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AN EVALUATION OF THE MANAGEMENT IS  AND   IT IN HOSPITALS (GESITI/HOSPITALS )
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AN EVALUATION OF THE MANAGEMENT IS AND IT IN HOSPITALS (GESITI/HOSPITALS )

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The Center for Information Technology Renato Archer (CTI), located at Campinas/SP/Br, is a unit of the Ministry of Science and Technology (MCT) and, is coordinating a research project involving …

The Center for Information Technology Renato Archer (CTI), located at Campinas/SP/Br, is a unit of the Ministry of Science and Technology (MCT) and, is coordinating a research project involving several universities, from Brazil and abroad. The research project “Management of System and Information Technology in Hospitals” (GESITI/Hospitals) has the purpose of mapping out the management of Information Systems (IS) and Information Technology (IT) in hospitals, in order to identify their needs and demands, prospecting for unfolding, perform publication and, mainly, generate a Integrated Research Report (IRR) with a focus on, also, a Report Research Roadmap (RRR). This IRR/RRR is for open for free access, and should be used as decision making support by public and/or private managers. Currently the research is being carried out by nineteen universities: sixteen Brazilian, one Mexican, one Argentina and one Portuguese. An important initial result of this research work, which makes use of the Interpretative (or Introspective) Methodology, has been the generation in Brazil of an unprecedented database regarding hospital management and, from which several important information is extracted. From each local information, obtained via Local Research Reports (LRR) where the research has been carried out (each local includes the average of results obtained in five (5) hospitals); it becomes possible to undertake local decision making. However, the main purpose of the project is the preparation, based on the integration of all LRR, of an IRR/RRR for national decision-making support. For a better decision-making on issues of interest to managers regarding the better efficiency and effectiveness of hospital management, public and/or private, the IRR/RRR will also present an integrated comparative analyzes based on all LRR (from Brazil & Abroad). Although it has not been directly mentioned, the final result, ultimate, from the research should be a significant improvement on the hospital management and on the decision-making process. These results must reflect on peoples more satisfied regarding a better health care. This is a win-win project, since it is good for Brazil and good for all countries involved. The goal is to reach about one hundred (100) universities (local coordinators) involved.

http://www.cti.gov.br/gesiti-dtsd
http://www.cti.gov.br/projeto-gesiti-hospitalar.html

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  • normalmente se refere a atividades de longo prazo e/ou orientadas ao futuro, relacionadas a ciência ou tecnologia, usando técnicas similares ao método científico sem que haja resultados pré-determinados mas com previsões gerais de algum benefício comercial
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    • 1. Patrocinado pela FAPESP: com um outro artigo Patrocinado pela UAEMEx Campinas/SP Patrocinado pela UNIEST – 13/14/15 _SET/2011 13-16 June 2011 - Sponsored by CAPES : with another article.Patrocinado pela Univ. Porto Patrocinado pela PPGC/FURB/CAPES 05/06 DEZ/2012
    • 2. Abstract.The Center for Information Technology Renato Archer a unit of theMinistry of Science and Technology, (CTI Renato Archer - MCT-Campinas-SP/Br), is coordinating a research project involving severaluniversities, from Brazil and Exterior.The research project GESITI/Hospitals is a Multi-Focal project and, hasthe purpose of mapping out the management of systems (IS) andinformation technology (IT) in hospitals, in order to identify their needsand demands, prospecting for unfolding, perform publication and,mainly, generate a Integrated Research Report (IRR).This IRR should create a meaningful improvement on themanagement of public and/or private hospital and on their decisionsmaking. These improvements must reflect on peoples more satisfiedregarding a better health care. This is a win-win project, since it is good for Brazil and good for all others countries involved. The goal is to reach about one hundred universities (local coordinators) involved.Key Words: Management, Information Systems, Information Technology, Information Systems in Hospitals, Hospitals Management.
    • 3. THE PROJECT.The Project GESITI/Hospitals has been based onan original research tool known as "ProspectiveQuestionnaire – a multi focal tool“, which hasmore than two hundred inter-related issues.It aims to map out the technological park &.others topics from Brazilian Hospitals and fromothers Countries: look for to identify how thehospitals make the management of the Systemand Information Technology in a multi-focalpoint of view - through the PQ - .By the present, about one hundred (100↑)researchers have worked in this GESITI/Hospital.
