ITALY | FRANCE | SLOVENIA | SWITZERLAND | GERMANY

ITALY

Azienda Ospedaliera di Varese (Lombardia)

The Varese Hospital Trust (Azienda Ospedaliera di Varese) is composed by 5 hospital centres covering the northern part of Varese Province, with a population of around 250,000 people scattered over a mostly mountainous area (over a total population of the Province amounting to 900,000 inhabitants) and the city of Varese (around 100,000 inhabitants):

  • “del Circolo” Hospital of Varese (571 hospitalisation beds; 71 day hospital beds)
  • Cittiglio Hospital (97 hospitalisation beds; 14 day hospital beds)
  • Luino General Hospital (64 hospitalisation beds; 5 day hospital beds)
  • “del Ponte” Hospital of Varese for paediatric-maternal specialties (156 hospitalisation beds; 24 day hospital beds)
  • Cuasso al Monte Hospital for rehabilitation (70 hospitalisation beds; 5 day hospital beds)
Varese hospital organisation is centred around 20 Departments, both Medical and Surgical, including 1 territorial emergency department with heliport, 3 general first aids and 1 paediatric first aid.
The Departments are further divided in 71 smaller operational units. Overall, the Varese Hospital Trust employs 4,400 people.


 
Ospedale di Tolmezzo Sant’Antonio Abate (Friuli Venezia Giulia)

The Tolmezzo hospital belongs to the Agency for Health Services n.3. This Agency governs a territory of 2,500 square kilometres (equal to 1/3 of the Friuli Venezia Giulia regional territory) mostly mountainous, with 7 independent valleys.
Its total population is of about 72,000 inhabitants, most of which live in small towns of around 1,000 citizens.
The Tolmezzo hospital manages 6,000 hospitalizations per year, 2,000 of which are in general medicine, 3,100 in surgery, 750 in paediatrics and 150 in emergency medicine or intensive care.
The hospital not only deals with patients from Northern Friuli (“Alto Friuli”) but also takes care of patients coming from other Health Agencies of the Region, such as those of Middle Friuli (“Medio Friuli”) (around 1,600 hospitalizations each year).
The medical personnel of the Tolmezzo hospital includes:
  • General Medecine: 9 doctors
  • Dialysis: 2 doctors
  • Oncology: 4 doctors
  • Emergency Room and First Aid: 10 doctors
  • Surgery: 7 doctors
  • Endoscopy: 2 doctors
  • Orthopaedics: 11 doctors
  • Cardiology: 4 doctors
  • Ear Nose and Throat: 5 doctors
  • Obstetrics/Gynaecology: 11 doctors
  • Paediatrics: 6 doctors
  • Radiology: 9 doctors
  • Laboratory analysis: 5 doctors
  • Anaesthetics and Intensive Care: 13 doctors
  • Pharmacy: 2 doctors
  • Functional Transfusion Sector: 2 doctors.
 


FRANCE

Centre Hospitalier Universitaire de Grenoble

The University Hospital Centre of Grenoble (CHUG) is one of the four University hospital centers of Rhône-Alpes. It groups four different buildings for approximately 2,000 beds capacity. This hospital has to take care of the cases of the Isère region, but as it is close to the Alpes it’s very exposed to winter sport injuries.
Grenoble is on the boundary of the Alpes and close to the main ski stations of this region.
Most of the skiing injuries from the resorts near Grenoble are treated in this hospital which means that every year more than 10% of the annual 80,000 emergency cases are foreign persons.
The staff of this hospital regroups 1,600 health care professionals and more than 7,000 employees.
This hospital treats different types of ailments but is specialized in:
  • Emergencies
  • Orthopaedic Surgery
  • Emergency treatment of shock status: the shock status is the state of people right after an accident.
    They are shocked and not really conscious of what is happening around them.
  • Neurosurgery
  • Visceral Surgery
The CHUG is a provider of SISRA, deeply involved into the e-health life of the region. The two main projects supported by this hospital are:
DPPR (RSPR): the hospital is a site of the Rhône-Alpes regional platform and amongst the first to feed the platform with information on patients.
From a technical point of view, the IT system of the hospital is the one that manages the PEPS part of the SISRA’s Platform.
SPIRAL, this service provides an interconnection between the hospital, fire department and the emergency ambulance service.
When the fire department or the emergency ambulance service takes a patient, they send information to the hospital in order to prepare the arrival and provide the best treatment.
On a smaller aspect this hospital is already part of an alpine region project. The neurosurgery and the shock status treatment service are part of the alpine region trauma center which regroups different health centers of the area.
 


