OSPEDALE NIGUARDA

Grande Ospedale

Metropolitano Niguarda

General Hospital and Care Centers

Lombardy Health System

The Lombardy Health Systemis well known for its high standards and efficiencyThere are over 200 private and public accredited hospitals and 18 research hospitals (IRCCS). The majority of hospitals are run by the Lombardy Health Service, while about 22.4% of beds are located in private hospitals, either profit or not-for-profit.Hospitals, in order to receive public fundingfrom the National Health System, are required to comply with high structural, technological and organizational standardsestablished by the Lombardy Region.

INHS: financing system

HEALTH SYSTEM IN LOMBARDY

REGIONDG Welfare

8 ATS

Agency forHealth and Social Care

Planning

27 public ASST

Hospital Trusts and Social Care

27 public ASST

Hospital Trusts and Social Care

Private AccreditedHospitals

Regional financing(capitation)

Remuneration

(from Fee for Service toGlobal Tariff)

Contractual agreements Contractual agreements

Ex post funding

Regionally-based National Health System

• Mixed public/private• Freedom of choice• Separation providers/purchasers

Regional Reform Act 2015Focus on chronic conditions

6.500 GPs

(27% in group practice)6.500 GPs

(27% in group practice)

About us

Niguarda is a general hospital offering all clinical specialities foradults and children.

It integrates at 360° care competences and technology fromdiagnosis to rehabilitation to offerthe best quality of care.

Niguarda is a referral hospital forMilan, where is located, Lombardyregion and Italy.

NIGUARDA'S DATA (Sept. 2015)

ORDINARY 1138

TOTAL EMPLOYEES4116

MEDICAL OFFICERS712

CLINICAL UNIT

DIRECTORS39

NURSING STAFF1967

BEDS 1213

DAY HOSPITAL &

DAY SURGERY 75

NEONATAL PATHOLOGY

BABY CRIBS 20

INTENSIVE CARE

BABY CRIBS 8

BABY CRIBS 30

OPERATING ROOMS 42

AMBULATORY ROOMS 340

ADMISSIONS 179.849 OUTPATIENTS

SERVICE55.289

OTHER HEALTH

SERVICES23.399

HIGH COST

DRUGS38.301 OTHER REVENUES 210.074

TOTAL REVENUES

Economical and financial performances**(prediction budget 2015, Euro/000)

PRIVATE INCOME 12.525

519.437

Economical and financial performances**(prediction budget 2015, Euros/000)

HR COSTS(more than 4.100 emplyees)

230.371

GOOD AND

SERVICES 227.164

OTHER COSTS 61.902

TOTAL COSTS 519.437

The hospital was inaugurated on October 3, 1939, but its history

could be: "respect of tradition in continuous evolution”.

The New Niguarda Project started in 2007 and finished at the beginning2014. The daily activity never stopped.

New Hospital structure has been organizedaccording to Intensity Model organization

Evolution of a leadingitalian general hospital

Maptoday

New Niguarda

Intensity care modelis centred on patients’ needs

According to intensity care modelthe new hospital structure isdesigned on the needs of the patientand the entire care process isprovided within a single block:

• Emergency-Urgency block• High Intensity block

• Medium Intensity block

DEABlock:EmergencyUrgency

NordBlock:Medium intensity

SudBlock:Highintensity

Departments

• Cardio Vascular• Multi specialist Surgery • Hematology-Oncology• EAR • Mother and child• Laboratory medicine • Multispecialist medicine • Neuroscience• Mental health• Advanced Diagnostic-Therapeutic

technologies

Highlights

• Head quarter of the 118 Emergency

• Mobile Unit for Maxi Emergency

• Helicopter service

• Burned Care Unit

• Tissue Bank

Highlights

• Stroke Unit

• Trauma Team

• Anti-Poisoning Center

• Rare Desease Center

• Equestrian Rehabilitation Center

• Unipolar Spinal Unit

Multidisciplinarycare centers

Multidisciplinaries teams

work in sinergy

from diagnosisto rehabilitation:

• Cancer Center • Cardio Center

• Transplant Center

• Trauma Center

Clinical areas

Emergency- Uregency areaWe hosts patients from all the whole metropolitan area of Milan with about91.896 ER admissions/year.

Neuroscience areaThe aim of thi area is to coordinate specialist competence and the mostup-to-date technologies to guarantee a diagnostic and therapeuticexcellence path for therapy of nervous system pathologies.

