Greater integration between regional health services, better quality and access to healthcare structures at a national level, in accordance with the objectives of the PNRR (Plan of National Recovery & Resilience) in the field of Digital Health
Agenas, namely "Agenzia Nazionale per i Servizi Sanitari Regionali" (National Agency for Regional Healtchare Services), is an Italian public body aiming to support the National Healthcare System and Regional Authorities in the planning, management, and evaluation of healthcare services.
The Agency is in charge of several tasks, among which healthcare data collection and analysis, technical support and training for local authorities, as well as the promotion of best practices and innovation in healthcare services.
The temporary consortium made by Almaviva and Engineering (main contractor) has been awarded AGENAS concession, for the design, implementation, and management of PNT - Platform of National Telemedicine as far as:
of telemedicine processes delivered at a local level (regionwide)
of telemedicine paths at a national level
of de-hospitalization and quality of local healthcare treatments
to services at a national level
of cybersecurity and data privacy regulations in compliance to
the industry-specific GDPR regulations
compliant to Digital Sovereignty principles
both in transit and stored in the Cloud environment
The provided architecture, implemented by using AWS services, is a container-based multi-tier model. The architecture layers include the presentation layer, the logics layer, and the data layer.
The presentation layer is the component through which users directly interact. The logics layer contains the code necessary to translate user actions made at the presentation layer into functionalities determining the application behaviour.
The data layer is made of storage supports (database, object store, cache, file system, etc.) in charge of the storage of data related to the application.
The use of AWS services has enabled the implementation of a SaaS-based solution, ensuring availability, performance, and security levels compliant to the industy best practices.
Almaviva Group has designed the Cloud AWS solution according to the Well-Architected Framework, ensuring a safe, reliable, and efficient solution in terms of performances.
Monitoring and compliance pre-checks are executed by using services such as: Amazon Macie, Amazon GuardDuty, AWS Firewall Manager, AWS Security Hub, and Amazon Inspector.
The solution, designed and implemented in accordance with the principle of Digital Sovereignty, can mitigate risks and negative impacts related to data security, such as: the potential violation of privacy and citizen's fundamental rights, the failure to national law application on data protection, as well as a delay in the adoption and development of new technologies.
Almaviva Group Managed Services guarantee service control with specific attention to cost management and optimization.
The solution introduces significant benefits in the management of potential load peaks, via means of scalability and availability mechanisms natively provided by AWS technology.
Moreover, sensitive data protection is managed through AWS services, which can ensure encryption, safe transport, and location within specific geographic areas, guaranteeing compliance to the ruling regulation.
At the same time, the possibility of adjusting the use of AWS resources, by exploiting scalability features of used services, to the real workload, ensures a better financial management of the overall infrastructure.
The compliance to the constraints provided by Digital Sovereignty has enabled the implementation of an advanced digital product that can increase user satisfaction, automate update processes, and release new features, improving the overall operational efficiency.