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NIGUARDA
GENERAL HOSPITAL
AND COMPREHENSIVE CENTERS
NIGUARDA
GENERAL HOSPITAL
AND COMPREHENSIVE CENTERS
// 2
MILANO HEALTH CAPITAL
// 4
ABOUT US
HIGHLIGHTS
//6
CLINICAL AREAS
//10
GOVERNANCE AND
PERFORMANCE
//12
NIGUARDA’S DATA
//16
NEW NIGUARDA: A MODEL OF CARE
//18
A MODERN HOSPITAL:
TECHNOLOGY AND SERVICES
//20
ROOMS AND FACILITIES
//22
RESEARCH
//24
INTERNATIONAL TEACHING HOSPITAL
//26
INTERNATIONAL RELATIONSHIPS
1
// MILANO
HEALTH CAPITAL
The Italian National Health System is
one of the best in the world.
Given the data, it’s the second best
overall globally for quality, accessibility
and cost-effectiveness1, and ranked third
most efficient globally2.
The secular vocation of Milan reception of
the disease makes it an ideal place of care,
across the border.
The integration of innovation, research and
clinical and leading position established
internationally make it a world-class health
center.
In this system, Milan has a prominent
role, and can be considered the
italian capital of health, with an
exceptional concentration of large and
small institutions anchored in a glorious
past that has its roots in the
Renaissance.
The historic supremacy in Europe of
Milan hospital care model has remained
intact over the centuries due to its
ability to conjugate health needs and
innovation.
Thanks to a careful and strategic
partnership among public and
private operators and health players and
Institutions, today Milan is a health
center in the world which includes
excellence throughout the health sector:
structures leaders in technological
equipment and integration between
research and care, specialized institutes,
university hospitals, a chemical and
pharmaceutical industry that makes
Milan and Lombardy the most important
biotech cluster in Italy and important
research centers.
2
World Health Report, 2000
1
Bloomberg, 2014 data provided by the World Bank,
International Monetary Fund and
World Health Organization
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// Highlights
ABOUT US
Niguarda is a general hospital and
offers all clinical and surgical specialties
for adults and children, but its core
identity that brings it to the highest
levels of excellence is the ability to
integrate care competences and
technology, from diagnosis
to rehabilitation.
A LEADING
ITALIAN GENERAL HOSPITAL
As a General Hospital, Niguarda hosts all the
disciplines for adult and children.
All medical disciplines and technologies,
from diagnosis to rehabilitation,
are integrated on serving the best care even
Situated in the North of Italy, in the
heart of Europe, Lombardy represents a
bridge to the Mediterranean. With its
surface area of about 24.000 square km
and almost 10 million inhabitants, it can
be compared to a nation.
The Lombard territory, symbol of
modernity and development, present a
great number of natural, artistic and
cultural beauties.
in situations of emergency
or high complexity.
Physicians, scientists, and nurse staff are
trained to work together
The health system in Lombardy protects
the health of patients with a mixed
system, based on synergies between the
public and private sectors, focused on
quality and efficiency, in order to
increase the accessibility of its strong
network of hospitals, clinics and
pharmacies.
Niguarda is located in the north of Milan,
the main city, but it’s a point of
reference for all Lombardy and Italy too.
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// CLINICAL AREAS
NIGUARDA ALSO HOSTS:
•
Burned Care Unit
•
Tissue Bank
•
Anti-Poisoning Center
•
Stroke Unit
•
Rare Disease Center
•
Mobile Unit for maxi emergency
ONCOLOGIC SURGERY AREA
DIAGNOSTIC AREA
The diagnostic clinical activity is over the
highest standard and in a continuous
development in the treatment of all
tumours. The patient can rely on a
multidisciplinary team with the
guarantee of a certain diagnosis, surgical
operations high technologically
supported and personalized
chemiotherapy targeted on individual
molecular basis. The goal for the
oncologic patients is to improve the
survival rate and the quality of life
supported by innovative technologies
(mininvasive approach, magnetic
resonance guided focused ultrasound
surgery, robotic surgery).
The hospital is equipped with
laboratories that guarantee a wide range
of diagnostic-therapeutic services,
as an effective support to the clinical
activity.
The laboratories, national centres for the
diagnosis and treatment of specific
pathologies, are developed by highly
specialized and authomatic technologies.
TRANSPLANT AREA
Niguarda is the only centre in Lombardy
that has performed transplants of
every organ (heart, lung, pancreas,
kidney, liver, cornea), and tissues and
cells transplants. In the hospital there
is a Skin Bank, a laboratory specialized
in engineered skin and cartilage for reconstructive operations, able to sustain
the internal need and to supply other
national and international structures.
Also the robotic surgery is applied to the
transplantation area with
considerable advantages to the donor.
