State and municipal health departments will be able to use the Management Application for University Hospitals (AGHU) developed by the Brazilian Hospital Services Company (EBSERH) free of charge. During a meeting of the Tripartite Intermanagers Commission, this Thursday (1/2), the Secretary of Digital Health, Ana Estela Haddad, and the president of EBSERH, Arthur Chioro, presented details of the initiative, which began to be studied in 2023 and was advanced by JOTA.
The application can be used in public and SUS-affiliated hospitals. According to Chioro, in addition to avoiding wasted exams, reducing absenteeism for appointments or procedures and helping to regulate queues, the application can be used to monitor medication stocks, the consumption of products that are above or below what is considered normal and also check the trajectory of high-cost medicines until they are dispensed.
The president of EBSERH also states that the resource will allow us to know the doctor who prescribed the medicine, how and when the treatment was carried out.
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The AGHU system is already used by hospitals that are part of EBSERH. Developed at the Hospital das Clínicas in Porto Alegre and internalized by the state-owned company, the application has more than 25 million registered patients.
Last year, a cooperation agreement was signed to allow hospitals and health services linked to state and municipal health departments to also use the system. Pilot projects were started in the cities of Diadema and São Paulo and federal hospitals in Rio.
To the JOTA, the technology director at EBSERH, Giliate Coelho, explained that the procedure will now become more agile. With the publication of the notice, technical cooperation agreements and agreements will no longer be necessary. “From now on, the municipality enters the website, joins the community and downloads the application. A process that lasts less than 24 hours,” he said.
Secretary Ana Estela Haddad told the JOTA that the initiative must be well received among managers. She lists the reasons. “When the hospital adopts a proprietary (private) system like those on the market, it generally costs a lot to acquire the system. When making necessary adaptations to your reality, the hospital needs to pay again, not to mention maintenance. This does not happen with the open access system”, said Ana Estela.
To join the program, however, some conditions must be met. Among them is the obligation for states and municipalities to create IT teams and multidisciplinary health teams to integrate the development community. The idea, added the secretary, is to establish an AGHU development community on a national network and, eventually, work on new versions.
Chioro stated that if SUS hospitals join the application, there will be savings of approximately R$3 billion. “Instead of investing in purchasing a system that is much more expensive, hospitals will be able to concentrate their resources on a development team. This needs to happen to make the process sustainable”, added Ana Estela.
Giliate Coelho explained that the system is installed locally, by the department or hospital itself. As the program operates on the computer itself, explains Coelho, the application does not depend on the internet. “There is also no problem with bottlenecks due to many users using it at the same time. On the contrary, the more departments use it, the more people will contribute to the development of the system.”
The director of EBSERH stated that states and municipalities have the autonomy to join the system. Maintenance will be carried out by the state-owned company. “This also provides security for the municipality, it is not a system that is at risk of being discontinued.” The cost for municipalities and states is to set up their IT structure, computers, data centers, internal link, and assemble their team for implementation and maintenance.
For Coelho, one of the advantages of the application is the improvement in the quality of medical and clinical documents. “This applies to prescriptions, certificates and medical records.” Stock and warehouse data can be obtained in real time.
Ana Estela notes that the use of applications will also guarantee the interoperability of data from hospital care with primary care, with data gathered in the RNDS. There is no deadline for authorization to be made. The agreement will be valid for five years.
Lígia Formenti – Editor and health analyst at JOTA