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HEALTHCARE ORGANISATION AND HEALTH LAW

Academic year and teacher
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Versione italiana
Academic year
2022/2023
Teacher
CECILIA ACUTI MARTELLUCCI
Credits
8
Didactic period
Secondo Semestre

Training objectives

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Modulo: 53356 - IGIENE GENERALE ED APPLICATA IN AMBITO RADIOLOGICO
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HYGIENE
During this course, the student must learn necessary notions tha can help in his collaboration in sanitary organisations, especially in Radiology Units, Nuclear Medicines and Radiotherapy Units.

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Modulo: 53395 - ORGANIZZAZIONE, LEGISLAZIONE SANITARIA E DELLA PROFESSIONE
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PROFESSIONIST SANITARY LEGISLATION IN HEALTH ORGANISATION
On completion of the course the student will have acquired: the basic knowledge of and skills related to: the relationship with patients and working in health professional group; the workplace, the rules and regulations and the code of conduct regarding the profession. The student must also know the main sources of law, and legislative evolution, organization and professional liability.

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Modulo: 53396 - DIRITTO DEL LAVORO
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LABOUR LAW
Main knowledge acquired: the course aims at providing knowledge about the main labour law and trade union law institutes.
Main ability acquired: during the lessons, some collective agreements will be analysed. The students will therefore acquire the capacity to find the texts of the main collective agreements and to interpret their content. Moreover, the students will be able to consult database on case law and regulation. Finally, some lessons on the specific lexicon of Labour Law and Trade Union Law will be organised.

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Modulo: 53397 - HEALTH TECHNOLOGY ASSESSMENT (HTA)
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Develop innovation processes diagnostic radiology through a rational approach to technological development.
Meeting the demand for knowledge and adequate information to medical technologists and administrators to support the spending decisions
Measure the validity and safety of HTA.

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Modulo: 53398 - ORGANIZZAZIONE E PROCESSI LAVORATIVI IN AMBITO RADIOLOGICO IN MEDICINA NUCLEARE E RADIOTERAPIA
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ORGANIZATION AND WORKING PROCESS IN RADIOLOGIC AREAS, NUCLEAR MEDICINE AND RADIOTHERAPY
The unit aims at developing the students' critical analysis of managerial and planning issues related to the public health care services. Moreover, the course offers an analysis of the organizational structures and the design methods with reference to health organizations.

Prerequisites

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Modulo: 53356 - IGIENE GENERALE ED APPLICATA IN AMBITO RADIOLOGICO
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HYGIENE
Knowledge of clinical microbiology, biochemical, immunology and health indicators are required.

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Modulo: 53395 - ORGANIZZAZIONE, LEGISLAZIONE SANITARIA E DELLA PROFESSIONE
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PROFESSIONIST SANITARY LEGISLATION IN HEALTH ORGANISATION
Knoledges acquired in preceding semesters and examinations are required.

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Modulo: 53396 - DIRITTO DEL LAVORO (mutua dall'attività formativa DIRITTO DEL LAVORO - 52688 del CdS DIETISTICA (abilitante alla professione sanitaria di Dietista) - 1050)
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Prerequisites not required

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Modulo: 53397 - HEALTH TECHNOLOGY ASSESSMENT (HTA)
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HEALTH TECHNOLOGY ASSESMENT (HTA)
Possession of a systemic vision of work-related processes.

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Modulo: 53398 - ORGANIZZAZIONE E PROCESSI LAVORATIVI IN AMBITO RADIOLOGICO IN MEDICINA NUCLEARE E RADIOTERAPIA
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ORGANIZATION AND WORKING PROCESS IN RADIOLOGIC AREAS, NUCLEAR MEDICINE AND RADIOTHERAPY
Prerequisites not required

Course programme

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Modulo: 53356 - IGIENE GENERALE ED APPLICATA IN AMBITO RADIOLOGICO
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HYGIENE
Scope and methods of prevention
Epidemiology and prevention of viral, bacterial and parasitic infections
Vaccine side effects. Adverse reactions and contraindications
Disinfection and sterilization. Prevention and health education. Individual behavior and health
Risk factor: health effects and control

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Modulo: 53395 - ORGANIZZAZIONE, LEGISLAZIONE SANITARIA E DELLA PROFESSIONE
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PROFESSIONIST SANITARY LEGISLATION IN HEALTH ORGANISATION
The “non medical” health professions. University formation and lifelong education in Medicine. Professional work, autonomy and accountability, framework for contracts. Reference to Code of Conduct. Main rules, regulations and legislation. Interprofessional relationships. Services offered by the hospital.

