In alliance for the health and well-being of citizens
If we are in “health”, we have more chances to be happy. Each of us hopes to have good health for himself, for family members, for friends. It depends first of all on us, on our behavior, on factors such as education, work, the home, the standard of living and also on our choices for a fairer society to reduce and improve the differences between individuals and social groups ( disabled people, migrants, non self-sufficient elderly people.) It is a demanding job that is done first of all where people live, on the territory.

The Health companies, represent an unprecedented organizational solution of local assistance that develops the integration of the health system with the social assistance, pursues health and social well-being guaranteeing the integrated management of the need and the continuity of the care path and favors citizen participation by providing forms of participation with institutional and association representatives.

What are they? 
They are public non-profit entities, established by voluntary adhesion of the Municipalities of the same area-district and of the Local Health Authority, for the associated exercise of territorial, social-health and integrated social health activities. “Two regional laws of 2014, the 44 and the 45, identify two instruments to regulate the territorial structures integrated in each district area: the continuation of the Health Company or the signing of a health and social convention between all the municipalities of the district area and the reference Local Health Authority. For this reason, where health societies are not established, the exercise of social and health integration for non self-sufficiency and disability is carried out through a special agreement stipulated by all the municipalities of the district area and by thelocal health unit of the territory.

On the territory of Tuscany, there are currently 15 Health Societies and 11 District Areas without SDS which must sign the Social-Health Convention referred to in Article 70 bis of Regional Law 40/2005. 
In these organizations, professionals and health and social workers, the third sector and volunteer work side by side.

What do they deal

with? Health Companies, integrating the services and activities of Municipalities and Healthcare Companies, work to offer people unitary responses to socio-health and social needs and become the only interlocutor and gateway to local services. 
Based on data on the health status of the local population, the SDS describe the objectives and plan the territorial socio-health interventions to achieve them. Knowledge of the epidemiological characteristics of a territory and participation are themselves important factors for the health of the individual and the community.
They deal with lifestyles and health promotion and on the basis of data on the health status of the local population, describe the objectives and plan the territorial socio-health interventions, as well as those of the integrated system of interventions and social services that are the responsibility of local authorities. , to reach them. 
They organize and manage the social and health activities of non self-sufficiency and disability and the social assistance activities identified by the integrated regional health and social plan.

How they act and plan

The best result in terms of health is acted on everything that contributes to building health, from the environment, to urban planning, transport, school, etc. All that can not be answered by the health organization alone, but it can do so with the intervention of the Municipalities. 
The Integrated Health Plans represent the fundamental act with which the Health Companies program the objectives of health and wellbeing and care pathways, interpreted and implemented on the specific characteristics of each territory, define implementation actions and plan operational solutions and activate control tools, monitoring and evaluation.

The organs of the Health Society
Each company is equipped with 5 organs:

  1.  The Shareholders ‘ Meeting, composed of the general manager of the Usl company and the mayor or a member of the council of each member municipality
  2.  The President , who has the general representation
  3.  The Executive Committee usually consists of three members
  4.  The ollegio sindacale
  5.  The Director , who also acts as district-area manager

The members of the bodies are not entitled to any compensation, with the exception of the director and the board of auditors. The Director of the Health Society is also the person in charge of the corresponding Health District, exercising the two roles in a contextual manner, without duplicating functions or compensation. The Chairman, the Statutory Auditors and the Assessors who make up the shareholders’ meeting and the executive committee carry out these functions in the exercise of their mandates.

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