The CReG represents a system of classification of patients according to their chronicity and to an overview analysis of their healthcare.
In 2012 Lombardy Region first started a new experimental model of organization, named CReG, aimed at improving care of chronic patients outside the hospital. This new model is currently being tested in five Local Health Units and involves patients affected by the following chronic pathologies: hypertension, diabetes, heart failure, and chronic obstructive pulmonary disease.
The main CReG innovation is the creation of a new subject, called Provider, who has to guarantee the chronic patients cure outside the hospital, coordinating General Practice and specialist medicine interventions. Patients participating to the project have been assigned to a specific diagnostic and therapeutic plan of care (PDTA) for their chronic diseases and providers had to control the progression and compliance in cure and clinical examinations. Many of the GP providers selected the same technological partner, and 60% of this population was managed through the same IT platform. This project represents a big challenge for General Practice who has the opportunity to demonstrate its ability in taking care of chronic diseases better than before. The main motivation for General Practitioners to participate to CReG has been to avoid to loose control on care of chronicity, which is a relevant part in daily General Practice activities.
The CreG project is one of the biggest initiative in Europe in terms on number of physicians and patients involved.

Resources needed

Cost based on the single patient .

Evidence of success

For the public sector, the successful implementation of the CreG project represent the possibility to provide a better cost-efficient care plan to its citizens-patients,

Difficulties encountered

-management and costs of the organisation,

Potential for learning or transfer

New opportunities for growth could be expected by the companies and hospitals involved in the project.
Main institution
Fondazione Regionale per la Ricerca Biomedica
Lombardia, Italy (Italia)
Start Date
January 2012
End Date


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