Management Report

Management Report
Summary
SOCIAL REPORT
2009, 2010, 2011, 2012 and 2013
2009
Establishment of
upa
LOCAL MEDICAL
EMERGENCY UNIT
2010
The
PADI
(HOME CARE
SERVICES FOR
SENIORS)
AGREEMENT
The
Opening of
esf
3
(FAMILY HEALTH
STRATEGY)
AGREEMENT
FAMILY HEALTH
CLINICS
Opening of
4
upas
AP 5.1 and 5.2
(LOCAL EMERGENCY
UNITs)
The ESF (family
health strategy) is
implemented in
The
2011
The
Opening of
esf
9
(FAMILY HEALTH
STRATEGY)
AGREEMENT
6
FAMILY HEALTH
CLINICS
AP 4.0
healthcare
centres
2012
Opening of
7
FAMILY HEALTH
CLINICS
pse
(Health Program
at Schools)
Agreement
Introduction
E
ach year, IABAS moves forward to reach high level of excellence in
public health care services. Our mission is to work together with Rio’s
health authorities to ensure excellency and care of patients, prevent
diseases and integrate services to ensure the well-being of the population of
Rio de Janeiro at the Family Health Clinics and Local Medical Emergency Units
(UPA – Unidade de Pronto Atendimento), and through the Home Care Services
for Seniors (PADI – Programa de Atenção Domiciliar do Idoso) program and the
Health Program at Schools (PSE – Programa de Saúde nas Escolas).
There were many achievements in 2013. We opened new Family Health Clinics
(four in January and three in July), and the City Health Centres (CMS – Centros
4 YEARS
of management,
since 12/2009
4.145
employees
Municipais de Saúde) were renovated or altered, for improved and more
humanised health care services to all users. Since 2009, when we took over the
management an important percentage of the city’s health care centres, more than
three million people have had access to quality heath care services.
By investing in sustainability, we implemented a waste management system at
OVER
7,000,000
consultations
the Family Health Clinics and the Local Medical Emergency Units (UPAs), and an
energy, water and
paper. We have been doing our part to preserve the environment and ensure a
better future to the planet.
As these achievements were only possible with the effort of everyone working at
IABAS, we have again invested in training our staff, allowing for the professional
education that
we will be able to ensure that the staff has the technical skills needed to provide
each time better health care services to the population of Rio de Janeiro.
With planned actions and working in an ethical and transparent manner, our next
step is to exceed contract goals. We are aware of the challenges; however, our
willingness to show more and more dignity and respect towards our users is what
motivates us.
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| Management Report - Summary | 2009, 2010, 2011, 2012 and 2013
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ESF - Family Health Strategy
I
n the Family Health Strategy
program, the health care providers
work on promoting, preventing, and
bettering the health of patients.
Family members are assisted by a
cross-functional health care team, which
is comprised of physicians, nurses and
dentists, and have access to the health
care initiatives and services that will
meet the needs of the family.
PROGRAMMATIC AREAS (AP) COVERED BY IABAS
CITY OF RIO DE JANEIRO
AP 5.1
AP 5.3
Programmatic Area 4.0
AP 3.3
AP 3.1
AP 3.2
AP 1
AP 5.2
AP 4.0
Programmatic Area 5.1
AP 2.2
AP 2.1
Programmatic Area 5.2
Covers the following suburbs:
Covers the following suburbs:
Covers the following suburbs:
Jacarepaguá, Anil, Gardênia
Azul, Cidade de Deus, Curicica,
Freguesia (Jacarepaguá),
Pechincha, Taquara, Tanque,
Praça Seca, Vila Valqueire, Joá,
Itanhangá, Barra da Tijuca,
Camorim, Vargem Pequena,
Vargem Grande, Recreio dos
Bandeirantes, Grumari.
Deodoro, Vila Militar, Campo
dos Afonsos, Jardim Sulacap,
Magalhães Bastos, Realengo,
Padre Miguel, Bangu, Gericinó,
Senador Camará.
