The Medical Record and the Cycle of Innovation in the Clinical Pathway of Patients Suffering from Pathological Addictions

OECD‘s countries in the last 15 years are changing their public management systems (Keating, 2001). The diffusion of the New Public Management philosophy (Gruening, 2001; OECD, 2010; Pollitt & Bouckaert, 2000) determine an increasing innovation in the public field. Innovation management is relevant to improving and increasing performance in healthcare organizations (Dey, Hariharan, & Ho, 2009; Fleuren, Paulussen, Van Dommelen, & Van Buuren, 2014). Moreover, this is strictly connected with an efficient accounting and information system able to process, store and share data (H. Xu, 2011). In Italy, each Local Health Authority (ASL) adopts a different innovation program defined by the Region of reference. In Piedmont from 2016, the HTH system is used which presents various possibilities for analyzing and managing patient data with pathological addictions (Regione Piemonte, 2015). In the management of clinical pathways, the management of data and the use of shared platforms among healthcare professionals brings about a better concentration on the need expressed in terms of care and improving its efficiency (Leape et al., 2009). The management of high volumes of users requires the appropriateness of the care and definition of those useful and functional data to increase performance; in this sense, observations are made more and more necessary concerning the granularity of the data (Biancone, Secinaro, & Brescia, 2018). In the diagnostic and therapeutic path knowledge acquires a determining role for the well-being of the community of reference. The knowledge we refer to assets comprised, traditionally, human capital, structural or organizational capital, and relational or social, and often they are summarized in the holistic notion of intellectual capital (IC) (Marr et al., 2004; Schiuma et al., 2008). The theoretical GAP detected relates to the granularity and the type of information contained in the electronic health record whose influence and impact on the different aspects of the IC are unknown (H. Xu, 2011). This paper contributes on the cycle of innovation and join the theory of rational administration based on the budget. Our analysis will focus on the case study of the department of dependencies of the Local Health Authority ―City of Turin‖. The data management system matches the needs of national information through the annual report to the Italian and international Parliament through the comparison in Europe of data dependencies.