Federico Lega

Federico Lega is SDA Professor of Public Management and Policy at SDA Bocconi School of Management. He is Associate Professor, Department of Institutional Analysis and Public Management at Bocconi University.

At SDA Bocconi, since 2015 he is Director International Master in Healthcare Management Economics and Policy (MIHMEP) and, from 2007 to 2015, he was leader of executive training in Healthcare sector. He drives two "academy" dedicated to managerial development of clinical professionals (MSM Lab for neurologists and Lab for Medical Laboratory) and, furthermore, he conducts specific programs dedicated to general and medical directors of health companies. Over the last 20 years, he has been involved in projects all over Italy and abroad. He conducted numerous workshops and consulting projects with many pharma and medical devices companies, hospitals, several local health authorities, Italian Regions and health boards.

His research activities involve many different areas related with healthcare sector. He has worked on five main issues: the first deals with organization and operationof Italian Public Administration, the second with organization and operation of regional and local health systems. The third one examines systems and administration tools of healthcare companies. The forth topic analyzes programming and control, budget, activity-based costing & management and re-engineering process. Finally, he is focusing on organizational design problems, strategic planning and change management in healthcare organizations.Recently, he is deepening the topics of competitiveness and strategic positioning of private health care companies.

He is the author of numerous books and articles on the subject. His works have been published in British Journal of Management, Journal of Healthcare Management, Health Policy and International journal of clinical practice. He is a member of the Scientific Committee of the magazine Organizzazione Sanitaria; he is representative for Clinical Leadership and Associate Editor for the magazine BMC Health Service Research and Editor in Chief of the magazine Healt Service Management. He is also Chair of scientific committee of the European Healthcare Management Association. Since 2005, he is Adjunct Professor Department of Health Services AdministrationUniversity of Alabama (USA) and Research fellow at York University Management School (UK). He was Visiting Professor in many international Universities including Hamburg University and Care Center (2013) and Zurich University (2012).

Federico earned a Degree in Economics and Business Administration and a Ph.D. in Business Administration and Management both from Bocconi University.

Publications

Books

• Lega F., Management della Sanità: lineamenti essenziali e sviluppi recenti del settore e dell''azienda sanitaria, Egea, 2013
• Lega F. Savorelli E., La sanità pubblica veterinaria in Italia: sfide e scenari del XXI secolo. Egea, 2013
• Lega F. Lecci F., Dirigere la farmacia ospedaliera: dal ruolo al sistema direzionale di controllo delle performance, Egea 2013
• Governance e organizzazione delle aziende ospedaliero-universitarie (con Carbone C. e Prenestini A.), BEA Egea, 2010
• Lega F., Longo F., DelVecchio M., La sanita'' futura: Come cambieranno gli utenti, le istituzioni, i servizi e le tecnologie, Universita Bocconi, 2010
• Lega F., Cristofoli D., Strategic Public Management, EGEA 2009. (2nd revised edition of Lega F., Cristofoli D., Strategic Management of Public Sector Organizations, McGraw-Hill, 2005)
• Lega F., Management dell’azienda brain-intensive. Schemi interpretativi e profili evolutivi delle burocrazie professionali, Milano, Egea, 2008
• Lega F., Organizational design and development for healthcare services, McGraw-Hill, 2005 (shortlisted for the Baxter award 2005)
• Lega F., Gruppi e reti aziendali in sanità. Strategia e gestione, Milano, Egea, 2003
• Lega F., Logiche e strumenti di gestione per processi in sanità. Il caso dell''azienda ospedaliera L.Sacco di Milano, McGraw-Hill, Milano, 2001

Articles (international journals)