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CARDIOTHORACIC & VASCULAR AREA
Built on the heritage of one of the first
Cardiothoracic surgery centers this area
provides all medical interventional and
surgical options for patients with any
kind of disease at any age (e.g. from
newborn and pediatric cardiac surgery,
including pediatric transplantation, to
transcatheter aortic valve implants).
Multidisciplinary team case discussion,
highly specialized cardiac and anaesthesiology intensive care staff, intermediate
facilities, active outpatient and telecardiology services, provide the full
spectrum of care in both the emergency
and long-term care settings.
Niguarda is national referral Center for
heart transplantation and assist
device for advanced heart failure,
complex arrhythmias, acute and chronic
coronary artery disease.
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NEUROSCIENCE AREA
EMERGENCY-URGENCY AREA
MOTHER AND CHILD AREA
The aim of thi area is to coordinate
specialist competence and the most
up-to-date technologies to guarantee
a diagnostic and therapeutic excellence
path for therapy of nervous system
pathologies.
The strengths are the treatment of the
medullar lesions, the surgery of
pharmacoresistant epilepsy and of
Parkinson’s disease, the use
of gamma-knife for tumor pathologies,
the presence of the stroke unit for
emergency treatment.
Niguarda is able to host patients from
the whole metropolitan area of Milan, in
very severe conditions, thanks also to the
helicopter service.
Its emergency- urgency dedicated
services, including: Coronary Unit and
ICU, Stroke Unit, Trauma Team, Centre of
Poison Control, Emergency Medicine and
Surgery and Burn Unit.
Moreover the hospital has a national role
for the maxi-emergencies in case of
natural disaster and nuclear catastrophe.
The mother and the child are
protagonists of a health project that
goes beyond the prevention, the
treatment and the rehabilitation, that
places them at the centre of the research
and care activity, from the conception to
the adul age. In fact, the service for the
family includes a full phases assistance,
from the wish of the procreation to the
delivery. The child treatment is
assured for every type of pathology,
even the rare, through personalized
technologies and routes in the respect
of the religious, social and cultural
diffrences.
GENERAL SURGERY AREA
Thanks to its high professionals and
technological competences, the
hospital is a national and international
reference point for the general surgery,
treated with a minimal invasive
approach and with the robotic surgery.
The goal is to develop the excellence in
the surgical activity both in emergency
and in elective areas, through a
multiprofessional cooperation, integrted
application of the most advanced
technologies and the operators training.
SPECIALIST MEDICINE AREA
Niguarda offers the widest set of high
complexity services of general and
specialist medicine.
The hospital is the headquarter for many
Regional and National reference Centres
in allergology, diabetes, nutritional,
endocrinology, rheumatology, infectious
diseases, pneumology, as well as in pre
and post transplantation treatments for
heart, lung, liver, kidney-pancreas and
pancreatic islet.
It has an important role for diagnosis and
treatment for more than 120 rare
pathologies too.
It hosts one of the main psychiatric
department of the town.
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ADVANCED TECHNOLOGIES
Advanced MRI, PET, interventional
radiology, linear accelerators, robotic
surgery, hybrid OR, gamma knife,
focused ultrasound: the constant
updating of the technological park is
driven by the development of
professional skills of high profile.
Diagnostic tests are shared in real time
in safe and responsible way through our
ICT system.
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// GOVERNACE AND
PERFORMANCE
Clinical activity
data 2015
We want to create places for the promotion
of the culture of life and health where doctors
Economic and financial performance
are motivated to improve themselves.
prediction budget 2015
Every day at Niguarda we are committed to
meet the health needs of our people.
As providers of the Regional Health care
services, our clinical activity and research
must comply with quality standards
according to the government criteria, which
calls for the provision of appropriate
health care without waste, within the
economic and financial rules which
guarantee the best use of public fund.
The hospital is also strongly oriented to the
development of new organizational and
administrative procedures aimed to improve
the quality of its services in terms of
efficiency and effectiveness according to the
national guidelines planned by the
Social Health Care Plan of the Lombardy
Region.
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// NIGUARDA’SDATA
data 2015
1.173
30
BABY CRIBS
20
NEONATAL PATHOLOGY
BABY CRIBS
8
42
340
4116
BEDS
TOTAL EMPLOYEES
712
MEDICAL
OFFICERS
39
CLINICAL UNIT
DIRECTORS
INTENSIVE CARE
BABY CRIBS
OPERATING ROOMS
1967
AMBULATORY ROOMS
12
NURSING STAFF
13
// New Niguarda
A MODEL OF CARE
The New Niguarda project, started in 2007
and completed by 2014, is based on a
health organization specialized for the
intensity of care and on the optimization
of the efficiency putting the patient at
the center of the healthcare service
organization.
