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Disclosure CTI
The Ministry of Health has warned that it may halt about$ 1.4 million that is invested to generate advances in a brazilian technology support to complex surgeries of reconstruction maxillofacial to patients who are victims of accidents, cancer and other degenerative diseases. Released in march, the value is the first part of a total of R$ 1.9 million already approved in December, and is stopped in the CTI (Information Technology Center Renato Archer), in Campinas.
after almost 16 years since its inception in the CTI, the ProMED (Program of 3D Technologies in Medicine) provides for the internet for teams of hospitals software already provided support to more than 4.3 thousand surgeries. the The biomodelos generated three dimensional are exact replicas of human body parts.
Used in the support to the medical teams, the pictures give greater safety and efficiency and reduce the time of surgery, the risk of complications in the postoperative period and also the costs of the SUS (Single Health System) and the Pension plan.
The ProMED began to receive funds from the Ministry of Health in 2009. The total value of approved in December of about R$ 1.9 million for the CTI has a period of application until January 2017.
The Ministry of Health warns
The delay in the implementation of the program was reported for the first time on 8 August by the blog Straight from the Science. On the 26th of the same month, the Department of Industrial Complex and Innovation of the Ministry of Health has sent e-mail to the coordination of ProMED. The message asked for a forecast for the use of $ 1.457.826,23 already credited, whose financial record indicated 0% execution. And he warned that the non-use would entail the loss of the resource.
In a note, the Ministry of Health reported that monitors the implementation of the projects in which it participates in the financing and that the warning to the CTI “is a good management practice and the monitoring is periodically executed.” And added that “in cases where the budget is decentralised to a federal body, the non-execution within the period of the fiscal year results in the return of the resource to the source”.
what is CTI?
Also note, the physicist Victor Pellegrini Mammana, director of CTI since may 2011, said he is waiting for the findings of an inquiry instituted by it for the purpose of ascertaining the reasons for the delay in the implementation of ProMED.
In fact, the research that Mammana referred to is a second inquiry, which he lodged on 20 September. Instituted by the director on July 21, and about to exceed the term statutory maximum of 30 days extendable for the same period, counting the previous failed to point out the possible causes of the delay in ProMED.
According to the ordinance of the establishment of the new research, the final report of the first inquiry stated that the commission charged with “not obtained sufficient evidence to support a conclusion concerning the facts under analysis”. The new commission is formed by the same members of the previous one.
Change of rules would have caused delay
One of the possible causes of the delay in the ProMED has been appointed to the commission in the first inquiry by the engineer Jorge Vicente Lopes da Silva, chief researcher of the Laboratory of Technologies of three-Dimensional of the CTI and the creator and coordinator of the program supported by the Ministry of Health.
The report also found that the coordinator, ProMED has provided the commission with averiguadora documents and data that suggest that the delay in the program would be due to new internal rules of the board, established in February by the director of the CTI. Sought, Lopes da Silva responded by e-mail that you prefer not to comment on the issue saying that he did not have authorization to speak with the press.
By means of two ministerial orders published in February, the governing body has prohibited the procurement of the technical services envisaged in the research project approved in the last year by the Ministry of Health. To fulfill this purpose, the new rules provide for the release of technicians from the own body. However, according to the project, one of the main reasons for the financial support of Health is the need to hire the services own CTI can provide.
Investigation-under suspicion
To become known in the CTI at the beginning of August by means of an internal bulletin, the inquiry instituted by the director on 21 July was poorly received internally by many servers of the organ, as found in the story. One of the main reasons for the dislike was the fact that the officer initiated the investigation in time to have her asked to your superiors.
“He [the director of the CTI] should have considered himself prevented to download the ordinance of the inquiry, and [should] have recommended the Kassab to do it,” he said in August a person who works in the CTI, referring to Gilberto Kassab (PSD-SP), holder of the Ministry of Science, Technology, Innovations and Communication (MCTIC), which is bound to the center in Campinas.
Another cause of complaint was the composition of the commission averiguadora. The group is comprised of servers not stable, which is forbidden by the federal legislation for investigations, disciplinary and punitive. However, this obligation does not reach the investigative procedures preliminary, as is the case of the two findings in the CTI, both for the complete as the later.
Although the composition of the inquiry not be illegal, it has not removed the suspicion that the group would not have conditions to determine the possible responsibility of the director of the CTI in delay of ProMED. The reason is that two of the three members are in positions commissioned, and may be dismissed at the discretion of the proper officer, and the third is in a probationary period.
Explanation of the director
In his note, the director of the CTI did not comment on the question about he would not have proposed the investigation to his superiors. In response, the leader also defended the formation of the commission averiguadora. “There are no judgments or application of punishment. Perhaps you are confusing ‘inquiry research’ with ‘disciplinary administrative procedure”, being that this last one is not in progress,” said Mammana.
About the rules instituted in February for the execution of the program, the director of the CTI stated that he(…) a team of numerous servers, of a multidisciplinary nature, with recognized technical knowledge in subjects relevant to the activities transferred by the Ministry of Health. Were also released numerous research grants, which allow to aggregate the contribution of several other professionals. Therefore, there has been availability of financial resources, technical infrastructure, competent team and the unconditional support of the direction of the CTI”.
what the government says
In a note, MCTIC stated that follows the investigations of an inquiry opened by the director of the CTI and waits for the final report. Despite having already been presented by the commission a report of the first investigation and have been brought a second inquiry, the note of the ministry erroneously states that “waits for the final report that should be ready within a month, since there was an extension of the deadline”.
The ministry has not come to terms about the fact the investigation has not been instituted by the folder itself, so as to avoid conflict of interest the director of the CTI during the investigation and in the assessment of the final report. The note stated that “the establishment of the inquiry was an act established by Ordinance as required to the directors of the institutions when there are doubts about the fairness of the processes”.
Neither the CTI Renato Archer or MCTIC who contributed to the report copy of the report of the first inquiry, which was prompted by the report.
* Mauritius Tuffani is editor of the blog Straight from the Science
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