“Appoint an ISS Extraordinary Commissioner, with wide operational powers and equipped with a team of his trust, who can implement those changes that are more than ever necessary to bring the ISS back on a path of sustainability and efficiency in services”.

It is the proposal that Republic Future relaunches following the last discussion in the Health Commission on the future of the ISS.

“There was a lot of anticipation – he writes in a note – for the final relation of the work carried out by the Government consultant, dr. Francis Drinkinfrastructure chosen personally by Ciavatta with the aim of “strengthening the strategic activities of the ISS, with particular regard to the rationalization of health expenditure”, proceeding with the “rationalization and supervision of planned interventions” and “strengthening relations with the 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 healthcare facility, such as:

1. the lack of reliable and well-organized data to carry out 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 territorial interconnection between hospital and medicine, which leads to proceeding with watertight compartments, by wards, rather than with an organization based on the needs of the patient;
5. the poor integration with the outside of our hospital, which fails to attract patients, doctors and services inside;
6. the lack of attention to staff training and updating;
7. the persistent problems of a regulatory and social security nature, which make our health facility unattractive for Italian professionals;
8. the scarce use of new services (eg telemedicine);
9. excessive spending on drugs and overspending;
10. an inadequate budget for the necessary organizational and structural restructuring;
11. an internal organization 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 – argues Repubblica Futura – without particular concrete solutions (with the exception of some very interesting ideas, such as the one on the performance evaluation core) ”.

“However – continues the note – 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 the health system. 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.

The majority, for their part, replied with a “fluffy” agenda, without specific commitments, which does not grasp the current health emergency situation and the extent of the problems with which the San Marino citizens have to deal. 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 a 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? ”.

Hence the reproduction of the proposal of a “Extraordinary Commissioner of the ISSwith ample operational powers and equipped with a team of his trust, which 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 with the political intrusiveness so hard to eradicate within the ISS, every relationship (even the best in the world) can only remain on paper “.

Finally R launches the dig at the Secretary Ciavatta who in the Commission has “revealed” the contents of an odg of a previous Commission, which however had been classified. In short intermittent secrecy: when the government wants, 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? ” conclude Rf.