Santíssimo, Campo Grande,
Senador Vasconcelos, Inhoaíba,
Cosmos, Guaratiba, Barra de
Guaratiba, Pedra de Guaratiba.
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| Management Report - Summary | 2009, 2010, 2011, 2012 and 2013
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ESF - Family Health Strategy
Family health - prog. area 4.0
Family health - prog. area 5.1
COVERED SUBURBS
COVERED SUBURBS
Jacarepaguá, Anil,
Gardênia Azul, Cidade de
Deus, Curicica, Freguesia,
Pechincha, Taquara, Tanque,
Praça Seca, Vila Valqueire, Joá,
Itanhangá, Barra da Tijuca,
Camorim, Vargem Pequena,
Vargem Grande, Recreio dos
Bandeirantes and Grumari.
over
over
Deodoro, Vila Militar,
Campos dos Afonsos,
Jardim Sulacap, Magalhães
Bastos, Realengo, Padre
Miguel, Bangu, Gericinó,
Senador Camará
200,000
consultations
in 3 years
450,000
consultations
in 4 years
Magalhães
Bastos
Gericinó
Cidade de Deus
Realengo
Vila
Militar
Bangu
Deodoro
Tanque
Campo
dos
Afonsos
Senador
Camará
Recreio dos Bandeirantes
Padre
Miguel
Family health
coverage
Sulacap
Family health
coverage
19.8 9%
54.41%
22.51%
2.90%
2010
2013
Source: VITACARE Electronic Medical Records (PEP VITACARE).
2010
2013
Source: PEP VITACARE.
Total medical
consultations
Total medical
consultations
495.839
208.684
74,472
6,244
2010
Source: PEP VITACARE.
4
2013
2010
2013
Source: PEP VITACARE.
| Management Report - Summary | 2009, 2010, 2011, 2012 and 2013
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Family health - prog. area 5.2
COVERED SUBURBS
Santíssimo, Campo Grande,
Senador Vasconcelos,
Inhoaíba, Cosmos,
Guaratiba, Barra de Guaratiba,
Pedra de Guaratiba.
over
650,000
consultations
in 4 years
Campo
Grande
Santíssimo
Senador Vasconcelos
Inhoaíba
Cosmos
Guaratiba
Pedra de Guaratiba
Barra de Guaratiba
Family health
coverage
58.99%
42.60%
2010
2013
Source: PEP VITACARE.
Total medical
consultations
676.132
79,399
2010
2013
Source: PEP VITACARE.
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| Management Report - Summary | 2009, 2010, 2011, 2012 and 2013
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ESF - Family Health Strategy
Fitness centre
Fitness centres were opened
in 33 heath care centres
administered by IABAS. The
is to provide the population
of Rio with a space where
they can have a regular gym
practice, which will lead to
increased health and wellbeing. There are skilled
physical educators at all times
to guide and support users,
and some of the Family Health
Clinics have sessions for
seniors.
Units equipped with a fitness centre
4.0
5.1
CF Prof. Maury Alves de Pinho
CF Padre José de Azevedo Tiúba
CF Otto Alves de Carvalho
CMS Harvey Ribeiro de Souza Filho
5.2
Policlínica Manoel Guilherme
da Silveira Filho
CMS Athayde José da Fonseca
CMS Dr. Henrique Monat
CMS Sylvio Barbosa
CMS Prof. Masao Goto
CMS Waldyr Franco
CMS Eithel Pinheiro
CF Olímpia Esteves
CF Kelly Cristina de Sá
CF Pe John Cribbin
CF Mario Dias Alencar
CF Antonio Gonçalves da Silva
CF Rosino Baccarini
CF Armando Palhares Aguinaga
TOTAL NUMBER OF
PHYSICAL EDUCATORS
UNITS WITH A
FITNESS CENTRE
4.0
15
Source: PEP VITACARE.
