Mission

Provide differentiated, adequate and timely health care, ensuring high standards of technical-scientific performance, effective and efficient management of resources, humanization and promoting the professional development of its employees.

Goals

Contribute to obtaining health gains in conjunction with primary health care and the social and private sector; Guarantee the humanization of care and the rights of users; Improve access to and the adequacy of the service offer; Improve technical and economic efficiency; Improve the quality of care and the organization of services; Valuing human capital.

The hospital

O Hospital do Espírito Santo de Évora, EPE (HESE) é a maior e principal unidade hospitalar do território alentejano, aquela que oferece maior diferenciação e que, para além de receber os utentes do Alentejo Central (155.000 habitantes), trata cada vez mais doentes provenientes do Alto Alentejo, Baixo Alentejo e Alentejo Litoral (319.000 habitantes), num total de 473.235 habitantes (estimativa INE, 2017).

Com a transformação em Entidade Empresarial (ano 2006), o Hospital do Espírito Santo de Évora passou por uma profunda transformação ao nível das instalações físicas, da organização interna e da diferenciação das suas valências, aumentando a oferta de cuidados mais diferenciados à população e suprimindo algumas das carências existentes na região.

HESE, in addition to the good performance recorded in the Benchmarking analyzes prepared periodically by ACSS (where we highlight the excellent behavior in terms of average hospital stay and average preoperative delay), also shows reference activity values, despite all the constraints that you face and that will be described throughout this document. Otherwise let’s see:

In 2018, there was a significant improvement in most of the HESE production lines. The number of patients discharged from hospital increased by 291 between 2018 and 2019.
With regard to the number of Surgical Interventions, the growing trend has continued over the years, in such a way that in 2018 almost twice as many interventions were performed in 2008 and 24.8% more than in 2017 (16,290 surgical interventions) , in 2018). Despite the difficulties experienced in terms of human resources in the operating room, with the effort of HESE professionals, we were able to overcome the activity carried out in 2017.
The External Consultations production line had great development at HESE, significantly increasing assistance activity (158,642 consultations in 2008 to 207,391 in 2018, + 30.7%, corresponding to +48,749 consultations).
In 2008, the Emergency Department had an influx of approximately 77,500 patients / year. In 2018, affluence levels exceeded 74,000 emergency episodes, a slight increase compared to 2017 (1.2%).
Regarding the production in Hospital de Dia, in 2018 there was a substantially higher activity than in 2017 (64.67%).
At the level of the MCDT’s, HESE, in the total of the different areas, performed about 3 million procedures looking abroad only for those whose technical or human resources impossibilities required it.

All this activity is only possible with a team of extremely dedicated professionals who have transformed all difficulties into motivation to better respond to the needs of their users.

Influence area

The area of influence covered by HESE and its population have very particular characteristics. The Alentejo corresponds to about 30% of the territorial area of Portugal, representing only about 5% of the total population. The population density is considerably lower, the area is more than double and the aging rate considerably higher than that of the other hospitals in the group.

The combination of all these characteristics of the target population, which are atypical when compared to the average of the other institutions in the group, creates constraints and difficulties for the management of its resources that do not exist in other institutions.

HESE – Regional Response Institution

HESE already stands out as a reference in Alentejo for the most differentiated areas, namely:

HESE has a Multipurpose Emergency Service, the only one in the entire Alentejo Region.
The Nephrology Service is the only one in the Region. His experience in peritoneal dialysis puts him at the national level. It has the only emergency coverage in the Region.
The Gastroenterology Service also has a daily emergency service, serving the entire area of ARS Alentejo (ARSA), providing diagnostic and therapeutic tests, also collaborating with ARSA in various screenings.
The Cardiology Service is the only service in the Region that has a Cardiac Intensive Care Unit. It also has two rooms (opening of the second room for May 2019) in the Digital Angiography and Intervention Cardiology Unit with 24-hour coverage, allowing the performance of angioplasties, catheterizations, insertion / revision of pacemakers and cardiac devices.
The Pulmonology Service guarantees the performance of differentiated exams, namely bronchoscopies and thoracoscopy, corresponding to techniques that are only available, in their entirety, at HESE, for the entire Region.
Neurology has a stroke unit, the only one operating in this way in the Region.
The HESE Dermatology Service is also the only one in the Region, with strong activity in the field of telemedicine.
In the surgical area, there are also specialties in which HESE works as a Central Hospital for the entire Region. This is true in Plastic Surgery, Vascular Surgery, Pediatric Surgery and Bariatric Surgery.
The HESE Oncology Service supervises the treatment of all users in the region, through protocols prepared with the other units, with their medical professionals traveling to these units.
The Hematology specialty exists only at HESE, serving the entire Region of Central Alentejo, Alto Alentejo and Litoral.
HESE has the only Radiotherapy unit in the Region, ensuring the needs for this type of treatment to all hospitals in its area of influence.
In the maternal and child area, HESE has an Obstetrics Service with a reputation recognized by the college of the specialty of the Order of Doctors, which guarantees differentiated perinatal support to the entire Region, with a Neonatal Intensive Care Unit.
The Pathological Anatomy Service is the only type II service in the Region, serving all hospitals in the area and primary health care.
The Clinical Pathology Service has been working in partnership with ARSA since 2007, an innovative way to collect blood in six Health Centers in the District of Évora, reducing expenses for this Regional Health Administration, in transportation and with the agreed units.
Since June 2009, the Imaging Service has been equipped with Magnetic Resonance Imaging equipment and an Angio TAC, unique in the Alentejo Region for public services.
The Department of Psychiatry and Mental Health has internment of acute and chronic patients in the Alentejo Region. There is also a strong commitment to the outpatient clinic, in order to provide proximity care and adjust the work developed to existing needs.
The Immunohemotherapy Service ensures collections, blood treatment and transfusion support for all institutions in the Region.

Hospital do Espírito Santo, EPE