Organizational dimension
|
Participation
|
1-Management participation in social participation bodies. 2-Existence of instances enabling participation of actors involved. |
10 |
1- CES, CIB, State Health Conference and PES meetings. 2– None. |
5 |
Yellow |
Transparency
|
1-Publication of information about medicines shortages. 2-Publication of prices paid in acquisition of medicines. |
10 |
1– None. 2– Yes, in the Health Prices Database. |
5 |
Yellow |
Planning
|
1-Inclusion of CEAF actions in the PES, PPA and the Management Report. 2-Existence of meetings specifically for planning. |
10 |
1– Yes. 2– None. |
5 |
Yellow |
Monitoring and evaluation of actions
|
Existence of indicators and use of monitoring of them for planning of actions. |
10 |
There are no indicators. |
0 |
Red |
Partnerships
|
Partnerships with other institutions for carrying out CEAF activities. |
10 |
Yes, with municipalities (CIB 398/2014). |
10 |
Green |
Regulation
|
1-Existence of regulated flows for evaluation of requests. 2-Existence of guidelines on work processes in the units. |
10 |
1- Yes - flows and ministerial orders. 2- Yes, in 41 units. |
7.5 |
Yellow |
Institutionalization
|
Existence of an institutionalized instance responsible for all the activities of CEAF. |
10 |
Yes, but CAF and tenders are responsibilities of another directorate. |
5 |
Yellow |
Decentralized access
|
Service of users in their municipalities of residence. |
10 |
Yes, in 100% of the municipalities. |
10 |
Green |
TOTAL, DIMENSION
|
80
|
|
47.5 (59.37 %) |
Yellow |
Operational dimension
|
Communication
|
Communication between the units. |
10 |
Good or very good according to 77% of the units, mainly by email. |
10 |
Green |
Complementarity
|
Concern with compliance with lines of care. |
10 |
100% of the listing in Group 3 is agreed in CIB (501/2013) and production of APAC is regulated for Group 2. |
10 |
Green |
Normative conditions
|
Units with legal and health-regulation conditions for exercise of the activity. |
10 |
- There is no PGRSS. - 66.2% of the units have Health Operational Licenses and 88.7% have updated RT certificates. - 38% reported control by the state. |
0 |
Red |
Infrastructure
|
Existence of investments and minimum infrastructure conditions in the units. |
10 |
-77.78% of the state units received investments. - 75% of the state units and 50.8% of the municipal units meet at least 75% of the minimal conditions. |
8.5 |
Green |
RS/Application centers
|
Existence of RS in various regions of the state. |
10 |
Concentrated in the capital city of the state. |
5 |
Yellow |
Information systems
|
Existence of integrated information systems for carrying out of the activities. |
10 |
Yes, although they do not feed the national database and they do not interoperate with other systems of the healthcare network. |
3 |
Orange |
Human resources
|
1-Availability of HR. 2-Concern with continuous training of HR. |
10 |
1- 55.55% of the units of the state have a sufficient number of pharmacists. 2- 22.86% of the pharmacists report training taking place at least once a year. |
2.5 |
Orange |
Financing
|
1-Capacity to apply the strategies for maintaining financial equilibrium. 2-Availability of funds. 3-Funds lost by omitted APACs. |
10 |
1- Yes – CAP and tax reliefs. 2- There is budget planning, but shortage of funds. 3- < 5% of the APACs are omitted. |
6.25 |
Yellow |
Logistics management
|
1-Existence of mechanisms that qualify the programming. 2-Existence of mechanisms that quality the acquisition. |
10 |
1- There is an established method. 2- Only mechanisms for punishment of suppliers who do not meet the established criteria. |
6 |
Yellow |
Good logistics practices
|
1-Existence of mechanisms that qualify the distribution. 2-Existence of periodic control of stock of medicines. |
10 |
1- There are no rules for good transport practices, but there is a distribution timetable. 2- 80% of the state units and 70.5% of the municipal units carry out monthly stock control. |
6.5 |
Yellow |
Availability of medicines
|
Concern with timely service to users. |
10 |
There is evaluation for selection of the state listing, but there were shortages of medicines due to shortage of funds and delays in dispensing in 15.7% of the units. |
3 |
Orange |
TOTAL, DIMENSION
|
110
|
|
60.75 (55.23%) |
Yellow |
Sustainability dimension
|
Social control
|
Inclusion of the CEAF issues in the agenda of the State Health Council’s meetings in 2015 |
10 |
There are no agendas in the minutes of 2015. |
0 |
Red |
Profile of the manager
|
1-Condition of existence of the position of coordinator of pharmaceutical service, formally instituted, responsible for management of CEAF. 2- Qualification of the manager. |
10 |
1- Formal job position, but not responsible for all the activities of the CEAF. 2- 9 years’ experience and specialist in management of pharmaceutical service. |
7.5 |
Yellow |
Accessibility
|
1-Deadline for serving users. 2-Existence of court demand and mechanisms for avoiding actions. |
10 |
1- On average 50 days for first appointment in the pharmacy. 2- No information on % of actions, but there is a committee to provide legal support. |
3.75 |
Orange |
Relation between services
|
1-Existence of actions to monitor and periodically pass on orientations to the units. 2-Relationship of management with the other sectors of the healthcare network. |
10 |
1– Manager - yes for both; pharmacists 67.14% answered that there are periodic orientations, but only 11.43% said there is monitoring. 2- Does not collect figures on the demands for discussion with other sectors. |
3 |
Orange |
Clinical aspects
|
1-Existence of monitoring of the treatments. 2-First consultation carried out by the pharmacist. |
10 |
1- 32.3% carry out the monitoring. 2- Occurs in 67.7% of the units. |
6.25 |
Yellow |
Relationship with the users
|
Concern of management with satisfaction of users, through evaluations and ombudsmen function. |
10 |
- 4.9% of units said they have at one time carried out a satisfaction survey. - There is an ombudsman’s department, but the data are not used in the planning of actions |
0 |
Red |
TOTAL, DIMENSION
|
60
|
|
20.5 (34.17%) |
Orange |
TOTAL SCORE IN THE PROTOCOL
|
250
|
|
128.75 (51.5 %) |