Territorial Operations Centre (COT) of Trento

Home as the first place of care and telemedicine (Mission 6, Component 1, Investment 1.2)
The Recovery and Resilience Plan supports the large-scale adoption of telemedicine solutions and supporting healthcare innovation, through the following measures:
1. Home care as first point of assistance (Investment 1.2.1) - The goal is to increase the number of people treated in home care to 10% of the population over 65 through investment in hardware and increased service provision.
2. Territorial Coordination Centres (Investment 1.2.2) - The planned investment concerns the establishment of 602 Territorial Coordination Centres (“Centrali Operative Territoriali”) that are intended to link and coordinate various territorial, social-health and hospital services, as well as the emergency-urgency network. The Territorial Coordination Centres will ensure the remote control of the devices provided to patients, support the exchange of information between health professionals, and constitute a reference point for caregivers and patient needs.
3. Telemedicine to better support patients with chronic diseases (Investment 1.2.3) - The investment aims to (1) finance projects that enable remote doctor-patient interactions, in particular diagnostics and monitoring, (2) create a national platform for screening telemedicine projects (linked to Mission 6 Component 2 Investment 1.3) and (3) finance ad hoc research initiatives on digital health and care technologies.

The investment is financed by the Recovery and Resilience Plan with EUR 3 billion.

The Territorial Operations Centre (COT) of Trento is a coordination centre between hospital and territorial services, designed to ensure continuity of care, in line with the National Recovery and Resilience Plan (PNRR). Part of a network that includes four other COTs in Trentino, the Trento COT focuses on coordinating care for patients with complex needs, including those in the post-acute, chronic or rehabilitation phase. Using telemedicine and computerised data management, the COT facilitates remote monitoring of patients and communication between healthcare professionals. These technological tools support timely interventions in the event of worsening conditions and allow the sharing of clinical data, reducing unnecessary transfers and hospitalisations. The COT works closely with general practitioners, emergency services and community nurses, who play a fundamental role in facilitating the transition of patients from hospital to home. Nurses, in particular, provide direct care at home, contributing to the management of approximately 1,500 care transitions per year, such as transfers from acute to rehabilitation care. This initiative responds to the growing demand for territorial care, reducing pressure on hospitals and improving access to local health services, offering integrated and patient-friendly care even outside the hospital context.
The Trento COT is located on the 2nd floor of the Trentino Digitale S.p.A. headquarters, as the emergency and urgency centers are located in the same building.
The Trentino Digitale S.p.A. Company manages the provincial fiber optic and radio telecommunications networks, including emergency networks, data centers and the evolution towards the cloud, as well as creating and managing software and applications, including innovative ones, for the digitalization of the Trentino territory.
The spaces planned for the Territorial Operations Center are organized as follows:
- rooms used as the Operations Room, an area in which the workstations are located;
- support rooms for secretarial, administrative, archive, storage and personal relaxation equipped with furniture and equipment suitable for carrying out the activity shared with the remaining functions present in the structure and sized according to the volumes of activity;
- changing rooms for staff, toilets divided by gender in a number proportional to the staff working there;
- technical rooms for telephone, radio and IT installations;
- support/storage room for maintenance and cleaning services;
- meeting rooms, areas to be used for staff training/training also suitable for distance learning;
- parking areas commensurate with the staff working in the Operations Centre

This project is financed by the Recovery and Resilience Facility with EUR 10600.