At a time when all health and social care structures are undergoing profound changes to conform to cost effective policies, the Foundation considers it necessary to try to define organizational and management ” Models” of social and health care structures.

Tangible experiences that can be transferred to actual policies, though limited, do exist. The Foundation believes that it can play an active role in the debate regarding the need to transform of hospitals in cost efficient organizations. The concept of assigning a prominent role to the “Wards” not only will consent to give more responsibility to those who are really in charge of the management of services at every level , but also will enhance the organization of services, by overcoming bureaucracy and other obstacles, in order to guarantee a programmed and reliable service.

The organization of both the health and social care structures is the fundamental tool to guarantee the programming and management of each section and the opportunity to ensure a rapid control of its efficiency
Specific training is the mandatory tool to guarantee functional and structural interdisciplinarity of a management policy that has as its main objective the individual and his right to health.

The need of a rational management of health care costs, within the limits of fairness, has been deemed positive by the Foundation, as long as decisions are made on the basis of quality, efficiency, and competivity’, obliging all managers to adopt a more careful use of limited financial resources.

While disapproving speculations due to administration delays and interpretation difficulties the Foundation believes that the inspiration model must be consistent with the principle of justice that can be found in the Christian ethical code, specifically, it must direct health care clinical decisions, linking rationality, humanization and efficiency. By linking the need of an efficient organization to the concrete values of humanization one can envisage new organizational models centered on the needs of the patient from the management of his admission, his hospital care, and his discharge.

The contribution of private subjects, specifically, of the so called social and religious private entities must be an incentive for the institutions to give a voice to those subjects that in a fiercely consumer society, have no rights of citizenship. 
A particular consideration to people with physical handicaps and intellectual disability is part of the Hospitaller Order’s tradition. 30% of services of the Order are dedicated to them. 
The specific care given to psychiatric care has resulted in the belief that rehabilitation and maintenance of the residual capacities of the ailing patient are the right choices in the management of these subjects.

The training of psychiatric care workers is therefore, a basic requirement to reach such objectives and to favor a new culture of care of the mentally ill.
The de-hospitalization is a clear demonstration of the respect of the individual that must inspire psychiatric care. Therefore, the Foundation believes that a strong integration between the health care and social structures is indispensable to better the conditions of the mentally ill patient and their families, that are often left alone to face dramas that are only acknowledged if they become tragic headlines in the media.
Preventive and support measures can avoid these type of tragedies that are often easily predictable.

The Charter of Hospitality