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