Modern medicine requires a new model
of hospital organization designed around
the patient
The new hospital has been planned
on three blocks:
> The Emergency-Urgency (DEA block)
> The South Block for high intensity of
care patients (surgery, onco-hemathology, cardiology and transplantation)
> The North Block for medium intensity
of care patients and medical services.
The hospital structure is designed
according to the patient’s need.
The process of care is completely realized
within one single unit, in order to avoid
moving the patient.
14
COMPREHENSIVE CENTERS
New Niguarda has changed the
organization developing
multidisciplinary team focus on 4 core
business:
•
CANCER CENTER
•
“DE GASPERIS” CARDIO CENTER
•
TRANSPLANT CENTER
•
TRAUMA CENTER
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// TECHNOLOGY
AND SERVICES
The integration between diagnosis and
treatment in 25 the different specialties is at
the base of rational clinical, an appropriate
use of the resources and a better efficiency
of the intervention, even with high
complexity situations or emergencies.
Imaging advanced technologies RMN,
PET, interventional radiology, linear
accelerators, robotic surgery, gamma
knife, focalized ultrasound: the constant
update of the technological park is driven
by a development of high profile professional
competences. Diagnostic tests are shared
in real time in liability and safety through
our ICT system.
The integration between diagnosis and
treatment in 25 the different specialties is at the base of rational clinical,
an appropriate use of the resources and
a better efficiency of the intervention,
even with high complexity situations or
emergencies.
HYBRID OR
A hybrid OR is huge room, with radiological
equipments, permits to carry out both
the traditional and the radiological guided
operational activity. The hybrid OR allows
interventions invasivelyreduced for the
valves surgery, the by-pass, the installation of aortic endoprothesis and the
“hybrid” installation of devices for the
cardiac resynchronization.
It is the “integrated” room, it means
that the machines are linked together
and consent the use of videoconference
technologies, intervention fied records
in hd with the possibility for the
operators to utilize wide screens and
touch screen use.
DA VINCI SURGICAL SYSTEM
With the da Vinci Surgical System, surgeons
operate through just a few small incisions.
The da Vinci System features a magnified
3D high-definition vision system and
tiny wristed instruments that bend and
rotate far greater than the human wrist.
As a result, it enables your surgeon to
operate with enhanced vision, precision,
dexterity and control.
We use da Vinci in urolgy, cancer and
general surgey treatments.
The robotic surgery is also applied to
the transplantation area.
16
GAMMA KNIFE SURGERY
Gamma Knife surgery sometimes referred to as stereotactic radiosurgery (SRS),
is a non-invasive method for treating
brain disorders. It is the delivery of a
single, high dose of irradiation to a small
and critically located intra-cranial volume through the intact skull. It is preferred
for its extreme accuracy, efficiency and
outstanding therapeutic response.
System benefits include faster set-up
and treatment delivery to one or more
tumors in a single session.
Perfexion allows treatment of a wider
range of targets faster and more
efficiently than ever before.
17
// ROOMS AND
FACILITIES
Niguarda has custom-made furnishings
with a design concept that reaches
beyond the basic requirements of quality,
duration and ergonomics.
The hospital is equipped with more
than 40 front offices for booking and
check in: the modern “centralized”
system for managing the customers
flow, drives the patient from the access to the hospital and it conducts
him, through the front office activities,
to the call in the
outpatient where the doctor is waiting.
Throughout the integration of digital
signage systems, algorithms and
complex technologies it is possible to
design and customize systems of
information facilities and welcome and
booking processes managing both with
the National Health System and in
private area.
PATIENTS HAVE ACCESS TO:
•
•
•
•
•
•
•
•
•
•
single-double beds rooms with
private bathroom
foreign patients’ office
free service of language assistance
vegetarian menu on demand
relatives: hotels at special price
children’s or over 65 ‘ relatives
can stay all the day long with the
patient
coffee
shops,
self-service
restaurants
cash point
shopping centers
internal paying parking
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// RESEARCH
In recent years a positive trend in
clinical trial has been observed, in
neuroscience, diabetology, pain
therapy, gene therapy, cardiovascular
diseases, haematology, oncology,
resulting in an improved scientific impact
factor.
Niguarda is at the forefront of research for
trials testing new therapies supported by
international cooperation activities.
Niguarda is a public hospital dedicated
to care; clinical research and knowledgesharing are fully integrated in the
hospital strategy.
The presence of professional skills,
technological competences, certified
laboratories and high complexity
patient cohorts make Niguarda a
unique and interesting partner for
future cooperation.
It offers concrete opportunities to
Pharma and Biotech Companies that are
looking for a reliable and expert clinical/
scientific partner.
The attitude to a real multidisciplinary approach offered to researcher makes
Niguarda as a unique “one stop shop” for
research and development.
The main strength point is the high
volume of diagnostic/ therapeutic
20
activities that allows an optimal integration between research and patient care,
defining Niguarda as one of the best
possible clinical sites for translational
research.
