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ANS discloses list of hospitals that meet quality criteria

03/29/2016

This article was translated by an automatic translation system, and was therefore not reviewed by people.

 

 

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Measure helps health plan beneficiary to verify performance of the units

Data show performance in three indicators accreditation, hospital readmission rates and patient safety - Archive

RIO - The National Health Agency (ANS) released on Monday, the list of hospitals that meet important quality criteria for assessing the standard of care provided to the population. The data show the performance of establishments according to three indicators accreditation, hospital readmission rates and patient safety. It is the first time that the NSA provides information on attributes of providers, offering subsidies to consumers to monitor and evaluate the services. In Rio, the Health House San Jose, Orange Home Health and Copa D'Or Hospital are on the list.

According to the Sectorial Development Director of ANS, Martha Oliveira, the quality is a priority for the regulator and in addition, the classification of hospitals brings transparency and safety for the health system. According to the director, soon, the NSA wants to expand the evaluation to the Services Support Diagnosis and Therapy (SADT) and for offices:

- We will expand the discussion about quality Quality Monitoring Program for Service Providers (QUALISS) - adds.

The NSA clarifies that the list of accredited hospitals shows all properties that have maximum quality certification issued by accreditation institutions of health services. Accreditation is an external verification procedure of institutional resources and processes adopted by the institutions and measures the quality of care through a set of previously established standards. His voluntary assumes that only institutions really interested in improving the quality of their services to enable for evaluation. (Check here the hospitals with maximum accreditation)

The ratio that measures the hospital readmission rate shows the properties that met the requirements of the NSA regarding the readmission rate within 30 days of the last high. This indicator measures the progressive capacity provider in helping people recover as effectively as possible and is often used as a parameter for quality care.

For the index is reached, explains Martha Oliveira, it is expected that the hospital promotes improvements in the management of the clinical condition of patients, appropriate discharge planning, constant training of hospital staff and identification of failures in streams and care protocols for provide effective care to the patient, so that there is the desired reduction in hospital readmissions.

Also available is a list of hospitals that have the Patient Safety Center registered at Anvisa. The objective indicator stimulate continuous improvement of care processes and insurance health technology use, the systematic dissemination of safety culture, the articulation and integration of risk management processes and ensuring good working practices of service Cheers. According to Resolution No. 36/2013 of ANVISA, all health services covered by the standard must be patient safety centers. 2014 to date are 1,283 registered centers a total of 6,000 hospitals. The goal is to have 100% of hospitals that make up the health care network of private health care plans with registered cores.

The NSA also released the list of hospitals that are subject to Quality Factor - adjustment rate applicable in the contracts between the institutions and operators of health plans. The quality factor is part of a new compensation model implemented for hospitals and medical professionals attending health insurance and was established by Law No. 13.003 / 2014 and regulated by Normative Instruction No. 61/2015. It is applied in situations where there is negotiation between operators and providers and when there is not an index in the contract or agreement between the parties.

The index has three levels - 105% (for establishments that have maximum quality certification issued by accreditation institutions of health services), 100% (applied to non-accredited hospitals, but participating and meet criteria in quality improvement projects in health developed by the NSA - as Suitable Birthing Project - and meet other quality indicators) and 85% (index to be applied to hospitals that do not meet any of these criteria) the value of the National index of Consumer Price (IPCA ).

The quality factor should also serve as adjustment parameter for contracts between providers and health professionals such as doctors, nurses, physiotherapists and psychologists. The criteria for these provider that category are still under discussion and should be defined together with their own professional associations. For this group, the rules begin to be worth from 2017, as well as laboratories, clinics and other units to provide health services.

 

Source: The Globe

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