BackgroundAdministrative Director, one of the five main departments in the Instituto Nacional de Rehabilitación
PhD in Administration
Experience: 40 years in governmental ministries; 30 years teaching; 15 years in administration; 15 years in health services
Health, as a Constitutional Right
• Healthcare System Structure◊ Private◊ Public
I. Primary attention (149 units)II. Non Specialized Hospitals (351)III. Specialized Hospital of Reference (79)IV. National Institutes of Health (13)
Health, as a Constitutional Right
• Healthcare System Structure◊ Private◊ Public
I. Primary health centers (12,253)II. Non-specialized Hospitals (351)III. Specialized Reference Hospitals (79)
IV. National Institutes of Health (13)
Instituto Nacional de Rehabilitación High Level Metrics
• Beds (157)• Operating rooms (10)• Examination rooms
out-patient clinic (20)• Intensive Care Unit
beds (8)• Emergency room
beds (8)
• Imaging and Clinical Lab◊ X ray rooms (5)◊ X ray mobile units (7)◊ 64 slice CT Scan (1)◊ Magnetic Resonance (1)◊ Ultrasonography (1)◊ BMD (1)◊ Clinical analysis
Laboratories
Specialized human resources• Orthopedic surgeons: 71• Other physicians:
◊ Physiatrists: 58◊ Anesthesiologists: 39◊ Intensive Care Specialists:13◊ Nurses: 457◊ PT & OT: 142◊ Paramedics:44
Unique TechnologyUnique TechnologyMotion Analysis, Robotic gait training, Acuatherapy, ImagingMotion Analysis, Robotic gait training, Acuatherapy, Imaging
Financial performance2010
90,7 MD
◊ Government resources: 84,2 MD
◊ Self generated resources: 5,6 MD
◊ Governmental support for research: 5 MD
Teaching and Research Efforts
• Residents (136)
• Subspecialty Fellowship programs (12)
• Master´s degree courses (2)
• Scientific PhD course (1)
• Investigators (53)
• Publications 2009 (81)
Subspecialty Fellowship programsSubspecialty Fellowship programs
• Hip and knee Replacement• Shoulder and elbow
Replacement• Orthopedic Sports Surgery
and Arthroscopy• Spine surgery• Hand surgery and
microsurgery• Pediatric Orthopedics
• Orthopedic Oncologic• Neuromuscular deformities
and foot and ankle surgery • Orthopedic rehabilitation• Occupational rehabilitation• Pediatric rehabilitation• Regional Anesthesia
Strategic Plan• Development and Strengthening of:
– Joint replacements
– Chondrocyte and cell implantation
– Regenerative Medicine
– Hand Transplantation
– Intervertebral disk Replacement
– Osteosynthesis
– Bioengineering
– Increase number of orthopedic research protocols
– Increase orthopedics specialty training