Dear friends and colleagues ....
Last night I watched the last episode of "Report" on RAI-3 before the summer recess of the program .... and in the "Goodnews" I saw you in other ASL ... curiously in the same region .... read a bit 'down here!! (From the website Report.rai.it)
RENATA CANINI - GENERAL MANAGER ASL 1 Imperiese
The law allows us to distribute drugs directly without passing through pharmacies and affiliated companies are obliged by law to do at least 50% off the retail price.
Giovanni Pastorino - HOSPITAL PHARMACY PRESIDIO SAN REMO
And sometimes you manage to get the discounts also substantially higher. This guy is a drug that the pharmacy costs € 19.18. Normally, almost all patients who are then required orthopedic intervention for at least ten to fifteen days. We're talking about hundreds of vials a week. We had a discount of 99%, then click the account ...
GIULIANO MARRUCCI OFF
Works just like that, if un'ASL drugs to his patients rather than through contracted pharmacies, finds a way to give directly to save at least 50%. Not all drugs, but certainly at least the ones that cost more.
Fulvio Conti - HOSPITAL PHARMACY PRESIDIO SAN REMO
We have for example that other drug, is used in prostate cancer in the elderly, a box full price would cost 460 euro, each package being dispensed this drug save € 230. HEADING OUT
CAMPOGli
interferons such as 1412 and € 79.
GIULIANO MARRUCCI OFF
But despite the numbers at stake, not all do. MARA
Sagle - DIR. DIP. PHARMACY ASL 1 Imperiese
There are facilities that can not do it because they do not have pharmacies. Our directors have made the company policy to invest in pharmaceutical services.
...........
GIULIANO MARRUCCI OFF
the result is that pharmaceutical spending against a regional average of 234 witnessed € at Imperia are spent only 198, which means several million euro.
............. RENATA
CANINI - GENERAL MANAGER ASL 1 Imperiese
not all do because you have to haggle, argue a bit 'contracted with pharmacies that naturally see their profits go down.
GIULIANO MARRUCCI OFF
Because in addition to medication, is success for orthopedic devices, ie implants, wheelchairs and so on and so forth. According to a law in '99 for most of these tools instead of the ASL to race and so snatch the best prices, please adhere to a tariff, the notorious nomenclature.
Roberto Anselmi - EXECUTIVE ASL 1 Imperiese
With market prices, and we realized that there was ample room to take action for saving.
GIULIANO MARRUCCI OFF
Dr. Canini then decides that the law or does not read this blessed race must one do ... Open up the sky ...
Roberto Anselmi - Imperia
EXECUTIVE ASL 1 course came the warnings, complaints ...
GIULIANO MARRUCCI
At the forefront of course associations.
Roberto Anselmi - EXECUTIVE ASL 1
Imperia's see, assortopedia is now reporting that the purchase procedure that appears to be in complete violation of a source of legislation still in force today.
GIULIANO MARRUCCI
Practically you have done something that is against the law? RENATA
CANINI - GENERAL MANAGER ASL 1 Imperiese
I would not say, one must distinguish the form of the law the substance of the law, we believe that the rule state invites us to make the most with the least expenditure of risorse.GIULIANO MARRUCCI OFF
What is just what they got thanks alla gara.
GIULIANO MARRUCCI
Quanto costa questa qui nel tariffario?
CLAUDIO GIORDANI – TECNICO ORTOPEDICO
A tariffario viene sui 420, 430 euro.
GIULIANO MARRUCCIE
invece con la gara?
CLAUDIO GIORDANI – TECNICO ORTOPEDICO
Con la gara noi la diamo a 210 euro.
GIULIANO MARRUCCI
Meno della metà?
CLAUDIO GIORDANI – TECNICO ORTOPEDICO
Meno della metà!
ROBERTO ANSELMO – DIRIGENTE ASL 1 IMPERIESE
Dopo 5 mesi, su 1431 pezzi dati abbiamo un risparmio di 132.000 euro, la percentuale è il 52% di risparmio.
GIULIANO MARRUCCI FUORI CAMPO
E pensare che a mettergli i bastoni tra le ruote ci s’era messo addirittura the Ministry of Health ...
Roberto Anselmi - EXECUTIVE ASL 1 Imperiese
says, the above argument implies that such reliance on half-tender for the provision of technical aids and devices, including a list of nomenclature can not be considered legitimate. RENATA
CANINI - GENERAL MANAGER ASL 1 Imperiese
With all due respect to higher organisms, the hierarchy of sources of law, the interpretations of individual ministries do not come first, let's put it this way ... They came with complaints, but there was no further appeal proceedings, and time limits that the law assigns to this type of complaint then you can 'say with confidence to Our colleagues see I did it the savings was that, because we do not share the path.
GIULIANO MARRUCCI
So what is missing to make sure that you have got away? RENATA
CANINI - GENERAL MANAGER ASL 1 Imperiese
I think we've been, we've already got away. Every time I tried to force it a bit 'it went well.
GIULIANO MARRUCCI
So you say, a bit 'more courage? RENATA
CANINI - GENERAL MANAGER ASL 1 Imperiese
not hurt ...
MILENA GABANELLI IN STUDIO
The national health system pays each year for spending 12 billion pharmaceutical convention and another billion middle of the Prosthetic agreement and credit. If you extend the method of Imperia on the whole national savings would approach $ 2 billion a year. He makes things with EUR 2 billion per year. For example, it can make contracts with trainees
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Well what to say. ... a praise to an enlightened direction that instead of closing facilities and hospitals working for the good of the population not only assisted but the entire system!
A question comes to mind! But Mr A. Parodi director of what the annessiome Villa Scassi becomes more 'big Italian ASL instead of doing?
prefers to deal with the demobilization of other services and hospitals see Recco (recently restored at a cost of more than € 3 million), or Celesia or other misdeeds that here are under the eye of all .. .. luckily the chronicles of the local newspapers know that later this month there will be 'a new executive chair, waltzes and the aforementioned probably emigrate' somewhere else .... I hope it arrives in the person who first Dott.sa Canini view seems more 'astute and interested in reaching risultati senza depauperare l'azienda di beni o servizi ai cittadini.
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