Indicadores hospitalares de desempenho e de qualidade: uma proposta de modelo

Abstract

The purpose of this work is to study the management of health activities developed by the existing structure in the Armed Forces and to analyze the reality of existing systems with a view to improvement. Currently, the Aeronautics Command has well-structured systems and employees in organizations of different shades, in order to support the operation and decision-making to provide health services for the staff of the institutions, inactive personnel and relatives to military personnel. The information systems used today are essential to support decision making at the strategic level in Air Force health management, given the high number of attendances and procedures performed by professionals in the area. Of particular note is the Hospital Management Application (AGHUse), which has presented positive results, motivating Institutional intentions to expand its use to cover the entire SISAU. For better results, it is necessary to improve this system with the incorporation of performance indicators, to gauge, clarify and base decisions with greater precision, based on the results obtained from the control and monitoring of the activities carried out in the organizations. The practices generally accepted and adopted indicate the pertinence and the opportunity to create and adopt such indicators, within the ambit of the AGHUse. These indicators presented in the body of this work are relevant for the consolidation of the decision-making process, based on a standardized and refined database and information, which extends management reach, making it faster, more precise, clearer, more economical and effective. Therefore, this study aims to offer subsidies to the process of improvement of the current system and to emphasize the importance of the adoption of Indicators, which are defined, discriminated and justified in this study. This proposal of evolution is aligned with the main strategic objectives related to the provision of Aeronautical health services, which may allow integration with the health systems of the other Armed Forces, according to the principles of celerity, economy, objective responsibility of Public Administration, among others.