Relatório Anual De 2016
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2016 Report FFM - 2016 Annual Report 1 / 147 FFM - 2016 Annual Report 2 / 147 SUMMARY 05 PRESENTATION 07 MESSAGE FROM THE BOARD OF DIRECTORS 13 FFM IN NUMBERS 15 INTEGRAL HEALTH CARE ACTIONS 16 FM/HCFMUSP SYSTEM 19 USP SCHOOL OF MEDICINE 21 HOSPITAL DAS CLÍNICAS DA FMUSP (CLINICS HOSPITAL OF THE UNIVERSITY OF SÃO PAULO SCHOOL OF MEDICINE) 23 UNIVERSITY AGREEMENT 27 Special Procedures 30 Institutes, Auxiliary Hospitals and Specialized Health Units from HCFMUSP System 43 Other Health Units 45 MANAGEMENT CONTRACTS 45 Lucy Montoro Rehabilitation Institute Management Contract 48 City Management Contract of the West Region Project 49 City Management Contract of the Pronto-Socorro do Butauntã (Emergency Room) 50 ICESP MANAGEMENT AGREEMENT 55 SOCIAL AID ACTIONS 56 MAJOR SOCIAL AID PROJECTS 56 "Bandeira Científica" Project 58 Equilíbrio Program 58 Mental Health Training - CASA Foundation 60 "Visão do Futuro" (Vision Of Future) Program 61 Treatment of Cleft Palate 61 AFINAL Program 62 Family Health Program FFM - 2016 Annual Report 3 / 147 63 AID PROJECTS 64 HIV/AIDS VIRUS AND SEXUALLY TRANSMITTED DISEASES CARRIERS 70 PEOPLE WITH DISABILITY 73 ONCOLOGICAL PATIENTS 79 CHILDREN AND YOUTH 84 FAMILIES AND WOMEN 86 ELDERLY 91 RESEARCH PROJECT 92 MAIN RESEARCH PROJECTS 104 CLINICAL STUDIES 107 HEALTH POLICY PROJECTS 108 MAIN HEALTH POLICY PROJECTS 119 INSTITUTIONAL PROJECTS 120 MAIN INSTITUTIONAL PROJECTS 127 FFM PROFILE 128 BRIEF HISTORY 129 CONSOLIDATED RESULTS 130 STRATEGIES 135 ORGANIZATIONAL STRUCTURE 141 2016 FINANCIAL BALANCE SHEET SUMMARY 143 ABBREVIATIONS USED IN THIS REPORT 146 FFM ADMINISTRATION 147 EDITORIAL BOARD AND STAFF FFM - 2016 Annual Report 4 / 147 PRESENTATION As an institution that supports the growth and excellence initiatives achieved by the FM/HCFMUSP System year after year, FFM presents its activity report with the results obtained in 2016, in all its instances of operation. In the Message from the Board of Directors, ICESP offers practical cooking classes to teach we highlight the importance of FFM in its 30 years patients and caregivers how to prepare recipes of operation, with the text "School of Medicine that stimulate taste and reduce the common side Foundation, 30 years of proficient support to effects of chemotherapy such as nausea and pain FMUSP and the HC-FMUSP Complex" (page 7). when swallowing. We present an overview of the social reach Recognized and certified as charity, FFM obtained by the FFM in 2016, by analyzing the "The supported the development of social assistance FFM in Numbers" (page 13), which shows that FFM (page 55) inside and outside the FM/HCFMUSP supports 97% all executed free procedures. system premises, directed at the most deprived population, without prejudice to SUS service. An To fulfill its statutory objectives, FFM supports example of this is the Bandeira Científica (Scientific the development of a series of Actions of integral Flag) (page 56), which carried out more than 5,100 health care (page 15), always prioritizing the care procedures to families under social and economic of SUS (Brazilian Universal Care System) patients. risk at the municipalities of Acreúna - State of Other of our priorities is to ensure special Goiás and held its fourth surgical expedition in the procedures such as transplants, implants and other city of Bandeirantes, State of Paraná. high complexity procedures (page 27). FFM is involved in a series of assistance FFM also assumed the maintenance of the projects, favoring: performance obtained by the HCFMUSP Complex (page 31) and other Health Units (page 43) through 1) AIDS and Sexually Transmitted Diseases the allocation of human and financial resources. carriers (page 64), who were benefited by the specialized ambulatory care provided by the Casa It was possible for FFM to manage IRLM da Aids (Aids House (page 42) and several other Management Agreement (page 45), Center of initiatives supported by FFM. excellence in treatment, teaching and research in Rehabilitation since FFM is qualified as a Social 2) People with Disabilities (page 70), who Organization. In addition to specialized care, the benefited from IMRea's specialized assistance IRLM has developed music therapy sessions with (page 37) and the IRLM (Page 45), in addition to ambulatory patients, whose work involves motor several other initiatives supported by FFM, such as coordination, instrument manipulation and training courses, with the intervention of FFM, cognitive area, seeking to stimulate memory, aiming to qualify the participants with technical speech articulation, breathing and interaction knowledge from the main competencies of a between people. multiprofessional and interdisciplinary program of patient rehabilitation. The FFM also