SLOVENIA

Bolnišnica Golnik

The University Clinic of Respiratory and Allergic Diseases Golnik has 7,000–8,000 clinical admissions and 46,000 outpatient consultations a year. 40% of patients come from Gorenjska region and 60% from other regions of Slovenia. BGK covers an area of 1,000,000 inhabitants.
The University Clinic employs 37 doctors and 275 health care professionals.
Clinic facilities involves a wide spectrum of methodology and assessment tools dealing with respiratory, sleep, biochemical, immunological and pathological laboratories to provide an interdisciplinary approach to research and clinical management of our patients.
The laboratories follow the guidelines of standards, work with respect to fixed national and international criteria and are included in the external quality control. Relevant medical specialties are: Internal Medicine, Pulmonology and Surgery.
The Hospital Information System (HIS) is based on Oracle database Version 9i.
The user interface of the HIS is written in Delphi (Borland).
HIS is connected to two other laboratory systems and two diagnostic systems.
Hospitals internet access is carried out using an optical cable. Data transfer rate is 100 Mb/s each direction.
 

Splosna Bolnišnica Izola

General Hospital Izola medical departments include:
  • Department of Internal medicine including Neurology and ICU;
  • Department of Surgery including anesthesiology, ENT and Ophthalmology;
  • Department of Pediatrics;
  • Department of Gynecology and obstetrics;
  • Department of Pathology, Radiology and Nuclear medicine.

SBI is a teaching hospital for the nearby nursing school and partly for PD education of doctors. Hospital information system allows outpatient management, some diagnostic procedure and laboratory exams management.
It allows the tracking of all clinical episodes during the patient’s admission in every ward and for any kind of treatment.
The integration with the RIS/PACS (Radiology Information System) has been also achieved in order to allow the remote visualization/consultation of the radiology analysis and referrals.
Transfer of images is limited to one partner hospital.
   


SWITZERLAND

Hôpitaux Universitaires de Genève

Established in 1995, the HUG are among Switzerland’s leading hospital groups.
As local hospitals for Geneva’s population, they also act as a reference centre for Geneva, Switzerland and the world.
Covering a wide recruitment area, the HUG undertake more than 750,000 consultations a year.
They also total some 780,000 days of hospital care.
The high number of medical interventions and the resulting experience underwrite security. The HUG are present throughout the Geneva canton with four hospital sites and around 40 outpatient departments:
  • Cluse-Roseraie (cantonal hospital, maternity hospital, Beau-Séjour, paediatric hospital): the site provides short-stay hospital services with techno-medical investigation resources
  • Belle-Idée (geriatric services, adult and geriatric psychiatric services) and Cesco (centre for continuous care): these two sites are designated for medium-stay medical treatment in conjunction with permanent care, geriatric and psychiatric medicine
  • Loëx: a site for medium and long-stay medical services.
In their teaching role, the Geneva University hospitals work with Geneva University’s faculty of medicine. In addition they conduct high-level research.
The Geneva University hospitals take part in the graduate and postgraduate training of the medical and health professions.
The HUG, with the medical faculty of the Geneva University, have established programmes in four priority areas:
  • medicine for humanitarian missions and community medicine
  • transplant medicine and surgery
  • the genome and genetics
  • neuro-sciences
These programmes involve every medical department directly or indirectly, and cover such activities as patient care, teaching and clinical research.
 


GERMANY

Klinikum Garmisch-Partenkirchen

Garmisch-Partenkirchen Hospital is a major primary and secondary health care centre with 505 beds, run by the district of Garmisch-Partenkirchen.
It is situated in the German Alps approx.
90km South of Munich and provides health care for the local population as well as for the inhabitants of the surrounding districts.
It is the academic teaching hospital of the Ludwigs-Maximilians-University, Munich. Approx. 20,000 in-patients and more than 30,000 out-patients are treated every year.

As Garmisch-Partenkirchen and its surroundings are well-known winter and summer tourist resorts, and due to its position close to the Austrian border there is a substantial part of external and international patients as well.

The hospital is especially and widely known for its expertise in
  • Joint replacement: the Endogap Joint Replacement Institute performs more than 2,000 joint replacement operations per year
  • Trauma and reconstructive surgery due to mountain and sports injuries: The traumatological department is run under the guidance of the nearby Trauma Centre Murnau, a multi-regional center for the care of the gravely injured.
  • Internal Medicine: The Center for Internal Medicine with the three main subdepartments Cardiology, Gastroenterology and Oncology is responsible for the non-surgical medical care in Garmisch-Partenkirchen Hospital as well as in the Trauma Centre Murnau

Furthermore there are main departments for Anaesthesiology, General, visceral, thoracic and endocrine Surgery, Gynaecology and Obstetrics, Pediatrics and Neonatalogy, Pathology, Radiology, Urology and Vascular Surgery. ENT-Surgery, Oral and Facial Surgery, Ophtalmological Surgery and Orthopedic Surgery are performed by attending physicians.