CEOs Leading Transformation
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1 CEOs Leading Transformation Carlo Favaretti CEO, Hospital and University Trust Udine (Italy) 1 CEOs Leading Transformation Berlin, March 18, 2009 Azienda Ospedaliero-Universitaria Santa Maria della Misericordia di Udine
2 Trentino, Veneto, Friuli Venezia Giulia Italy 2 CEOs Leading Transformation Berlin, March 18, 2009 Azienda Ospedaliero-Universitaria Santa Maria della Misericordia di Udine
3 THE ITALIAN NATIONAL HEALTH SERVICE 1978 reform: universal coverage granted as constitutional right; organized across 3 levels (national, regional, local) 1992 reform: market mechanisms (purchaser/provider shift); local healthcare trusts and hospital trusts; regionalization 1999 reform: market mechanisms softening ; regionalization strenghthening (21 regional health services); evolving fiscal devolution; university hospitals integrated in hospital trusts 2001 Constitutional reform: healthcare under responsibility of Regions and autonomous Provinces 3 CEOs Leading Transformation Berlin, March 18, 2009 Azienda Ospedaliero-Universitaria Santa Maria della Misericordia di Udine
4 GOVERNANCE CHANGES IN THE ITALIAN NHS 1978 reform: no CEO; management by consensus through political boards elected by Municipalities 1992 reform: CEO appointed by Regional Governments; directive management 1999 reform: CEO appointed by Regional Governments; CEO accountable to Region, Municipalities and other stakeholders including patients and professionals 4 CEOs Leading Transformation Berlin, March 18, 2009 Azienda Ospedaliero-Universitaria Santa Maria della Misericordia di Udine
5 PERSONAL TRANSFORMATIONS Working on multiple scenarios Balancing interests Strategic influencing capacity Try and learn approach Increasing people accountability Promoting best practices Building distinctive capacities Working with emotional intelligence Ethical values awareness 5 CEOs Leading Transformation Berlin, March 18, 2009 Azienda Ospedaliero-Universitaria Santa Maria della Misericordia di Udine
6 MODEL OF ORGANIZATION (after: Muir Gray, The healthcare culture club) 6 CEOs Leading Transformation Berlin, March 18, 2009 Azienda Ospedaliero-Universitaria Santa Maria della Misericordia di Udine
7 The EFQM Excellence Model Innovation and learning ENABLERS INNOVATION AND LEARNING RESULTS 7 CEOs Leading Transformation Berlin, March 18, 2009 Azienda Ospedaliero-Universitaria Santa Maria della Misericordia di Udine
8 The EFQM Excellence Model Each element is important ENABLERS RESULTS People People Leadership Policy and Strategy Processes Customer Key Performance Partnerships & Resources Society INNOVATION AND LEARNING 8 CEOs Leading Transformation Berlin, March 18, 2009 Azienda Ospedaliero-Universitaria Santa Maria della Misericordia di Udine
9 The EFQM Excellence Model but the underlying network is also crucial! ENABLERS RESULTS People People Leadership Policy and Strategy Processes Customer Key Performance Partnerships & Resources Society INNOVATION AND LEARNING 9 CEOs Leading Transformation Berlin, March 18, 2009 Azienda Ospedaliero-Universitaria Santa Maria della Misericordia di Udine
10 Job Profile: Director of Clinical Department To contribute to the strategy of the Hospital and University Trust, leading other consultants and people in understanding, sharing and achieving goals in healthcare, education and research, by organizing and managing resources in a rational, integrated, flexible way, consistent with the vision of the Trust and the economic constraints A. To contribute to policies and strategies of the Trust B. To guarantee the achievement of department s goals C. To promote innovation and continuous improvement through integration D. To promote the development and motivation of people E. To develop relationships, information and communication F. To manage safety within the department G. To promote health technology assessment H. To provide good selfmanagement as Director 10 CEOs Leading Transformation Berlin, March 18, 2009 Azienda Ospedaliero-Universitaria Santa Maria della Misericordia di Udine
11 LEARNING AND INNOVATION COMMITMENT PATIENCE COHERENCE CONCRETENESS 11 CEOs Leading Transformation Berlin, March 18, 2009 Azienda Ospedaliero-Universitaria Santa Maria della Misericordia di Udine
12 To improve is human Carlo Favaretti, M.D. CEO Hospital and University Trust S. Maria della Misericordia - Udine (Italy) favaretti.carlo@aoud.sanita.fvg.it 12 CEOs Leading Transformation Berlin, March 18, 2009 Azienda Ospedaliero-Universitaria Santa Maria della Misericordia di Udine
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