Desafios e Estratégias na Gestão dos Custos Assistenciais

Desafios e Estratégias na Gestão dos Custos Assistenciais
João Paulo dos Reis Neto Animated tipping scales (Difficult) To reproduce the shape effects on this slide, do the following: On the Home tab, in the Drawing group, click Shapes, and under Basic Shapes select Oval (first row, second option from the left). Press and hold SHIFT and on the slide, drag to draw a circle. On the Home tab, in the Slides group, click Layout, and then click Blank. Select the oval. Under Drawing Tools, on the Format tab, in the Size group, do the following: In the Shape Width box enter 2.16”. In the Shape Height box enter 2.16”. With the oval still selected, on the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Fill in the left pane, and in the Fill pane, do the following: Also in the Format Shape dialog box, click Line Color in the left pane, and in the Line Color pane click No line. Click the button next to Color, and then under Theme Colors select White, Background 1, Darker 25% (fourth row, first option from the left). Select Solid fill. Also in the Format Shape dialog box, click 3-D Format in the left pane, and in the 3-D Format pane do the following: Under Depth, in the Depth box enter 3.5 pt. Next to the Top list, in the Width box enter 5.5 pt. and in the Height box enter 9.5 pt. Under Bevel, in the Top list, under Bevel select Angle (second row, first option from the left). Also in the Format Shape dialog box, click 3-D Rotation in the left pane, and in the 3-D Rotation pane, under Rotation do the following: In the Z box enter 65.2°. In the Y box enter 298.9°. In the X box enter 297.8°. Also in the Format Shape dialog box, click Shadow in the left pane, and in the Shadow pane do the following: In the Blur box enter 15 pt. In the Size box enter 105%. In the Transparency box enter 60%. In the Angle box enter 120°. On the Home tab, in the Drawing group, click Shapes, and under Rectangles select Rounded Rectangle (second option from the left). On the slide, drag to draw a rounded rectangle. Select the circle and position towards the bottom of the slide. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Align and select Align Center. In the Distance box enter 9 pt. Select the rectangle. Under Drawing Tools, on the Format tab, in the Size group, in the Shape Height box enter 4.2” and in the Shape Width box enter 0.18”. Drag the yellow adjustment diamond to the right to create a rounded top. In the Format Shape dialog box, in the left pane click Fill tab, and in the Fill pane do the following: On the Home tab, in the Drawing group, click the Format Shape dialog box launcher. Click Solid fill. Also in the Format Shape dialog box, in the left pane click 3-D Format, and in the 3-D Format pane do the following: Also in the Format Shape dialog box, in the left pane click Line Color, and in the Line Color tab click No line. In the Color list, under Theme Colors select White, Background 1, Darker 15% (third row, first option from the left). Under Bevel, in the Top list select Circle. Select the rounded rectangle. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Align and select Align Center. Position the bottom of rectangle so that it slightly overlaps the oval. Next to the Top list, in the Width box enter 10 pt. and in the Height box enter 10 pt. Select the second rounded rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following: With the rounded rectangle still selected, on the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. In the Shape Width box enter 0.13”. In the Shape Height box enter 4.35”. With the second rounded rectangle still selected, on the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Rotate and select Rotate Left 90°. Select the first (vertical) round rectangle. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Select the second (horizontal) round rectangle. On the Home tab, in the Drawing group, click Arrange, under Position Objects, point to Align and select Align Center. Position the second (horizontal) round rectangle so that it slightly overlaps the top of the first, vertical round rectangle. Select the third (vertical) rounded rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following: Position the third, smaller round rectangle at the intersection at the top of the first (vertical) and second (horizontal) round rectangles. In the Shape Width box enter 0.32”. In the Shape Height box enter 0.32”. Select the third smaller round rectangle. On the Home tab, in the Drawing group, click Arrange, under Position Objects, point to Align and select Align Center. Select the second oval. Under Drawing Tools, on the Format tab, in the Size group, do the following: Select the oval. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Press and hold SHIFT and select the second (horizontal) and third (smaller) round rectangles. On the Home tab, in the Drawing group, click Arrange, and under Group Objects select Group. In the Shape Height box enter 1.93”. On the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. On the Format Shape dialog box, click Fill in the left pane, and in the Fill pane do the following: In the Shape Width box enter 1.93”. Also in the Format Shape dialog box, click Shadow in the left pane, and in the Shadow pane, in the Presets list select No Shadow. Click the button next to Color, and then under Theme Colors select White, Background 1, Darker 15% (third row, first option from the left). Next to the Top list, in the Width box enter 5.5 pt and in the Height box enter 5 pt. Under Bevel, in the Top list, under Bevel, select Slope (second row, fourth option from the left). Next to the Bottom list, in the Width box enter 11 pt and in the Height box enter 5 pt. Under Bevel, in