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Departament of Supplementary Health

Departament of Supplementary Health. Agenda Introduction Departament of Supplementary Health Participants Department Playing Field Agência Nacional de

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Page 1: Departament of Supplementary Health. Agenda Introduction Departament of Supplementary Health Participants Department Playing Field Agência Nacional de

Departament of Supplementary Health

Page 2: Departament of Supplementary Health. Agenda Introduction Departament of Supplementary Health Participants Department Playing Field Agência Nacional de

Agenda

Introduction

Departament of Supplementary Health

Participants

Department Playing Field

Agência Nacional de Saúde – National Health Agency(ANS)Agência Nacional de Vigilância Sanitária- National Sanitary Survailance Agency (ANVISA)Ministério da Saúde – Ministry of Health(MS)Conselho Federal de Medicina – Medicine Federal Council (CFM)Events and Lectures

Page 3: Departament of Supplementary Health. Agenda Introduction Departament of Supplementary Health Participants Department Playing Field Agência Nacional de

SUPPLEMTARY HEALTH DEPARTMENT

The Departament was restructured in 2010 in order to represent the health care providers with the regulatory agencies, the Ministry of Health and the health Insurance companies.

FUNCTIONS

Advice the CNS in the issues regarding supplementary health.

Take part in committes of the regulatory agencies and Ministry of Health

Represent the CNS in events.

Herald information about the newest laws to the affiliated parties.

Page 4: Departament of Supplementary Health. Agenda Introduction Departament of Supplementary Health Participants Department Playing Field Agência Nacional de

PARTICIPANTS

João de Lucena Gonçalves MDCNS SUPPLEMENTARY HEALTH DEPARTMENT COORDINATOR

HOSPITALS FEDERATIONS THAT TAKE PART IN THE DEPARTMENT

FENAESS FEBASE FEHOESG FEHERJ FEHOESP FEHOSPAR FEHOESC FEHOSUL

SUPPLEMTARY HEALTH DEPARTMENT

Page 5: Departament of Supplementary Health. Agenda Introduction Departament of Supplementary Health Participants Department Playing Field Agência Nacional de

DISTRIBUTION OF HEALTH INSURANCE USERS AND HOSPITAL FEDERATIONS IN BRAZIL

FEBASE

FEHERJ

FEHOESP

FEHOSPAR

FEHOESC

FEHOSUL

FENAESS

FEHOESG

Page 6: Departament of Supplementary Health. Agenda Introduction Departament of Supplementary Health Participants Department Playing Field Agência Nacional de

SUPPLEMTARY HEALTH DEPARTMENT FIELD OF ACTION

INTERNAL WORK

Monthly meetings at CNS in Brasilia in order to debate the norms issued by the regulatory agencies (ANS, ANVISA) and their impact on the health services providers.

Advise the board of CNS when it comes to the regulatory agencies actions and its impact on the health services providers.

Page 7: Departament of Supplementary Health. Agenda Introduction Departament of Supplementary Health Participants Department Playing Field Agência Nacional de

EXTERNAL WORK

Represent the CNS in events related to supplementary health in many governmental departments and federations.

Represent the CNS in the work groups of the Regulatory Agencies, Ministry of Health and other departments.

SUPPLEMTARY HEALTH DEPARTMENT FIELD OF ACTION

Page 8: Departament of Supplementary Health. Agenda Introduction Departament of Supplementary Health Participants Department Playing Field Agência Nacional de

EXTERNAL WORK

NATIONAL HEALTH AGENCY

Participations

COPISS is the committee of padronization of billing message exchange and all health terminology, may it be medical, nursing, material, medication, eletronic or printed, between all health insurance companies and health service providers (hospitals, labs, imaging, quimotherapy, etc.)

COGEP is the implementation commitee of the quality monitoring program on health services providers using performance indicators.

SUPPLEMTARY HEALTH DEPARTMENT FIELD OF ACTION

Page 9: Departament of Supplementary Health. Agenda Introduction Departament of Supplementary Health Participants Department Playing Field Agência Nacional de

EXTERNAL WORK

NATIONAL HEALTH AGENCY

Participations

Committee of Hospital Remuneration Models that establishes new payment criteria that allow the improvement on the relationship between the health Insurance companies and the hospitals.

Committee of Procedures List which includes or excludes procedures from the list of compulsory actions of the health Insurance companies.

SUPPLEMTARY HEALTH DEPARTMENT FIELD OF ACTION

Page 10: Departament of Supplementary Health. Agenda Introduction Departament of Supplementary Health Participants Department Playing Field Agência Nacional de

SUPPLEMTARY HEALTH DEPARTMENT FIELD OF ACTION

EXTERNAL WORK

NATIONAL AGENCY OF SANITARY SURVEILLANCE

Participations

In Public Consultations about various topics related to the quality and safety of patients.e.g.: good health practices in the hospitals, endoscopy services, safety in radiology clinics, implementation of Safety in Hospital Departments.

Page 11: Departament of Supplementary Health. Agenda Introduction Departament of Supplementary Health Participants Department Playing Field Agência Nacional de

EXTERNAL WORK

MINISTRY OF HEALTH

Participations

In the Epidemic Diseases Surveilance Committee which follows up on the actions on eventual epidemics.

SUPPLEMTARY HEALTH DEPARTMENT FIELD OF ACTION

Page 12: Departament of Supplementary Health. Agenda Introduction Departament of Supplementary Health Participants Department Playing Field Agência Nacional de

EXTERNAL WORK

MEDICINE FEDERAL COUNCIL

Participations

In the Supervision Manual Reformulation Committee which will set the minimal needs to the safe functioning of health units in Brazil.

SUPPLEMTARY HEALTH DEPARTMENT FIELD OF ACTION

Page 13: Departament of Supplementary Health. Agenda Introduction Departament of Supplementary Health Participants Department Playing Field Agência Nacional de

EXTERNAL WORK

EVENTS

Participations

Represent the CNS in events related to supplementary health in governmental departments, private ones or the hospital federations that are part of the CNS.

Take part on health events as a speaker helping to spread information about the regulatory actions taken by the regulatory agencies or the Ministry of Health.

SUPPLEMTARY HEALTH DEPARTMENT FIELD OF ACTION

Page 14: Departament of Supplementary Health. Agenda Introduction Departament of Supplementary Health Participants Department Playing Field Agência Nacional de

THANK YOU !

[email protected]