Rafael Cabadas: "The ideal is that the patient does not come to the hospital, where he is best is at home"

For the photo, Rafael Cabadas chooses to dress in green and go to the ICU, where he continues to go whenever he can M.MORALEJO

The new care director of Povisa explains that the health center is preparing a plan to prevent chronically ill patients from having to enter

"Dr. Cabadas », prays, succinctly, the identification that he wears on his chest, on the white coat, this anesthesiologist from Povisa. Beneath it, he should have put "Help Manager," but he preferred to leave a blank space. Recently incorporated into the main healthcare position at the hospital, he says that he is just one more and that he wants to maintain the habit of putting away his tie, putting on his green pajamas and going to the ICU. Rafael Cabadas (Mondariz, 52 years old) has gone on to occupy a manager's office, but his habitat is the surgical area.

-It's going to be new, but it doesn't change from one day to the next. We already had the patient in the center; now we are going to delve deeper into that and we will also have an investment in technology, personnel and care management.

-In many things. For example, now we are going to do a program with chronic patients who are frequently unstable to prevent them from being admitted to the hospital.

-More than 200 patients have been identified. Internal medicine will contact them regularly to prevent them from becoming unstable and coming here. Ribera Salud has an app, the Yo Salud portal, through which the patient can contact the specialist, ask questions and avoid the patient coming or doing bureaucracy. We will implement that this year. Other people will be contacted by phone or home hospitalization visits will be made. We will look for alternatives.

-Yes. The ideal is that the patient does not enter, because where he is well is in his house. They will continue to come, but anything that reduces visits will help. This is working for Ribera Salud. We want the patient to feel cared for and cared for.

-In those places you mention, Ribera also manages primary care and not here. How are they going to work with the doctors at the health centers?

-In various aspects. We want the doctor to have full access to the history, because he can't access some reports. We are also going to generate phone numbers so that they can contact us, as in the Canles del Cunqueiro program. All this, within the loyalty with the Sergas. They mark the rails for us by which we go.

-Many primary school doctors use the relationship they have with Povisa as an example.

-I know, but we want to keep improving. The family doctor is our greatest ally, he is the one who knows the patient best, the one who takes care of his health. You have to give him access to tests and consultations.

-I do not know. I know that in Torrevieja it works well. But it's not the frame here. We have to think about what we have, within the loyalty to Sergas.

-What we want is for the patient to be proud of us, for him to choose us because he feels cared for.

-Upon arrival, Ribera Salud put an investment in technology on the table. Where will it go?

-The first thing is the renewal of equipment. Laparoscopy towers have been changed, fusion ultrasound machines have been bought... an investment of close to one million euros has already been made. Meetings have been held with all services to establish a plan of priorities. An investment will also be made in software, with the Yo Salud portal that I mentioned.

-Both. We want to make them more efficient, along the lines of the group's hospitals, and for this a study will be carried out to see how to better serve patients throughout this year. But we have to do the work in the pit area and later win more beds in the observation area.

«Ribera Salud puts us on a waiting list with very demanding duties, even more than Sergas»

Cabadas had been head of the anesthesia service for twenty years, and the witness is still pending. He has been the care director since last Monday, although he had been preparing for two weeks to take over with Luis Geremías, whom he replaces and whose work over the last two decades he applauds.

-For a few months they have been performing operations on patients who were on the Chuvi waiting list. They will continue?

-We do what they ask us. For us, we can continue, we have capacity. Our operating theaters are working morning and afternoon. On the surgical waiting list we are at the Sergas average and the idea is to continue going down, as far as Sergas tells us.

-It depends on what Sergas asks of us, but Ribera Salud is talking about 50 and a few days and the group is going to give us very demanding duties, even more than Sergas. He already put them on us at the end of last year and the professionals in the surgical area have been overloaded, but we have pulled it off.

-Yes. We have operating rooms and professionals. Ribera has always highlighted Povisa's staff, people with experience and young people with initiative. But medicine does not have to go only towards doing more. The medicine goes to the person, the patient decides.

-Yes. But the idea is to look at all the services and see if they need more staff or more technical resources.

-In the care management we think of patients. There are two types of medicine, and it is not public and private, but good and bad.

Rafael Cabadas, new care director of Povisa

Angel Paniagua

«We will do a simulation unit to train»

Ribera Salud has managed Povisa since December. The hospital is undergoing a strong reorganization.

-This week the purchase of cardiac rehabilitation equipment was approved and it will be opened with the aim of treating the acute patient who becomes chronic. We have made a map of all the services, with a plan of needs and the plans that can be implemented.

-In anesthesia we want to make a multidisciplinary pain unit, with traumatology, rehabilitation, clinical psychologist, anesthesia... We are also working on a simulation unit to train professionals.

-Yes. It is about simulating critical situations. When a Formula 1 comes to the pits, everyone knows what to do and does it. The way to make this happen is to train it. In my life I will only see malignant hyperthermia once or not, but I have to know what to do. We want to put advanced mannequins, that you give them adrenaline and the monitor registers changes. This will greatly influence attendance.

-We already have seen a place to mount this. We intend to improve assistance and reduce variability, so that you do not depend on one professional or another to attend to you.

-Yes. For example, on the waiting list or the response time according to the priorities in emergencies. But I want to decentralize management. Service managers know much more than I do about managing their services. We set goals and they decide. We will also see what things of the group we can do, as a manager of beds or surgical planning.

-Those who know us are delighted. Those who do not know us are highly influenced by the opinions that are given without knowledge.

© Copyright LA VOZ DE GALICIA Sapolígono de Sabón, Arteixo, A CORUÑA (SPAIN) Registered in the Mercantile Registry of A Coruña in Volume 2438 of the Archive, General Section, on pages 91 and following, sheet C-2141. CIF: A-15000649.