the Bottom list, under Bevel, select Angle (second row, the first option from the left). In the X box enter 287.8°. Position this oval (or dish) on the left side of the slide, approximately 2.5 inches below the horizontal round rectangle In the Z box enter 74.1°. In the Y box enter 297.1°. Select the line. On the Home tab, in bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Line Color in the left pane, and in the Line Color pane do the following: On the Home tab, in the Drawing group, click Shapes, and under Lines select Line (first option from the left). On the slide, drag to draw a line from left edge of the horizontal rectangle and to the bottom left edge of the dish. Click Solid line. Also in the Format Shape dialog box, click Line Style in the left pane, and in the Line Style pane do the following: In the Width box enter 3.75 pt. In the Join type list select Round. In the Cap type list select Round. In the Dash type list select Round Dot (second option). Select the line. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. On the Home tab, in the Drawing group, click Arrange, and then under Order Objects select Send to Back. Position duplicate line so the top point is at the same position as the top point on the first line. Position the end point is on the right edge of the dish. Select the second line. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Rotate and select Flip Horizontal. Position the second group on the right side of the slide. Select the group of (the two dotted lines and the dish). On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Press and hold CTRL and select both lines and the dish. On the Home tab, in the Drawing group, click Arrange, and under Group Objects select Group. Press and hold CTRL and select both left and right groups. On the Home tab, in the Drawing group, click Arrange, and then do the following: Under Position Objects, point to Align and select Align Selected Objects. Under Order Objects select Send to Back. Under Position Objects, point to Align and select Align Top. To reproduce the animation effects on this slide, do the following: Also on the Animation tab, in the Animation group, click the Effect Options dialog box launcher. In the Spin dialog box, do the following: Select top horizontal bar group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. On the Effect tab, do the following: Also in the Amount list, select Clockwise. In the Amount list, in the Custom box enter 10 and press ENTER. Clear the Smooth Start box. On the Timing tab, do the following: Clear the Smooth End box. In the Speed list select Fast. Select the left dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Up. Click OK. In the Start list select With Previous. Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Up dialog box, do the following: On the Timing tab, in the Start list, select With Previous, and then in the Speed list, select Fast. On the Effect tab, clear the Smooth Start and Smooth End boxes. Select the motion path on the slide. Press and hold the SHIFT key and drag the end point (red arrow) down to shorten the motion path (approximately .33” length). (Note: If needed, zoom in to see the objects. On the View tab, in the Zoom group, click Zoom, and in the Zoom dialog box, in the Percent box enter 200%. After editing, on the View tab, in the Zoom group click Fit to Window to return to the slide to its original size.) Select right dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Down. Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Down dialog box, do the following: Select the down motion path on the slide. Press and hold SHIFT and the drag end point (red arrow) upwards to shorten path (approximately .33” length). Select the top horizontal bar group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. Also in the Amount list, select Counterclockwise. In the Amount list, in the Custom box enter 20 and press ENTER. Select the left dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Down. Select the down motion path on the slide. Press and hold SHIFT and the drag end point (red arrow) upwards to shorten path (approximately .66” length). Select the Down motion path for the right dish on the slide. Press and hold SHIFT and drag the start point (green arrow) to meet end point (red arrow) from the first Up motion path. Select the right dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Up. Select the motion path on the slide. Press and hold the SHIFT key and drag the end point (red arrow) down to shorten the motion path (approximately .66” length). Select the Up motion path for the right dish on the slide. Press and hold SHIFT and drag the start point (green arrow) to meet end point (red arrow) from the first Down motion path. To reproduce the background effects on this slide, do the following: In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the right pane, and then do the following: Right-click the slide background area, and then click Format Background. Under Gradient stops, click Add gradient stops or Remove gradient stops until two stops appear in the slider. In the Direction list, click Linear Down (first row, second option from the left). In the Type list, select Linear. Also under Gradient stops, customize the gradient stops as follows: Select the first stop in the slider, and then do the following: Click the button next to Color, and then click under Theme Colors select White, Background 1 (first row, the first option from the left). In the Position box, enter 65%. Select second stop in the slider, and then do the following: Click the button next to Color, and then click under Theme Colors select Black, Text 1, Lighter 50% (second row, the second option from the left). In the Position box, enter 96%.

