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Waiting lists of up to 300 days: how Sardinia implements the law and revolutionises the regional Cup

Councillor Bartolazzi announces a unique, dynamic and flexible system that has among its pillars the transparency of reservation agendas, the empowerment of users and the tendering with new criteria of the Single Reservation Centre

3' min read

3' min read

From the reminder sent by text message to the penalty for those who do not cancel in time. Not forgetting what is called the 'transparent management of booking diaries'. The Regional Council of Sardinia has approved guidelines for the reduction of waiting lists that, in some cases, exceed 300 days. Speaking of a 'revolution in the regional Cup' is Health Councillor Armando Bartolazzi, who speaks of a 'unique, dynamic, flexible system capable of significantly reducing waiting lists and supporting the user who turns to the regional health service in all his needs'.

Transparent diaries

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The first point envisaged by the guidelines is the so-called booking agenda, which will become 'transparent'. This will be achieved through 'monitoring of cancellations through checks and recall, introduction of active lists to use the spaces made available by cancellations, penalties for failure to give notice of cancellations'. The revolution will concern the 'first access' agendas. "The company managements must implement these provisions immediately," the councillor argues, "and failure to do so will be subject to negative assessment for company performance and result pay.

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Citizens empowered

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The new guide also foresees an empowerment of patients because, as the regional executive adds, "often agendas are stretched by bookings that users do not follow up and do not communicate their cancellation. For this reason, reminders will be sent by text message and email 15 days in advance for programmable or deferrable services and at least 48 hours in advance for all of them in order to remind them of the appointment and allow them to cancel it".

Those who can no longer make the visit must cancel within two days of the appointment, otherwise penalties will be triggered. "The reminders sent to users will contain appropriate information on the matter and will have to provide for an active response for confirmation or cancellation," he adds. Companies will have to ensure the application of penalties, which for non-exempt patients who do not show up without justified cancellation will consist of payment of the fee for the cost of the service'.

Not only that: 'Transparent criteria will be defined for the order of callbacks, giving priority to patients who have not responded to reminders, who have urgent bookings, marked with the letter U, short bookings marked with B, or who fall under services under regional monitoring,' he adds. The aim is to recall 100 per cent of these priority patients, who will have to be informed about the different cancellation methods available, both over the counter and electronically'.

The "active list"

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Among the new features is the introduction of what is called an 'active list, which is particularly useful for bookings that exceed the maximum threshold of standard times'. In this case, the companies will contact the patients on this list to offer access to the agendas, using the spaces made available by cancellations. "Virtual agendas will be created on the regional Cup for these requests, managed in the back office or through recall," Bartolazzi continues. "Spaces will be made available for the rebooking of patients on the active list through reserved slots from cancellations, controlled overbooking and hourly/extended time flexibility.

Cup: race soon

There is also a change that concerns the operation of the Cup, the single booking centre. Currently, there is a single regional Cup information system that allows inter-company bookings, shares a nomenclator and a regional catalogue, manages agendas, has a regional Call Centre, which answers the 1533 toll-free number, and a regional Cup Coordination Group for technical support. At the company level, each company of the regional health service has its own Cup secretariat, which makes use of internal and external contact centre, front-office, back-office and secretarial services.

"We are now moving towards the unified management of services with a single regional operator,' Bartolazzi adds. 'We are in fact preparing the new tender for the Cup services, giving a mandate within 30 days to Ares and Sardegna IT to prepare an executive project under the coordination of the Single Healthcare Manager to implement the guidelines of the new guidelines.

Davide Madeddu

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