Users can now check their position on the waiting lists through SNS24 or the mobile app.
A enrollment of users to first specialty and surgery consultation it must be necessarily registered electronically, ensuring priority and compliance with deadlines, according to the ordinance that regulates the National System for Access to Consultation and Surgery (SINACC).
The ordinance published today in , which comes into force on Wednesday, regulates the operational procedures for managing waiting lists in the National Health Service, within the scope of SINACC, which replaced the Integrated Surgery Registration Management System (SIGIC).
Prepared on a proposal from the SUS Executive Board (DE-SUS), the ordinance aims to ensure that “access to hospital specialty consultations, surgeries and therapeutic procedures is carried out in accordance with clinical priority criteria and within the legally established Maximum Response Times (TMRG).
The diploma establishes an information system that supports SINACC, called SI-SINACC, to manage access to first hospital consultations, scheduled surgeries and therapeutic procedures throughout the SNS.
According to the ordinance, referral for the first hospital specialty consultation must be carried out electronically, through SI-SINACC, Duplication of referral requests for the same user, with the same valence and main diagnosis, in more than one provider entity is not permitted.
Regarding the user’s registration on the list for First Hospital Specialty Consultation (LPCH), the diploma establishes that it must be carried out after validation of the clinical referral, within the maximum period of the applicable TMRG depending on the clinical priority assigned, and must also be registered in the SI-SINACC.
Registration on the Surgery Registration List (LIC) must also be carried out after validation of the surgical proposal by the responsible physician, when the user is available and clinically fit for the intervention.
“The ordering of users in the list of subscribers is carried out according to the assigned clinical priority and, in case of equality, by the date of registration, the oldest application prevailing”, highlights the ordinance, adding that defining the clinical priority is the responsibility of the proposing doctor.
The ordinance highlights that “all scheduling operations are communicated to the user, preferably electronically, and are recorded in the computerized system for monitoring and auditing purposes”.
“As fouls for reasons that are not justified or that exceed the legally established limits, determine the cancellation of the user’s registration from the list of subscribers”, he adds.
To avoid the failure to meet deadlines, An outsourcing mechanism is provided for in the ordinance, allowing users to be referred to other units with available capacity, upon consent.
Users now have the power check your position on the waiting lists through SNS24 or the mobile appbut they are also required to keep contacts updated, attend scheduled events and justify absences.
Monitoring the SINACC is the responsibility of DE-SUS, based on the SI-SINACC indicators, and in situations of deviations or default, the Executive Board must establish, together with the operators, the adoption of the necessary measures to regularize the detected situations.
DE-SNS will have to present reports to the Minister of Health on the status of the lists of registrants for consultations, surgeries and therapeutic procedures, as well as the measures adopted or to be adopted to improve SINACC’s strategic objectives.
