Premise
Dear Guest, with this document, we wish to introduce you to theour structure, the services we offer, our way ofoperate and the objectives we intend to pursue in order torespond adequately and promptly to your expectations,trying to make his stay and that of his family membersas peaceful and serene as possible.What is the Service CharterIt is a complete tool with all the services offered, theobjectives and methods of truthfulness and quality control in order toguarantee the best assistance.The main objective is to guarantee users full compliance with thetheir rights and, as sick people, the utmost dignity.Being informed correctly allows for an informed choice.We therefore invite you to carefully read our charterservices, offering us your collaboration, with anycomments and suggestions to allow us a constantimprovement in the quality of care.Who is it for?The main recipients of the Service Charter are citizensusers of the National Health Service, health professionals, iGeneral Practitioners and voluntary associations andprotection of citizens’ rights. This service charter is dedicatedat the hospice.
What is it forIt is a complete information tool on all servicesoffered by the Hospice, so that you and your family canknow the times and methods of access, the procedures forprovision of the service, all in the utmost transparency and in therespect for fundamental principles.Our missionTo take care in a global sense of the sick person who entrusts himself to us forguarantee him the best possible quality of life in the dinal phaseof life and give support to his family, with a constantattention to both pain control and disease symptomsboth to the psychological, social and spiritual aspects.
FUNDAMENTAL PRINCIPLES
As advocated by Law 38/2010 on Palliative Care,the Hospice Sant’Anna ensures every sick person is taken care offree of charge, an individual care program in compliance with thefundamental principles of the protection of dignity and autonomyof the person, without any discrimination; of protection epromotion of the quality of life at each stage of the disease, inparticularly in the terminal one; adequate health supportand social welfare:
Equality
The Hospice CASA di CURA S.Anna undertakes to guaranteeequality of treatment in the offer of services provided to allcitizens without distinction of age, sex, race, language, nationality,religion, political opinions, customs, conditions of law,psychic conditions, economic conditions, structure of thepersonality, undertakes to respect, in all moments of lifethe dignity of the person.
Impartiality
The Hospice CASA di CURA S.Anna undertakes to insure allcitizens a fair behavior both on the part of the services andby the staff working in the facility, and avoidsattitudes of partiality and injustice, i.e. non-treatmentgoals towards users.
Continuity
The Hospice CASA di CURA S.Anna undertakes to ensure thequalitative and quantitative continuity and regularity of services,of therapies and assistance: In the event of irregularitieso discontinuity in the service the Structure undertakes to make theless discomfort to patients.
WHAT IS IT AND TO WHOM IT IS AIMEDTHE HOSPICE
The right of access to palliative care and pain therapy issanctioned by Law no. 38 of 15.3.2010, which protects the dignity of theperson guaranteeing the right to health.The Hospice is an affiliated facility (decree) in which I ampalliative care is provided, i.e. the set of therapeutic interventions,diagnostics and care for people who have a diseaseprogressive that however incurable but still treatable.The Hospice arises from the awareness of situations thatrequire an adequate response to the condition of discomfort,suffering and often loneliness in which they find themselves at the endof their lives many sick people and families.For this purpose we have tried to create a familiar and alat the same time full of professionalism, in order to support the guestand his family in the very delicate phase of human existence thatthey are facing.
The Hospice is included in the integrated network for Palliative Care eit represents one of the care opportunities that comeoffered to the free choice of the patient and their family.The primary focus of hospitalization is not the care of thedisease, but the control of the symptoms it causes, the reductionof suffering in all its forms, support for the sick and thehis family. The care provided in the Hospice is intense care,continuous, of high professionalism and humanity and are based, as well ason pharmacological treatments, on care, listening, thesupport and respect for the person.Our goals are:
•“Global” care of the patient and the family, withparticular attention to emerging needs, be they ofclinical, psychological, social and spiritual nature.
•Protection of the patient with completely relational possibilitiessimilar to a family environment and with the guarantees ofefficacy, efficacy and clinical-care appropriateness.
•Continuous but discreet surveillance of the clinical statusof the patient, for a rapid symptomatic balancewith the guarantee of the best and most appropriate approacheswelfare
•Quality of care through training,training and updating for all operatorshealth in the field of Palliative Care; the use ofsuitable equipment and devices, deduction of interventionspersonalized, multidisciplinary evaluation.
