Abstract
In a complex era where scarcity of resources and spending review are words on the agenda, all decision makers would become, as in a dream, fairies by the magic wands, able to quickly choose, perhaps with costs savings. Without the idea of dragging out a magic potion, but a practical management tool, the following article will convey the reader a pragmatic and proactive technology assessment model, applicable at the Hospital-Based level, already tested in 13 different assessment of alternative innovations, in local health authorities or hospitals. Providing useful operating models would seem, therefore, not a dream, but a concrete reality, and, such as in this way, still improvable and perfectible.