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Victor Raúl Castillo has been at the helm of the company for almost 30 years health More than enough time to recognize that the model of care in the country has a lot of difficulties and needs to be transformed.Although he knows that the EPS need to provide a full service, he is convinced that the search for the Profit generation is what makes these entities ineffective.
Therefore, it suggests a transformation of the missionary purpose of the same: "We must create competition for quality in service and not for the sake of quality." "And we must add that health can only be understood as a focus, but that promotion and prevention is a fundamental part of it." For Castillo, to the extent that health is treatment of a m aladie are much lower, which makes the system more efficient.
The president of the FCV comments that while in other parts of the country the satisfaction of the user of health services is 70%, in Santander it is only around 50%.
From this indignation for the poor service delivery, was born the Fundación SaludMía EPS, a non-profit health entity and 100% Santander. This independent initiative is linked to the Cardiovascular Foundation. In addition to the proximity of users and the infrastructure of the FCV complex that it will have, this new proposal aims to eliminate authorizations and delays in the provision of services. "The promise is to achieve" zero guardianship "for the services of the mandatory health plan," he says.
QUESTIONS AND ANSWERS
Is Bucaramanga still an international medical reference?
More and more. For example, the FCV, especially the Cardiovascular Institute and now the Colombian International Hospital, HIC, in the cardiovascular field, are among the most important institutions in Latin America. Whenever we have greater recognition and now the HIC begins to take prestige in cancer, the central nervous system, in different pathologies. FCV is known for the cardiovascular field in Latin America, not only for accreditations and awards, but also for its scientific and technological development. Today, the hospital places the largest number of artificial hearts in Latin America, with the best results, above the average results of the United States. Our specialists travel around the world teaching in other countries. In heart support, ventricular supports, we are at the center of the largest number of procedures. Even 15 days ago, we received the Gold Center Excellence Center certification; there are only 11 hospitals in the world with such recognition in cardiac care and echo. In Latin America, there is one in Chile and Colombia. The others are in Europe and the United States.
What have been the most significant technological advances in health in the department?
Since the first heart surgery we performed in Bucaramanga in 1990 in the FCV, we have had a vertiginous development. We went from a modest institution to a very important development for the region at the time, a heart surgery, with great limitations in infrastructure, equipment, but with a large human team, which was the more valuable of the foundation. In conbad surgeries, we are undoubtedly the ones who are doing best in Latin America.
The HIC is one of the most modern in the country, has the equipment of a high-tech hospital, we have a sophisticated diagnostic imaging equipment, we will have close to 200 intensive care units, burns, kidneys, hematology of the highest quality, in general, we have all the infrastructure to provide our users with the best quality services and technical care.
What do you consider to be the most serious defects in the Colombian health system?
The model of the Colombian health system is exactly the same as that of the Netherlands, a system of solidarity; it works perfectly. The problem here is that we have not been able to work with the transparency and diligence needed to provide the best service to Colombians.
So, what should be transformed? How?
The health system must be transformed and this change must be based on the quality of health services. The first part of the transformation consists of paying the debts; the second is to work to ensure that EPSs that do not have a solvency margin are liquidated and how debts are to be paid, these amounts are paid and no further damage is caused, so most EPS need to disappear, because they are EPS they have caused more damage to the country than the solution.
And what is the problem of EPS? Why do not they work?
In general, by clarifying that there are good EPS, the first problem is the vision, which is to produce money and not give health to Colombians; when an EPS aims to produce money, automatically, with a volume of so little money, they must restrict the quality, services, because their purpose is the utility. One of the serious mistakes that the superintendence has to the extent is that it measures earnings per share for profits, whereas it should be the quality of service and the blanket.
How much do the EPS have to FCV? How does the service affect?
The VCF owes $ 180 billion. It affects us a lot because it hurts liquidity and all the difficulties we have for that. We hope that these debts will be paid. Now, the important thing is that the debt that is going to be paid does not accumulate anymore. The EPS that owe us the most are: COOMEVA, New EPS, Coosalud, Share, Asmet Salud, even the debts of the liquidated ones like SaludCoop or Cafesalud, and the territorial entities, for example, Santa Marta is a very important debt, as well as some departments. In general, it is the subsidized PES that owe us the most. We had to put in very strong conditions to continue serving these users because we can not continue to accumulate losses.
How do you think Venezuelan health care should be approached?
This is a very difficult subject because it is a state solution. Venezuelans who are legalized and enter the health system through an EPS have no problem. The big gap in the health system is with those who are undocumented, since no one answers for them. The Ministry of Health has issued a circular to provide them with emergency care in public hospitals. In fact, many hospitals already have many economic difficulties because no one is compensating them.
A Venezuelan diaspora comes from young people who want to work, so the Colombian state with other nations must take a very big responsibility on what we are going to do with this social capital that happens, on how to integrate them into society. Instead of seeing this as a problem, see them as an opportunity for Colombia to continue to grow. The problem for the moment is that, as they are not legalized, they do not contribute to the system, by the time they are linked to the workload, they will be able to contribute and there will be no problem. For the country, it's more an opportunity than a burden.
How do you consider the performance of EPS in the region?
Failure to have a PSE in the region, engaged in the area, does not generate competition for quality in the area. If we look at the latest report of the council of private competitiveness of cities, Bucaramanga and the region occupy the 15th position in health. Even though we have very good institutions, we have a poor service, which is in the lowest part of the health system in Colombia.
How could it be improved?
For the competition. Today, competition is not about quality, but about other factors. Since only one of the institutions in the region provides quality-based service, those who want to stay in the market will have to improve. With the Fundación SaludMía EPS, which is an independent initiative but is promoted by the FCV, we bet on the improvement of the health service in the region. Do this by competition, improve quality.
How will the EPS Fundación SaludMía model be?
Fundación SaludMía EPS, promoted by the FVC, will work within the health ecosystem, but has a completely independent corporate governance. It is the only EPS foundation in the country. This was a great discussion that we made during the meeting and, basically, it is summarized in that it is an institution that will not be profit-making, it's not going to pursue the profits from the EPS, like the others.
The first year, we expect to have 120,000 users. Initially, it will be located in the city of Bucaramanga and in its region, but it will expand in eastern Colombia. It's a strictly local and regional EPS, that's our commitment in the region. He was born of the indignation of the Foundation Group at the mismanagement that the EPS gave to the health of the Santander people.
Finally, in which direction does the FVC advance?
The FVC, along with the HIC and the Cardiovascular Institute, want to consolidate themselves as the best hospitals in Latin America, and in the health ecosystem that includes FCV, the University Foundation, the Blue Mountains Foundation and now, the health ecosystem, the SaludMía EPS Foundation will participate. With these foundations that are for the care of life, we seek to strengthen the process of training specialists to continue to improve in the region.
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