Hospital De Câncer De Barretos- Fundaçãopio XII
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Hospital de Câncer de Barretos- FundaçãoPio XII This case study is part of the CHMI case study series. CENTER FOR HEALTH MARKET INNOVATIONS (CHMI) CHMI identifies, analyzes and connects programs working to improve health and financial protection for the poor. CHMI works through a network of partner organizations in 16 countries where there are large numbers of private health care providers. CHMI is funded by the Bill & Melinda Gates Foundation and the Rockefeller Foundation. ACCESS Health International ACCESS Health International, Inc. has the founding conviction that all people, no matter where they live, have a right to access high quality, affordable healthcare. The organization identifies and documents models and policies for high-quality, affordable health care. It transfers knowledge of these solutions through publications, workshops and teaching material. ACCESS Health International also supports design and implementation of models for efficient health care delivery and financing. For additional information, visit http://www.accessh.org. Case study - Hospital de Câncer de Barretos- FundaçãoPio XII Hospital do Amor (Hospital of Love) Av. Antenor Duarte Villela, 1331 Barretos - SP | Phone: +17 3321-6600 http://www.cliquecontraocancer.com.br/contato.cfm Introduction This case study describes the services provided and current funding structure of the Hospital de Câncer de Barretos (HCB), an internationally renowned oncology and research institute based in the countryside of the state of São Paulo, Brazil. The hospital serves 3,000 patients each day, coming from all regions of Brazil and suffering from all types and levels of cancer. City governments from different parts of Brazil organize transportation and sometimes rent houses for patients to undertake their treatment at the hospital. All the treatment, medicine, housing and food are provided to the patients for free. The following case study intends to look at the Hospital’s structure, services, marketing ability and financial strategy and discuss alternative sources of funding and long-term financial stability. Prof. Dr. Edmundo Mauad Prof. Dr. Mauad is a medical graduate of the Faculty of Medicine of Campos County, Rio de Janeiro (1978). He then went on to complete an Internal Medicine and Gastroenterology residency. He subsequently completed Master of Science at the University of Bristol where he worked as a researcher in the Department of Medicine, Bristol Royal Infirmary Hospital. Prof. Dr. Mauad then went on to complete his PhD at Faculty of Medicine of the Federal University of São Paulo. He also has an MBA in International Health Administration from the São Paulo State Getúlio Vargas Foundation. Prof. Dr. Mauad is a member of the Board of Directors of Barretos Cancer Hospital since 1987, and Chief of the Cancer Prevention Department and Head Administrator of the Teaching and Research Institute. He has been directing programs of opportunistic and organized cancer screenings of the breast, cervix, prostate and skin since 1994. He has simultaneously studied different aspects of cancer prevention such as cost-effectiveness, community intervention, introduction of new technologies, role of information in assessing patients' adherence, educational programs for patients and professionals and strategies to improve quality of screening programs in underprivileged population in Brazil. Henrique Prata Mr. Prata is a landowner and livestock raiser in Barretos. His parents Paulo Prata and Scyla Prata were both doctors and founders of Hospital São Judas Tadeu, the hospital that founded the Hospital de Cancer de Barretos. Mr. Prata took over the management of the hospital in 1988 and continues to manage the hospital. Hospital Background In 1967 Dr. Paulo Prata noticed that cancer patients in the countryside of the state of São Paulo did not have access to cancer treatment. At the time, the only public and specialized cancer hospital was A.C. Camargo in the capital. Barretos, 427km away from the capital, did not provide its citizens with cheap and easy transportation options to reach São Paulo. He founded the Hospital São Judas Tadeu in Barretos that offered treatment to patients in the region. Dr. Prata established a philosophy of equal access to care for all patients at the hospital. He treated privately and publicly insured patients the same way and preached humane medicine practices in his hospital. His humane practices meant treating all patients with kindness, politeness and respect, irrespective of their background or condition. Dr. Prata initially financed deficits of the hospital with his own family wealth. In 1988, the hospital was in a bad financial conditions and Dr. Prata considered shutting it