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