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Partial Conclusion

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Submitted By bobbird
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Conclusão Parcial
Através da nossa análise de Desempenho, acreditamos que a UPA da Penha está realmente melhorando. A mesma está conseguindo atender cada vez mais pacientes tendo como contrapartida um aumento no tempo de espera, contudo, pouco influenciando a quantidade de desistências. Também percebemos que os tempos de atendimento estão parecidos com os das UPAS comparadas, de forma que chegamos à conclusão que o aumento do tempo de espera se deve ao aumento do número de atendimentos.
Pretendemos citar agora algumas das mudanças que a nova equipe de gestão realizou para que esse resultado se tornasse possível:

1- Aumento do quadro de médicos

A UPA tinha sérios problemas de falta de médicos. Antes, eram de três a quatro médicos por plantão, agora são um mínimo de seis de dia e outros seis à noite. A equipe precisou enfrentar o desinteresse dos profissionais que não desejavam trabalhar na UPA pela sua má fama e contou com o conhecimento anterior adquirido no trabalho em outras UPAS para trazer profissionais experientes e altamente capacitados com quem já haviam trabalhado. De acordo com Pedrosa “Demos condições de trabalho e enfatizamos o serviço de rotina. Se antes tínhamos de 15 a 18 pacientes internados, este número passou a ficar entre seis a nove. Isto porque era um só médico, que não conseguia atender ao fluxo de saída da unidade”, além disso o tempo de permanência de pacientes na UPA também foi reduzido, o que acarretou na melhoria do trabalho dos demais funcionário da unidade. Ainda de acordo com Pedrosa “Hoje há médicos batendo na porta e já não temos vagas. Se antes a fama não era boa, hoje há fila de espera”.

2- Melhoria do relacionamento entre a UPA e o Getúlio Vargas

Quando a equipe chegou, o hospital se recusava a receber pacientes da UPA por causa do histórico da antiga gestão que muitas vezes “mentia” sobre a condição do paciente para poder se livrar do mesmo. A vinda do Vander e do Pedrosa fez com que esse quadro mudasse e a transferência de pacientes entre a UPA e o Getúlio Vargas se tornou muito mais fácil, inclusive, devido ao bom relacionamento que hoje impera, a UPA é capaz de enviar ambulâncias sem médicos para o hospital devido à proximidade entre eles.

3- Criação de relatórios de controle

Desde que a nova gestão assumiu, eles vem buscando formas de acompanhar os resultados da unidade de forma a sempre tentar melhorar, conseguir cobrar resultados e realizar acompanhamento de processos em andamento. Um exemplo bastante utilizado pelo Coordenador da unidade é o relatório de controle diário abaixo, que tem como objetivo ajudar o mesmo a ter ideia de quanto tempo seus pacientes estão aguardando para serem removidos e dessa forma conseguir cobrar com propriedade para que a situação seja resolvida.

Portanto, podemos afirmar que a nova gestão da UPA da Penha está muito interessada em acabar com a má fama da mesma e está tentando de tudo ao seu alcance para atingir esse objetivo. A unidade ainda se encontra longe do ideal, mas é visível a melhora e os resultados são estão começando a aparecer, como a menção honrosa no Prêmio Qualidade Rio 2014, fato inédito para a mesma.

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