Curiamo la corruzione

Curiamo la corruzione

Collective actions to promote integrity and reduce corruption in healthcare

Project duration: 2015 > 2018

Partners: Transparency International Italia – Censis – Ispe

Website: www.curiamolacorruzione.it

Corruption in the healthcare: Risk assessment and risk mitigation strategies in 2015

The 74% of the agencies of the IHS (Italian Healthcare System) do not perform adequate anti corruption risk assessment and risk mitigation procedures, designed by law 190/2012.

Most of the agencies (Aziende Sanitarie Locali, Aziende Ospedaliere, IRCCS) have adopted an Anti-Corruption Plan, but those plans substantially fail to identify the risks of corruption and effective countermeasures in the procurement processes. All regions are affected by these limits, with Calabria, Molise, Lazio and Lombardia at the bottom of the list, and Valle d’Aosta, Trentino, Umbria, and Molise as best performers. However, in a number of cases, the Anti Corruption managers (responsabili anti corruzione) have analysed the internal procedures and identified the most frequent and serious risks.

  • Modifications/changes during execution of the contracts (varianti nell’esecuzione),
  • Abuse of maximum discount offers (offerta economicamente più vantaggiosa),
  • Tailored made tender (bandi su misura),
  • Abuse of direct assignment (affidamenti diretti) procedures,
  • Tender revocation (revoca del bando per generare rimborsi).
  • Cartel between bidders – 4,1/5
  • Declaration of resource or service exclusivity to avoid concurrence – 4/5
  • Flexible timetable of implementation (in favor of the contractor) – 4/5
  • Selection of non impartial examination board members – 3,86/5
  • Free loans ordonations by providers to generate follow-up obligations – 3,67/5

40% PLANS WITHOUT RISK ASSESSMENT AND RISK MITIGATION MEASURES

34% PLANS WITH RISK ASSESSMENT AND WITHOUT RISK MITIGATION MEASURES

12% PLANS WITH RISK ASSESSMENT AND RISK MITIGATION MEASURES

14% PLANS WITH SPECIFIC RISK ASSESSMENT AND RISK MITIGATION MEASURES