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Modulo: 53396 - DIRITTO DEL LAVORO (mutua dall'attività formativa DIRITTO DEL LAVORO - 52688 del CdS DIETISTICA (abilitante alla professione sanitaria di Dietista) - 1050)
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Institution of the National Health Service Law 833/78 and relative principles
Business administration of the National Health Services Executive law 229/99
Different types of Health Trusts ( AUSL Trusts, Hospital Trust, University Hospital) and relative staff
Organisation of Hospital Departments – DAI and relative staff- Various Hospital Trust
Executive law 81/2008 concerning safety in the workplace. Industrial Medicine. Prevention and Protection
D.L.vo 33/2013
Work contracts in the public sector
Compulsory reconciliation. Labour Judge. Regional Administrative Court of Law (T.A.R.)
National collective and additional contracts-(A.R.A.N)
Difference between being an employee and self-employed
Free lance contract - co.co.co.
Rights and duties of employee in public sector-disciplinary sanctions in the workplace
Discipline of conflict of interest and code of conduct
Statement on Transparency
Concept of accountability: audit, civil, culpability- causal nexus

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Modulo: 53397 - HEALTH TECHNOLOGY ASSESSMENT (HTA)
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HEALTH TECHNOLOGY ASSESMENT (HTA)
Concept of health technology and meaning of the Health Technology Assessment (HTA).
Updated picture of HTA in Italy (and its historical development in Italy).
Levels of application and procedures for evaluation and dissemination (HTA experiences in Italy).
Synopsis quick reference.

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Modulo: 53398 - ORGANIZZAZIONE E PROCESSI LAVORATIVI IN AMBITO RADIOLOGICO IN MEDICINA NUCLEARE E RADIOTERAPIA
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ORGANIZATION AND WORKING PROCESS IN RADIOLOGIC AREAS, NUCLEAR MEDICINE AND RADIOTHERAPY
HEALTH AUTHORITY
o Company and firm: definitions and classification
o Base components of an organization
o Organizational structures typology: simple structure, functional structure, projects structure, matrix structure, divisional structure
o Adhocracy, Organization charts
BUSINESS STRATEGY AND POLITICAL
Mission Vision. The planning. The programming. Informations and decisions. The informative system (short mentions).. The reporting system (short mentions)
Communication in organization
HUMAN RESOURCES
Human resources and knowledge capital
Human resources management
Organizational capabilities and competences
Human resources and National Committee for Continuos Education, and Lifelong learning
THE NATIONAL HEALTH SERVICE
National Health planning. Legislative evolution. The Administrative Units. The Local Health Administration
Business action
Hospital Health Administrations
University policlinics. University
THE UNIVERISITIES
HOSPITAL ACCREDITATION
Why the necessity of accreditation
The Accreditation. Tipologies of accreditation

Didactic methods

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Modulo: 53356 - IGIENE GENERALE ED APPLICATA IN AMBITO RADIOLOGICO
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"Ex cathedra" teaching course

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Modulo: 53395 - ORGANIZZAZIONE, LEGISLAZIONE SANITARIA E DELLA PROFESSIONE
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Frontal lesson with frequent example references to the practical teaching activities carried out in the departments.

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Modulo: 53396 - DIRITTO DEL LAVORO (mutua dall'attività formativa DIRITTO DEL LAVORO - 52688 del CdS DIETISTICA (abilitante alla professione sanitaria di Dietista) - 1050)
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"Ex cathedra" teaching course

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Modulo: 53397 - HEALTH TECHNOLOGY ASSESSMENT (HTA)
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"Ex cathedra" teaching course

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Modulo: 53398 - ORGANIZZAZIONE E PROCESSI LAVORATIVI IN AMBITO RADIOLOGICO IN MEDICINA NUCLEARE E RADIOTERAPIA
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"Ex cathedra" teaching course