Structure
The Hospice is a residential structure, integrated into the network ofpalliative care services, intended for the care of patientsterminals with progressive disease, is located within theHealthcare Facility S. Anna Nursing Home on the third floor, withdedicated paths and spaces.The core consists of 9 single rooms with bathroom, equippedeach of adequate furnishings and sofa bed that allows theovernight stay of a possible family member ocompanion, and the personalization of the rooms is favoredwith personal items.All rooms, designed with particular attention to well-beingpsychological of the guest, are designed with walls in warm colorsand harmonious.There is also an herbal tea-kitchen on each floorif necessary it is possible to use, after agreement with theHospice staff.There are also rooms for medical examinations and activitiesrehabilitation.A large and bright living room is available for guests.multipurpose living room.In the structure is available to guests a chapel for theprayer and a religious of the Catholic faith. It is also guaranteed thepossibility to perform religious functions according to one’s faith,respecting their freedom of worship.All environments are used without time limit.
Visits from family and friends are free. Visitors are invitedto observe the ban on smoking inside the Hospice and to keeprespectful behavior towards others.The accesses to the structure have undergone some changes due to theperiod of the Covid 19 pandemic which therefore take place incompliance with the relevant ministerial and regional regulations.
THE HOSPICE SERVICE
Access mode
HOW TO ACCESS SUPPORT
The Hospice assistance proposal, compiled by the GP, Doctor ofhospital or any doctor in charge of thepatient care can be forwarded directly to the hospice,that after having assessed the adequacy of the application, will proceed tosend it to the medical Evaluation Unit of the residential CADof the client (for information at the UOS ADI headquarters of the ASL ofFrosinone and the Director of the District to which they belong.In case of domiciliation of the patient outside his owndistrict of residence, you must submit an evaluation request indelegation to the CAD of the district / ASL.The “Request for activation of palliative care” form is possibledownload on the website (provide form to carmine of the site)in the Hospice section or request it from the Acceptance Officeof the Hospice.The form – filled in and signed by the patient and / or family memberin the case of a weak patient, by the attending physician(hospital or basic), even in the part of the informed consentmust be delivered or sent by fax to 0776.311147 orvia mailhospice@santannacassino.itThe form is the same for both residential care andthat at home but you have to specify your preference by tickingthe appropriate box.
Access modeHOW TO ACCESS SUPPORT
The Hospice assistance proposal, compiled by the GP, Doctor ofhospital or any doctor in charge of thepatient care can be forwarded directly to the hospice,that after having assessed the adequacy of the application, will proceed tosend it to the medical Evaluation Unit of the residential CADof the client (for information at the UOS ADI headquarters of the ASL ofFrosinone and the Director of the District to which they belong.In case of domiciliation of the patient outside his owndistrict of residence, you must submit an evaluation request indelegation to the CAD of the district / ASL.The “Request for activation of palliative care” form is possibledownload on the website (provide form to carmine of the site)in the Hospice section or request it from the Acceptance Officeof the Hospice.The form – filled in and signed by the patient and / or family memberin the case of a weak patient, by the attending physician(hospital or basic), even in the part of the informed consentmust be delivered or sent by fax to 0776.311147 orvia mailhospice@santannacassino.itThe form is the same for both residential care andthat at home but you have to specify your preference by tickingthe appropriate box.
The request can be activated by•by the patient himself or by a family member,•by the GP•by the Head of social / health services•from hospitals and / or social health facilitiesThe priority for Hospice access is not limited to just the policychronological of the request for assistance, but is based on a series ofvariables concerning the needs of the interested party and thefamily context, such as social conditions andeconomic, the severity of the psycho-dysic state. To this endinformation collected on the admission request form inHospice, they are very important as they help us to deduce thegeneral situation to establish the second access priorityclinical, logistical and social criteria.
ADMISSION CRITERIA FORACCESS
They are general criteria for admission to the HospiceSant’Anna:
•Adult patient suffering from pathology with poor prognosis•Medical declaration made on the taking form inload with attestation: terminality phase – limitedfunctional autonomy PS <or = a 40 (Karnofsky <50) -severity of symptoms and the need for palliative care•Reasonably no better survival prognosisat six months•Severity of symptoms and need for palliative care takenin charge in carefully selected cases
Criteria for admission to Residential Hospice:
•Non-suitability of family and home forthe completion of home assistance•Patient alone•Absence of a family member (caregiver)•Change setting from home to residential for reliefto the family
Criteria for admission to Home Hospice:
•The presence of a family member (caregiver) for thereal realization of therapies and assistance adomicile (after an interview)•Collaboration with the General Practitioner.