• Lega F., Prenestini A., Spurgeon P., Is management essential to improving the performance and sustainability of healthcare systems and organizations?  Value in Health, 2013
• Lega F., I Kirkpatrick, B Bullinger, M Dent, The translation of hospital management models in european health systems: a framework for comparison, British Journal of Management 24 (S1), 48-61, 2013
• Lega F., Prenestini A., Do senior management cultures affect performance? Evidence from Italian public healthcare organizations. Journal of Healthcare Management, September-October 2013
• F Lega, F Longo, A Rotolo Decoupling the use and meaning of strategic plans in public healthcare, BMC health services research 13 (1), 5, 2013
• Lega F., Calciolari S., Coevolution of hospitals and patients: how changing epidemiology and technology advances drive organisational innovations and lay new challenges, Journal of healthcare management, February 2012
• Lega F., Ferrè F, Cuccurullo C, , The challenge and the future of health care turnaround plans: evidence from the Italian experience. Health Policy. 2012 Jun;106(1):3-9
• Lega F., I Kirkpatrick, B Bullinger, M Dent, F Lega, The development of medical‐manager roles in European hospital systems: a framework for comparison, International journal of clinical practice 66 (2), 121-12
• Lega F., M Marsilio, S Villa , An evaluation framework for measuring supply chain performance in the public healthcare sector: evidence from the Italian NHS, Production Planning & Control 24 (10-11), 931-947
• Lega F., Beyond rhetoric: inquiry on the essence of strategic management in public healthcare organisations nternational Journal of Clinical Leadership 17 (3), 2012
• Lega F. Sartirana M. , Managed clinical networks: scope, evidence and feasibility, International Journal of Clinical Practice, 2011
• Lega F., Cuccurullo C., Effective Strategizing Practices in Pluralistic Settings: The Case of Academic Medical Centers, Journal of Management and Governance, December 2011
• Lega F., Ianni L., Sargiacomo M., The rise of governmentality in the Italian NHS: physiology or pathology of a decentralized and (ongoing) federalist system?, Health Services Management Research, in press, 2010
• Lega F., Villa S., Barbieri M., Restructuring patient flow logistics around patient care needs: implications and practicalities from three critical cases, in Health Care Management Science, 2009; 12:155-165
• Lega F., Mengoni, A., Why non urgent patients choose emergency over primary care services? Empirical evidence and managerial implications, in press, Health Policy, 2008
• Lega F., Lights and shades in the managerialization of Italian National Health Service, Health Services Management Research 21: 248–261, 2008
• Lega F., The rise and fall(acy) of clinical directorates in Italy, Health Policy 85, 252–262, February 2008
• Lega F., Vendramini E., Budgeting and performance management in the Italian National Health System (INHS): assessment and constructive criticisms, vol. 22 n. 1, Journal of Health Organization and Management, 2008
• Lega F., Organisational design for health integrated delivery systems: theory and practice, Health policy, 81 (2), p.258-279, May 2007
• Lega F., Organizational and strategic choices for multi-hospital networks: a framework, Health Service Management Research, Vol. 18, n. 2, may 2005.
• Lega F., DePietro C, Converging patterns in hospital organization: beyond the professional bureaucracy, Health Policy, n. 74 2005. (shortlisted for the Karolinska award 2005)
• Lega F., Developing a marketing function in public healthcare systems: A framework for action, Health Policy, Volume 78, Issue 2-3, 1 October 2006, Pages 340-352
• Lega F. Emerging trends in hospital organizational structure: an international perspective, in Yfantapoulos J. (ed.), The economics of health reforms, Atiner, 2005
• Lega F., Reorganising healthcare delivering in hospital: structure and processes to serve quality, in Davies H. and Tavakoli M. (eds.), Strategic Issues in Health Care Management, ed. Ashgate, Aldershot UK, 2003

