Main results PNE Edition 2025
▪ Ten years after the entry into force of DM 70/2015, an attempt is made to assess how the system has
been able to evolve, also thanks to a regulation that has had the merit of introducing at the national level
quantitative standards for the reorganization of hospital care in terms of quality and
safety of care.
▪ Overall, the picture emerges of a healthcare system capable of improving when precise regulatory
references are set and evaluation tools allow progress to be monitored,
guiding change towards shared and measurable objectives.
▪ The quality of care improves, but the system remains marked by strong territorial inequalities,
and by a North-South divide (for example, in volumes for complex oncological surgery of the pancreas
and rectum, in the timeliness of access to life-saving procedures and in clinical appropriateness in the
maternal-infant area).
▪ In this context, the PNE serves as a strategic tool for healthcare governance at various levels
of the system: supporting the New Guarantee System and national-level planning; becoming
a reference at the regional level for defining the objectives of the general managers of healthcare companies; finally, providing data, at the local level, for clinical governance and the development of management dashboards, in
an Audit & Feedback perspective.
▪ Currently, the PNE has seen the number of indicators grow to 218, of which 189 relate to hospital
care (67 outcome/process, 101 volume, and 21 hospitalization) and 29 relate to territorial
care, the latter evaluated indirectly in terms of avoidable hospitalization (14 indicators),
long-term outcomes (11), and inappropriate ER visits (4).
▪ In the PNE 2025 edition, a total of 1,117 acute care facilities (public and private) were evaluated, using data from Hospital Discharge Records (SDO), linked with the Tax Registry
(to verify the vital status of patients) and with the Emergency-Urgency flow (EMUR)
for the part relating to the Emergency Room.
