Article 17 bis of Legislative Decree no. 502/92 as amended and supplemented by Legislative Decree no. 229/99 – defines the departmental organization as the ordinary model of operational management of all the activities of Healthcare Companies.
It establishes that the Department is an aggregation of Complex Operating Units and provides for the attribution of responsibility to the Departments, both professional in clinical-organizational and prevention matters, and managerial in terms of rational and correct programming and management of the resources assigned for the achievement of the objectives.
The Departments are divided into Departments by Structure (Department of Mental Health and Addiction Diseases and Department of Prevention) and Departments by Function.
The Function Department does not cross the company structure vertically but coordinates it transversally, meaning that it is a coordination structure for the integrated performance of complex functions. He does not have a hierarchical management role on the operating units pertaining to the District and the Hospitals but assumes guidance, advice and supervision tasks for the performance of the function to which he is assigned.
The Structure Departments have greater autonomy than the other corporate organisational divisions (Hospital and District) and with a more marked vertical management.
There are eight Departments of the Local Health Company of Frosinone, all of which are sanitary.
- Prevention Department
- Department of Mental Health and Addiction Disorders
- Department of Primary Care and Intermediate Care
- Department of Diagnostics and Pharmaceutical Assistance
- Emergency Department Emergency
- Department of Surgical Sciences
- Department of Medical Sciences
- Department of Nursing, Midwifery and Health Professions, Rehabilitation and Prevention Techniques
The aforementioned Departments find justification in the organisational logic that identifies the Department as an ideal coordination model with tasks of guidance, advice and supervision for activities related to it, aimed at pursuing common objectives and goals.
The Department is responsible, in any case, for the functions of clinical governance, i.e. coordination, guidance, advice, supervision aimed at the implementation of strategic lines and health programming and, in particular, the following tasks are assigned to it:
- coordinate, within the indications and references of the Strategic Management, the objectives to be pursued (both on an annual and multiannual basis);
- manage and use, in a coordinated and integrated manner, the resources allocated (human, financial and technological) to:
- pursue the objectives defined in the budget negotiation;
- constantly aiming to improve performance indicators relating to efficiency, effectiveness and cost-effectiveness;
- ensure the constant implementation of appropriate interventions both from a clinical and management point of view;
- negotiate the Budget objectives with the Strategic Management seeking the maximum sharing of all managers and assigned personnel;
- seek personalization and humanization of interventions;
- define care paths or care profiles based on the coordination of the services that are necessary;
- develop, share and adopt guidelines and protocols;
- promote continuous quality improvement;
- ensure the appropriateness of admissions by fully using day hospital and day surgery activities;
- promote concrete actions to achieve better levels of appropriateness;
- develop systems of indicators useful for evaluating and verifying the effectiveness and appropriateness of the services provided and the level of efficiency of the different operating units, the different professional teams represented in them and the individual professionals.
The relationships between the District, Hospitals and Departments will be defined with specific Regulations.
The Departmental Regulations may also provide for any organizational articulations aimed at supporting the programming, coordination and verification functions for homogeneous areas of activity by products or by discipline.
The Departmental Committee, pursuant to Article 17-bis of Legislative Decree no. 502/1992 and subsequent amendments, is a collegial advisory body with guidance and verification functions.
Members of the Department Committee are:
- the Director of the Committee who chairs it;
- the Directory of Complex Operating Units;
- the Managers of the Simple Departmental Operating Units;
- the Coordinator or his delegate of the health, technical, social and rehabilitation professions;
- the medical and health directors, in a number not exceeding 30% of the legal members, elected by all the directors of the Department who have been in office for three years;
- a representative elected by the outpatient specialists.
The Committee meets upon formal convocation of the Department Director and each meeting will be drafted with appropriate minutes, kept in chronological order at the Department’s management.
The duration and methods of operation of the Department Committee are established by the Company with specific regulations.
The Department Committee defines the clinical and organisational guidelines of the Department, defining the business processes. It also elaborates the Department’s proposal of management and welfare objectives.
The Department Committee meets for the periodic verification of the objectives and to identify any corrective measures and interventions suitable to optimize the use of resources, as well as whenever it has to express itself on:
- the objectives of the Department that will be negotiated by the Director of the same with the Strategic Management;
- the acquisition and allocation of the human and material resources of the individual Operating Units and their respective budgets;
- verification of the correspondence of the results achieved with the agreed objectives;
- the organizational methods of the Department in the clinical field, the care paths, the taking charge, the appropriateness, etc.
The Director of the Department is appointed by the Director General for a term of office of two to three years.
The Department Director, in particular:
- ensures the functioning of the Department by implementing organisational models also proposed by the Department Committee, including compliance with occupational health and safety regulations and the protection of privacy;
- promotes the development of risk management and periodic checks;
- manages the resources allocated for the functioning of the Department after hearing the Committee’s proposals and guarantees the mobility/rotation of personnel within the Department;
- proposes to the Strategic Management the assistance and management objectives and plans the departmental activities, after consulting the Department Committee;
- coordinates activities and resources so that the Department fully fulfils its tasks and in order to ensure that each structure of the Department operates through homogeneous work programmes, protocols and procedures;
- verifies the compliance of the Department’s objectives with those of the company;
- participates in the negotiation of the budget according to the company’s organisational methods;
- informs the Department Committee of the results of the negotiation;
- manages the Department’s budget;
- guarantees the appropriateness of interventions for preventive, diagnostic, therapeutic and rehabilitative purposes according to the methods of clinical governance as identified in these guidelines;
- reports on the overall performance of the Department in relation to the objectives directly assigned to it.