    • 4. PROSPECTIVE QUESTIONNAIRE.Summary of the Multi-focal GESITI/Hospitals Project, "Questionnaire Prospective": with52 pages and more than two hundred (200) inter-related issues. To have permission andaccess the questionnaire, a RLA must be signed by the interested universities.
    • 5. MethodologyThe research is characterized as qualitative andexploratory. The application of the multi-focalProspective Questionnaire (PQ) has the objectiveto get understanding on the phenomenon we arelooking at and/or creating new hypotheses (unfolding).The research must be carried out through directinterview with the representatives of eachhospital, who should answer the questionsaccordingly the item or theme described by the PQ…A formal procedure (Informed Consent), must besigned to get access and permission to carry outthe research inside of each hospitals.
    • 6. Geographical distribution ofthe participating universities. At each Local identified on ;;;;;;;;;the map, the PQ should, ;;;;;;;;;where possible, be applied ;;in at least five (5) hospitals.
    • 7. RESEARCH PARTICIPANTS. The field research and local dataanalysis are from responsibilities of the research group (universities) participants. There is a standard template to be followed to generate the Local Integrated Report. In short: in each Local where the research is being applied there is thecorresponding Local Coordinator (see map)
    • 8. Expected Results.1.2 – Results from Region or Local: the analysis of the Local data get in the hospitals is managed by the LocalCoordinator of the project and his team:Local Research Report (LRR)2.2 – Integrated Results of all Regions: By using all each LRR an IntegratedResearch Report (IRR) is generated…Some results from this IRR is going to beshowed in this presentation...
    • 9. Synthesis.The Multi Focal GESITI/Hospital Project is a pilotproject aiming to map the management of IS and ITin Brazilian Hospitals.The final result, ultimate, from this multi-focal researchproject should be a significant improvement on thehospitals management and on their decision-makingprocesses. These results must reflect on peoples moresatisfied regarding a better health care.This is a win-win project, since it is good for Brazil andgood for all Countries involved.The goal is to reach about one hundred (100)universities (Local Coordinators).
    • 10. REFERENCES.[01] - a) - Research Road Map - http://researchroadmap.org/content.fcg/ResearchRoadmap - last access July 2011 b) - Research Road Map - http://www.cs.bham.ac.uk/research/projects/cosy/presentations/munich-roadmap-0701.pdf last access July 2011[02] - SUN, Violeta. Contribuição ao Estudo da Evolução de Infraestruturas de Informação: Um caso de sistema hospitalar. Tese de Doutorado/USP/2010 - http://www.teses.usp.br/teses/disponiveis/12/12139/tde-28072010-161737/publico/VioletaSunTese.pdf - último acesso: 06 Julho/2011[03] - HAMILTON, Scott, CHERVANY, Norman L. Evaluating information system effectiveness - part I: comparing evaluation approaches. MIS Quarterly, v.5, p.55-69. 1981[04] – BALLONI, A.J. Projeto GESITI Hospitalar - "Uma avaliação da GEstão em SIstemas e Tecnologias de Informação em Hospitais", 2011 - http://www.cti.gov.br/images/stories/cti/atuacao/dtsd/gesiti/hospitalar.pdf - último acesso:06 Julho/2011[05] – SIGTEC/CTI/MCT - Sistema de Informações Gerenciais e Tecnológicas – 2011 – http://www.cti.gov.br/index.php/dtds-projetos/sigtec.html – último acesso: 06 Julho/2011[06] - SELLTIZ, JAHODA, DEUTSCH & COOK. Métodos de Pesquisa nas Relações Sociais. São Paulo: Editora da Universidade de São Paulo (trabalho originalmente publicado em 1951), 1975. [10] - YIN, Robert K. Estudo decaso planejamento e métodos. 3. ed. Porto Alegre: Bookman, 2005.[07] - PADRÓN José G. 2001. La estructura de los procesos de investigación. In: REVISTA EDUCACIÓN Y CIENCIASHUMANAS. Año IX, nº 17 julio-diciembre de 2001. Decanato de Postgrado, Universidad Nacional Experimental SimónRodríguez. Caracas. p. 33. Disponível em: http://padron.entretemas.com/Estr_Proc_Inv.htm. Acesso em 19/10/2010.[08] - MARTINS, Gilberto de Andrade. 1994. Metodologias Convencionais e Não-convencionais e a Pesquisa em Administração. Caderno de Pesquisas em Administração - PPGA/FEA/USP, n. 1, p. 2 - 6, janeiro 1995. Disponívelem: http://www.ead.fea.usp.br/cad-pesq/arquivos/C00-art01.pdf. Acesso em: 22/06/2010.
