Project


Curiamo la corruzione (We Treat Corruption)

Chapter: Italy | Project range: Local | Year: 2016

Chapter details

About the chapter:
Transparency International Italy was founded in 1996 by people of different social and professional backgrounds (entrepreneurs, academics, civil servants and private individuals) and addresses all individuals, organizations, institutions, private and public associations that share the aims and understand pursuing the objectives of the international movement and of the Italian organization.

CPI Score: 52

CPI Rank: 53


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Summary

Financing

Governance & leadership

Information systems

Procurement

Services

Partners

Global Partners:
Novartis
National Partners:
CENSIS Healthcare association or trade body ISPE RISSC University, academia or research institution

Theory of Change

Policy & Insititutional Change
Policy Adoption & Amendment
Change Type:

Awareness

Outreach

Aim

The aim of the project was to aim to increase awareness of corruption in the healthcare sector, to train the staff of healthcare and hospital companies and to implement and test innovative tools and specific organisational models.

Landscape

There has been widespread recognition within Italy of the existence of corruption in the healthcare sector, for example only 15% of citizens reported the sector as being ‘clean’ and the Italian Government, defining health as “one of the sectors most exposed to the risk of corruption for financial reasons.” However, it was deemed impossible to calculate how widespread the corruption is, what damage it causes and which sectors are most at risk.

Activities

  1. Analysis of the sector and identification of the greatest risks of corruption, examining three different aspects: the phenomenon of corruption in contracts, the economic efficiency of healthcare and hospital companies, the perception of operators in the sector.
    Research & analysis
  2. Training for the staff of health and hospital companies.
    Implementation of new policy & practice
  3. Preparation and adoption of recommendations by the competent institutions to improve the levels of transparency, integrity, responsibility and ethics in the health sector.
    Advocacy
  4. Development and adoption by hospital companies of guidelines for the development of anti-corruption plans.
    Implementation of new policy & practice
  5. Promotion of an Italian ‘Sunshine Act’ to increase transparency in the sector.
    Advocacy

Achievements

  1. Adoption of whistle-blowing online platform in 11 Local Health Authorities
  2. Annual public events dedicated to the anti-corruption in the healthcare sector were organised, raising awareness of the topic;
  3. Local communities and organisations were successfully engaged in the anti-corruption activities in the healthcare sector sector.
  4. The ‘Sunshine Act’ was approved by the Italian government.

Future Plans

TI-Italy is launching the first Italian Healthcare Integrity Forum, a multi-stakeholder initiative where local health authorities, public institutions. CSOs and expert will collaborate in order to develop policies and practices against corruption.

Lessons Learnt

  1. Sustainability is the key issue when working in such a complex environment. Therefore it is important when planning finances to strategize on an activity basis, as opposed to a project basis.
  2. Projects which involve the adoption of IT tools can be complex. In this instance it transpired that different LHAs had different IT infrastructures particularly in the case of this project by LHA is complex because they have different IT infrastructures and usually they externalize the IT processes.