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HEALTHCARE ORGANIZATION

Academic year and teacher
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Versione italiana
Academic year
2022/2023
Teacher
ROSA MARIA GAUDIO
Credits
4
Didactic period
Primo Semestre

Training objectives

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Modulo: 000224 - DIRITTO DEL LAVORO
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FORENSIC MEDICINE
The main legal forces affecting nursing practice with particular emphasis on the history and development of legal procedure. Acquisition of knowledge applied to decision-making in nursing practice. Basic concepts of professional practice. Legal aspects related to the health profession. Basic concepts of professional accountability.
The basic principles of the concept of “accountability”.
APPLIED HYGIENE
Prepare the student to the concepts of hygiene; examine in depth the aspects of health promotion and of prevention of non- infectious diseases. Supply the basic knowledge in epidemiology, epidemiological studies and risk definition and assessment.
LABOUR LAW
Provide basic knowledge of the concepts of sources of law and of the hierarchy of sources of primary health care legislation. Make the students understand the importance of continuing education for health professionals.
HOSPITAL CARE ORGANIZATION
Analyze and understand the hospital organization using some of the best-known theories of the organization to acquire critical skills and analytical tools . Describe the typical organizational models of care hospitals and skills necessary for success / failure of the chosen models . Guidance and supervision of Social and Health Operators

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Modulo: 013651 - IGIENE APPLICATA
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FORENSIC MEDICINE
The main legal forces affecting nursing practice with particular emphasis on the history and development of legal procedure. Acquisition of knowledge applied to decision-making in nursing practice. Basic concepts of professional practice. Legal aspects related to the health profession. Basic concepts of professional accountability.
The basic principles of the concept of “accountability”.
APPLIED HYGIENE
Provide basic knowledge of the structure and functions of the National Health Service, and of the potential impact of the financing methods. Provide principles of the quality assessment for healthcare planning.
LABOUR LAW
Provide basic knowledge of the concepts of sources of law and of the hierarchy of sources of primary health care legislation. Make the students understand the importance of continuing education for health professionals.
HOSPITAL CARE ORGANIZATION
Analyze and understand the hospital organization using some of the best-known theories of the organization to acquire critical skills and analytical tools . Describe the typical organizational models of care hospitals and skills necessary for success / failure of the chosen models . Guidance and supervision of Social and Health Operators

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Modulo: 015254/1 - MEDICINA LEGALE (mutua dall'attività formativa MEDICINA LEGALE - 015498/4 del CdS LOGOPEDIA (abilitante alla professione sanitaria di Logopedista) - 1058)
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On completion of the course the student is expected to know:
LABOUR LAW
Provide basic knowledge of the concepts of sources of law and of the hierarchy of sources of primary health care legislation. Make the students understand the importance of continuing education for health professionals.
PSYCHOLOGY OF WORK
Study and learn the principles of the psychology of work and of organizations in the past reality, today, in public companies and private ones. Knowing the techniques and tools for assessment of human personnel to work. Knowing how to establish a positive psychological contract and purposeful relationship between health professional and patient. Understanding the importance of the concept of work climate and the main detection techniques.
Increase the level of awareness of self in relation to others by itself.
Knowing how to identify and manage the main group dynamics.
BUSINESS ORGANIZATION
Providing the tools for evaluating the performance investigating the use of key performance indicators and reports in support of management.
Knowing how to better manage the care pathways, defining the fields of action and priorities for action.
FORENSIC MEDICINE
The main legal forces affecting nursing practice with particular emphasis on the history and development of legal procedure. Acquisition of knowledge applied to decision-making in nursing practice. Basic concepts of professional practice. Legal aspects related to the health profession. Basic concepts of professional accountability.
The basic principles of the concept of “accountability”.

