It is a widespread and consolidated experience, the practice of creating big public health authority, in order to rationalize and improve operational efficiency. Although the objective results of these healthcare unions have not been measured yet, nevertheless there has been an immediate impact on the logistic support services and on the operational units. In the light of this new development, it is necessary to proceed to a rapid reorientation of the role of the health authority. It is also due a review of the management technical instruments, in order to adapt them to the new reality. This working paper documents how the management control of the newly created Health Protection Agency (ATS) of the Metropolitan City of Milan, has dealt with the new situation, redefining their role, designing and implementing new technological supports suitable to the size and to the complexity of the new reality (ATS).
Keywords: Health, Healthcare, P&C, Accountability, Consolidation, ASL-HPA.