was held on July 20 last year, at the ARAN, the meeting for necessary changes in the wording of article 10 of Hypothesis CCNL 2008-2009, as requested by the Court of Auditors on 10 July.
The text drafted the new Article 10 (projects and programs for the improvement of customer services) for 0.80% of the salary productivity, which allows you to define a regional agreement on additional regional resources aimed at improving performance, is described by the changes in bold.
FIALS The hope is that the Court of Auditors, at its next meeting on July 30, stating positively and definitely throughout the Agreement, to reach the final signature, and then the application of economic arrears with the next month August. The new text, in short, shows the three changes requested by the Court of Auditors, namely: •
increase of 0.80% of payroll in 2007 is called up to the maximum of 0.80%, to exception of regions subject to the repayment plan;
• increase of 0.80% must be due to overall economics of the budget;
• the inclusion in the agreement, an annex, which contains specific indicators for measuring some of the general regional objectives achieved with 0.80%.
Attachment: (text art. 10 with amendments)
hypothesis AMENDMENT OF COLLECTIVE AGREEMENT OF NATIONAL HEALTH SECTOR WORK '- ECONOMIC PERIOD 2008-2009 - 14.05.2009 THE
10
Art Projects and programs for improvement of customer services
1. In order to give more impetus to innovation processes, companies promote specific projects, programs or plans of work for the improvement of services for users, with particular reference to the full adequacy of organizational systems, as well as to achieve a better match between services rendered and needs of the public.
2. The projects and programs, referred to in paragraph 1 shall correspond to the actual needs of the company and make a real and measurable contribution to the additional activities specified in the basic levels of assistance especially with regard to targets for reducing waiting lists and the full and qualified service delivery, including the expansion scheduling structures.
3. part of public finance constraints set by the respective regional health systems and without prejudice, however, respect for Patti to health and related economic and financial objectives and constraints, the regions, in the presence of further savings being made in the structural processes of rationalization and reorganization of the health sector to enable overall cost savings, including those related to personnel costs, identify with a specific Directive in respect of the year 2009, additional resources up to a maximum of 0.8% , calculated on the wage bill 2007, to finance innovative projects in the above paragraphs. These resources are not subject to consolidation in any of the funds under this heading CCNL and not fund the treatment of basic pay.
4. These resources are provided in a report, after verification of the actual achievement of the preceding paragraphs be implemented through appropriate indicators and parameters provided in the context of regional directive referred to in paragraph 3, based on the criteria identified in Annex 1 to this CCNL. These resources are allocated to employees directly involved in these projects, according to the appropriate reward mechanisms related to the results achieved.
ANNEX N. 1
General criteria for establishing systems to monitor the achievement of the objectives of the projects and improvement programs in art. 10 of this CCNL
1. Implementation procedures
Regions provide, under the directive referred to in paragraph 3 of art. 10 of this CCNL and according to art. 2 of this National Collective Bargaining Agreement, the guidelines on how to implement projects and programs mentioned in the same paragraph, in identifying possible macro-objectives consistent with the regional health plan and providing, in general, indicators and benchmarks appropriate to verify the effective improving performance and services provided and the achievement results and quantitative targets.
Under these macro-objectives, business plans identify priority:
- objectives to be achieved;
- processes in which the action is divided;
- human resources, techniques and equipment needed, also identifies , the skills and professionalism involved;
- indicators and parameters appropriate to the aforementioned objectives for the verification of the results achieved.
2. Indicators-parameters
Regarding the resources allocated and the procedures used, the measurement of quality improvement is achieved on the basis of these criteria, identified as examples:
- Professionalism: Understanding how the level of scientific knowledge and professional skills possessed by employees;
- Effectiveness: With reference to the procedures used in service delivery and simplifying them, including for the purpose to reduce the average delivery thereof;
- Innovative Capacity: demonstrated ability in implementing organizational innovations, technological and service and to participate actively in the processes of organizational change;
- user-orientated, with reference to the degree of satisfaction expressed by stakeholders ;
- Technical Suitability: the instrumentation used and available technologies;
- Benchmarking: The comparison of the quality and quantity of services offered by other companies with similar high performance.
With regard to benefits and services provided under the project, its achievements, to be specified, if possible, with quantitative data, are established on the basis of the following types of indicators and requirements:
- Accessibility to services and to health care: with respect also the extension of opening hours of facilities or to improve the level of acceptance of listening in relation to the ability to ensure maximum transparency and information;
- width and incisive intervention: adequacy of charitable and social care, compared to the needs and requirements of users;
- Integration with respect to health services or between hospital and territory or between various public facilities that operate in a particular geographical area;
- Continuity of care: ability to articulate and connect time assistance from the operators and the different health facilities involved;
- Security: ability to provide the highest level of service and care minimal risk to the patient and operators;
- Immediacy: quickly in providing the services requested by users with particular reference to the reduction / reset the waiting time, for which results are identified in percentage terms.
STATEMENT FOR MINUTES ARAN
It is recognized that, where indicated, the resources referred to in paragraph 3 of art. 10 are included among those subject to verification under the monitoring of health expenditure tables.
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