6
NUMBER OF USERS
4.0
4
5.2
CMS Dr. Mario Rodrigues Cid
CMS Prof. Manoel de Abreu
CMS Belizário Penna
CMS Edgar Magalhães Gomes
CAPS Profeta Gentileza
CMS Alvimar de Carvalho
CF Dr. Hans Jurgen Fernando Dohmann
CF Alkindar Soares Pereira
CF Agenor de Miranda Araújo Neto (Cazuza)
CMS Mário Vitor de Assis
CMS Adão Pereira Nunes
CMS Vila do Céu
CF José de Paula Lopes Pontes
CMS Dr. Oswaldo Vilella
CMS Raul Barroso
4.0
4
14
5.2
14
5.1
1,969
13
5.2 8,242
7,832
5.1
Source: PEP VITACARE.
| Management Report - Summary | 2009, 2010, 2011, 2012 and 2013
5.1
Source: PEP VITACARE.
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Family Health Clinics - New Openings
CF Padre José de Azevedo Tiúba – 4.0
CF MÁrio Dias Alencar – 5.1
Date: 01/11/2012
Date: 01/13/2012
CF AntÔnio Gonçalves da Silva – 5.1
CF Otto Alves de carvalho – 4.0
Date: 01/18/2012
Date: 01/26/2012
CF Rosino Baccarini – 5.1
CF Antonio Gonçalves Villa Sobrinho – 5.2
Date: 07/05/2012
Date: 07/05/2012
CF Sonia Maria Ferreira Machado – 5.2
CF armando Palhares Aguinaga – 5.1
Date: 07/05/2012
Date: 13/08/2013
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| Management Report - Summary | 2009, 2010, 2011, 2012 and 2013
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Constructions and improvements - City Health Centres
CMS Adão Pereira Nunes (AP 5.2)
CMS Carlos Alberto Nascimento (AP 5.2)
CMS Mourão Filho (AP 5.2)
CMS Raul Barroso (AP 5.2)
CMS Vila do Céu (AP 5.2)
CMS Woodrow Pimentel Pantoja (AP 5.2)
Clínica da Família OlÍmpia Esteves (AP 5.1)
CMS Eithel Pinheiro (AP 5.1)
CMS Dr. Henrique Monat (AP 5.1)
CMS Buá Borges Boanerges (AP 5.1)
CMS Waldyr Franco (AP 5.1)
CMS Padre Miguel (AP 5.1)
Policlínica Manoel Guilherme da Silveira Filho (AP 5.1)
CMS Professor Masao Goto (AP 5.1)
CMS Alexander Fleming (AP 5.1)
CMS CATIRI (AP 5.1)
CMS Athayde da Fonseca (AP 5.1)
CMS Santa Maria (AP 4.0)
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PSE - Health Program at Schools
I
n partnership with the City Health Department and City Education Department,
IABAS manages the Health Program at Schools, covering 151 “schools of
tomorrow” (a program that invests in quality education in Rio’s most violent
suburbs). Through this partnership, the Institute provides care for over 100,000
students only in 2013.
1
5
9
6
160
General Coordinator
A link between the city’s schools and day-care centres and the Family Health
Strategy, the program offers activities that ensure that school communities will have
live in poorer and
low Human Development Index (HDI) areas.
PSE TEAM
Public Health Coordinators
Health Analysts
Administrative Assistants
PSE figures
5,120
consultations
per month
8,000
health checks
per month
13,000
students per group
(approximately)
6,000
teachers
and staff
Education and Health Assistants
9
Mobile health care units
Cross-functional
health care team:
18
Doctors
18
Dentists
9
Psychologists
9
Nurses
9
Dental
Assistants
Schools served by iabas
CITY OF RIO DE JANEIRO
160
schools served
over
109,000
students served
per month
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| Management Report - Summary | 2009, 2010, 2011, 2012 and 2013
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UPA - Local Medical Emergency Unit
T
he Local Medical Emergency Units (UPA Unidades de Pronto Atendimento) operate 24 x 7,
Structure of a UPA
providing emergency health care services.
