The first public – private health agreement
In 1978, Villa Maria gave life to the first public-private health agreement: the occasion matured as a result of structural problems that took place in the Cardiosurgery ward of the civil hospital of Parma. This carried the local Health Unit of the town, in accordance with the Emilia Romagna region, to ask "hospitality" to Villa Maria clinic.
It was therefore that the activity of cardiosurgery of Parma's civil hospital was moved in the cardiosurgery ward of Villa Maria clinic through the collaboration and interaction of public and private employees, doctors, professional nurses, technical and administrative staff.
A positive experience: the public Health Service was compared with it and take note not to be more the only subject of reference and the private health sector had the opportunity to demonstrate its effectiveness and to be able to grow.
This was the first step of a way that, ten years after, carried to the full aknowledgment of Villa Maria's efforts in order to obtain an institutional credibility in the health.
In 1988, the agreement was signed, with the consent of the Emilia Romagna region, and the Communes' association, before with the local Health Unit 36 of Lugo and after with those of Ravenna and Faenza, for diagnostic and interventional procedures of haemodynamic and angioplasty.
This agreement represented the first example, on a national level, of full integration between the public Health Service and the private health: public doctors, on disposition of the respective local Health Unit, in the fullness of their public functions and during the service working time, carried out interventions, laboratory tests and medical treatments in Villa Maria clinic, taking advantage of its medical and nursing staff, of its equipments and materials.
For the first time was recognized to a private health facility the subsidiary function fo the National public Health Service and therefore a role of public usefullness, that gave a further incentive to develop the fields of integration with the public Health Service and to offer a more and more high assistance quality.