Learning assessment procedures

THE FINAL GRADE WILL BE THE WEIGHTED AVERAGE OF THE MARKS OBTAINED IN EACH TEST, WITH ROUNDING UP FOR MEANS WITH DECIMAL VALUE > 0.50
HYGIENE
Partial test, written multiple choice test and/or oral exam. 31multiple choice questions each question is worth:
• 1 point (if all the answers are correct it is assigned “cum laude”), wrong answer: -0,5 points, no answer: 0 points
Duration 45 minutes.
LABOR LAW
Partial Test, with 2 exams in the session June 1 to July 31 , 1 exam in extraordinary sessions recovery from September 1 up to 30 and from January 15 to February 28.
¿ Written exam: 3 essay type questions (long answer) that concern all topics covered in the specific module, and is not bound by defined areas.
¿ The exam session of " Labor Law " is carried along with " organization and work processes "; the time required for both tests is 1:30 hours .
¿ A value between 0 and 10 is assigned to each question, and as well as for the honour assign, the teacher assesses the clarity of exposure, the precision and the ability to relate the topics. To pass the exam it is necessary to get at least 18 points out of 30.
ORGANIZATION AND WORKING PROCESS IN RADIOLOGIC AREAS, NUCLEAR MEDICINE AND RADIOTHERAPY
Partial Test, with 2 examinations in the session June 1 to July 31 , 1 exam in extraordinary sessions recovery from September 1 up to 30 and from January 15 to February 28.
Written exam: 3 essay type questions (long answer) relating to all topics covered in the specific module and is not bound by defined areas.
The exam session of "Organization and work processes" is carried along with "Labour Law"; the time required for both tests is 1:30 hours.
A value between 0 and 10 is assigned to each question, and as well as for the honour assign, the teacher assesses the clarity of exposure, the precision, the ability to synthesize and that to relate the topics. . To pass the exam it is necessary to get at least 18 points out of 30.
PROFESSIONIST SANITARY LEGISLATION IN HEALTH ORGANISATION
Oral examination; the questions concern the TSRM's code of ethics, the laws regulating the profession, the curricular and continuing aspects of training, norms, guidelines and safety.
HEALTH TECHNOLOGY ASSESMENT (HTA)
The docimological approach is based both on audits in progress during the lectures, in order to encourage learning through dialogue, the deepening of issues related to the course and on a final exam consisting of an elaborate exposition (with use of slides) lasting 20 min / student on one of the topics covered. The vote of the candidate, is based on language skills, on matters pertaining to the method and construction of the project exposed, the accuracy of processed data and the methods of presentation and composition of the slides, and the ability to synthesize and systemic organization of the work presented. The test is passed with 18 point up to 30.

Reference texts

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Modulo: 53356 - IGIENE GENERALE ED APPLICATA IN AMBITO RADIOLOGICO
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Teaching material provided by the teacher.
Cesare Meloni, Igiene per le lauree delle professioni sanitarie, Casa Editrice Ambrosiana, 2012

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Modulo: 53395 - ORGANIZZAZIONE, LEGISLAZIONE SANITARIA E DELLA PROFESSIONE
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PROFESSIONIST SANITARY LEGISLATION IN HEALTH ORGANISATION
Teaching material provided by the teacher.
Management sanitario e gestione delle risorse umane. Tiziana Lavalle - Carocci Faber 2018
Legislazione e organizzazione del servizio sanitario. Raffaella Giorgetti - Maggioli 2019

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Modulo: 53396 - DIRITTO DEL LAVORO (mutua dall'attività formativa DIRITTO DEL LAVORO - 52688 del CdS DIETISTICA (abilitante alla professione sanitaria di Dietista) - 1050)
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Legislation references
Reference laws: L. 833/78
Executive laws- 502/92 , 229/99, 517/99
81/2008
Law 165/2001 - Law 196/2003 - Law 276/2003 ( Biagi Law) Law 190/2012; DPR 62/2013
CCNL Dept. of Health 1/09/1995 - Law 150/2009

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Modulo: 53397 - HEALTH TECHNOLOGY ASSESSMENT (HTA)
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HEALTH TECHNOLOGY ASSESMENT (HTA)
Cicchetti A., Marchetti M., Manuale di Health Tecnology Assessment, Il Pensiero Scientifico (2010)
Battista R.N., Hodge M.J., The evolving paradigm of health tecnology assessment: reflections for the millenium, CMAJ 160 (10),1464-1467
Favaretti Carlo, Clinical governance: dalla gestione del rischio al miglioramento continuo della qualità, IV (3),pp1-3-C.G.Edizioni Medico Scientifiche (2007)
WHO. Essential health tecnologies. Disponibile presso http://www.who.int./eht/en/

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Modulo: 53398 - ORGANIZZAZIONE E PROCESSI LAVORATIVI IN AMBITO RADIOLOGICO IN MEDICINA NUCLEARE E RADIOTERAPIA
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ORGANIZATION AND WORKING PROCESS IN RADIOLOGIC AREAS, NUCLEAR MEDICINE AND RADIOTHERAPY
Material is furnished by the teacher, with references to Professor Emidia Vagnoni lessons. Web sites are also indicated by teacher, in order to retireve the necessary informations, in perspective view of continuous professional and legislative updating. “Compendio di organizzazione aziendale” -Edizioni Simone
D’Innocenzo, Trippetti, “Argomenti di economia per le professioni sanitarie”, Edizioni McGraw-Hill