Healthcare and technology

Platforms, QR codes and remote monitoring: this is how healthcare is being transformed

The “Performa” Observatory at LIUC Business School analyses and compares experiences, generating evidence to inform decision-making: 50 projects under the microscope

3' min read

Translated by AI
Versione italiana

3' min read

Translated by AI
Versione italiana

Almost one in two Italian adults (46.8 per cent) lives with at least one chronic condition, and more than one in four (26.5 per cent) has at least two chronic conditions (ISTAT, 2025 data). These figures highlight the growing complexity of healthcare needs and the need to rethink local healthcare provision, ensuring continuity of care and integration between services.

In this context, innovation does not simply mean introducing technologies, but integrating them into care and organisational processes. These tools can improve access to services and bring to light needs that have not yet been expressed, but their value depends on their ability to support decision-making, the work of healthcare professionals and the patient experience.

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The 50 projects shortlisted for the second edition of the Call4 ‘Best Social and Healthcare Practices in the Lombardy Region: measuring to innovate’, organised by the Observatory on Organisational Performance in Healthcare and Social Care – PERFORMA at LIUC Business School, with the involvement of 24 ASSTs and 5 ATSs in Lombardy, offer a practical perspective on this development.

Only a few place the technological component at the heart of innovation, emphasising that innovation in healthcare is measured by the value that these technologies help to generate.

A few examples: ‘Inquadra il cambiamento’ by ASST Bergamo Est, which uses QR codes to make it easier to access addiction services, and ‘GDM Smart Path’ by ASST Lariana, which offers telemonitoring, digital education and decision support, using AI solutions, for women with gestational diabetes, with the aim of anticipating critical issues and focusing outpatient appointments on complex cases. Furthermore, ATS Insubria, in collaboration with ASST Sette Laghi, is adopting data-driven approaches to identify patients with heart failure who have not had recent check-ups and to structure dedicated care pathways and schedules, thereby promoting proactive management of health needs, whilst ASST Cremona is promoting ‘Capsula – Tutta salute’, which encourages the self-monitoring of health parameters, with support from healthcare professionals in interpreting the results and referring patients to the appropriate services.

The ASST Papa Giovanni XXIII, through a project dedicated to point-of-care ultrasound, is promoting the integration of diagnostic tools into the work of primary care doctors, strengthening the local healthcare system’s responsiveness and improving the appropriateness of care, whilst the project ‘Fibromyalgia Network’ run by ASST GOM Niguarda integrates multidisciplinary local care pathways with digital monitoring, documenting improvements in patients’ levels of insomnia, anxiety and fatigue.

The full potential of these innovations can only be realised through a measurement approach capable of capturing their multidimensional benefits. The use of ultrasound by GPs, for example, offers the opportunity to assess not only the timeliness of diagnosis, but also the appropriateness of referrals to specialists, access to services and the use of resources. Similarly, evaluating telemonitoring means understanding its benefits in terms of continuity of care and personalised treatment, identifying for which patients and under what organisational conditions these benefits are realised, and what impact this has on healthcare professionals’ work, the efficiency of care pathways and the system’s resources.

Another aspect concerns equity of access: simple tools such as QR codes can help identify new needs, whilst digital platforms can bring services closer to citizens. Assessing their accessibility therefore means checking whether citizens are actually able to use them.

Measurement thus becomes an integral part of the design process and a governance tool, helping to guide investment and decision-making. Linking objectives, indicators and outcomes makes it possible to assess clinical outcomes, patient experience, accessibility, organisational implications and resources as a whole, thereby making any trade-offs explicit.

This is the aim of the PERFORMA Observatory at LIUC Business School: to analyse and compare experiences, building a body of evidence to inform decision-making. On 3 November 2026, at an event to be held at LIUC – Università Cattaneo, ASSTs and ATSs will discuss how to identify, measure and disseminate practices capable of generating lasting value for patients, services and the healthcare system.

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*LIUC Business School Observatory on Organisational Performance in Healthcare and Social Care

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