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HM2014
1. Guilherme Brauner Barcellos, MD, FHM
Hospitalist at Hospital Divina Providência
Las Vegas, 2014 Society of Hospital Medicine Meeting
International Hospital Medicine, Special Interest Forum
2. * Largest country in both South America and the Latin American
region;
* The world's fifth largest country, both by geographical area
and by population;
* Healthcare in Brazil is a Constitutional right. It is provided by
both private and government institutions;
* Public health care is provided to all Brazilian permanent
residents and foreigners in Brazilian territory through the
National Health Care System, known as SUS - universal and
free for everyone;
* It is still a country of disparities and some of them are
worsening…
3. * Disparities between private system and pubic system
* Disparities between private hospitals
* At the public system, some hospitals are islands of
excellence…
6. * Group of Studies and Update in Hospital Medicine
* 2005: First Website in Brazil about Hospitalists
* 2007: Brazilian Chapter of the SHM (inactivated in year 2012 to have a unique international section)
7. * Porto Alegre, Rio Grande do
Sul, Brasil
* Participation of Jamie
Newman, at that time editor of
The Hospitalist
*Mayo Clinic support
8. * Gramado, Rio Grande do Sul, Brasil
* Participation of Jamie Newman, Jeanne Huddleston (former
president of the SHM), Neil Winawer (Emory) end other Mayo
Clinic physicians
* Drove forward the first boom…
9. PASHA2010
* Florianópolis
* A multinational
initiative
* ~20 non Brazilian
speakers
* Drew the attention of the mainstream media -
article entitled “The hospitalists are coming” was
published in Folha de São Paulo, the largest
newspaper by daily circulation in Brazil.
10.
11.
12.
13. * Porto Alegre
* Participation of Ricardo
Quinonez and Geeta
Singhal, Texas Children's
Hospital
14. * First meeting in Brazil on how to promote effective
transitions of care at hospital discharge as a
multispecialty initiative:
* Hospitalists representatives
* Brazilian Society of Medicine of Family and
Community (SBMFC)
* Brazilian Association for Emergency Medicine
(ABRAMEDE)
* Participation of Sunil Kripalani, Vanderbilt University
18. * Hospital Divina Providência
* Porto Alegre
* 165 beds
* Two full-time hospitalists
* Two part-time hospitalists
10-hour coverage
Monday to Friday
continuity by the same doctor
Continuity by the
team of hospitalists = 100%
To grow, will we need to
hire physicians only to solve
the weekend problem?
Lots of Challenges!!!
19. * 2014
*August: hospitalist conference together with the traditional
meeting “Safety” in Rio de Janeiro
*November: the first north-northeast hospitalist meeting in
Terezina, Piauí (to fill the gap!!!)
* 2015
*Meeting in Curitiba, Paraná
* Workshop “Best Practices in Managing a Hospital Medicine
Program”, for administrators and physicians leaders, with
NelsonFlores, Hospital Medicine Consultants