the italian pilot project expert meeting on pilot project brussels, june 24 th 2015
TRANSCRIPT
The Italian pilot project
Expert meeting on pilot project
Brussels, June 24th 2015
A quick look at the institutional HWF planning processIn Italy specific laws rule the HWF planning process
ACTORSMinistry of Health;
Ministry of University ; Regions; Professional Orders
FREQUENCY and DEADLINEEvery year
By the end of April
FACTORS TO CONSIDER
Objectives and essential level of
assistance; service delivery models;
Labour market (spupply and
demand)
In order to define the number of intakes at universities(not entrants in medical specialization schools)
Steps in the Italian Health Workforce planning
Forecasting health workforce needs from Regions’ and health professional Associations’ data
Data collection, synthesis and analysis
Data comparison between Regions and health professionalAssociations (Boards and others)
Ministry of Health proposes NHS workforce needs
Government-Regional Agreement
Communication of results to Ministry of Education, University
and Research to regulate the access to academic courses
Current critical issues in the process
SUMSUM
Regions define their own needs National needs as sum of regional needs
Collectivity considered
Variables investigated Methodology applied
Actors involved Indicators used
Pilot project in the institutional framework
Objective of the project
Determination of the need of HWF by April 30° of each year – Agreement State - Regions
Introduction of standards of health professionnels per level f assistance, even through the valorization of EU initiatives, in order to forecast HWF need at a national level
Art 6 ter D.LGS. 502 / 92
Art 22 - Pact for Helath2014-2016
Institutional fullfillments
Agreement State-Regions2016
Include specific session dedicated to the methodology agreed in order to plan and forecast the need
By april 30 2016, definr the need followiong a methodology agreed during the experimentation for doctors, dentists, pharmacists, nurses and midwifes
….walking towards the Handbook way
Stakeholders involvement and networking
A wider timeframe
Arising from the good practice to construct a solid
and shared methodology
Steering CommitteMinistry of Health, Ministry of University, Ministry of Finance, Regions, Professional
Orders, ISTAT, ENPAM, COGEAPS
Working Group SUPPLY
Working Group DEMAND
Working Group ORGANIZATION and COMMUNICATION
Supporting TEAM
The pilot project organization
STEP by STEP approach Working group organization Continous knowledge exchange
1 January2015
29 January2015
FirstSteeringCommittee
START
SecondSteeringCommittee
ThirdSteeringCommittee
19 March2015
2 July2015
……….
30 April2016
The timing of the Project, a challenge
GovernmentRegions agreement
FINISH
16 MONTHS
4 June2015
Stakeholdersmeeting
STEP 1 STEP 2 STEP 3-6
Planning the total number of professionals (both private and public sector)
Medium-long term projection period
Forecasting exercise on professionally active
Different data sources for each profession
Individual database (where available) to feed the forecasting model
AGREED UPON ISSUES
SUPPLYDEMAND
ORGANIZATION
to refine and finalize the Professionally Active Stocks defining the data sources for each profession
to select forecasting tools from those already available
to develop the Demand model proposed in the Minimum Data Set (D051)
to find further solutions for forecasting the HWF demand
to analyze in depth the regional and national stakeholders’ panel and, in accordance to this analysis, is implementing the “stakeholders’ involvement plan”.
to develop and implement a web site on the Pilot Project progress and main issues (
Working group major activities and issues
In synthesis what have we done until now?
Database
Professiona
l Orders
ENPAM
ISTAT
COGEAPS IGOP
FOCUS ON THE DATA MODEL
both supply and demand side
TAKING ADVANTAGE
of current expertises
PROPOSAL OF TWO MODELS on supply side(Enpam, Emilia Romagna Region)
PROPOSAL OF a THEORICAL MODELon demand side
Next steps
to develop and feed the Supply forecasting models and deliver them to the Regions
to develop the Demand models and deliver a basic model
to implement the Pilot Project web site
Regions will finalize the supply and demand model with their data
they will improve and develop the proposed scenario
they will discuss on the results and on the scenario with their stakeholders
we will collect the regional findings and we will harmonize them at national level in agreement with the Regions and the main national stakeholders
we will evaluate the experience of the pilot project and will report the evaluation to the stakeholders
we will formalize the Agreement between Regions and Government;
we will have a follow up to decide, on the base of the evaluation of our experience how to go on
Mar/Apr16Jul 15 Oct15 Dec15/Jan 16 Jun15
STEP 3 STEP 4 STEP 5 STEP 6
THANK YOU
STOCK ATTUALE DI PROFESSIONISTI
(tempo t)
PROIEZIONI SU FLUSSI IN ENTRATA
PROIEZIONI SU FLUSSI IN USCITA
+ -
NUMERO ATTESO DI PROFESSIONISTI NEL FUTURO
(tempo t+xi)
=
IL MODELLO DI BASE – LATO OFFERTA
- Da formazione- Da migrazione
- Per pensionamenti- Per migrazione
x1
x2
x3
x4
5
1015
25
IL MODELLO TEORICO DI BASE
Attività e timing