It offers concrete opportunities to
pharma and biotech company.
21
// INTERNATIONAL
TEACHING
HOSPITAL
High professional competences, high tech
and teaching accreditation, make
Niguarda Hospital a centre of attraction
for professional figures which want to
bring themselves up to date on new
technologies, diagnostic and therapeutic
procedures to gain an excellent operative
methodology and new skills.
International training activity is based on
different standards:
Affiliated to:
Università degli Studi Statale -Milan
Università Bicocca- Milan
• TWINNING among international
hospitals scheduled by international
cooperation programs
• TRAINING STAGES included in
international institutions agreements.
AORTIC PROSTHESES IMPLANTATION
Niguarda is an European training
school adopting the advanced system of
the hybrid room that performs
delicate surgeries in an accurate and
minimally invasive way.
ADVANCED INTERNATIONAL
MINI-INVASIVE SURGERY
AIMS Academy (the first multidisciplinary structure in Italy dedicated to research
and training in minimally invasive
advanced surgery, third pole of an
European network with Strasbourg and
Guildford. The program includes demonstrations of laparoscopic surgery, theory
sessions and practice sessions made of
simulations in the wet lab.
ECOCARDIOGRAFY CENTER
Niguarda and its ecocardiografy center
is accredited by European Association of
Cardiovascular Imaging . An Ecolab is
fully equipped for training.
NIGUARDA FACULTY OF NURSING
Niguarda is a University Teaching Center
for Nursing ( Università degli Studi Milan).
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// INTERNATIONAL
RELATIONSHIPS
COMPANIES
To the aim to abet exchanges of
professional experiences among
Hospitals, tailored meetings can be
arranged to visit Niguarda and get in
touch with the Board, the doctors and the
service Providers.
Niguarda usually receives:
• Hospital Board Delegations
• Medical and Nurse staff
• Authorities and Ministerial Delegations
Niguarda is connected in a network of
international collaboration toward to
provide the best medical practices to
patients coming from all over the world.
Niguarda has partnerships and
agreements with Helthcare Consultancy
companies, Health Management companies, Travel&Health Companies, Health
Insurance companies, for:
• consultations
• taking care patients with private treatment
CONSULATES AND EMBASSIES
During Expo due to its international
skills and its relevant role in Lombardy
Niguarda has been selected among the
public Hospitals to provide healthcare
services to people coming from other
countries and, in particular, the Hospital
has been designated as reference for the
treatment of the eminent people.
The aptitude and competence to
understand the needs of people coming
from all over the world allows the
Hospital to manage also the healthcare
requirements of international patients,
travelling or living in this area.
Tailored health service can be arranged for
• compatriots living in Italy
•compatriots coming from foreign
countries
24
HEALTH COOPERATION
Every year Niguarda hosts patients from
other nations affected by pathologies
that are incurable in their own countries.
Niguarda also plays an active role in
international cases of health
emergencies.
25
// HOSPITAL
BETWEEN HISTORY
AND ART
Niguarda is a relevant structure even from
the architectural and artistic point of view.
The hospital hosts a series of permanent
works of art and itinerant exibitions,
aware of the social and therapeutic role
of the art.
OSPEDALENIGUARDA.IT/ ARTGALLERY
NIGUARDA IS ITSELF A
MASTERPIECE OF ARCHITECTURE
Niguarda is protected by the ministry of
fine arts and it has been always sensitive to
“the beauty” and to the artistic culture.
In 1940 it has been defined as “the city of
art” by the historian Costantini, it expresses
a strong connection with the city of Milan
and its history by its monumental and
rationalist structure.
Up to its entrance moving through the
paths and in the indoor sections, it is
possible to admire works of art made by
great artists as Arturo Martini, Francesco
Messina, Franco Lombardi, Mario Sironi
and Aldo Carpi.
2626
MODERN ART
Niguarda hosts MAPP museum (Museo
d’Arte Paolo Pini) and artworkshops in
the area of mental disorders treatment.
Over time it has formed a collection of
internationally and wellknown artists,
including Enrico Baj, Emilio Tadini,
Gunter Brus, Martin Disler.
With new ideas and projects MAPP
participates in international fairs of
modern art and organizes and supports
various initiatives.
Niguarda also hosts extemporary exhibitions
and installations of contemporary artists
and promotes cultural events.
STAY CONNECTED
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OspedaleNiguardaTV
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@ospniguarda
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Niguarda Hospital
Piazza Ospedale Maggiore, 3
20162 Milano, Italy
phone:+39 02 6444.1
www.ospedaleniguarda.it
International Info Point
[email protected]
phone: +39 02 6444.7220
www.ospedaleniguarda.it/eng
www.ospedaleniguarda.it/fr
www.ospedaleniguarda.it/ru
www.ospedaleniguarda.it/chi