Instituto Nacional de Rehabilitación Maricela Verdejo Silva PhD

Instituto Nacional de Rehabilitación

Maricela Verdejo Silva PhD

BackgroundAdministrative Director, one of the five main departments in the Instituto Nacional de Rehabilitación

PhD in Administration

Experience: 40 years in governmental ministries; 30 years teaching; 15 years in administration; 15 years in health services

Health, as a Constitutional Right

• Healthcare System Structure◊ Private◊ Public

I. Primary attention (149 units)II. Non Specialized Hospitals (351)III. Specialized Hospital of Reference (79)IV. National Institutes of Health (13)

Health, as a Constitutional Right

• Healthcare System Structure◊ Private◊ Public

I. Primary health centers (12,253)II. Non-specialized Hospitals (351)III. Specialized Reference Hospitals (79)

IV. National Institutes of Health (13)

684 Beds destined exclusively to Orthopedics in Public Services

Instituto Nacional de Rehabilitación High Level Metrics

• Beds (157)• Operating rooms (10)• Examination rooms

out-patient clinic (20)• Intensive Care Unit

beds (8)• Emergency room

beds (8)

• Imaging and Clinical Lab◊ X ray rooms (5)◊ X ray mobile units (7)◊ 64 slice CT Scan (1)◊ Magnetic Resonance (1)◊ Ultrasonography (1)◊ BMD (1)◊ Clinical analysis

Laboratories

Specialized human resources• Orthopedic surgeons: 71• Other physicians:

◊ Physiatrists: 58◊ Anesthesiologists: 39◊ Intensive Care Specialists:13◊ Nurses: 457◊ PT & OT: 142◊ Paramedics:44

Unique TechnologyUnique TechnologyMotion Analysis, Robotic gait training, Acuatherapy, ImagingMotion Analysis, Robotic gait training, Acuatherapy, Imaging

ESEM, Transmission EM, Confocal MicroscpyESEM, Transmission EM, Confocal Microscpy

Digital ORs & Surgical Biotechnology UnitDigital ORs & Surgical Biotechnology Unit

Surgical procedures

Financial performance2010

90,7 MD

◊ Government resources: 84,2 MD

◊ Self generated resources: 5,6 MD

◊ Governmental support for research: 5 MD

Teaching and Research Efforts

• Residents (136)

• Subspecialty Fellowship programs (12)

• Master´s degree courses (2)

• Scientific PhD course (1)

• Investigators (53)

• Publications 2009 (81)

Subspecialty Fellowship programsSubspecialty Fellowship programs

• Hip and knee Replacement• Shoulder and elbow

Replacement• Orthopedic Sports Surgery

and Arthroscopy• Spine surgery• Hand surgery and

microsurgery• Pediatric Orthopedics

• Orthopedic Oncologic• Neuromuscular deformities

and foot and ankle surgery • Orthopedic rehabilitation• Occupational rehabilitation• Pediatric rehabilitation• Regional Anesthesia

Strategic Plan• Development and Strengthening of:

– Joint replacements

– Chondrocyte and cell implantation

– Regenerative Medicine

– Hand Transplantation

– Intervertebral disk Replacement

– Osteosynthesis

– Bioengineering

– Increase number of orthopedic research protocols

– Increase orthopedics specialty training

GraciasGracias