Programmability of noncore service activities and associated risks
| No. | Noncore service | Unit of measure | Additional executive acts | Risk allocation | Elements for risk definition and sharing | Programmability of activities and tasks |
|---|---|---|---|---|---|---|
| 1 | Management of the hospitalization unit | Inpatient unit | Yes | Yes | Minimum guaranteed quantity, quantity-flexibility threshold, price, type of mattresses, type of other furnishings, cleaning frequency, qualitative details, sanctions | High Low* |
| 2 | Cleaning clothing and rental of furnishings | Inpatient unit | Yes | Yes | Minimum guaranteed quantity, quantity-flexibility threshold, price, type of clothes, cleaning frequency, sanctions | High |
| 3 | Supply and sterilization of surgical instruments | Inpatient unit/ sterilization unit | Yes | Yes | Quantity of required materials, quantity-flexibility threshold, price per unit, type of materials, cleaning substitution, sanctions | High Low* |
| 4 | Sanitization and cleaning of internal spaces | Square meter | Yes | Yes | Spaces in square meters, price for square meter, type of materials, cleaning frequency by type of space, sanctions | High Low* |
| 5 | Disinfection, pest control service | Intervention hours | Yes | Yes | Minimum guaranteed quantity, price, type of mattresses, type of other furnishings, cleaning frequency, sanctions | High |
| 6 | Hospital catering for patients and employees | Food days | Yes | Yes | Minimum guaranteed quantity, quantity-flexibility threshold, price, type of mattresses, type of other furnishings, cleaning frequency, sanctions | High |
| 7 | Security service | Intervention hours | Yes | Yes | Numbers of hours and shifts, price per hour by type of service, the necessary qualifications for the personnel involved, sanctions | High |
| 8 | Internal logistics service | Inpatient unit | Yes | Yes | Numbers of hours and shifts, quantity-flexibility threshold, price per hour by type of unit, the necessary qualifications for the personnel involved, sanctions | High Low* |
| 9 | Reception service, call center | Intervention hours | Yes | Yes | Numbers of hours and shifts, price per hour by type of service, the necessary qualifications for the personnel involved, sanctions | High |
| 10 | Maintenance green areas | Square meter of green space | Yes | Yes | Type of maintenance, maintenance plans by year, frequency, sanctions | High |
| 11 | Management and maintenance of electrical systems | Square meter/ number and type of object (e.g., elevators) | Yes | Yes | Types of materials, maintenance plans by object, price for MQ, type of other furnishings, maintenance frequency, sanctions | High Low* |
| 12 | Management and optimization of the energy service | Square meter | Yes | Yes | Minimum guaranteed quantity, quantity flexibility threshold, price, type of mattresses, type of other furnishings, cleaning frequency, sanctions | High Low* |
| 13 | Maintenance building | Not defined | No | No | Difficulty in predicting the types of interventions | Low |
| No. | Noncore service | Unit of measure | Additional executive acts | Risk allocation | Elements for risk definition and sharing | Programmability of activities and tasks |
|---|---|---|---|---|---|---|
| 1 | Management of the hospitalization unit | Inpatient unit | Yes | Yes | Minimum guaranteed quantity, quantity-flexibility threshold, price, type of mattresses, type of other furnishings, cleaning frequency, qualitative details, sanctions | High |
| 2 | Cleaning clothing and rental of furnishings | Inpatient unit | Yes | Yes | Minimum guaranteed quantity, quantity-flexibility threshold, price, type of clothes, cleaning frequency, sanctions | High |
| 3 | Supply and sterilization of surgical instruments | Inpatient unit/ sterilization unit | Yes | Yes | Quantity of required materials, quantity-flexibility threshold, price per unit, type of materials, cleaning substitution, sanctions | High |
| 4 | Sanitization and cleaning of internal spaces | Square meter | Yes | Yes | Spaces in square meters, price for square meter, type of materials, cleaning frequency by type of space, sanctions | High |
| 5 | Disinfection, pest control service | Intervention hours | Yes | Yes | Minimum guaranteed quantity, price, type of mattresses, type of other furnishings, cleaning frequency, sanctions | High |
| 6 | Hospital catering for patients and employees | Food days | Yes | Yes | Minimum guaranteed quantity, quantity-flexibility threshold, price, type of mattresses, type of other furnishings, cleaning frequency, sanctions | High |
| 7 | Security service | Intervention hours | Yes | Yes | Numbers of hours and shifts, price per hour by type of service, the necessary qualifications for the personnel involved, sanctions | High |
| 8 | Internal logistics service | Inpatient unit | Yes | Yes | Numbers of hours and shifts, quantity-flexibility threshold, price per hour by type of unit, the necessary qualifications for the personnel involved, sanctions | High |
| 9 | Reception service, call center | Intervention hours | Yes | Yes | Numbers of hours and shifts, price per hour by type of service, the necessary qualifications for the personnel involved, sanctions | High |
| 10 | Maintenance green areas | Square meter of green space | Yes | Yes | Type of maintenance, maintenance plans by year, frequency, sanctions | High |
| 11 | Management and maintenance of electrical systems | Square meter/ number and type of object (e.g., elevators) | Yes | Yes | Types of materials, maintenance plans by object, price for MQ, type of other furnishings, maintenance frequency, sanctions | High |
| 12 | Management and optimization of the energy service | Square meter | Yes | Yes | Minimum guaranteed quantity, quantity flexibility threshold, price, type of mattresses, type of other furnishings, cleaning frequency, sanctions | High |
| 13 | Maintenance building | Not defined | No | No | Difficulty in predicting the types of interventions | Low |
Notes:
*In addition to the scheduled activities reported in Table 1, for services 1, 3, 4, 8, 11 and 12 the contract also provides for additional on-demand activities and other activities that are not indicated in the concession contract. These activities are remunerated separately and are also controlled differently from the main activities of the contract. These activities are characterized by low programmability. In fact, at the contractual level they have not been managed
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