Dos Santos, Alaneir; Ferreira, Janete; Batista, María P.; Lages, Nayara de Sousa. Criando um sistema de informação estratégico - a experiência do projeto de avaliação de desempenho. [Creating a strategic information system - the experience of the performance evaluation project.] In: Campos, Cezar R.; Malta, Deborah C.; Teixeira dos Reis, Afonso; Dos Santos, Alaneir; Merhy, Emerson E. Sistema Único de Saúde em Belo Horizonte. Reescrevendo o Público. [The Single Health System in Belo Horizonte. Rewriting the public.] São Paulo: Xamá Editora, 1998. p. 201-220.

Objectives: Analyze the experience of creating a strategic healthcare information system and a project for the performance evaluation of healthcare personnel in Belo Horizonte , Brazil .

Methodology: Descriptive and analytical.

Results: The strategic utilization of information serves as a powerful and indispensable instrument in working toward the attainment of goals. The construction of indicators was carried out beginning with aid projects designated as priorities by the Secretary of Health of Belo Horizonte. Strategic outcome indicators were created to evaluate the following projects: infant malnutrition, infant mortality, “acceptance” (meeting the public and resolving complaints), diabetes mellitus, and hypertension.

Technical teams from the Department of Health elaborated the indicators and analyzed the most appropriate types of instruments for gathering and processing the needed data. The goals to be met and the indicators for measuring outcomes, elaborated previously by the Department of Health teams, were also analyzed by teams from the healthcare services, by the public (via district councils), and by the directors of the services.

The introduction of the performance evaluation project was carried out in order to modify substantially public sector management practices. The idea of outcomes assessment was introduced, through pre-established goals and objectives that would be measured at periodic intervals. A central element was the creation of co-responsibility and mutual commitment between workers and supervisors, in order to fulfill the goal of improving the health of the population and of making the system more public and transparent. Project evaluation committees were also created, composed of workers, management, and members of the public.

Conclusions: The process of creating a strategic information system enabled the participation of all sectors involved, directors and technical experts from the Department of Health, workers from the healthcare services (all levels), and the population at large. Through the process the researchers observed that the work teams from the healthcare services were taking ownership of their efforts, gaining a fuller understanding of the system, and together creating strategies for fulfilling goals. Workers took on a greater responsibility for their activities, and strengthening ties between aid-giving agencies and the general population.

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