[Telemedicine and improvement in care quality. The experience of Rome 3 Healthcare Local Autority in home care of patients with amyotrophic lateral sclerosis (ALS)]. / Il miglioramento della qualità assistenziale territoriale dei pazienti affetti da SLA con l'introduzione del telemonitoraggio e del teleconsulto. L'esperienza della ASL ROMA 3.

Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disorder that results in progressive muscle weakness, disability, and ultimately death. Remote evaluation of ALS patients in home care, by using telemedicine, has been shown to be safe and effective. This study showed improvements in the perceived quality of care in 24 SLA patient, improved patient satisfaction and a 15% reduction in care costs.

[Protocol proposal for the management of tuberculosis cases for healthcare Local Authority]. / Proposta di protocollo per la gestione dei casi di Tubercolosi per le Aziende Sanitarie Locali.

TB is still a major public health problem and a threat to global health security. In Italy, TB control is consistent with the WHO global strategy, in which the role of prevention and, within it, contacts tracing and their management are emphasized. In this work, a protocol for the correct and homogeneous management of TB cases, at local level, is described in all its phases, from reporting to contacts management. The containment of the diffusion of the infection and the prevention of new outbreaks depend on the immediate identification of the index case and the proper performance of the epidemiological investigation. For this reason, the translation of scientific evidence into Recommendations and Guidelines is essential, and of these into operational protocols for the local level, with a clear indication of actions and responsibilities.

[New Italian law on malpractice: the impact with risk, insurance and accountability management]. / La gestione del rischio clinico e l'impatto organizzativo richiesto dai cambiamenti apportati dalla cosiddetta legge Gelli (legge n. 24 del 8 marzo 2017).

The new Italian Law on malpractice redefined the risk profile of public and private healthcare Organization. This new law is a legislative response to the Italian medical malpractice insurance crisis. The law, in fact, requires an approach on risk thinking based and accountability. Finally, it also requires a review of the insurance management.

[Femicide: a Avoidable Mortality? The "Tivoli" Model]. / Il femminicidio: una mortalità evitabile? Il modello Tivoli.

The Instabul Convention is a normative tool for the prevention of women's violence in Europe. Rome 5 Local Healthcare Authority has implemented a synergistic intervention model in joint ventures with all stakeholders and institutions involved: the Tivoli Model. This model provides a synergistic social, health, legal and training approach to prevent violence against women in a logic of preventing an avoidable mortality.