Introducing the Brazilian healthcare system


Tuesday 10 September


Session description:

This session is a unique journey of discussion and discovery about the Brazilian health system and its relevance to international health strategies, to add value and perspectives for IHF members and partners. The presentations will focus on the importance of the global discussion on health systems and will provide a brief introduction to the history of health in Brazil, from the pre-SUS era to the current scenario. Topics will include:

  • Current overview of the Brazilian healthcare system, covering data, health indicators, and highlighting regional and socioeconomic diversity.
  • Global challenges and local solutions, with an analysis of the peculiarities of the Brazilian system and strategies to overcome them, considering cultural and social diversity, as well as promoting research and innovation with global application.
  • The Brazilian approach to quality, accreditation and patient safety, highlighting the need for structural reforms and investments, and calling for international cooperation to share knowledge and resources.
  • Successful cases and experiences in Brazil, emphasizing the importance of global dissemination of good practices, lessons learned and adaptations to different realities, and showing examples of sustainable actions.

Chair: Dr Adelvânio Francisco Morato, President, Brazilian Hospitals Federation (FBH), Brazil


Tuesday 10 September


Chair and Speakers

Dr Adelvânio Francisco Morato

President, Brazilian Hospitals Federation (FBH), Brazil

Dr Morato is in his third term at the head of the Association of Hospitals of the State of Goiás, Brazil. Alongside this role, he is also President of the Brazilian Hospital Federation (FBH), which represents more than four thousand health establishments in Brazil.

Dr Morato trained as a urologist surgeon. He later became the General Secretary of the Medical Association of the State of Goiás and is a member of the Union of Hospitals of the State of Goiás and one of the partners of the Instituto do Rim de Goiânia.

Dr Morato became a member of the IHF Governing Council in November 2020. He is also a member of the IHF Executive Committee since January 2023.

Dr Graccho Alvim Neto

VP, Associação de Hospitais do Estado do Rio de Janeiro, Brazil

Dr Graccho Alvim Neto works internationally to discover best practices that can be implemented in his native Brazil. As a founding member of STEMS (Society of Tourism Medicinal), this has led him to explore first hand and learn from structural operations in Thailand, Dubai, and Costa Rica while expanding his training in rare diseases in the USA at University of California Los Angeles.

Since 1988, he has directed several private hospitals in Rio de Janeiro and he has been the Vice President of AHERJ (Associação Brasileira de Hospitais do Rio de Janeiro) for the past 15 years. Dr Graccho consults regularly with insurance companies to develop optimal home care programs while directing two infusion clinics treating rare diseases.

As the face of Brazilian hospitals during the COVID-19 pandemic, his appearances on the national news led to a recently launched series of public health shows bringing greater awareness to the general public.

Mr Marco Saavedra Bravo

Continuous Improvement Manager, Hospital Sírio-Libanês, Brazil

Marco is an Industrial Engineer and has a Postgraduate in Operations Management from the Valparaíso University in Chile, and an MBA in Health Management from the University of São Paulo in Brazil. He is a Black Belt in Lean Six Sigma and an Alumni of the Caribbean Climate and Health Responder Programme of the Pan-American Health Organization (PAHO) and the Columbia Mailman School of Public Health. He is also an Ambassador for the Young Executive Leaders (YEL) Programme 2024 of the International Hospital Federation (IHF) and a Fellow of the Brazilian Hospital Federation (FBH) and the Brazilian College of Healthcare Executives (CBEXs).

Marco’s expertise in continuous improvement and lean practices has led to significant improvements in operational efficiency and patient care at Hospital Sirio-Libanês. He is passionate as well about promoting sustainability in healthcare, recognizing the importance of reducing waste, and implementing environmentally friendly practices. He is just finishing the second edition of the “Caribbean Climate and Health Responder” Programme from PAHO and the Columbia Mailman School of Public Health.

In his role as a Faculty Member at the Fundação Dom Cabral and the Geneva Sustainability Centre, Marco shares his knowledge and experience with future healthcare leaders – inspiring them to drive positive change in their organizations. His dedication to spreading the Kaizen culture and Lean Thinking principles will undoubtedly have a lasting impact on the healthcare industry in Latin America.

Overall, Marco Saavedra Bravo’s commitment to continuous improvement, sustainability, and excellence in healthcare management make him a valuable asset to the healthcare industry. His innovative approach and dedication to driving positive and sustainable changes are truly commendable.

Ms Gilvane Lolato

Operational Manager, Organização Nacional de Acreditação (ONA), Brazil

Gilvane Lolato graduated in Business Administration from UGF-RJ, with an MBA in Health Management and Infection Control from INESP-SP. She is also Specialist in Quality and Patient Safety from Universidade Nova de Lisboa, Portugal. She holds a Master in Management and Methodologies of Quality and Safety in Health Care at Instituto Avedis Donabedian, Spain.

Gilvane has worked in the areas of ​​quality management, patient safety, and accreditation for more than fifteen years – where she participated in the implementation of the health accreditation model in the national methodology in more than 20 public and private organizations.

She is a Lecturer in Quality Management, Patient Safety and Health Accreditation; a Member of the Brazilian Society for the Quality of Care and Patient Safety (SOBRASP); and the Operational Manager of the National Accreditation Organization (ONA) where she leads the Management of Certification, Education, Assessors, Quality Management, Communication, ISQua Certifications, ONA’s scientific front and Partnerships.

She took part in the ISQua Fellowship and the Coordinator and teacher of MBA, Postgraduate and Short Courses, with topics focused on Quality Management, Patient Safety and Health Accreditation.

Gilvane was also part of the coordination of the review of the “Manual for Organizations Providing Health Services – Version 2022; and of the scientific committee for ONA events, such as “Meeting of Evaluators”, “International Seminar on Patient Safety and Health Accreditation”, among others.

Prof. Andréa Prestes

CEO, Andréa Prestes Institute, Brazil

Andréa Prestes is a Health Executive Mentor and Consultant in Brazil and Portugal – with her extensive experience in hospital management. She is a PhD candidate in Health Sciences and Well-being Technologies in the National School of Public Health – ENSP, has a Bachelor’s in Administration, an MBA in Hospital Management, and a Master’s in Health Management from Nova University of Lisbon.

Andréa is known as a Master Black Belt in Lean Six Sigma, Life, Executive, and Positive Coach. She is the author of the book “The Lean Journey in Hospital Accreditation”, author of the chapter “Quality Management” in the book “The Accreditation Journey: 20 Years Series” by National Accreditation Organization (ONA), and co-author of the books “Strategies for Health Services Accreditation” and “Demystifying Quality and Safety in Health.”

Currently, she serves as the Scientific Coordinator of the Hospital Manager’s Manual of the Brazilian Federation of Hospitals – FBH and as part of the review team for the Brazilian Accreditation Manual: Health Service Providers – OPSS, 2022-2025 by ONA. She also teaches as a Professor of MBA and postgraduate courses.