Chapter 2

order through the MEPA) numbered 147, for a total number of 881 transactions, generating an
expenditure of € 4.398.563 (out of a total expenditure of € 29,9 million generated by Public
Administration as a whole). With the goal of supporting Administrations in their qualification and
utilization process, the Ministry of Economy and Finance has foreseen the free distribution of
digital signatures during the course of the year. Some 80 health services requested and benefited
from this initiative.
3.3.6 Project Activities Through Cooperation with Local NHS
Consultancy activities in favour of Public Administrations led to the development of various
cooperation and specific support initiatives for which Consip is able to provide qualified competences
aimed at promoting the launch of local initiatives and other cross-sector innovative
projects. These initiatives mainly focused on processes simplification, organizational rationalization,
technical-merchandising and utilization consultancy in e-procurement tools, with the
aim of reinforcing ties with Public Administrations and of thus giving a significant contribution
to the Program development. The potential projects selection parameters were either objective
and closely linked to innovation themes. The selection allowed the dissemination of the best
practices in the area of public procurement.
Among the most significant activities, one may highlight those relating to:
• support in health services internal process reorganization;
• merchandising and legal assistance for feasibility studies on specific categories;
• support in the drafting of tender documentation, also through the implementation of specific
product categories kits;
• e-procurement platform availability for the implementation of electronic tenders.
22 projects were implemented and completed in the course of 2005, 6 of which were specific
for the NHS. The following paragraphs contain a description of two projects that are deemed
to be particularly interesting from the point of view of innovation and processes reengineering,
that may lead to significant savings in expenditure and to a greater efficiency in the services
made available to patients.
3.3.6.1 Drugs Logistics and Health Goods Processes Reorganization in the Health
Structures of Turin Municipality
The aim of the project (enacted by the AReSS – the Piemonte Region Agency for Health
Services) was that of preparing a study in support of the reorganization of the procurement and
stocking processes of drugs and medical supply for the health structures of Turin Municipality.
Similarly to the experience of the health structures of Viterbo (in the Lazio Region), an analysis
of the existing model was implemented followed by the identification of a new model proposing
to centralize the warehouses that supply medical and sanitary goods to the different structures,
entrusting the actual service delivery to an external agent. The cost-benefit analysis yielded
the following four possible scenarios:
• the first scenario calls for the reallocation of personnel in the health structures, while the stock
property remains entrusted to the structures;
• the second scenario foresees that the external agent absorbs part of the personnel, and the
remaining part will be internally reallocated, while the stock property remains with the health
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CEIS Health Report 2006