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Modulo: 53486 - ORGANIZZAZIONE DELL'ASSISTENZA OSPEDALIERA
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FORENSIC MEDICINE
The main legal forces affecting nursing practice with particular emphasis on the history and development of legal procedure. Acquisition of knowledge applied to decision-making in nursing practice. Basic concepts of professional practice. Legal aspects related to the health profession. Basic concepts of professional accountability.
The basic principles of the concept of “accountability”.
APPLIED HYGIENE
Prepare the student to the concepts of hygiene; examine in depth the aspects of health promotion and of prevention of non- infectious diseases. Supply the basic knowledge in epidemiology, epidemiological studies and risk definition and assessment.
LABOUR LAW
Provide basic knowledge of the concepts of sources of law and of the hierarchy of sources of primary health care legislation. Make the students understand the importance of continuing education for health professionals.
HOSPITAL CARE ORGANIZATION
Analyze and understand the hospital organization using some of the best-known theories of the organization to acquire critical skills and analytical tools . Describe the typical organizational models of care hospitals and skills necessary for success / failure of the chosen models . Guidance and supervision of Social and Health Operators

Prerequisites

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Modulo: 000224 - DIRITTO DEL LAVORO
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LABOUR LAW and HOSPITAL CARE ORGANIZATION
None

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Modulo: 013651 - IGIENE APPLICATA
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APPLIED HYGIENE
Knowledge supplied from the disciplines previously done.

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Modulo: 015254/1 - MEDICINA LEGALE (mutua dall'attività formativa MEDICINA LEGALE - 015498/4 del CdS LOGOPEDIA (abilitante alla professione sanitaria di Logopedista) - 1058)
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FORENSIC MEDICINE
none

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Modulo: 53486 - ORGANIZZAZIONE DELL'ASSISTENZA OSPEDALIERA
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LABOUR LAW and HOSPITAL CARE ORGANIZATION
None

Course programme

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Modulo: 000224 - DIRITTO DEL LAVORO
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LABOUR LAW
ELEMENTS OF PUBLIC LAW AND LABOUR: concept of law and its fundamental distinctions.
Legal system
The rule of law (fonts, categories) and the various branches of law
The legal protection of the interests ( Subjective Rights , Legitimate Interests )
The sources of law. The hierarchy of sources.
The legislative and administrative action
General principles on P.A.
The service relationship with the state and public institutions ( establishment , conduct , termination )
Rights, duties and responsibilities of the public employee ( administrative, criminal , civil , accounting )
ELEMENTS OF LEGISLATION STATE, REGIONAL AND REGULATIONS ON HEALTH: the protection of health as an absolute value
The origins of the Italian health care legislation
Health care in the era of fascism. Health care in the Second World War
The Law 132/1968 (so called Mariotti)
The health care reform ( L.n. 833/1978) . The so called "Mini-reform " ( L.n. 4/1986)
The Law April 4, 1991, 111
The Leg. December 30, 1992, n. 502 (the reform De Lorenzo), as amended by Legislative Decree no. 7 December 1993 517
The reform ter of S.S.N. (Legislative Decree n. N. 229/1999- so called reform Bindi )
The reform of Title V of the Constitution

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Modulo: 013651 - IGIENE APPLICATA
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APPLIED HYGIENE
The health care system. Health management:
definition and functions.
Business management in health care.
Facilities of health care
The hospital. The measure of hospital activity: the SDO and the DRG system
The District. The integration of social care and health care.
The department of prevention
Implications of the financing model on the system.
Use of quality assessment for healthcare planning.

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Modulo: 015254/1 - MEDICINA LEGALE (mutua dall'attività formativa MEDICINA LEGALE - 015498/4 del CdS LOGOPEDIA (abilitante alla professione sanitaria di Logopedista) - 1058)
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FORENSIC MEDICINE
to approach the topics of forensic medicine with respect to the professional figure of nursing. History on the professional profile and its technical and legal evolution. Professional criminal and civil liability. Personal injury and biological damage. Integrated folder. Information and communication

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Modulo: 53486 - ORGANIZZAZIONE DELL'ASSISTENZA OSPEDALIERA
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HOSPITAL CARE ORGANIZATION
Elements of the organization theories: according to H. Mintzberg organizational configurations
Map systemic process according to R. Vaccani
Organizational models of nursing care applied to realize the nursing care:
Functional or tasks
Care team: a model for sectors, model for small team, team work, primary nursing
Business organizational models: reticular, Bed management, lean thinking, organizational planning : P.D.T.A. ( paths)
Diagnostic therapeutic care
Case managemen : a model for therapeutic projects
intensive and complex care
Support staff Management: profile, details of allocation and supervising

Didactic methods

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Modulo: 000224 - DIRITTO DEL LAVORO
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Lectures with interactive analysis of real situations , exercises on the cases / situations. Teamwork