down. His son, Henrique Prata, was able to raise money with fellow farmers of the region to pay the hospital debt and invest in new equipment and an expansion. Hospital de Cancer de Barretos (HCB) was then founded. Since 1988, Mr. Henrique Prata took over the management and has taken care of its operations and expansion. To help finance the hospital activities, Mr. Prata has developed a series of fundraising activities that complement the money paid by the Brazilian government for SUS1, including concerts with Brazilian celebrities, cattle auctions, tax breaks, and individual private donations (more details are described below). In 1997 the Associação Voluntária de Combateao Câncer (AVCC- Voluntary Association to Combat Cancer) was founded. In 1998, the hospital arranged a concert with 3 of the most famous country duos in the country called AMIGOS (friends) in Barretos. The US$1 million generated in revenue from the concert was given to the Hospital. Starting in 2001, the hospital engages artists to record music albums and all sales revenues are channeled to the Hospital. With the help of funding from the Ministry of Health in 2002 three additional departments for Surgical Center, Intensive Care Unit and Interning Department were built. AVON and Brazilian artist Ivete Sangalo partnered to finance the construction of a 7,200 sq. meter Prevention Institute in 2008. In 2000, the Ministry of Health of Brazil recognized HCB as the number one in Hospital Quality among the 6,530 public and private hospitals evaluated. In 2007 the Organização Nacional de 1Sistema Único de Saúde (Unified Health System) is the Brazilian integral and universal public health insurance. All Brazilian population has access to treatment in any hospital that accepts this government insurance. It covers from medicines, primary, secondary cares to organ transplants. SUS was created in 1988 with the Brazilian Constitution. www.portal.saude.gov.br Saúde (ONA- the national health organization) accredited the hospital with level 1 Health Quality. The hospital has grown to attract the best oncologists in Brazil and has specialists in every practice. It has also started partnerships with laboratories, schools and pharmaceutical companies to develop oncology research, treatment techniques and training of specialists. Goals of the organization The 2009 report of activities of the hospital lists as main goals: a. Provide free medical and hospital assistance to all patients who need oncologic treatment; b. Promote research and studies in oncology, incrementing investigation and promotion; c. Promote early cancer detection and prevention; d. Create and maintain post-graduate studies and specializations within oncology; e. Contribute to solving medical and social issues, including extending benefits to other public and private institutions. HCB seeks excellence in treatment by promoting humane care, constant professional and technical improvement and development of outreach and education and research in oncology. The hospital also sees it as their mission to strengthen and improve services financed Interview with Dr. Valter Penna by SUS. Prof. Dr. Valter Penna specialized in orthopedics during his residency at Hospital Matarazzo in São Paulo in 1980. He did Governance his Doctorate studies in orthopedic surgery and orthopedics at the FreienUniversitat Berlin from 1981 to 1984. Prof. Dr. Penna worked at hospitals Albert Einstein, SirioLibanes and The board of directors is composed of three AC Camargo in São Paulo and in his private practice for 15 years before moving to Hospital de Câncer de Barretos. Since directors from the Duarte Prata family: 2002, he has been the Chief of the Orthopedic Oncology Scylla Duarte Prata (wife of the founder of Services at HCB. Hospital São Judas Tadeu) as the President Prof. Dr. Penna explained that after working for many years in of the Administrative Board, Henrique São Paulo in between hospitals and private practices, he saw the opportunity of dedicating himself to the practice of medicine Duarte Prata as Vice-President of the in Barretos. He explained that “although you make more Administrative Board and his son Antenor money working in the capital, you work too much and do not have time to dedicate for research and professional Duarte Prata as the Secretary to the development.” HCB requests exclusivity from its doctors. That Administrative Board. Ms Scylla Duarte is, according to Prof. Dr. Valter Penna, the best opportunity for doctors to learn and become the best professionals in their Prata is a gynecologist and is paid for her specializations. He mentioned that the environment of HCB is services as a doctor. Mr Henrique Duarte very dynamic. Prata and Antenor Duarte Prata do not Doctors have exposure to all different levels of cancers and work or earn wages from HCB, both