Inovação em Processos na Gestão em Saúde e a Mudança na Secretaria da Saúde de Pelotas/RS na nova Lei de Licitações nº 14.133/2021

Abstract

The efficient management of support activities in public administration, especially in the health sector, is essential to contribute to the development and advancement of assistance and services to the population, ensuring innovation, and compliance with laws and regulations. The overall objective of this study was to develop a proposal for organizational optimization, based on the new Bidding Law No. 14,133/2021, for the Procurement Department of the Municipal Health Department – SMS of Pelotas/RS. Additionally, the study aimed to map the processes of the Procurement Department of SMS Pelotas/RS before and after the Bidding Law No. 14,133/2021, comparing them, and proposing a new work configuration for the Procurement Department to comply with Bidding Law No. 14,133/21 concerning the number of staff, tasks, responsibilities, information flows, and processes. Interviews were conducted using a semi-structured questionnaire with open-ended questions with the unit's employees. Consultation of current legislation and a situational analysis were also carried out to provide an overall picture of the sector's activities. Based on the gathered information, data triangulation was performed. The results highlighted discrepancies in workflows and processes within the Procurement Department when compared to the requirements of the new Bidding Law No. 14,133/2021, as well as a high turnover of personnel in the sector with a significant loss of knowledge. Additionally, issues such as a lack of standardization of items and procedures, inadequate planning, and limited integration of digital systems/tools were identified. From the empirical findings, it was possible to develop an intervention proposal, including an organizational framework, newly mapped processes, and a series of recommendations, such as a new work configuration for the Procurement Department of the Municipal Health Department of Pelotas/RS and planning and control tools aiming to improve the efficiency and problem-solving capability of the processes and tasks in line with the new Bidding Law No. 14,133/2021. The theoretical contribution of the study lies in providing an analysis of the necessary adjustments to the routines of public procurement, exposing possible changes and organizations in the pursuit of efficiency, speed, and problem resolution for the department. The managerial implications of the study guide efforts toward improving the operational effectiveness of public procurement.