The report summarizes the contents of a conclusion of a document of the workshop "Neonatal and Prenatal Intensive Care" activated by the Emilia-Romagna Region to set up the third Regional Health Planning 2000-2002. The proposals, wholly taken from the Regional Program, aim to improve the care improving the outcomes in terms of mortality and maternal-infant disability. The organizing model proposed is that of integrated networks of services distributed according to a hierarchy of functions (Hub & Spoke model): 1st, 2nd, and 3rd level of functions. The network services should function as an integrated system, governed by agreed clinical and organizational guidelines, in which requirements of equipment sets and professional abilities are identified, as well as, relationship criteria among the different levels that regulate the by-directional course of the patients and/or the operators: the continuous training activity, the monitoring of a set of process indicators and results and also the clinical-organizational audit activity, are the instruments identified for results verification and for continuous actions of improvements.