A selection of other articles

• F. Lega; A. M. Hiedemann, Turismo della salute: definizione, driver e opportunità di business per l’Italia, L''aziendalizzazione della sanità italiana. Rapporto OASI 2014, EGEA, 2014
• Carbone C. Lega F., Marislio M., Mazzocato P., , Lean on lean? Indagine sul perchè e come il lean management si sta diffondendo nelle aziende sanitarie italiane, Oasi - Rapporto sull''aziendalizzazione della sanità italiana 2013, EGEA, 2013
• Giancarlo Faletti; Cristina Filannino; Federico Lega; Marco Sartirana, Prime ricognizioni sul fenomeno del cambiamento dello skill mix nel SSN, OASI - Rapporto sull''aziendalizzazione della sanità italiana 2013, EGEA,  2013
• C. Carbone, F. Lecci, F. Lega, A. Prenestini, A. Rotolo, R. Tarricone, G. Valotti, Misurare le performance per creare valore nelle aziende sanitarie pubbliche: uno strumento multidimensionale di valutazione, Rapporto OASI 2013, aziendalizzazione della sanità in Italia., EGEA, 2013
• Federico Lega, Isabella Giusepi, Stefano Villa, Gli assetti organizzativi a supporto della gestione operativa: esperienze a confronto, Rapporto OASI 2012, EGEA, 2012
• Lega F., Oltre i pregiudizi e le mode: natura e sostanza dell''innovazione organizzativa dell''ospedale, Rapporto OASI 2012
• Lega F., A. Prenestini, C. Carbone, Gestire la complessità strategica degli ospedali universitari: Implicazioni sulla struttura organizzativa, Economia & management: la rivista della Scuola di Direzione Aziendale dell''Università L. Bocconi, 99-115, 2012
• Lega F., C Carbone, A Prenestini, C Garbelli, F Ceratti, D Troiano, Organizzare la rete ospedaliera aziendale: costruzione e applicazione di un modello teorico, Mecosan, 37, 2011
• Lega F., Prenestini A., Medico-manager, medico e manager o management del medico?, in Anessi Pessina E., Cantù E. (editors), L’Aziendalizzazione della Sanità in Italia. Rapporto Oasi 2009, Milano, Egea, 2009
• Lega F., Bensa G., Carbone C., Le reti ospedaliere dei SSR: un’analisi comparativa, in Anessi Pessina E., Cantù . (editors), L’Aziendalizzazione della Sanità in Italia. Rapporto Oasi 2008, Milano, Egea, 2008
• Lega F., Carbone C., D’Este C., Elefanti M., Tozzi V., Vendramini E., Il processo di integrazione delle funzioni assistenziali, didattiche e di ricerca nelle AOU: il caso dell’azienda e dell’università di Parma, in Anessi Pessina E., Cantù E. (editors), L’Aziendalizzazione della Sanità in Italia. Rapporto Oasi 2008, Milano, Egea, 2008
• Lega F., Carbone C., Tozzi V., Salvatore D., Ospedali e Università: illusioni, delusioni e realtà di un rapporto difficile, in Anessi Pessina E., Cantù E. (editors), L’Aziendalizzazione della Sanità in Italia. Rapporto Oasi 2007, Milano, Egea, 2007
• Lega F., Alesani D., Barbieri M., Villa S., Gli impatti delle innovazioni dei modelli logistico-organizzativi in ospedale: spunti da tre esperienze aziendali pilota, in Anessi Pessina E., Cantù E. (editors), L’Aziendalizzazione della Sanità in Italia. Rapporto Oasi 2006, Milano, Egea, 2006
• Cantù E., Lega F., "Lo sviluppo dei processi di dipartimentalizzazione ospedaliera: aspetti di processo e scelte di struttura organizzativa", in Anessi Pessina E., Cantù E., L’Aziendalizzazione della Sanità in Italia. Rapporto Oasi 2001, Milano, Egea, 2002
• Bergamaschi M., Lega F., "L’organizzazione delle strutture ospedaliere: il dipartimento", in Bergamaschi M. (a cura di) L’organizzazione nelle aziende sanitarie, McGraw-Hill, 2000
• Lega F. Orientare all’innovazione l’ospedale: aspetti strategici, organizzativi e gestionali, Mecosan n. 47, 2003.
• Lega F., Verme G., L''Ospedale polispecialistico tra presente e futuro. Assetto istituzionale, organizzativo e gestionale, Mecosan n. 45, 2003
• Lega F., Organizzazione, strategia e gestione dei dipartimenti ospedalieri nelle aziende sanitarie multi-ospedale: proposta, analisi e discussione di possibili assetti di riferimento, Organizzazione Sanitaria, 2001, n. 1
• Lega F., Scelte strategiche e ridefinizione dei confini dell’ospedale: dalla struttura focalizzata all’organizzazione a rete, Organizzazione Sanitaria, 1998, n. 1