
∙ OU (Operating Unit)
∙ UOS (Simple Operating Units)
∙ SMEL
∙ SIMT and DMTE
The organizational models
∙ Meaning and advantages of automation
∙ Laboratory information system
∙ Integration, consolidation, Core Lab and Hub and spoke models
∙ The Italian situation
∙ Analysis of different regional projects
The medicine laboratory service
∙ Internal processes: management of the pre-analytical, analytical and post-analytical phase
∙ The management of non-conformities
∙ Internal quality control and external quality assessment plans
∙ Turn-around time and activity indicators
∙ The role of Information Systems
∙ Diagnostic area software
The medicine laboratory service
∙ Laboratory guide
∙ Type of test tubes and various containers
∙ Sample collection mode
∙ Biological sample transport procedure
∙ Biological sample conservation procedure
∙ Waste disposal procedure
∙ Legislative Decree 81/2008 (Single Safety Text) and the Laboratory Safety Manual (ISPEL)
The medicine laboratory service
∙ Reagent management
∙ Calibrator management
∙ CQI Management (Internal Quality Checks)
∙ VEQ Management (External Quality Assessment)
∙ Instrument management
∙ Instrument maintenance
Laboratory Exams
∙ Practical examples of application of the regulations
∙ Evolution of the laboratory offer
∙ EBM and new technologies
∙ The appropriateness of the request
The Laboratory Medicine Service
∙ Process management
∙ Management of the Information System in the laboratory process
∙ Administrative management:
a) attendance management (shifts and hours of service)
b) salaries
c) assessments
d) warehouse management
∙ Training / Update: ECM (Continuous Education in Medicine)
∙ New Organizational Models
∙ Reorganization of Transfusion Centers
∙ Unification into macro-areas of activity
∙ 2015 Rules for the management of the regional social and health service (Lombardia)
∙ Technologic innovations
Teaching methods
Lectures with slide shows in Power Point. The slides are uploaded into Ariel website
Teaching Resources
-Plebani M. La riorganizzazione dei laboratori clinici: accorpamenti ed aree vaste. Biochimica Clinica 2004
-Morandini M. La fase preanalitica: idoneità/accettabilità del campione. RiMeL - IJLM, 2006;2: 70-76
-Horvath A.R., Watine J., Miko T.L. Lo standard ISO 15189:2003 e la medicina di laboratorio basata sulle evidenze (Evidence Based Laboratory Medicine) Rivista: RIMeL - IJLaM, Vol. 1, N. 4, 2005 (MAF Servizi srl ed.).
-2001_02_02 DGR 3313: "Approvazione delle direttive in ordine all'attuazione delle disposizioni di cui alla l.r. 15/1999 art. 4, comma 4, relative ai Servizi di Medicina di Laboratorio e all'attività di prelievo"
-2013_01_21 Decreto 252: "Indicazioni in merito alle attività dei servizi di Medicina di Laboratorio riguardo le attività di POCT (Point Of Care Testing)"
-2015_08_04 DGR 3993: "Ulteriori determinazioni in ordine alla gestione del Servizio Sanitario Regionale per l'esercizio 2015"
-DELIBERAZIONE N° X / 1632 Seduta del 04/04/2014 RIORGANIZZAZIONE DELLE ATTIVITÀ TRASFUSIONALI REGIONALI
Igiene generale e applicata
Course syllabus
The concept of health
From health to illness
∙ Causal relationships
∙ Natural history of communicable and non-communicable diseases
Epidemiology: principles and methods
∙ The sources of health data
∙ Measures in epidemiology
∙ Epidemiological studies
Prevention and promotion of health: principles and methods
Principles of prevention of non-communicable diseases (Lifestyle, Screening)
Principles of prevention of communicable diseases (Vaccines and vaccinations)
The role of the public health laboratory
Principles of epidemiology and prevention of infectious diseases transmitted through fecal-oral route, airborne, parenteral/sexual route.
Teaching methods
Lectures with slide shows in Power Point. The slides are uploaded into Ariel website
Teaching Resources
- Auxilia F, Pontello M. «Igiene e sanità pubblica- I fondamenti della prevenzione» Ed. Piccin. 2011.
- Barbuti S, Bellelli E, Fara GM, Giammanco G. «Igiene» (volume unico). Monduzzi editore.
Economia applicata
Course syllabus
Introduction. The health sector and its specificities. Health and social-health expenditure. Healthcare policy and management implications. The National Health Service and its regionalization, governance, perspectives and scenarios.
. Recent regional reforms.
∙ The characteristics of public health companies, financing and governance mechanisms.
∙ The organization and management of the healthcare company: history, present and evolution. The main business functions: planning, programming and budgeting, performance assessment and management, clinical governance and operational management.
∙ The challenge of "professionalism": from the doctor-manager to the widespread engagement of the healthcare professional
∙ The hospital sector, the primary care sector and the social-health sector
∙ The challenge of chronicity: from the chronic care model to the population health management. New paradigms and operational solutions
∙ The relations between company, system and industry.
Teaching methods
Lectures with slide shows in Power Point. The slides are uploaded into Ariel website
Teaching Resources
F. Lega, Economia e Management Sanitario, EGEA, 2018
Economia applicata
SECS-P/06 - APPLIED ECONOMICS - University credits: 2
Lessons: 20 hours
Professor: Lega Federico
Igiene generale e applicata
MED/42 - HYGIENE AND PUBLIC HEALTH - University credits: 2
Lessons: 20 hours
Professor: Pariani Elena
Sistemi di elaborazione delle informazioni
ING-INF/05 - INFORMATION PROCESSING SYSTEMS - University credits: 2
Lessons: 20 hours
Professor: Corti Maria Angela
Professor(s)
Reception:
Weekly - plese write to federico.lega@unimi.it
Department of Scienze Biomediche per la Salute - Via Pascal 36
Reception:
via C. Pascal, 36 Milan