The discussion explores the current landscape of healthcare digitalization in Italy, emphasizing the fragmented regional approach, challenges with interoperability, and the recent strides toward a unified electronic health record (EHR). The guest, Marco Foracchia, CIO of Local Health Unit in Emilia Region, IRCCS sheds light on regional disparities, opportunities for improvement, and strategies for vendors seeking to enter the Italian healthcare market.

Challenges in Digitalization:

Regional Fragmentation: Northern regions like Lombardy are advanced, while southern areas lag behind.

Interoperability Issues: Patients face hurdles when seeking care across regions due to inconsistent systems and processes.

Resource and Capacity Gaps: Many organizations lack the expertise to implement complex projects despite funding.

Vendor Role: Vendors often sell solutions without assessing if organizations are ready for implementation, leading to underutilized technology.

Opportunities and Progress:

The EU’s Resilience and Reconstruction Program (PNRR) has driven funding and deadlines for nationwide EHR implementation.

Introduction of a second version of the national EHR aims to achieve interoperability across regions.

Measurement initiatives like HIMSS EMRAM models are guiding digital maturity.

Cultural Transformation:

Digital transformation requires a shift in mindset alongside technological upgrades.

Building clinician buy-in involves demonstrating clear value and benefits of digital solutions.

Advice for Vendors Entering the Italian Market:

Partner with established Italian companies due to centralized procurement processes favoring local players.

Focus on long-term partnerships and delivering measurable results, not just installations.

fodh.substack.com

facesofdigitalhealth.com