PALLIATIVE CARE UNITRESIDENTIAL
•HEALTH MANAGER: Dr. C. Coletti•e-mail: hospice@santannacassino.it•FOREMAN: P. D’Acunto•Tel. 0776/311123•The Residential Hospice has 9 rooms availablehospitalization to host our users.The hospital rooms are all single and equipped withhotel comfort, private bathroom and sofa bed (oreclining chair) for a companion.Each room has a hospital bed, distribution systemcentralized oxygen and vacuum, and the structure is
fully air conditioned. It is accompanied by a wardrobepersonal, from a table, a television set. Everyroom is also equipped with a call system for thestaff that allows you to warn in case of need.To offer a more familiar atmosphere, patients canpersonalize your room using objectspersonal.•In the Residential Hospice the patient will find a team inable to take care of him and his family and that he hasthe control of pain and others is the primary objectivesymptoms, disorders, psychological and spiritual.•What differentiates the Residential Hospice from a normal onehospital ward is his surgery dose,oriented to “take care” of the person with the diseaseincurable, knowing that the answer to suffering is givennot only from health interventions, but also from the support ofloving and empathic care.•Medical and nursing health care is insured24 hours on 24.
PALLIATIVE CARE UNITDOMICILIARIES
•HEALTH MANAGER: Dr. Nadia Di Vozzo•e-mail: hospice@santannacassino.it•FOREMAN: P. D’Acunto•Tel. 0776/311123•Home Palliative Care Teams assist36 patients daily in the Frosinone area.With home care provided in the “place of thehome of the sick person “is allowed to the family,appropriately guided and supported by the teammultidisciplinary, to take care of the sick and makethe patient’s home an ideal and privileged place forpalliative care.•Assistance in home palliative care ismainly medical, nursing andrehabilitation of a high level of complexity with instabilityand symptoms of difficult control, which requireplanned individual care interventions, providing asupport to the family, in the continuity of care isIt is possible to make an admission to a Residential Hospiceto relieve the family in agreement with the patient. Theadmission to the Residential Hospice can also take place inin the event that the conditions for support frompart of the family unit.
•The first day of activation of the assistance will bethe first visit was carried out at the patient’s homeby the doctor and a nurse from the home team. Inthis occasion is carried out the overall evaluation ofpatient, family and housing context, so yescan have an overview of the needsassistance according to a multidisciplinary approach.
ADMISSION IN HOSPICE
Both home and residential admission is fineidentify a contact person (caregiver) within the family whoparticipate in the patient’s care pathway.The Care-giver must bring orshow all clinical documentation in possession edeliver a copy of a valid identity document of the patient,the health card and the discale code.For the residential shelter it is necessary to remember to bring withself personal linen, towels and personal belongings.During the hospital stay it is advisable to keep only the effects with youpersonal not of value.In the days following hospitalization, the family member of referencewill be made part of the treatment process and updated about itthe clinical conditions. During the meeting with the family member (care-giver) information about the organization is also providedassistance.The multidisciplinary team based on the information collected inclinical interview adapts assistance to clinical needs-reliefs detected.
The multidisciplinary team is composed as follows:• Doctors• Head nurse• Nurses• Psychologist• Physiotherapist• Occupational Therapist• Social worker• Social Health Operator• Social and Healthcare AuxiliaryWhat to bring for hospitalizationAt the time of admission it will be advisable to bring all thenecessary for personal hygiene (intimate soap, shower gel,cream with zinc oxide, moisturizer, wet wipesfor adults, towels, paper napkins, shaving set, set fornails, comb) and for clothing (comfortable changes like pajamasor nightgown, underwear, non-slip slippers).During the hospital stay it is advisable not to keep any in the roomobject of value or sums of money.We inform you that the structure declines all responsibility in case oftheft, loss or property left in hospital rooms forlong time after the patients are discharged.
The chapel
The Chapel is located on the ground floor and the religious functionstake place on Mondays, Wednesdays and Fridays from 8.30 am to 11.00 am13.00, Tuesdays from 15.00 to 19.00, Sunday at11.00 am. For patients who wish to participate in the SantaSunday mass is possible, subject to medical authorization,request the support of an operator. The Spiritual Assistant canbe contacted through health care professionals on hospitalization plans.
