New Organization Model for Public Hospitals

Profession:Macedo Vitorino e Associados
Summary With Decree-Law No. 188/2003, of 20th August, the Government published a new model for the organization of public hospitals integrated in the national health service (Serviço Nacional de Saúde). Following the enactment of the new Hospital Management Law (Law no. 27/2002, of 8 November 2002) a new organization model for hospitals integrated in the public healthcare network was published ("New Model").ObjectivesThe New Model aims to achieve several policy objectives, the most important of which are to obtain a decentralized and flexible structure, based on more autonomous and responsible top and middle management. The New Model also allows for a greater autonomy, and responsibility of the medical staff, and actively consents the introduction of incentives to increased productivity and quality.Management Structures and OrganizationPublic hospitals shall have the following structure: (i) Board of Directors; (ii) Medical Board; (iii) Auditing structure; and (iv) Advisory Board.The Board of Directors will have 4 or 5 members. The chairman, one or two executive directors and, as non executive directors, the hospital's chief medical officer and the chief nursing officer. As in a regular company, the Board of Directors will be responsible for the overall management of the hospital.The Chief Medical Officer and the Chief Nursing Officer Board form the Medical Board (also referred as Technical Management), which will be responsible for coordinating medical and nursing staff in the hospital, and to guarantee the quality of health care provided by the hospital.Under the new regulation, all hospitals will have at least one auditor, which in units with over 200 beds, must be an independent chartered accountant. In hospitals over 500 beds, an auditing department must also be set up...

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