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Modulo: 013651 - IGIENE APPLICATA
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APPLIED HYGIENE:
Frontal lectures

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Modulo: 015254/1 - MEDICINA LEGALE (mutua dall'attività formativa MEDICINA LEGALE - 015498/4 del CdS LOGOPEDIA (abilitante alla professione sanitaria di Logopedista) - 1058)
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FORENSIC MEDICINE
frontal lesson. Discussion of actually cases in group laboratory form

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Modulo: 53486 - ORGANIZZAZIONE DELL'ASSISTENZA OSPEDALIERA
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HOSPITAL CARE ORGANIZATION
frontal lesson with interactive analysis of real situations.

Learning assessment procedures

FORENSIC MEDICINE
oral exam on course program and even on actually case
APPLIED HYGIENE
Written multiple choice test and/or oral exam. 31multiple choice questions: right answer: 1 point; incorrect answer: - 1 point; no answer: 0 points.
Duration: 45 minutes. Oral exam in the event of test failure
LABOUR LAW
Written exam: 3 open questions that concern all topics covered in the specific module and is not bound by definite space.
The allotted time is 1 hour. Each question is assigned a value between 0 and 10, as well as for the allocation of praise.
The teacher assesses the clarity of exposition, the precision, the ability to synthesize and that to relate the topics .
HOSPITAL CARE ORGANIZATION
Objective tests multiple choice and short-answer
Short answer: 13 open questions, on hand to answer 6 lines interline standards for the calculation of the votes are assigned 2 points for complete response.
Multiple choice : 3 questions, only one right answer out of five proposals, the score for each question is 1.33. Wrong answers have score 0 as well as the non-responses .
The total time allotted for the written exam is 75 minutes THE FINAL GRADE IS A WEIGHTED AVERAGE OF THE MARKS OBTAINED IN EACH TESTS.

Reference texts

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Modulo: 000224 - DIRITTO DEL LAVORO
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LABOUR LAW
All laws and decrees mentioned in the program
G. Pagnoni, Appunti di diritto amministrativo e legislazione sanitaria, Editore Editai Srl, 2006
Carlo Bottari, Nuovi modelli organizzativi per la tutela della salute, Giappichelli Editore 1999
Fabio Roversi Monaco (a cura di), Il nuovo servizio sanitario nazionale, Maggioli Editore 2000

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Modulo: 013651 - IGIENE APPLICATA
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GENERAL HYGIENE
Manzoli L, Villari P, Boccia A. Epidemiologia e Management in Sanità: Elementi di Metodologia. Edi-Ermes, 2015.

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Modulo: 015254/1 - MEDICINA LEGALE (mutua dall'attività formativa MEDICINA LEGALE - 015498/4 del CdS LOGOPEDIA (abilitante alla professione sanitaria di Logopedista) - 1058)
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FORENSIC MEDICINE
any forensic text

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Modulo: 53486 - ORGANIZZAZIONE DELL'ASSISTENZA OSPEDALIERA
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HOSPITAL CARE ORGANIZATION
Testi di base: A. Santullo, L'infermiere e le innovazioni in sanità, nuove tendenze e strumenti gestionali, seconda edizione, ed. Mc Graw Hill, 2004;
A. Silvestro, R. Maricchio, A. Montanaro, M. Molinar, P. Rossetto, La complessità assistenziale - Concettualizzazione, modello di analisi e metodologia applicativa, ed. Mc Graw Hill, 2009;
Sitografia: Francesco Lo Piparo - SDC - Riassunto del testo di H. Mintzberg, La Progettazione organizzativa aziendale.
Testi di approfondimento: H. Mintzberg, La Progettazione organizzativa aziendale, ed. Il Mulino, 1996;
R. Vaccani, Riprogettare la sanità - Modelli di Analisi e sviluppo, ed. Carocci Faber, 2012 (da pag. 16 a pag. 78);
F. Nicosia L'Ospedale snello - per una sanità a flusso controllato e intensità di cure, ed. Franco Angeli, 2008
Sitografia: G. Noto, R. Raschetti, M. Maggini, Gestione Integrata e percorsi assistenziali, Progetto Igea - Pensiero Scientifico editore
www.epicentro.it/igea/igea/pdf/volume gestione
integrata.pdf