The food
Three meals a day are served in the ward: Breakfast between 7.15and 8.00 – Lunch between 12.00 and 13.00 – Dinner between 18.00 and19.00.Even for a family member who stays in the Hospice,always free of charge, the possibility of receiving lunch and dinnerby filling out a specific form. The facility ensures the patientand possibly to their families the possibility of choosingmeals in accordance with one’s religious beliefs and needsclinics.
Additional services:
it is possible to request, through the staff, iexternal hairdressing services for men and women and ofbeautician. These services are subject to a fee, including the service ofpodiatry is provided at the request of the doctor and is performed byqualified personnel, with the possibility of having one’s own interventionpodiatrist of diducia.
Care pathway
The multidisciplinary team based on the information collectedin the phases of taking charge it proposes assistance to the patientand to the family nucleus adequate to the clinical-assistance needs
detected and will be activated for home visits based on the PlanIndividual Assistance (PAI).The PAI ( Individual Care Plan ) is updated withperiodic frequency following the brieding between the various diguresprofessionals involved in patient and team careweekly in which all staff are required to participatehealth care at the Hospice to discuss possible solutionsproblems that have arisen, verify the objectives achieved edetermine those to be achieved in the medium and long term.Indispensable tool for recording and verifying resultsthey are the integrated medical record and the team reports.The objectives and the interventions planned in the PAI areconstantly shared with patient and family, through thedialogue with each operator and dedicated interviews both at homethan in structureEach multidisciplinary team is composed as follows:
•Head of Medical Coordinator•Doctors•Head nurse•Nursing Coordinator•Nurses•Psychologist•Physiotherapist•Social workerIn carrying out home visits, every doctor and nursehas a telephone to manage daytime availability enocturnal, home palliative care are provided
company cars available to doctors and / or nurses formake visits to the patient’s home.Doctors and nurses are available every day, Sunday andincluding holidays, 24 hours a day.Each patient and family member (caregiver) will have it available at the beginningservice a list with names and telephone numbers ofoperators.Emergency management;Treatment and management of the patient’s own signs and symptomsoncological (dyspnoea, vomiting, constipation, incontinence, loss of appetite,pain, fear, compression ulcers, prolonged bed rest,anticipatory panic etc.)Basic and advanced care (life-long care);Management of infusion routes (CVC, CVP, CSC), infusion pumps;Accompaniment to death;Care of the body;All the staff contribute to the achievement of the objectivespre-established.
Accompaniment to death and mourning.The needs of the dying person are no different from thoseof any patient, but in the dying they are more intense and theirssatisfaction cannot be postponed over time. Because of thisreason the planning of assistance is based, in addition to thestate of health and the satisfaction of physiological needs, too
and above all on those of security, love, consideration andof self-realization.The goal of care at this stage of life is that ofto offer the patient an atmosphere in which death is possibleserene, in which he is free from pain while remaining conscious andpossibly also able to communicate.The commitment of the Hospice operators is also to supportin this phase the relatives of the terminally ill patient, both in the momentof death and in that of mourning (detailemotional state that could be experienced not only at the momentof the loss of one’s relative but also previously).In order to be able to recognize in good time the approach of thisdelicate moment, ad hoc stairs are usedinternationally recognized, the results of which comeshared with all operators.
DischargeResignations are always “protected”. When conditions loallow and / or the person wishes, the sick person may bedischarged for domicile. The resignation, in any case, isplanned in advance with:
•the sick•family members•the competent home assistance service•the General Practitioner•the UVM of the ASL FR.Upon discharge, the letter of resignation is deliveredmedical and nursing, complete with clinical information-assistance, therapies in progress, medical aids necessary fordomicile.
Public relations officeThe Public Relations Office – URP – ensures aclear and confidential information on the activities, services andpaths (what to do for), on access and delivery methodsservices (hours, locations, necessary documentation, numbersphone) and waiting times.The Head of the URP receives and manages all possible complaintstrying where possible to help citizens get answers onas soon as possible.Religious assistanceUsers of the Catholic faith are followed by the Spiritual Assistant,which ensures weekly pastoral activities.Our Spiritual Assistant is within a networkintercultural assistance and the patient can request thepresence of the minister of the cult to which they belong.Those who are of a confession other than Catholic canrequest the spiritual assistance of their ministers by notifying thehead nurse.Adequate spiritual support is guaranteed to patients and their relativesfamily members, both in the phase prior to death and in that ofmourning, respecting the will and freedom ofconscience of the interested parties.However, at the time of admission, the health personnel doinforms about the particular needs of the user in compliance with his owncultural and religious diversity.
