Tudo Sobre OCIs no e-SUS: O Que Todo Profissional de Saúde Precisa Saber!

Summary

In this video, Pablo, a health informatics specialist, explains how the Integrated Care Offering (OCI) within Brazil's Unified Health System (SUS) optimizes patient care by reducing unnecessary back-and-forth between consultations, tests, and specialists. He explores how the Mais Acesso Especialista program, through ESUS, enhances the referral and diagnostic process for chronic conditions. By offering integrated care packages, the program streamlines diagnosis and treatment, reducing wait times and improving the quality of care. Pablo also demonstrates how the ESUS system has been updated to support this integrated care approach, emphasizing the importance of detailed and accurate referrals.

Takeaways

• 😀 The Mais Acesso Especialista program aims to streamline the healthcare process by reducing the need for patients to move back and forth between various consultations and exams.
• 😀 OCI (Integrated Care Offer) is a new initiative in the Unified Health System (SUS) to provide comprehensive care, focusing on diagnostics and reducing inefficiencies in patient care flow.
• 😀 The program targets primary care providers by simplifying how they can refer patients for specialized care, integrating diagnostic assessments into a cohesive process.
• 😀 SIGTAP, a previous billing model based on individual procedures, is referenced as a contrast to the new Mais Acesso Especialista program, which focuses on offering comprehensive care packages instead of individual service billing.
• 😀 The eSUS update (version 5.3.25) introduced new features, such as the ability to request integrated care (OCI) directly through the electronic health records system, improving referral processes.
• 😀 Primary care professionals can now request diagnostic exams and procedures through eSUS, which include initial diagnostic assessments for conditions like breast cancer, chronic coronary syndrome, and retinopathy.
• 😀 Health professionals are encouraged to provide detailed information when making referrals, as this ensures the specialist has the necessary data for accurate diagnoses and treatment.
• 😀 The process for making a referral in eSUS involves selecting procedures and providing justifications, with fields for additional observations that help specialists assess the patient's condition comprehensively.
• 😀 Confidentiality and patient rights are emphasized, as the electronic health records system ensures that patient data is protected and used for multidisciplinary care.
• 😀 The Mais Acesso Especialista program aims to offer more timely and effective care, ensuring that patients with urgent needs receive quicker access to specialists, while others can be scheduled for follow-up as necessary.

Q & A

What is the purpose of the OCI within the More Specialist Access program?

The OCI (Integrated Care Offer) aims to offer comprehensive care to patients, eliminating the need for patients to go back and forth between different specialists and exams, thereby improving the flow of healthcare services.

How does the OCI integrate into the ESU system?

The OCI fits into the ESU system by offering an option for primary care providers to request integrated care for their patients, which helps streamline diagnosis and referral processes.

What is the significance of the 'More Specialist Access' program?

The 'More Specialist Access' program is significant because it attempts to reduce patient wait times and improve access to specialized healthcare services by offering packages for diagnosing specific diseases.

What was the previous billing model used before the OCI was introduced?

Before the OCI, a billing model focused on procedures was used, where specialists were paid for individual services provided through third-party services, as reflected in the SIGTAP tables.

How does the 'More Specialist Access' program help solve the issue of patient flow?

The program helps by offering diagnostic packages that consolidate procedures and appointments, reducing the back-and-forth of patients needing multiple referrals and examinations.

What is the role of the electronic citizen record (ESU) in the OCI process?

The ESU system facilitates the referral process by allowing healthcare professionals to request integrated care services, such as diagnostic evaluations, directly within the patient's electronic record.

What are the specific diagnostic assessments available through OCI in the ESU system?

OCI in the ESU system offers diagnostic assessments for conditions like breast cancer, chronic coronary syndrome, and retinopathy, all aimed at initial diagnosis or condition evaluation.

What should healthcare professionals include when making a referral request in the ESU?

Healthcare professionals should provide the patient's relevant clinical information, including the diagnosis code (CID) and detailed observations to ensure the specialist can address the issue effectively.

Why is it important to include detailed information in the referral process?

Detailed information is crucial because it helps the specialist better understand the patient's condition, ensuring that they can conduct a more thorough investigation and provide the most appropriate care.

How do updates in the ESU system impact the referral process?

The updates in the ESU system, such as version 5.3.25, enhance the referral process by introducing new options like the OCI, which simplifies the way integrated care is requested and coordinated within the system.