continued to manage the ICESP (Cancer Institute of São Paulo) (page 50), an 3) Oncological Patients (page 73), which, in institution whose ideal is to be one of the biggest addition to the actions developed by ICESP (page institutions in Latin America dedicated to the 50), by ITACI (Institute for Treatment of Childhood integral treatment of patients with oncological Cancer) (page 81) and by InRad (Institute of pathologies. Besides cancer treatment procedures, Radiology (page 33), receive benefit through FFM - 2016 Annual Report 5 / 147 several other initiatives, with the intervention of structure or the stimulation of scientific the FFM, such as the holding of a training course to production, in addition to supporting the spread best practices for all services with teams development of clinical studies (page 104). that need improvement of activities related to the care of severe oncological patients and/or training Supporting Health Policy projects (page 107), in diagnostic imaging. including the training of public health network professionals, development of evaluation, analysis 4) Children and youth (page 79), besides the of results, among others, is also part of FFM's ICr (Child Institute) specialized hospital care (page activities. 36) and ITACI (page 81), are benefited by other initiatives such as the research for new forms of Supporting the development of Institutional early childhood stimulation (between zero and Projects (page 119) to improve the physical and three years), through the development agents or technological infrastructure of the FM/HCFMUSP community agents who teach mothers how to System installations was also part of FFM's actions stimulate their children's development with toys in 2016. and books. A brief history of FFM (page 128), and its 5) Families and women (page 84), which, in consolidated results (page 129, adopted strategies addition to the actions of the "Bandeira Científica" (page 130), main partners (page 131), main Project (Page 56), are benefited, for example, from certifications (page 132), the organizational the program of home visits for pregnant women structure (page 135) and the synthesis of the with a focus on improving the mother's health in Financial Statement for 2016 (page 141) are also prenatal care. presented at the end of this Report. 6) Elderly (page 86) that are benefited, for At Abbreviations used in this Report (page example, from instructional sessions with focus on 143) and the current composition of the the elderly, their caregivers and professionals Administration of FFM (page 146) complete the working with this age group, addressing the issues 2016 FFM Report. of "With Greater Care" and "Road Safety for the Elderly". Attached are the Financial Statements for 2016, with their respective Explanatory Notes and Researching support (page 91) is one of the Independent Auditors' Report. FFM's priority functions, through either its FFM - 2016 Annual Report 6 / 147 MESSAGE FROM THE BOARD OF DIRECTORS Professor Dr. Flavio Fava de Moraes Professor Dr. Yassuhiko Okay School of Medicine Foundation, 30 years of profitable support to FMUSP and the HC-FMUSP Complex On September 18, 2016, the School of (InRad); The Cancer Institute of the State of São Medicine Foundation (FFM) completed 30 years of Paulo (ICESP), including ICESP-Osasco; and two existence. It was born from an initiative of the auxiliary hospitals: the Auxiliary Hospital of the City Board of the School of Medicine of the of Cotoxó (Hospital Auxiliar de Cotoxó - HAC), Universidade de São Paulo at that time, They which will be rebuilt soon and will become the invited the Associação de Antigos Alunos da FMUSP Institute of Alcohol and Drugs; and the Auxiliary (Alumni Association of the Universidade de São Hospital of the City of Suzano (Hospital Auxiliar de Paulo - AAAFMUSP) to be the proponent of its Suzano - HAS), which undergoes substantial creation, as a private law, non-profit foundation. reforms. Since the beggining, FFM's statutory In addition, 62 Medical Research Laboratories objectives stood by supporting teaching, (Laboratórios de Investigação Médica - LIMs), the researching and health care at FMUSP and at the Aids House (Casa da Aids, the Administration HC-FMUSP Complex and at the preservation of the Building (Prédio da Administração - PA), the School assets of the Oswaldo Cruz Academic Center of Permanent Education (EEP), the Rebouças (Centro Acadêmico Oswaldo Cruz - CAOC). Convention Center (Centro de Convenções Rebouças - CCR), the Lucy Montoro Rehabilitation The HC-FMUSP Complex, for tertiary care, Institute (Instituto de Reabilitação Lucy Montoro - comprises the following institutions: the Central IRLM), the Butantan Health Center and School Institute (ICHC), including the Ambulatory Building (Centro de Saúde Escola Butantan), for primary