Medical recordsTo improve, optimize and standardize the level of care, eused a medical record that evaluates the patient in his owncomplexity and also measures the level of psychological stress of thefamily.A copy of the medical record can be requested from the ManagementHealthcare, by the patient or his delegate, with the appropriate form fromfill in the Acceptance Office.Within 7 days of the request, the medical record can be:•withdrawn personally by the patient’s family member;•withdrawn by a delegated person in writing (by showing aidentity document of the patient also in photocopy);•received at home by mail.
QUALITY STANDARD1.1 ISO 9001: 2015 CERTIFICATION
The Hospice has obtained the certification of the Management Systemof Quality according to ISO 9001: 2015 standards. The System ofManagement of this organization was evaluated and judgedcomplies with the requirements of the standard by the certification body inin relation to the provision of care activitiesResidential and Home Care Palliative.
OBJECTIVES AND POLICY FOR THEQUALITY
The Hospice is a point of reference they can turn to forpalliative care all citizens residing in the province ofFrosinone. The assistance activity is guaranteed by routesdiagnostic-therapeutic consistent with the most up-to-date guidelinesnational and internationalThe Quality Policy adopted by the Hospice follows a line ofconduct that recognizes the centrality of needs andexpectations of the citizen who accesses the facility and uses itof the services provided, and respects the protection of life and healthdisica and psychic, of freedom and dignity of the person. To thepursuit of service improvement objectives arededicated action plans and / or individual care plans.
The main areas on which the objectives are focused and iquality plans are as follows:•Appropriateness of therapeutic services edwelfare•Maintenance and improvement of the protection ofwelfare conditions of the guests•Full employment of the care capacity•Maintenance and improvement of hotel assistance•Improvement of vigilance on health conditionsof guests•Improvement of information systems and servicesinfrastructural•Satisfaction of patients and family members
HOW WE VERIFY RESPECTOF THE COMMITMENTS RELATED TOGOALS
The management system involves accountability andmotivation of the Management, of the Managers and of the wholeInterested staff.The management system provides the main tools oftruthfulness of compliance with the commitments made for Quality:•Monitoring of action plans made dynamic to objectivesfor quality, with reporting and corrective actions againstdeviations from the objectives / targets•Internal audit cycles•Management review
•Results of patient satisfaction surveys eof family members•Results of the complaints service•Non-compliance reporting and treatment system,deviations, adverse events and sentinel events•Mechanisms for the protection of the patient and the truthfulness of theengagements
Complaints
The Hospice Casa di Cura S. Anna guarantees the protection function intowards the citizen also through the possibility, forthe latter, to lodge a complaint following a disservice, act orbehavior that has denied or limited the usability ofperformance.The reports will be useful to understand any problemsand activate improvements in the service.A specific complaint form is available in the patient room eyou can use the “praise complaints” box. All complaintsare delivered by the Patient by family members or by the staff ofdepartment (to which the patient and / or relatives referred) directlyto URP staff who provide direct management within and notmore than 3 days from the notification, where necessary the URP involves theHead of the Hospice and / or other staff of the Structure.All complaints can be delivered anonymously.
SATISFACTION SURVEYSOF USERS
The Hospice Management guarantees the relationship withsix-monthly frequency of surveys on the degree ofuser satisfaction, through administrationmonthly of anonymous questionnaires. The result of that investigationis subjected to analysis to identify actionscorrective and improvement.
