ANS will certify health plans that have actions to reduce unnecessary C-sections

THE National Supplemental Health Agency (ANS) this yr will launch a certification to acknowledge health plans that promote beginning and combating the excessive charge of unnecessary C-sections within the personal health community. The customary is predicted to be evaluated and authorised by the company’s board of administrators on the first assembly of the yr, which will be held on Monday, 16. , has already handed public dialogue.

The certification is among the outcomes of Movimento Parto Adequado, an initiative of ANS in partnership with Institute for Healthcare Improvement (IHI) of the United States and Hospital Israelita Albert Einstein. The undertaking was launched in 2015 with the intention of participating healthcare operators and hospitals in adopting fashions of care that worth regular beginning and reduce the variety of cesarean sections with out scientific indications.

Brazil has one of many highest C-section charges on this planet. In 2021, the general index is 57%. If solely births carried out within the personal community are analyzed, the cesarean part charge exceeds 80%. THE World Health Organization (WHO) believes that the sufficient charge of cesarean births is 10% to 15%.

During the eight years of Movimento Parto Adequado, 125 hospitals and 68 operators have participated in not less than one of many phases of the undertaking. According to Angelica Carvalho, Deputy Director of Sectoral Development at ANS, the concept is that the expertise gained within the undertaking will function a foundation for different operators, whether or not or not they’re concerned within the motion, so that once they search certification, they will undertake higher practices within the care of pregnant girls.

“In the undertaking, we held classes with collaborating enterprises and operators and constructed protocols. The function of the certification is for all operators to give you the chance to seek the advice of these protocols and perform their actions no matter coaching,” he says.

More than half of births in Brazil are by caesarean part. image: Reuters

She explains that searching for accreditation will be voluntary, however says she hopes firms will search the seal because it is a crucial indicator of high quality for patrons. “Companies that volunteer for certification will be inspected by accrediting our bodies approved by ANS. Adherence will earn an IDSS rating (Additional Health Outcomes Index)”, says Angelica.

According to the certification guide, operators will be evaluated on seven necessities: planning and technical structuring, use and dissemination of evidence-based practices, interactions aimed toward girls and kids, monitoring of the gestational and puerperal cycle, integration between operator and hospital, high quality monitoring and analysis and progressive value-based compensation fashions.

In every of the seven necessities, the operator will have a set of fundamental (necessary) certification components and different further and wonderful ones. According to the extent of compliance with these factors, the operator will be licensed at three ranges: fundamental (stage 3), intermediate (stage 2) and full (stage 1).

The important components have to be adopted in any respect ranges of certification. For fundamental certification, the corporate should additionally meet 20% of the excellence positions, amongst different standards. At an intermediate stage of accreditation it will be essential to attain 50% of the symptoms of excellence, and for full stage certification this proportion ought to be 80%.

Among the handfuls of things that will be scrutinized are the operator’s habits with pregnant girls attempting to plan a cesarean part with out scientific indications earlier than 39 weeks of being pregnant, offering data to sufferers about regular beginning based mostly on scientific proof, formalizing , together with hospitals, on ache administration protocols and assurance that there are hospitals in its accredited community with a minimal on-call multidisciplinary group for obstetric and neonatal care.

The certification will final for 2 years, and for its renewal operators will have to monitor three macro indicators, with targets for every of them: a 6% improve within the proportion of vaginal births and a 6% lower within the proportion of ladies in doubtlessly life-threatening circumstances and admitting infants to the NICU. If the operator doesn’t meet these targets, it will not routinely lose its certificates, however the indicators will be utilized by ANS to monitor the corporate’s efficiency.

According to Angelica, the company plans to develop the certification program in 2024 to hospitals and different suppliers of complementary health providers, reminiscent of docs and clinics. In this manner, it will be attainable to know whether or not a maternity hospital or obstetrician complies with the necessities for assessing regular beginning.

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