title: A surgical department for intensified care.
abstract: OBJECTIVE
  The growing pressure to rationalize costs in the healthcare system demands the development of new healthcare models aimed at allowing patients to receive the best treatment, without ignoring the rising costs.
  
  
  METHODS
  In the Healthcare Unit 2 located in the Abruzzo region in Italy, a new model of intensified care surgical department was designed in January 2013. The department was based on the selection of the degree of patient disease. Patients requiring a medium-low degree surgery were treated in the peripheral unit, in the Ortona hospital, while more complex surgical procedures, most cancer cases (including stomach, liver, pancreas, colon-rectum or multi-organ resections), were performed in the central unit in the Chieti hospital.
  
  
  RESULTS
  The value of production at the peripheral unit, in Ortona, increased by 299.4% along with an increase in discharges of 112.6%, with an average DRG weight from 1.02 to 1.45. At the central unit, in Chieti, the average DRG weight produced was 3.328. In relation to quality assessment, pancreatic surgery morbidity was 27.0% and mortality was 1.7 % due to resection and 2.2% for other causes. Likewise, for colon-rectal surgery, a global morbidity of 35.0% and anastomotic leakage of 3.9% was seen.
  
  
  CONCLUSIONS
  The 24-month preliminary results show that new models of intensified care surgical departments can be created. In addition, results clearly show that such model significantly improves both services and surgical results. This original model allows optimal use of resources favouring both service quality and patient satisfaction.
authors.affiliation: Division of Surgical Oncology, ASL-2 Abruzzo, "SS Annunziata" Hospital, I-66100, Chieti, Italy. p.disebastiano@asl2abruzzo.it.|"G. Bernabeo" Hospital, Ortona, Italy. p.disebastiano@asl2abruzzo.it.
authors.forename: Pierluigi
authors.initials: P
authors.lastname: di Sebastiano
authors.affiliation: Division of Surgical Oncology, ASL-2 Abruzzo, "SS Annunziata" Hospital, I-66100, Chieti, Italy.|"G. Bernabeo" Hospital, Ortona, Italy.
authors.forename: Tommaso
authors.initials: T
authors.lastname: Grottola
authors.affiliation: Division of Surgical Oncology, ASL-2 Abruzzo, "SS Annunziata" Hospital, I-66100, Chieti, Italy.|"G. Bernabeo" Hospital, Ortona, Italy.
authors.forename: Anna
authors.initials: A
authors.lastname: Maysse
authors.affiliation: Division of Surgical Oncology, ASL-2 Abruzzo, "SS Annunziata" Hospital, I-66100, Chieti, Italy.|"G. Bernabeo" Hospital, Ortona, Italy.
authors.forename: Maria
authors.initials: M
authors.lastname: Marino
authors.affiliation: ASL-2 Abruzzo, Chieti, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Zavattaro
authors.affiliation: ASL-2 Abruzzo, Chieti, Italy.
authors.forename: Pas Quale
authors.initials: PQ
authors.lastname: Flacco
authors.affiliation: Division of Surgical Oncology, ASL-2 Abruzzo, "SS Annunziata" Hospital, I-66100, Chieti, Italy.|"G. Bernabeo" Hospital, Ortona, Italy.
authors.forename: F Francesco
authors.initials: FF
authors.lastname: di Mola
mesh_terms: D003422:Critical Care / Q000458:organization & administration*; D003695:Delivery of Health Care / Q000458:organization & administration*; D006760:Hospitalization; D006801:Humans; D007558:Italy; D018579:Patient Selection; D011787:Quality of Health Care; D013503:Surgery Department, Hospital / Q000458:organization & administration*
keywords: Health economics; Surgery