Health organisation

Curami, the platform that also 'cures' hospitals

From an idea of two doctors, an all-Italian technology to manage healthcare personnel, shifts and waiting lists. With artificial intelligence at the service of efficiency and patients

by Francesca Cerati

3' min read

3' min read

The shortage of healthcare personnel has become one of the main structural emergencies in the National Health Service. In a context where there are fewer and fewer doctors and waiting lists are getting longer and longer, any solution that aims to improve the efficiency and internal organisation of hospitals is viewed with increasing interest. It is in this scenario that Curami fits in, the new platform developed by GapMed Group, a company founded by two anaesthetist doctors with a background in Italy, Switzerland and the United Kingdom.

"Curami was not born on the drawing board," explains Giacomo Baldi, CEO of GapMed and one of the two founders. "It was born to solve a problem we experienced first-hand, first as hospital doctors subjected to gruelling shifts, then as healthcare providers in the three countries where we operate." Initially developed as an internal tool to manage the staff provided by GapMed to healthcare facilities, Curami has evolved into an independent platform. Today it is able to digitise and automate the entire process: from scouting professionals to shift management and reporting.

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Paradigm change

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The real paradigm shift, according to Baldi, lies in providing "a turnkey solution" to healthcare facilities: "Many companies today only deal with one piece of the problem: who finds the staff, who manages the roster, who provides temporary services. We do all this in a single platform, based on a database of 11,000 registered professionals".

Thanks to the use of artificial intelligence and proprietary technologies, Curami does not just 'schedule' shifts, but optimises them. "Think of summer," says Baldi, "when requests in emergency rooms increase by 15 per cent and many doctors are on holiday. Curami manages to predict these peaks and proposes a schedule 3-4 months in advance. It's like providing the chief physician with a virtual assistant to manage the shift schedule, freeing up time for the clinic".

In addition to the organisational part, the platform also automates the collection of documents, from CVs to insurance certificates, and allows more targeted communication with available professionals. "The old tools, such as tenders or advertisements, no longer work in a market where demand far exceeds supply. We reach out to professionals directly and also offer reporting on their actual workload."

How much you save

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There is also an economic aspect: Curami promises savings of up to 30% compared to traditional outsourcing models. "Our logic is pay-per-success," Baldi emphasises, "facilities only pay in the event of effective coverage. There are no fixed costs or out-of-pocket consultations. This changes the rules of the game'.

The issue of the so-called 'tokenists' - the freelance doctors used to cover shortages - is a sensitive one. "There is a prejudice against freelance doctors," says Baldi, "but the truth is that they have the same training as their employee colleagues. The problem is not quality, but disorganisation: if you make a doctor work one day a month in a department he does not know, the result will not be good. Curami was also created to solve this: we organise dedicated teams and monitor the hours worked, to avoid overloads and ensure continuity".

Another strong point is territorial flexibility. "Deficiencies are most acute in peripheral territories, far from universities or large pools of professionals. Our platform allows us to analyse specific needs and propose rates and solutions adapted to the context. On average, our service costs only 2-3% more than direct management, but with an efficiency gain of up to 15%".

The next evolution

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Curami is currently active in four public facilities in Northern Italy and has already provided more than 23,000 hours of service. The departments most involved? "Anaesthesia, radiology, gynaecology, cardiology and paediatrics," Baldi replies, "but we are also extending to psychiatry and nursing departments.

The goal is ambitious: national diffusion by 2027. 'We are in dialogue with various regions and with the Ministry of Health,' he says, 'but in the meantime we are focusing on the territory, where the need is most urgent. The next evolution? Applying Curami also to the management of employee shifts, with a view to work-life balance and reducing the bureaucratic burden.

Finally, Baldi looks with confidence at the use of artificial intelligence in public health: 'It will not replace doctors, but multiply their efficiency. Already today, Ai can support the monitoring of clinical data, the writing of public tenders, document management. We just have to put these technologies at the service of the system, before the system collapses'.

In short, the Curami platform was created with a view to optimising the 'behind the scenes' of healthcare, a sector where, all too often, organisational inefficiency carries the same weight as a shortage of funds, and where time - of doctors, patients, managers - is the most precious resource not to be wasted.

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