During each three-year term of office, MINOZ – the research centre for operational management in hospitals – organises a study trip for its members. In September, Professor Brecht Cardoen, Professor Paul Gemmel and researcher Rein Robberecht paid a visit to Milan, together with 30 participants from a total of 12 Belgian hospitals. Not only did they visit innovative hospitals, but the group also got to see how Italy tackles healthcare in general. What are the basic principles? How is it financed? Is it a competitive landscape? It turned out to be a very instructive trip.