Impact of implementing an Internal Bed Regulation Committee on
					administrative and care indicators at a teaching hospital

Rodrigues, Luciane Cristine Ribeiro; Juliani, Carmen Maria Casquel Monti

doi:10.1590/S1679-45082015GS3235

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Sumário

HEALTH ECONOMICS AND MANAGEMENT • Einstein (São Paulo) 13 (1) • Jan-Mar 2015 • https://doi.org/10.1590/S1679-45082015GS3235 copy

Impact of implementing an Internal Bed Regulation Committee on administrative and care indicators at a teaching hospital

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective

To compare hospital indicators before and after implementing an Internal Bed Regulation Committee at a reference hospital.

Methods

It is an quantitative, evaluation, exploratory, descriptive and cross-sectional research. The data was gathered from the hospital administrative reports for the period 2008-2013, provided by the Information Technology Center of the Complexo FAMEMA.

Results

The indicators improved after implementation of the Internal Bed Regulation Committee.

Conclusion

The individuals involved in the process acknowledged the improvement. It is necessary to carry on the regulatory actions, especially in a comprehensive and complex healthcare system, such as the brazilian Sistema Único de Saúde.

Hospital administration; Bed occupancy; Health services accessibility; Health care regulation and supervision; Health status indicators

Reason	2008 (%)	2009 (%)	2010 (%)	2011 (%)	2012 (%)	2013 (%)
Surgeries cancelled as compared to total scheduled surgeries	22.53	23.78	23.87	25.26	16.01	19.75
Surgeries cancelled due to bed shortage in the units	8.2	4.8	6.6	0.4	2.0	6.7
Surgeries cancelled due to bed shortage at the intensive care unit	1.0	1.9	2.2	1.9	2.4	4.4

Medical specialties	2010		2011		2012		2013
Medical specialties	S	NS	S	NS	S	NS	S	NS
Specialty 1	35.7	64.3	68.6	31.4	68.7	31.3	60.5	39.5
Specialty 2	35.0	65.0	73.2	26.8	68.8	31.2	65.6	34.4
Specialty 3	22.2	77.8	37.3	62.7	42.4	57.6	62.1	37.9
Specialty 4	43.2	56.8	68.7	31.3	63.2	36.8	41.9	58.1
Specialty 5	23.3	76.7	43.0	57.0	52.9	47.1	36.0	64.0
Specialty 6	30.4	69.6	85.2	14.8	79.2	20.8	69.5	30.5
Specialty 7	26.3	73.7	61.1	39.9	60.9	39.1	62.6	37.4
Specialty 8	49.5	50.5	87.4	12.6	80.7	19.3	78.8	21.2
Specialty 9*	18.5	81.5	40.5	59.5	35.4	64.6	27.2	72.8
Specialty 10*	14.0	86.0	37.2	62.8	33.1	66.9	38.0	62.0

Admission sector	Second or single move	Surgical team map	2008	2009	2010	2011	2012	2013
Operating room	Operating room	Specialty 1	204	199	24	16	9	15
		Specialty 2	71	169	128	119	35	21
		Specialty 3	21	64	29	16	14	16
		Specialty 4	2	8	33	56	20	14
		Specialty 5	1	3	3	1	-	-
		Specialty 6	276	253	191	155	65	40
		Specialty 7	6	37	24	11	10	13
		Specialty 8	4	32	65	114	58	32
		Specialty 9*	3	12	4	6	7	7
		Specialty 10*	19	10	11	15	13	8

Total			607	787	512	509	231	166

Entry department	Second or single move	Surgical team map	2008	2009	2010	2011	2012	2013
Operating room/ emergency department	Emergency department	Specialty 1	544	499	119	93	25	14
		Specialty 2	13	16	11	4	4	4
		Specialty 3	205	318	107	114	23	13
		Specialty 4*	-	-	-	-	-	-
		Specialty 5	6	3	10	20	2	-
		Specialty 6	123	76	15	12	6	3
		Specialty 7	12	36	28	8	3	6
		Specialty 8	-	1	2	1	2	1
		Specialty 9**	15	9	15	10	2	6
		Specialty 10**	71	64	97	104	84	32

Total			989	1.022	404	366	151	79

Instituto Israelita de Ensino e Pesquisa Albert Einstein Avenida Albert Einstein, 627/701 , 05651-901 São Paulo - SP, Tel.: (55 11) 2151 0904 - São Paulo - SP - Brazil
E-mail: revista@einstein.br

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[1] Corresponding author: Luciane Cristine Ribeiro Rodrigues – Avenida Monte Carmelo, 795 – Bairro Fragata C – Zip code: 17519-030 – Marília, SP, Brasil − Phone: (14) 3402-1719 − E-mail: lucianer@famema.br