    • 11. Some results from “IRR”By:Ruy Ferreira/UFMTAdicinéia Aparecida de Oliveira/UFS,Nelma Terezinha Zubek Valente/UEPGAntonio José Balloni/CTI
    • 12. CARACTERIZAÇÃO DOS HOSPITAIS 93 HOSPITAIS 50.954COLABO-RADORES 11.633 LEITOS
    • 13. Indicador de produtividade por grande região e país (*) * Não foram levantados tais dados em Košice e Prešov, na Eslováquia.Considera-se o hospital mais produtivo aquele que apresentamenor valor para a relação Funcionário/Leito”
    • 14. Grau de envolvimento do pessoal no planejamento estratégicoO envolvimento se dá ”entre todos e somente a direção executiva”.
    • 15. P & D! O que é isso?
    • 16. Qual a importância da na aquisição de conhecimentos externos ?59% dos dirigentes hospitalares são capazes de atribuirimportância ao conhecimento produzido fora de suas unidades.A não importância dada ao trabalho de pesquisa e desenvolvimentono próprio hospital é uma variável a ser considerada na elaboraçãode políticas públicas voltadas para a gestão apoiada em TI.
    • 17. Capacitação e o desenvolvimento do colaborador (treinamento presencial no hospital ou outro local), ~ 10% dos hospitais utilizam da EAD para qualificar seus profissionais !46% da qualificação do pessoal ocorre via módulos treinamento internos ministrados por instrutores externos.
    • 18. Novamente EAD não é considerada pelos dirigentes quando se trata de investir no campo da TI. Idem a Telemedicina,49% dos dirigentes hospitalares indicam a Administração como prioritáriopara a informatização. 23% pela implantação de ERP e 10% pelaautomação das operações hospitalares.
    • 19. TELEMEDICINAMéxico e na Argentina: as respostas foram negativas para o uso.Em Portugal : na região aplicada foi registrado a utilização da Telemedicina em neuro-radiologia (utilizando xDSL). O uso mais comum é para diagnóstico de emergência e umasegunda opinião médica. Não são realizadas videoconferências.No Brasil: menos que 10% dos hospitais pesquisados fazem uso da telemedicina. O queutilizam se dividem nas seguintes especialidades: cardiologia, medicina intensiva,neurologia, radiologia, patologia, vídeo endoscopia, ginecologia, medicina de emergência,dermatologia e oncologia. O uso mais comum se dá em diagnósticos, follow-up,gerenciamento de doenças crônicas e com uma segunda opinião médica. A utilização deConexão IP foi a reportada pelos entrevistados... Destaque: na região pesquisada em Santa Catarina os hospitais que usam a Telemedicina integram-se ao LABTELEMED (www.telemedicina.ufsc.br) da Faculdade de Medicina da Universidade Federal de Santa Catarina, possibilitando a interação entre o profissional no hospital com professores e alunos na faculdade.Na Eslováquia. Destaques: intensa capacitação dos recursos humanos em cursos depós-graduação e congressos médicos internacionais e nacionais. A gestão estratégicapossui as mesmas características dos mexicanos e brasileiros, com líderes das unidadesrealizando o planejamento anual, todos com foco no cliente. Em termos de investimento eminovação tecnológica há previsão de implantação de sistemas ERP, administração, emsistemas de armazenamento de dados e Telemedicina.
    • 20. Graficos autoria deRuy Ferreira/UFMTAdicinéia Aparecida de Oliveira/UFS,Nelma Terezinha Zubek Valente/UEPGAntonio José Balloni/CTI Muito Obrigado a todos! Balloni GESITI@cti.gov.br -