Quality of health care providers can now be consulted

ansThe National Supplementary Health Agency (ANS) has released the results of the Qualification Program for Health Service Providers (Qualiss). With this, health plan beneficiaries and other interested parties can consult, in the regulator website, hospitals, clinics, laboratories and health professionals that meet important criteria related to quality of care.

Through the Image Diagnostic Accreditation Program (Padi), the Brazilian College of Radiology and Diagnostic Imaging (CBR) is one of the participating entities of Qualiss, with the role of accrediting / collaborating entity and manager of quality programs.

This is the first time ANS has provided complete information to all providers participating in the program, offering subsidies for users to choose and compare services.

With the results, it is possible to consult the establishments that have accreditation seal and patient safety nucleus, the hospitals and clinics that develop projects to encourage the improvement of health care and qualifications obtained by health professionals, among other information. Each provider category has specific qualification attributes relevant to improving care quality.

To facilitate the search, ANS has created a search system where the user can find the provider by name, by type of establishment (hospital, day hospital, clinic or Diagnostic and Therapy Support Service - SADT), state or municipality . In this first stage of dissemination of the results of the program, the search includes about 1,400 accredited establishments, that is, that have maximum quality certification issued by accrediting institutions of health services. Accreditation is a procedure for externally verifying institutional resources and processes adopted by institutions and measures the quality of care through a set of pre-established standards.

The user can also consult the providers that have Patient Safety Center registered with the National Health Surveillance Agency (Anvisa) - about 1,490 establishments; hospitals that have informed ANS of hospital readmission ratio rates and day hospitals with unplanned return to the operating room - indicators that measure the provider's progressive ability to help people recover as effectively as possible, often used as a parameter for quality of care; establishments participating in ANS projects to induce care quality (Adequate Delivery and Elderly Well Care); and health professionals with a degree (specialization, masters, doctorate or postdoctoral). In this category, information is provided from 35,110 professionals, including nurses, pharmacists, physiotherapists, speech therapists, nutritionists, doctors, dentists, psychologists and occupational therapists.

Health plan operators are required to disclose the qualifying attributes of each provider that is part of their healthcare network and should periodically update the information contained in printed and electronic materials.

Participation of providers in the Qualiss program is voluntary. The qualification criteria also serve to compose the Quality Factor, a service remuneration model used to readjust contracts between operators and providers with free negotiation between the parties, that is, when there is no index provided in the contract and after negotiation, when there is no agreement. The list of establishments subject to the application of the Quality Factor is available in the contract area between operators and providers on the ANS website.

For the execution of the program, ANS has the participation of several entities responsible for the elaboration of the criteria, data collection and consolidation and monitoring of the providers.


Source: ANS

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Written by

Thiago Braga

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