Fragmentation and interoperability: lessons from Pix and Open Finance
Day two started from a concrete problem: system fragmentation limits patient participation in decisions and requires integrating information and steps along the patient journey. To discuss how to move beyond talk, the congress brought in experiences from other sectors. The "Learning from other sectors" panel used Pix and Open Finance as an example of interoperability that became reality, with executives from a payer, a hospital, cloud technology and the healthcare CIO association.
"Interoperability may be the great enabler of alternative payment models."
— Renato Cassarotti, VP of Institutional Relations at Grupo Amil
Aging: training for the century ahead
Population aging came up across several stages. Physician-gerontologist Alexandre Kalache went straight to the mismatch between professional training and demographics:
"We're bailing water. We're training professionals for the last century, while the only population group that keeps growing is the 60+."
— Alexandre Kalache, co-director of the Age-Friendly Institute
Mental health and caregivers
The rise in sick leave for mental disorders brought the debate inside hospitals themselves, including psychosocial risks in the workplace. On the People, Work and Leadership stage, the discussion was about why caring for people has become a business strategy.
"Only 2% of health investment worldwide goes to mental health."
— Maria Souza, coordinator of the People and ESG Committee at Grupo Cruzeiro do Sul
"From now on, all of us will need to be, to some extent, technology professionals."
— Michelle Schneider, futurist and author of "O Profissional do Futuro"
Climate and pandemics beyond care delivery
Climate change and the risk of new pandemics also made the agenda, with a session on how the sector can reduce its impact and prepare for climate events. The day's message: problems need to be tackled at the source, not just in their consequences.
Short-term KPIs, long-term results
"Unfortunately, we measure health with short-term KPIs and try to achieve long-term results."
— Eduardo Spinussi, CEO of Fundação Zerrener
Conahp Territories: the patient journey in practice
In the Pavilion of the Future, the Conahp Territories invited participants to walk through patient journeys and see how each decision changes the course of care, in three journeys: care coordination, sustainable access to technology and public-private integration.
What this means for hospital management
Spinussi's line also applies to the revenue cycle: measuring only the current month hides denial and collection-period trends that build over the year; see the Revenue cycle KPIs guide. The interoperability championed on stage already partly exists in private healthcare, in the TISS standard, but it doesn't yet translate into clinical and financial data flowing between hospital and payer; see Hospital billing. And, as Michelle Schneider noted, technology is becoming part of everyone's job, including billing specialists and auditors; see AI in hospital billing.