Rf report on Bevere
There was much anticipation for the final report of the work done by the Government consultant, Dr. Francesco Bevere, chosen by Ciavatta’s staff with the aim of “strengthening the strategic activities of the ISS, with particular regard to the rationalization of health expenditure”, to proceed with the “rationalization and supervision of planned infrastructural interventions” and to “strengthen relations with abroad by pursuing in a special way the definition of working tables with the Ministry of Health “and finally to” favor the strategic relaunch of ISS activities “(background to the resolution that appointed Bevere as a consultant). There was expectation not only for the expenditure carried out (about € 35,000 -40,000 between Bevere and the “sub-consultants” he chose) but also because it seems (never confirmed and for which there is still no published resolution) that Bevere from February 1st, he will be the new General Manager of Iss. The report was discussed in the relevant Commission last Wednesday. Dr. Bevere addressed many critical issues present today in our health facility, such as: 1. the lack of reliable and well-organized data to carry out an effective management control; 2. a low propensity to measure performance at all levels; 3. the (evident) problems of general medicine, especially at the level of contact between patients and the service; 4. the lack of interconnection between hospital and territorial medicine, which leads to proceeding with watertight compartments, by wards, rather than with an organization based on the patient’s needs; 5. the poor integration with the outside of our hospital, which fails to attract patients, doctors and inside; 6. lack of attention to staff training and updating; 7. the persistent problems of a regulatory and social security nature, which make our healthcare facility unattractive for Italian professionals; 8. the scarce use of new services (eg telemedicine); 9. excessive spending on drugs and an excess of excess; 10. an inadequate budget for the necessary organizational and structural restructuring; 11. an organization of the internal offices of the ISS that is not fully functional. Ample space was then dedicated to the theme of the new hospital, placed at the center of Bevere’s report as an essential necessity in this reform process. Of course, the report was very much based on shared but vague principles and objectives, without particular concrete solutions (with the exception of some very interesting ideas, such as the one on the performance evaluation core). However, it represents a cross-section of problems on which the new Executive Committee will have to act, and it will have to do it in great haste because there is no more time, if action is not taken quickly there are great risks for the health of health. On this Bevere was very explicit during the hearing, asking for a full approval of the report and a clear political mandate to the new EC in the directions they indicate. Most, for their part, responded with a “fluffy” agenda, without specific commitments, which does not capture the current health emergency situation and the extent of the problems that the San Marino citizens have to deal with. An Odg who, moreover, selects only some parts of the report as issues to be pursued, ignoring others, and does not say a word about the new hospital, how to finance it, how the private individuals who will intervene in its financing will be remunerated. Why this choice? Do the majority disapprove of what Bevere wrote? Or is it the sign that the nodes do not mention you in the agenda do not intend to act? With what premises, then, will Bevere’s work start, if he will be the new CEO? Repubblica Futura reiterates its own, that of appointing an ISS Extraordinary Commissioner, with wide operational powers and endowed with a team of his trust, who can act in a predefined time to achieve the objectives assigned by the Council (not only by the Government) and implement those changes that are necessary to bring the ISS back on a path of sustainability and efficiency in services. As long as each person who is selected, even with an excellent curriculum, will have to interface with barons, position rents and political intrusiveness so hard to be eradicated within the ISS, every relationship (even the best in the world) can only Stay on the card. Finally a note. In the Secretary Commission, Ciavatta also “revealed” the contents of an agenda of a previous Commission, which however had been classified. In short, intermittent secrecy: when the government wants, it keeps hidden; when he doesn’t want to, he breaks the secret (which he himself invoked) and does as he pleases. Who knows if the State Congress will give a mandate to the State Attorney’s Office to sue Ciavatta or if it will still concentrate on the complaints of journalists, citizens and political opponents?
Press release Repubblica Futura