• 1,300 m2
• patient evaluation room
• suture room
• procedure room
• pathology laboratory
• digital radiography
• electrocardiography device
• pharmacy
• instrument sterilisation room
In the areas served by a Local Medical Emergency Unit
(UPA), 97% of the cases are solved in the emergency
unit, contributing to less patients queuing at hospital
emergency rooms, and shorter hospitalization length.
These Local Medical Emergency Units (UPAs) rely on a
team of doctors on duty and are equipped with all the
equipment needed to serve the population.
AREAS SERVED BY IABAS-ADMINISTERED UPAS
CITY OF RIO JANEIRO
UPA
Costa Barros
UPA
Vila Kennedy
AP 3.3
AP 5.1
AP 3.1
UPA Complexo
do Alemão
UPA Madureira
AP 4.0
over
1,500,000
UPA
Cidade de Deus
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| Management Report - Summary | 2009, 2010, 2011, 2012 and 2013
consultations
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upas
2.293
31.365
101.022
101.941
80.460
141.331
102.018
2013
2012
2011
2010
2009
137.602
138.670
135.246
72.474
95.063
66.013
6.047
120.555
120.769
87.932
59.524
119.301
109.665
105.076
TOTAL CONSULTATIONS
VILA
COMPLEXO CIDADE MADUREIRA COSTA
KENNEDY DO ALEMÃO DE DEUS
BARROS
Source: PEP VITACARE.
UPA - Objective
• To provide the population with improved
health care services for emergency cases.
• To reduce the demand for hospital emergency rooms.
• To provide the population with improved
health care services for emergency cases.
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| Management Report - Summary | 2009, 2010, 2011, 2012 and 2013
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PADI - Home Care Services for Seniors
T
he Home Care Services for
Seniors (PADI) is a health
care program for the elderly.
It provides home care services for,
mainly, people over 60 years and is
focused on reducing the number of
hospital admissions; promoting and
regenerating health; and preventing
diseases. The objective is to improve
hospital bed turnover, reduce the
patient’s risk of infections, and
shorten hospitalisation. In 2012, there
PADI TEAM
Doctor
Registered Nurse
Social Worker
Nutritionist
25.855
Physiotherapist
Speech Therapist
Occupational Therapist
Psychologist
were more than 5,400 consultations
Practical Nurse
and over 35,000 visits to follow-up
Administrative
Assistant
patients.
Total number of consultations
through the padi program
7.118
2010
2013
Source: IABAS records.
AREAS SERVED BY IABAS-ADMINISTERED PADI
PADI
Salgado Filho
CITY OF RIO DE JANEIRO
PADI
Souza
Aguiar
OVER
70,000
PADI
Miguel Couto
consultations
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IABAS Staff
T
he IABAS staff is comprised of skilled health
care practitioners, such as doctors, nurses,
nursing assistants, physiotherapists, dentists,
pharmacists and social workers. The staff is also
comprised of administrative professionals (technicians,
assistants, managers and receptionists).
Total training sessions conducted
144
For the following areas and programs
There are currently 4,145 staff members: 82 at the
head office; 671 at the Local Medical Emergency Units;
3,124 working on the Family Health Strategy program;
AP 5.2, 5.1, 4.0, PADI, PSE,
head office
47 working on the Home Care Services for Seniors
program, and 220 working on the Health Program at
Schools. They are all dedicated and committed to
social organisation.
Total number ofemployees trained
4,797
TOTAL NUMBER OF EMPLOYEES
4,145
135
2009
2013
Source: IABAS records.
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| Management Report - Summary | 2009, 2010, 2011, 2012 and 2013
13
Innovations
ELETRONIC PANEL
The electronic panel enables managers from each unit to
monitor the location, attendance and non-attendance of staff
members in all projects and units administered by IABAS.