1.9 SAFETY OF CARE ERISK MANAGEMENT
The safety of care is a constitutive part of the right tohealth, is pursued in the interest of the individual and ofcollectivity and represents one of the primary objectives of theassistance path. It is realized through the wholeof all the activities made dynamic to prevention andrisk management associated with the provision of serviceshealth and the appropriate use of structural resources,technological and organizational. All the staff of thehealth facility and also service users arerequired to participate in risk prevention activities.Risk management or “Risk Management” is a processsystematic that expresses the ability to translate into actionsthe critical issues emerging from the analysis are concrete for improvementof any adverse events.In April 2017, in compliance with the legislationin force (Law 8 March 217 n.24, “Gelli Law”), the Hospicehas set up a Single Committee for Risk Management
(CURM), a coordinated working group and under theresponsibility of the Risk Manager, dedicated to the assessmentand risk prevention, application and almonitoring of good safety practices, to themanagement of adverse events, the prevention oflitigation.One of the main tasks of the Committee is constituted bydrafting and dissemination of the Annual Risk PlanManagement (PARM), available through the followinglink , with the following strategic objectives:• Spread the culture of safety of care• Improve the appropriateness of care andorganizational, through the promotion of interventionsaimed at improving the quality of performanceprovided and monitoring and / or containment of eventsadverse• Promote a unified vision of safety, which holdsaccount not only of the patient, but also of the operators eof the structures• Participate in regional risk activitiesmanagementIn order to raise awareness of theidentification and risk assessment, the Hospice hasset up a specific event reporting module(sentinel, adverse, avoided event reporting form)available to all operators (on the company intranet)and also of users / stakeholders who, in casewere involved in or aware of an event related to theclinical risk, have the opportunity to report itrequesting the form from the nursing coordinatorof the Residential Hospice.
USER RIGHTS (DPCM19/05/95)•Access to services is guaranteed to citizens in an equitable manner,respecting the dignity of the person and withoutdiscrimination of any kind.•The patient should receive information on diagnosis, therapy,risks and possible alternatives, in full eupdated.•The Hospice must respect the documented will of thepatient not to receive or to delegate these to another personinformation. Nobody can be treatedhealth without express informed consent. Where thehealth care achieves the motivated convictionof the inappropriateness of direct information, the samemust be provided, unless expressly refused by the patient, to thefamily members or those exercising guardian authority.•The patient must be avoided suffering and non painnecessary.The patient has the right to obtain that data relating to thehis own illness and any other circumstance that concerns himremain secret.•The patient and his family must be placed incondition to identify the operators and the name of thedoctor responsible for treatment.•The patient has the right to access top health servicesquality, on the basis of deduction and respect for precisestandard.
•The patient has the right to be free from any resulting harmfrom the malfunctioning of health services, frommalpractices and medical errors, and has the right to accesshealth services and treatments that guarantee high levelssafety standards. The patient has the right to access ainnovative procedures, including diagnostic ones, secondinternational standards and regardless ofeconomic or financial considerations.•The patient has the right to have his beliefs respectedreligious and religious assistance.•The patient or family members have the right to make complaints ereports and to receive, in relation to the same, onewritten or verbal response.•The right of access to the documents is guaranteed in the ways and meanstimes provided for by legislation.
USER DUTIESBehaviorGuests and their family members are welcome to hire aresponsible behavior at all times, in compliance with eunderstanding the rights of other guests, and collaborating with themedical, nursing, technical staff and with the Management.Respect for the environmentGuests and their families are required to respect the furnishings andof the equipment located inside the structures,as well as the external common areas.TherapiesUsers cannot practice other therapies besides thoseprescribed by the doctors who treat them and reported in the file;therapies carried out at home or in another health facility beforeof entry must be communicated to the responsible doctor attime of admission.Telephone sets eradio and televisionThe use of such equipment must be carried out in such a way as todo not disturb other patients.
Other equipments
The use of any electrical equipment is prohibited, as wellof free-diameter equipment.
Assistance modalities
It is forbidden for users and their families to interfere with the staffhealth as regards the methods of assistance. Possibleserious disservices that should occur between users and staffhealth, or between health personnel and relatives, will be reportedpromptly to those responsible.
Protection of worker safety
The Hospice applies, in accordance with Legislative Decree 81/08, the protection ofsafety and health of workers by processing therisk assessment document and the adoption of measuresprevention and protection provided for by the assessment itself.Fire safety procedures have been developed whichthey include periodic exercises and evacuation simulations.The structure has a fire-fighting system in accordance with the lawwith signs in order to highlight the various routes in case ofemergency.
Privacy protection
Casa di Cura Santa’Anna Srl, owner of the data processingpersonal, has applied all the measures provided for by the regulation2016/679 and subsequent amendments.
To protect the correct processing of personal data and inapplication of the current legislation on privacy, are notProvide clinical information on patients by telephone.Respect for privacy is guaranteed by staying in roomssingle.All operators, including volunteers, are bound by secrecyprofessional and compliance with current legislation.