Diagnostic areaOur laboratories guarantee a wide range of diagnostic services aseffective support to clinical activity thanks to highly specialized and authomatic technologies.

Oncologic areaA multidisciplinary team threats all type of tumors with the higheststandards of innovative diagnostic and chirurgical technologies, (roboticsurgery, mininvasive approach, magnetic resonance guided focusedultrasound surgery…) personalized chemiotherapy based on targetedindividual molecular basis.

Clinical areas

Clinical areas

Transplant areaNiguarda is the only hospital that has performed all types oftransplants. The Skin Bank is a laboratory specialized in enginereedskin and cartilage for reconstructive operations.

Cardiothoracic & vascula areaProvides all medical interventional and surgical options for patients withany kind of disease at any age.Niguarda is national referral Center for heart transplantation and assistdevice for advanced heart failure, complex arrhythmias, acute and chronic coronary artery disease.

Clinical areas

General Surgery areaNiguarda is a national and international reference point for generalsurgery treated with a minimal invasive approach and with roboticsurgery.

Specialist Medicine areaNiguarda offers the widest set of high complexity services of generaland specialist medicine. It is the headquarter for many Regional and National reference Centers.

Clinical areas

Mother and ChildareaThis area includes a full phase assistance, from the wish ofprocreation to delivery. The child treatment isassured for every typeof pathology, even the rare ones.

Clinical areas

Advanced technologiesAdvanced MRI, PET, interventional radiology, linear accelerators, robotic surgery, hybrid OR, gamma knife, focused ultrasound:

the constant updating of the technological park is driven by the development of professional skills of high profile.

ROBOTIC SURGERYFOCUSED ULTRASOUND LINEAR ACCELERATOR DIGESTIVE ENDOSCOPYGAMMA KNIFE

Da Vinci Surgical System

The Da Vinci System features a magnified 3D high-definition vision system and tiny wristed instruments that bend and rotate far greater than the human wrist. As a result, surgeon operate with enhanced vision, precision, dexterity and control. We use Da Vinci in urology, cancer and general surgery treatments.

Hybrid OR

A hybrid OR is a huge roomwith radiological equipments, itpermits to carry out bothtraditional and radiologicguided operational activity.

The hybrid OR allowsinterventions invasivelyreduced.

Gamma knife Surgery

It is a non-invasive method fortreating brain disorders.

It is the delivery of a single high dose of irradiation to a smalland critically located

intra-cranial volume throughthe intact skull.It performs extreme accuracy, efficiency and outstandingtherapeutic response.

Research and knowledge sharing

The presence of professionalskills, technologicalcompetences, certifiedlaboratories and high complexity patient cohorts,make Niguarda at the forefront of research for trials testing new therapies supported by international cooperation activities.

International teachingcenters

High professional competences, high tech and teaching accreditation, make Niguarda Hospital a strong centre of attraction for professional figures which want to bring themselves up to date on new technologies, diagnostic and therapeutic procedures to gain an excellent operative methodology and new skills.

International teaching centers

• AIMS Academy is the first multidisciplinary structure in Italy dedicated to research and training in minimally invasive advanced surgery, third pole of an European network with Strasbourg and Guildford. The program includes demonstrations of laparoscopic surgery, theory sessions and practice sessions made of simulations in the wet lab.

• Ecocardiografy center is accredited by European Association of Cardiovascular Imaging . An Ecolab is fully equipped for training.

• Aortic prostheses implantation is an European training school adopting the advanced system of the hybrid room that performs delicate surgeries in an accurate and minimally invasive way.

International healthcooperation

•Twinnings among internationalhospitals scheduled by internationalcooperation programs.•Training stages included in international institutions agreements.

•International cases of healthemergencies Niguarda plays an activerole as Italian hospital.

•Niguarda hosts patients from othercountries affected by pathologies thatare incurable in their own countries.

A modern hospital

Relativs have access to:

• Hotels at special price

• Coffee shops

• Self-service restaurants

• Cash points

• Shopping centers

• Internal paying parking

More than 40 front offices for booking and check in: the modern “centralized” system formanaging the customers flow,drives the patient from the access to the hospital and it conducts him, through the front office activities, to the call in the outpatient where the doctor is waiting.

A modern hospital

A modern hospital

Patients have access to:

• Single-double beds rooms

withprivate bathroom

• Foreign patients’ office

• Free service of language

assistance

• Vegetarian menu on demand

THANK YOU

Communication & Public Relations Office

www.ospedaleniguarda.it

http://www.ospedaleniguarda.it/EN/