ATS Insubria tests distributed nursing homes to free up hospital beds
Two pilot projects to reduce hospital stays and free up beds in Lombardy, with regional funding
Contesto
In brief - ATS Insubria experiments with distributed RSA and bed blocker to free up hospital beds - 34 beds available with a fee of 120 euros per day - 54 patients already discharged using the distributed RSA method ## Key facts - What: Distributed RSA and bed blocker projects - When: In the experimental phase - Where: Varese area and ASST Sette Laghi - Who: ATS Insubria and ASST Sette Laghi - Amount: 900,000 euros for distributed RSA, 200,000 euros for bed blocker At the Assembly of Mayors of the Varese Health District, the director of ATS Insubria Salvatore Gioia and the general manager of ASST Sette Laghi Moreno presented two experimental projects to reduce hospital stay times. The projects, funded by the Lombardy Region, aim to free up beds occupied inappropriately by patients who are clinically recovered but not yet dischargeable for social reasons. The meeting, coordinated by the councilor for Health Guido Bonoldi, saw the presence of the social services assessor Roberto Molinari and the director of the Medicine Department of Sette Laghi Francesco Dentali. ### Distributed RSA The first project, distributed RSA, is intended for clinically stable patients who are already dischargeable to their home, but whose family needs time to organize their return. The project involved eight RSAs in the area: one in the Valle Olona area, two in the Larian area, and five in the Sette Laghi area. A total of 34 beds were made available, distributed throughout the area to meet the logistical needs of families. The stay ranges from a minimum of 8 to a maximum of 30 days, extendable up to 45, with a daily fee of 120 euros split between the family and the project. Discharge to this setting is voluntary: hospital staff propose the solution and the family decides whether to participat...
Dettagli operativi
The two experimental projects by ATS Insubria represent a concrete attempt to bring the healthcare, social, and socio-healthcare worlds into dialogue. The diffused RSA offers a temporary solution for families who need time to organize the patient's return home. This project not only reduces hospital stay times but also provides immediate support to families, allowing them to organize without pressure. The daily fee of 120 euros, split between the family and the project, makes the solution accessible and sustainable. The bed blocker project, on the other hand, focuses on patients who still need active clinical support. This approach is fundamental to reducing hospital stay times, freeing up beds for patients who need immediate care. The presence of specialized nurses and doctors ensures quality assistance while reducing costs for the healthcare system. The collaboration between ASST Sette Laghi and RSA Campo dei Fiori represents a model of integration between healthcare and socio-healthcare services that could be replicated in other areas. ### Practical Implications For patients and their families, these projects offer concrete solutions to manage the transition period between hospital discharge and returning home. Families can benefit from immediate support and a safe environment for their loved ones, while hospitals can optimize the use of resources. Reducing hospital stay times not only improves the efficiency of the healthcare system but also helps reduce costs for families and the community. ### Comparison with the Previous Situation Before the launch of these projects, clinically recovered patients who were not yet ready for discharge occupied hospital beds for extended periods, often for social reasons. This phenomenon, known as 'bed blocking', posed a signific...
Punti chiave
For cross-border workers residing in Ticino and working in Lombardy, these projects represent an opportunity to access quality healthcare services. The collaboration between ATS Insubria and ASST Sette Laghi offers concrete solutions to address challenges related to hospital stays and returning home. Families can benefit from immediate support and a safe environment for their loved ones, while hospitals can optimize the use of resources. ### Procedure to access the projects To access the RSA diffusa and bed blocker projects, it is necessary to contact the hospital staff who will propose the solution best suited to the patient's and family's needs. Discharge to RSA diffusa is voluntary and requires the family's decision. For the bed blocker project, the patient will be assisted by a nurse present four hours a day for twelve beds, a doctor for six hours a week, as well as socio-health operators, physiotherapists, and social assistants. ### Useful tools For further information on healthcare services available in Ticino and Lombardy, you can consult the salary calculator for cross-border workers and the health insurance comparator. These tools offer concrete support for planning and managing healthcare expenses, ensuring access to quality services. Source: varesenews.it
Punti chiave
[{"q":"What are the requirements to access the RSA diffusa project?","a":"To access the RSA diffusa project, the patient must be clinically stable and already eligible for discharge to their home. The family must need time to organize the patient's return home. Discharge to RSA diffusa is voluntary and requires the family's decision."},{"q":"How much does the RSA diffusa project cost?","a":"The daily rate for the RSA diffusa project is 120 euros, split equally between the family and the project. The stay ranges from a minimum of 8 to a maximum of 30 days, extendable up to 45 days."},{"q":"What are the benefits of the bed blocker project?","a":"The bed blocker project offers active clinical support for patients who have passed the acute phase but still need assistance. This project reduces hospital stay times, freeing up beds for patients who need immediate care, and improving the efficiency of the healthcare system."}]
Frequently Asked Questions
- What are the requirements to access the RSA diffusa project?
- To access the RSA diffusa project, the patient must be clinically stable and already eligible for discharge to their home. The family must need time to organize the patient's return home. Discharge to RSA diffusa is voluntary and requires the family's decision.
- How much does the RSA diffusa project cost?
- The daily rate for the RSA diffusa project is 120 euros, split equally between the family and the project. The stay ranges from a minimum of 8 to a maximum of 30 days, extendable up to 45 days.
- What are the benefits of the bed blocker project?
- The bed blocker project offers active clinical support for patients who have passed the acute phase but still need assistance. This project reduces hospital stay times, freeing up beds for patients who need immediate care, and improving the efficiency of the healthcare system.