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Guilherme Brauner Barcellos, MD, FHM
Hospitalist at Hospital Divina Providência
Las Vegas, 2014 Society of Hospital Medicine Meeting
International Hospital Medicine, Special Interest Forum
* 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…
* Disparities between private system and pubic system
* Disparities between private hospitals
* At the public system, some hospitals are islands of
excellence…
200
4
200
7
200
8
201
0
201
1
201
2
GEAMH -
when
everything
started
First
meeting
in Brazil
about
HM
National
Meeting
PASHA First
meeting
in Brazil
about
Pediatri
c HM
Transition
Care
Conference
* 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)
* Porto Alegre, Rio Grande do
Sul, Brasil
* Participation of Jamie
Newman, at that time editor of
The Hospitalist
*Mayo Clinic support
* 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…
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.
* Porto Alegre
* Participation of Ricardo
Quinonez and Geeta
Singhal, Texas Children's
Hospital
* 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
Electronic collection of almost all the presentations
More
developed
ones
Less developed
ones or, at least,
less well know
 quality (in average):
Access problems
Bad infrastructure
…
Better quality
Hospitalists
* 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!!!
* 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
And you are invited to visit us!

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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…
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  • 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.
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  • 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
  • 15. Electronic collection of almost all the presentations
  • 16. More developed ones Less developed ones or, at least, less well know  quality (in average): Access problems Bad infrastructure … Better quality Hospitalists
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  • 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
  • 20. And you are invited to visit us!