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After two years of successive complaints and serious complaints, the Social Management and Humanization Institute (IGH) Social Organization has ceased to run the Alzir Bernardino Alves State Childrens Hospital, known as Himaba or Vila Velha Childrens Hospital, as Daily Century had previously anticipated . The announcement was made to the workers of the unit - contracted, temporary and outsourced - by the Secretary of State of Health, Nésio Fernandes, shortly after midnight on Monday (14), when the decision of the government Renato Casagrande was already in the Official Gazette, available in the first minutes of dawn on Tuesday (15).
In March of this year, the government announced that it would perform an audit of state hospitals run by Social Organizations (OSs), work done by the State Secretariat for Control and Transparency (Secont). Himaba, in Vila Velha, administered since 2017 by IGH, was the first target of inspection. Investigations found a break in at least $ 37 million in damage to public coffers, the result of mismanagement and irregularities. Accountability was also found in the inadequate form and time and contracting of services with values ??well above what allowed the contract. A public civil action by the Public Prosecution Service also runs in the 1st Court of the Vila Velha Farm to investigate the irregularities.
According to sources heard by Century Daily and related to the health area, who is also in the crosshairs and may have his contract terminated is OS Pró-Saúde, which manages the State Hospital for Urgency and Emergency (HEUE), in Forte São João, the Old St. Luke.
At the meeting with the servers, Nésio Fernandes gave an overview of the next steps to be taken after the contract termination. According to the secretary, not to stop services, another OS will be hired on an emergency basis and must take over the hospital in two weeks. Until then, there will be a public selection for hiring another organization. The contractual termination provided for the obligation of IGH Social Organization to settle its pending issues and account for the funds transferred within 120 days, returning any unused balances. Two committees have been set up to clear assets and ensure the transition of services.
The workers, Nésio Fernandes assured that all overtime will be paid and that the staff will remain with their ties with Himaba, unless they choose to transfer. Non-vacation IGH employees will also receive contract reviews. In the month of notice, the new company will call employees to discuss whether or not to enter into an employment contract. In total, there are 862 celetista employees, which added to doctors and other servers reach 1,200 broken contracts - much of it must be reused by the new OS.
Official Announcement
The Secretary of State for Health used its official website to announce the breach of contract in a note published in the first minutes of Tuesday. Through questions and answers, the government explained the reasons for the termination. “Sesas monitoring identified problems in the management of the services provided by the Social Organization, which were later confirmed by an inspection required of Internal Control. These notes were sufficient reasons to justify the termination, however, the organization itself proposed early termination of the contract, alleging economic unsustainability. the contracting of services with values ??higher than those supported by the contract, as well as the accumulation of pending with suppliers ”.
And adds: “Sesa guarantees that services will operate normally and at the same frequency. Some improvements will be implemented to improve the quality of care, correcting some problems identified in previous management. Sesa will adopt the standard rites in these cases, determining the full audit in the contract to determine any administrative responsibilities that may have caused damage to the treasury, reporting the results to the State Court of Auditors. ”
Reporting History
Since September 2017, when the Social Organization Institute for Management and Humanization (IGH) took over the administration of the Vila Velha Childrens Hospital (Himaba), a series of complaints rounds the unit.
Among the serious denunciations against OSs in these two years, the most shocking case was recorded in May 2018, when Daily Century made public, exclusively, a report with official data from the Secretary of State of Health (Sesa) revealing that, in the period From October 6 to December 22, 2017, nearly 30 newborns died in the Himaba Neonatal Intensive Care Unit (Utin). According to the International Statistical Classification of Diseases and Health-Related Problems, most of them are due to generalized infection. Documentation related to the deaths was taken by Sindhealth to the United Nations Childrens Fund (UNICEF).
Also reported during this period were lack of medicines, extinction of risk classification (sort of screening to organize care), overcrowding, patients with contagious diseases without isolation, paralysis in the care of some specialties, lack of structure, with people hospitalized in the runners; debts with suppliers and workers; hiring inexperienced and low-wage professionals, onlendings retained for presenting inconsistent accountability reports; and even problems with food rationing.
Since the creation of the state foundation, approved by the Legislative Assembly this month, OSs are expected to gradually cease to manage state public health.
Questions
Also in 2017, a court decision interrupted the hiring process of IGH to manage Himaba. Following the issuance of Public Notice 001/2017, the union and the hospitals management board filed a complaint with the State Prosecutors Office (MPES) due to irregularities committed by the OS in other states, where complaints of breach of contract are accumulated.
In Piauí, for example, the Regional Labor Court of the 22nd Region (TRT-PI) ordered the suspension of the contract between the state health department and IGH, which was responsible for the management of Justino Luz Hospital, in the municipality of Picos. The contract had been signed without the discussion and participation of the actors involved. In addition, a parliamentary commission discovered several irregularities in the contract and, along with server unions, filed a lawsuit challenging the hiring.
In 2016, IGH employees who worked at the Roberto Santos Hospital in Salvador came to a standstill for non-payment of salaries.
Another OS to give problem
A IGH não é a primeira OS a causar problemas no Estado. Desde o final de 2009, quando o Hospital Central (Vitória) passou a ser a primeira unidade estadual a ter a sua gestão terceirizada, já foram dois episódios. O primeiro no próprio Central, que precisou trocar a Pró-Saúde, que venceu a primeira licitação, mas abandonou o contrato alegando que os valores repassados eram insuficientes. Em dezembro de 2011 até os dias atuais, foi substituída pela Associação Congregação de Santa Catarina (ACSC).
O caso mais grave ocorreu com o antigo São Lucas, reinaugurado em setembro de 2014, com o nome de Hospital Estadual de Urgência e Emergência (HEUE), sendo gerido pelo Instituto Americano de Pesquisa, Medicina e Saúde Pública (IAPEMESP). Ainda em 2014, o então secretário de Saúde, Tadeu Marino, citou inconformidades encontradas nos relatórios de gestão da OS. Entre eles, valores superfaturados nos contratos de aquisição de materiais e medicamentos, ausência de assinaturas nos contratos e falta de transparência nas escalas dos funcionários. “Desde o primeiro mês do ‘novo São Lucas’, encontramos irregularidades’, disse o secretário à ocasião.
Marino also highlighted Iapemesps lack of administrative ability to open new beds. The initial promise was that by the end of 2014, the HEUE would have 175 beds, but by the end of the deadline there were only 98. State administrative intervention was required for a year to preserve public assets. In December 2015, Pró-Saúde took over the management of HEUE, despite having already declined to administer the Central Hospital. |