BENEFITS
n
case of non-attendance of a worker in a certain division, ensuring
being served. It allows the routine of each unit to be monitored
more closely, enabling relocation of staff, amongst other measures,
in case of shortage of staff in a particular unit and/or in emergency
situations, for instance.
HOW IT WORKS
ger
of each unit sends these records to the electronic panel system,
which has a database that is updated several times a day.
nites
The Health Information and Technology
Centre (NITES – Núcleo de Informação
e Tecnologia em Saúde) is an alternative
tool to gather, in an appropriate place,
several information related to the projects
managed by IABAS. Therefore, analysis can
be conducted,as for example to assess the
health conditions in a particular region, to
others.
The objective of this tool is to ensure the
actions to improve the quality of health
care and assist managers in their decision
making.
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SUSTAINABILITY
The Sustainability Program promotes the rational use of natural resources, improving population’s quality of life, and
ecosystem protection, according to the new ANVISA (Brazilian Health Surveillance Agency) guidelines. This initiative is aligned
with the current restructuring process of the public health in Rio de Janeiro.
reduced energy use with
the aid of a sustainable technology.
Environmental
Education with practical
sessions, workshops and
talks, aiming at changing
the population’s and
staff`s behaviour towards
the environment.
Solid Waste
Management,
promoting
responsible
waste reduction,
reutilisation and
recycling.
Supply Chain sustainability through evaluation and
WASTE MANAGEMENT
In 2013, actions were taken to
comply with the National Policy
Medical units using waste management
on Solid Waste Management, that
Medical unit name
regulates the handling of waste
Programmatic area 4.0
Medical unit address
salgado filho
within medical centres.
The implementation of the Solid
Waste Management Plan allows
CMS Cecília Donnangelo
CF Maury Alves Pinho
CMS Canal do Anil
CF Padre José de Azevedo Tiuba
CF Otto Alves de Carvalho
Estr. dos Bandeirantes, nº 21.136 - Vargem Grande
Estr. dos Bandeirantes, nº 11.227 - Vargem Pequena
Av. Canal do Anil - Rua Melo, nº 2 - Anil
Praça Ludovia - Jacarepaguá
Rua Eng. Souza Filho - Rio das Pedras - Jacarepaguá
for a reduction of up to 50% of
the waste produced, reducing
by half the costs associated
economy.
Programmatic area 5.1
CF Olímpia Esteves
CF Fiorello Raimundo
CF Kelly Cristina
Programmatic area 5.2
CF Hans Dohmann
CF Dalmir de Abreu Salgado
CF José Lopes Pontes
CF David Capistrano
CF Rogério Rocco
CF Alkindar Soares Filho
CF Agenor (Cazuza)
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Rua Francisco Brício, s/nº - Padre Miguel
Rua Açafrão, s/nº - Bangu
Av. Carlos Sampaio Correia, s/nº
Estr. do Piai, s/nº - Pedra de Guaratiba
Estr. do Magarça, nº 1.831 - Guaratiba
Rua Jaburu, s/nº - Jardim Maravilha
Av. Cesário de Mello, s/nº - Campo Grande
Estr. do Encantamento, s/nº - Santa Margarida
Estr. da Pedra, s/nº - Pedra de Guaratiba
Estr. do Mato Alto, s/nº (ao lado da Michelin) - Guaratiba
| Management Report - Summary | 2009, 2010, 2011, 2012 and 2013
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Av. Luiz Carlos Prestes, 350, loja C - salas 111 a 115
Barra da Tijuca/RJ - Cep: 22775-055
Tel: (21) 3550-3300
[email protected]
Rua Diogo de Farias, 66 - 6º andar - Vila Mariana
São Paulo - SP - CEP: 04037-000
Telefone: (11) 5575-6930
[email protected]