Informed consent
The patient has the right to receive clear and complete informationon his state of health and on possible diagnostic perspectives-therapeutic, and therefore all information is providedobjective on the services available, on the stay, the diagnosis etherapeutic acts.Any clinical-assistance communication to relatives, including thespouse, to friends and acquaintances, must be preventiveauthorized by the interested party.For this purpose, the patient will have to fill in and report a specidicform concerning the authorization to communicate to third parties thetheir sensitive personal data, indicating the subjects from himauthorized (name, degree of kinship and availabilitytelephone) to receive information regarding your state of health.This form, kept in the medical record, must beconsulted by healthcare professionals before providing to third parties,information on the clinical condition of the patient.In case the patient laughs or decides to stop the treatmenttherapeutic, the health personnel inform the patient and his parentsfamily members on their rights and consequent responsibilities.
The consent to the treatments is the manifestation of the will of thepatient who freely chooses to be treatedfrom the Hospice.For any medical procedure, except those performed inemergency situation and inability to express “consentinformed “, it is necessary that the patient is preventivelyagree on its execution.The patient’s free adhesion naturally provides that thedoctor informs him clearly and comprehensively about whatintends to do and it is for this reason that we speak of “consentinformed”.By signing specific forms, at the time ofhospitalization, are acquired by the patient:•consent to the processing of sensitive data, pursuant tocurrent privacy legislation;•the general consent to be treated at the Hospice, aipursuant to art. 11, art. 12, article 13, art. 26 of the Code ofMedical Ethics (2014);•consent to whom to provide information on his statushealth;•for particular clinical activities the consent must beacquired in writing, by means of a specific documentcontaining adequate information on the interventionproposed and on possible complications, immediate or late
Legislative references• Law 7 August 1990, n. 241 “New rules onadministrative procedure and right of access to documentsadministrative “which dictated new rules for relations betweencitizens and administrations.• Decree of the President of the Republic 28 November 1990, n. 384.• Circular of the Ministry of Health 100 / SCPS / 35697 of 31 October1991 “Initiatives for implementation in the National Health Serviceof the provisions of the law of 7 August 1990, n. 241, aiming atimprovement of relations between the Public Administration ecitizens”.• Legislative Decree 30 December 1992 n. 502 “Reorganization of thehealth regulations, pursuant to art. 1 of law 23October 1992, n. 421 and subsequent amendments and additions “.• Directive of the President of the Council of Ministers January 27, 1994“Principles on the provision of public services”.• Directive of the President of the Council of Ministers of 11 October 1994“Directive on the principles for the establishment and functioning ofof ices for relations with the public pursuant to art. 12 of the decreelegislative 3 February 1993, n. 29 and subsequent provisionscorrective “.• Decree of the President of the Council of Ministers of 19 May 1995“General reference scheme of the Public Services CharterSanitary “.• Guideline no. 2/95 “Implementation of the System Services Charternational health “.
• Law 11 July 1995, n. 273 “Conversion into law withmodifications of the decree law 12 May 1995 n. 163, bearingurgent measures to simplify proceedingsadministrative and for the improvement of the efficiency of the publicadministrations “. References of the legislation for the charter ofservices.• Legislative Decree 30 July 1999, n. 286 “Reordering estrengthening of mechanisms and tools for monitoring andevaluation of costs, returns and results of activitiescarried out by public administrations pursuant to Article 11of the L. March 15, 1997, n. 59 “.• Legislative Decree 150/2009 “Implementation of the law 4 March2009, n. 15 on the optimization of the productivity ofpublic work and public efficiency and transparencyadministrations.• Legislative Decree 150/2009 “Implementation of law no. 15.• Resolution no. 88/2010 the “Guidelines for the de inition ofquality standards ”the four fundamental dimensions ofquality for which every public service must guarantee standards:accessibility, timeliness, transparency, effectiveness and with resolution no.105/2010 the “Guidelines for the preparation of the programtriennial for transparency and integrity “.• Resolution no. 3/2012.• Law 190/2012 “Provisions for the prevention andrepression of corruption and illegality in the public sectoradministration”• Legislative Decree 33/2013 “Reorganization of the regulations concerning obligationsof publicity, transparency and dissemination of information byof public administrations “.
• Decree DCA 311 of 6 October 2014 “Guidelines forthe elaboration of the Health Service Charters of the Companies and of thehealth structures of the Lazio Region. “