Melhoria de processos na gestão de recursos públicos: : uma aplicação de conceitos do lean office no Hospital Militar de Área de Manaus

Abstract

The management of public resources for health is an intriguing and engaging subject, which requires increasingly skilled managers and updated as to the relevant laws and procedures. loaded bureaucratic processes and historical bottlenecks permeate the budgetary and financial plays in organizations that manage public resources in health. The issue involves questioning whether the flow of budget execution processes of these resources have restrictions and steps that can be wiped away. The main objective was to map the value stream of the most significant processes of flow in the Administrative Division of the Military Hospital in Manaus area, presenting alternatives to identify bottlenecks and enxugassem obsolete processes. Therefore, from the background in literature, it was performed field work, using the research methodology applied, and the data were made available through computerized systems. The analysis was backed by the information of the historical evolution of budget execution in the years 2011-2013, where we got the average quantity of documents made in the Financial Management System of the Federal Government (SIAFI). In the background, it performed the measurement of time spent on the order with the documents that generate financial rights. Finally, the flow of information and documents were analyzed, in order to reduce the lead time of the macro process of budget execution of expenditure processes with Health Civil Organizations (OCS) and providers of Autonomous Service (PSA). With the analysis of the collected data of the analyzed system restrictions were diagnosed, and through the implementation of lean thinking has been reduced the total lead time of the OCS payment macroprocess 50% (fifty percent); the process of signatures of commitment notes was wiped 80%; as a result of the downsizing of the process were also reduced by almost 75% in the amount of paper; and there was naturally an improvement in transparency of fiscal management, with progress in the evaluation of medical bills 'insufficient' to 'very good', and as a new product, was presenting a new flow based on the application of mentality Lean Office, influencing, including the image of the institution to its customers and to society. From reducing the waiting time between the commitment of expenditure and the actual payment, new OCS and PSA can be motivated to engage or re-engage with the Brazilian Army.