It is this indicator, the quality of services, that has motivated the Ministry of Health to carry out a survey every year that verifies patient satisfaction in the Unified Health System (SUS). The idea is to map hospital care, to detect possible failures; and locate hospitals that charge for procedures, to identify possible fraud in the system.

The sample result places HES among the ten best evaluated Brazilian hospitals affiliated with the SUS, out of the 5.656 registered.

“The hospital achieved excellence not only by complying with the Ministry's requirements in 2001, but by achieving a high concept, and showing excellent indicators in all aspects”, reveals the director of HES, Lair Zambon, a professor linked to the Faculty of Medical Sciences (FCM ) from Unicamp.

The “Second Edition Quality Award” ceremony took place at the Legislative Assembly, in São Paulo, on June 3, and was attended by political and institutional authorities.

With a population of almost 200 thousand people to serve, in Sumaré alone, HES provides assistance to patients at secondary and tertiary level (of medium and high complexity), in addition to serving other municipalities in a micro-region with more than 400 thousand people.

Credentials – Created just under two years ago, Sumaré Hospital proves that development is a characteristic of those who work. It all started, explains Zambon, with the unconditional support of Governor Mário Covas. At the time, in 2000, it was speculated that government investments were around R$30 million for the construction of a useful area of ​​19.000 m2 and R$20 million for the purchase of equipment.

Zambon says that HES was implemented due to two fundamental reasons: to alleviate the growing demand from patients treated at Unicamp and the need to establish a model in undergraduate education in line with the curricular reform.

Model projects – HES is interconnected with several projects. One of them is the Social Organizations project, which involves 14 similar hospitals, seven linked to the university, following the model of Catalonia, Spain.

Social Organizations are based on the production and quality of care through measures such as cesarean section rates lower than 30%, justified deaths, infection rates in obstetrics close to 0%, among others, at risk of penalty or aid of 10% of hospital costs per month. “HES met all the quality requirements of the State Department of Health”, informs Zambon.

Other projects already installed are the Humanization of Childbirth, the Toy Library and the Surgery Group and another is still in the process of being made viable – the Hospital Amigos da Criança. “We are also in the hospital accreditation phase, a voluntary, periodic and reserved method of evaluating institutional resources, which guarantees the quality of care through high standards”, highlights Zambon. “We would be nothing without the employees, who fight to change the public service model. We want this to be their best job.”

Quality is the indicator
The award given to Hospital de Sumaré results from an assessment by the Ministry of Health, completed by patients hospitalized by the SUS, regarding the quality of their care.

According to the dean of University Development (PRDU) and former superintendent of the Hospital das Clínicas at Unicamp, Paulo Eduardo Moreira Rodrigues da Silva, the Sumaré Hospital is the only one in the interior fully financed by the State, alongside other hospitals such as Beneficência Portuguesa and Incor, despite its few years.

Paulo Eduardo attributes the merit of the award to Unicamp's performance. HES was created by an executive committee, after long planning, with the participation of FCM, departments, residents and students. The board of directors of the Sumaré Hospital, according to him, also had merits in implementing it with quality. “Human and physical resources are not enough. Planning, organization and leadership are necessary”, he maintains.

“I feel proud as a professor at Unicamp and also because I have been involved in this project since 1997, heading the HC superintendence, at the request of the State government, when intervention was suggested at the Hospital Conceição Imaculada, in Sumaré”, comments Paulo Eduardo. This intervention resulted in a counterpart from the government, which resumed the construction of a new hospital, under the management of Unicamp.

HES incorporates a concept that Unicamp's health area has adopted in health care, also for teaching and research, becoming a collaborating hospital with hospitals in other states. The Aracaju State Hospital expanded its potential from 50 to 500 beds, partly with investment from the Ministry and partly with technical and management help from HC staff. “It is a new experience in which the SUS pays, with budgetary resources, for the operation of the hospital”, concludes the dean.

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