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Issue/problem The classification of Public Health services (PHS) and related healthcare information systems (HIS) in Friuli Venezia Giulia, Italy, are complex and non-homogeneous. Since 2017 the Region has been realigning HIS according to the new Final Products (FP) System to classify PHS. The aim is to implement an integrated FP-based HIS, easing data transmission and improving the quality of planning, scheduling and expense reporting activities. Description of the problem From June 2017 to October 2018 68 Public Health professionals (PHP) from 10 Public Health areas outlined 102 PF from HIS through flowcharts and technical dossiers. Afterwards (10/5th-10/29th 2018) they assessed HIS through a questionnaire of 24 items. Statistical analysis was performed with Fisher’s Exact Test, stratifying 4 categories (physician, veterinarian, prevention technician, other professional). In June-July 2019, through a matrix-based assessment, PHP of regional PHS were invited to weight each FP activity on the basis of involved personnel and possible required transfer (valorisation phase). Results The questionnaire got 45/68 responses (66%). Among responders, 27% reported a HIS for their PHS not being available at all; 65% of responders agreed on the usefulness of an integrated regional HIS for PHS. Fisher’s Test showed significant differences in HIS features according to profession, as interoperability with national/regional databases (p = 0.0144), mobile usability for external activities (p = 0.0302), real correspondence between monitored data and performed activities (p = 0.0215). Valorisation was performed by 445/557 PHP (80%). Lessons PHS currently often deal with functional flaws or inappropriateness of HIS when compared to real activities. Valorisation data will be submitted to the attention of policymakers in October 2019 in order to apply an integrated classification of PHS considering both effectiveness and generation of value of activities performed in Public Health. Key messages Healthcare is a multilayered product and measuring healthcare outputs requires managerial skills and tools, to assess need of resources and to plan activities. The regional Final Products project defines a uniform classification of Public Health services and implements a standardised accounting system for activities performed in Public Health.

Final Products: a regional integrated output assessment in Public Health services, 2017-19 Italy