the production awards to the Executive Committee Iss
Last Thursday in the Health Commission the incredible happened: despite the disastrous situation of San Marino healthcare, with basic medicine now non-existent, doctors who are left to leave new ones with the great difficulty in finding one and the profound dissatisfaction of users and operators, the Government has seen fit to distribute the performance bonuses to the members of the ISS Executive Committee, that is to Alessandra Bruschi (wanted by Ciavatta, and with reference to the period of 2021 in which she was here), Sergio Rabini (chosen by the DC) and Marcello Forcellini (nominated by NPR). If we are not mistaken, thanks to this decision, the three will take 25% more than their basic salary, a real slap in the face to the citizens. But there is more. We have finally been able to become aware of the objectives that the Government has placed on the Executive Committee, which up to now is very secret. And we could see that there was not a word about the need to achieve adequate functionality and effectiveness of the services provided (starting from the need to achieve good levels of user satisfaction (which is basic for a health service). incredible and makes it clear how the Government is completely disconnected from the situation that citizens live, so much so that – in fact – it has not focused on services and their effectiveness even in the setting of objectives. It has asked for reports, plans, projects , documents, but did not bother to ask that things work well: inconceivable! But even the scores assigned by the State Congress in the evaluation of the achievement of individual objectives, see judgments that are difficult to understand in their ratio, the real state of some ambitions of work identified among the objectives themselves: think, for example, of the evaluation of 7 relating to the organizational act of the I. ss, which not only has not been approved but the draft of which has been completely torn up by the new General Manager Bevere and a special working group has been appointed, a sign that the product has not been considered up to standard … Overall, an opinion of 74.5 out of 100, score account of an overall satisfaction by the Government with regard to the work carried out by the Executive Committee and gives that, in fact, it will lead to the disbursement of the bonuses. All while this basic medicine for two years a tragic situation lives citizens to report infinite that starting from the response time to telephone requests then difficulties in accessing services; while the departments, such as for example the Pediatrics, remain to be looted of staff for the needs of the Covid ward on which, two years, an effective management system has not been found that allows not to sacrifice the wards themselves; while the objectives (more political than technical) linked to the agreements with Italy and necessary to attract and retain professionals remain not to be achieved; while the nursing staff continues to be lacking, especially in some departments, because the system remains uncompetitive. And, as mentioned, the organizational act is still missing – a fundamental tool for defining needs – for which people are hired without calls for tenders (such as those within the ISS Management). Thus citizens are increasingly obliged to turn to private health care for answers, with the management committed to hypothesizing millionaire investments in the new hospital and in new niches of high-cost health services, on which, however, projections on possible returns are completely absent. the participation of external users. We asked the Congress of State for a gesture of common sense: to review the assessments made and, given the situation of our health care, not to pay the result. We were obviously unheard. In this choice, the responsibilities of the Executive are great and the crocodile tears of Secretary Ciavatta on TV (in which he wants to give us to understand that he was almost “forced” to pay out the prizes despite his dissatisfaction with him) around. If he has had to undergo a political diktat (that is, to distribute the prizes to people protected by the parties), he must say so and then resign; otherwise take full responsibility for this slap in the face of all citizens and the difficulties they experience in the relationship with health care.
Future Republic