Declaração de potencial conflito de interesses
Animated tipping scales (Difficult) To reproduce the shape effects on this slide, do the following: On the Home tab, in the Drawing group, click Shapes, and under Basic Shapes select Oval (first row, second option from the left). Press and hold SHIFT and on the slide, drag to draw a circle. On the Home tab, in the Slides group, click Layout, and then click Blank. Select the oval. Under Drawing Tools, on the Format tab, in the Size group, do the following: In the Shape Width box enter 2.16”. In the Shape Height box enter 2.16”. With the oval still selected, on the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Fill in the left pane, and in the Fill pane, do the following: Also in the Format Shape dialog box, click Line Color in the left pane, and in the Line Color pane click No line. Click the button next to Color, and then under Theme Colors select White, Background 1, Darker 25% (fourth row, first option from the left). Select Solid fill. Also in the Format Shape dialog box, click 3-D Format in the left pane, and in the 3-D Format pane do the following: Under Depth, in the Depth box enter 3.5 pt. Next to the Top list, in the Width box enter 5.5 pt. and in the Height box enter 9.5 pt. Under Bevel, in the Top list, under Bevel select Angle (second row, first option from the left). Also in the Format Shape dialog box, click 3-D Rotation in the left pane, and in the 3-D Rotation pane, under Rotation do the following: In the Z box enter 65.2°. In the Y box enter 298.9°. In the X box enter 297.8°. Also in the Format Shape dialog box, click Shadow in the left pane, and in the Shadow pane do the following: In the Blur box enter 15 pt. In the Size box enter 105%. In the Transparency box enter 60%. In the Angle box enter 120°. On the Home tab, in the Drawing group, click Shapes, and under Rectangles select Rounded Rectangle (second option from the left). On the slide, drag to draw a rounded rectangle. Select the circle and position towards the bottom of the slide. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Align and select Align Center. In the Distance box enter 9 pt. Select the rectangle. Under Drawing Tools, on the Format tab, in the Size group, in the Shape Height box enter 4.2” and in the Shape Width box enter 0.18”. Drag the yellow adjustment diamond to the right to create a rounded top. In the Format Shape dialog box, in the left pane click Fill tab, and in the Fill pane do the following: On the Home tab, in the Drawing group, click the Format Shape dialog box launcher. Click Solid fill. Also in the Format Shape dialog box, in the left pane click 3-D Format, and in the 3-D Format pane do the following: Also in the Format Shape dialog box, in the left pane click Line Color, and in the Line Color tab click No line. In the Color list, under Theme Colors select White, Background 1, Darker 15% (third row, first option from the left). Under Bevel, in the Top list select Circle. Select the rounded rectangle. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Align and select Align Center. Position the bottom of rectangle so that it slightly overlaps the oval. Next to the Top list, in the Width box enter 10 pt. and in the Height box enter 10 pt. Select the second rounded rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following: With the rounded rectangle still selected, on the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. In the Shape Width box enter 0.13”. In the Shape Height box enter 4.35”. With the second rounded rectangle still selected, on the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Rotate and select Rotate Left 90°. Select the first (vertical) round rectangle. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Select the second (horizontal) round rectangle. On the Home tab, in the Drawing group, click Arrange, under Position Objects, point to Align and select Align Center. Position the second (horizontal) round rectangle so that it slightly overlaps the top of the first, vertical round rectangle. Select the third (vertical) rounded rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following: Position the third, smaller round rectangle at the intersection at the top of the first (vertical) and second (horizontal) round rectangles. In the Shape Width box enter 0.32”. In the Shape Height box enter 0.32”. Select the third smaller round rectangle. On the Home tab, in the Drawing group, click Arrange, under Position Objects, point to Align and select Align Center. Select the second oval. Under Drawing Tools, on the Format tab, in the Size group, do the following: Select the oval. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Press and hold SHIFT and select the second (horizontal) and third (smaller) round rectangles. On the Home tab, in the Drawing group, click Arrange, and under Group Objects select Group. In the Shape Height box enter 1.93”. On the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. On the Format Shape dialog box, click Fill in the left pane, and in the Fill pane do the following: In the Shape Width box enter 1.93”. Also in the Format Shape dialog box, click Shadow in the left pane, and in the Shadow pane, in the Presets list select No Shadow. Click the button next to Color, and then under Theme Colors select White, Background 1, Darker 15% (third row, first option from the left). Next to the Top list, in the Width box enter 5.5 pt and in the Height box enter 5 pt. Under Bevel, in the Top list, under Bevel, select Slope (second row, fourth option from the left). Next to the Bottom list, in the Width box enter 11 pt and in the Height box enter 5 pt. Under Bevel, in the Bottom list, under Bevel, select Angle (second row, the first option from the left). In the X box enter 287.8°. Position this oval (or dish) on the left side of the slide, approximately 2.5 inches below the horizontal round rectangle In the Z box enter 74.1°. In the Y box enter 297.1°. Select the line. On the Home tab, in bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Line Color in the left pane, and in the Line Color pane do the following: On the Home tab, in the Drawing group, click Shapes, and under Lines select Line (first option from the left). On the slide, drag to draw a line from left edge of the horizontal rectangle and to the bottom left edge of the dish. Click Solid line. Also in the Format Shape dialog box, click Line Style in the left pane, and in the Line Style pane do the following: In the Width box enter 3.75 pt. In the Join type list select Round. In the Cap type list select Round. In the Dash type list select Round Dot (second option). Select the line. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. On the Home tab, in the Drawing group, click Arrange, and then under Order Objects select Send to Back. Position duplicate line so the top point is at the same position as the top point on the first line. Position the end point is on the right edge of the dish. Select the second line. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Rotate and select Flip Horizontal. Position the second group on the right side of the slide. Select the group of (the two dotted lines and the dish). On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Press and hold CTRL and select both lines and the dish. On the Home tab, in the Drawing group, click Arrange, and under Group Objects select Group. Press and hold CTRL and select both left and right groups. On the Home tab, in the Drawing group, click Arrange, and then do the following: Under Position Objects, point to Align and select Align Selected Objects. Under Order Objects select Send to Back. Under Position Objects, point to Align and select Align Top. To reproduce the animation effects on this slide, do the following: Also on the Animation tab, in the Animation group, click the Effect Options dialog box launcher. In the Spin dialog box, do the following: Select top horizontal bar group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. On the Effect tab, do the following: Also in the Amount list, select Clockwise. In the Amount list, in the Custom box enter 10 and press ENTER. Clear the Smooth Start box. On the Timing tab, do the following: Clear the Smooth End box. In the Speed list select Fast. Select the left dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Up. Click OK. In the Start list select With Previous. Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Up dialog box, do the following: On the Timing tab, in the Start list, select With Previous, and then in the Speed list, select Fast. On the Effect tab, clear the Smooth Start and Smooth End boxes. Select the motion path on the slide. Press and hold the SHIFT key and drag the end point (red arrow) down to shorten the motion path (approximately .33” length). (Note: If needed, zoom in to see the objects. On the View tab, in the Zoom group, click Zoom, and in the Zoom dialog box, in the Percent box enter 200%. After editing, on the View tab, in the Zoom group click Fit to Window to return to the slide to its original size.) Select right dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Down. Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Down dialog box, do the following: Select the down motion path on the slide. Press and hold SHIFT and the drag end point (red arrow) upwards to shorten path (approximately .33” length). Select the top horizontal bar group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. Also in the Amount list, select Counterclockwise. In the Amount list, in the Custom box enter 20 and press ENTER. Select the left dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Down. Select the down motion path on the slide. Press and hold SHIFT and the drag end point (red arrow) upwards to shorten path (approximately .66” length). Select the Down motion path for the right dish on the slide. Press and hold SHIFT and drag the start point (green arrow) to meet end point (red arrow) from the first Up motion path. Select the right dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Up. Select the motion path on the slide. Press and hold the SHIFT key and drag the end point (red arrow) down to shorten the motion path (approximately .66” length). Select the Up motion path for the right dish on the slide. Press and hold SHIFT and drag the start point (green arrow) to meet end point (red arrow) from the first Down motion path. To reproduce the background effects on this slide, do the following: In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the right pane, and then do the following: Right-click the slide background area, and then click Format Background. Under Gradient stops, click Add gradient stops or Remove gradient stops until two stops appear in the slider. In the Direction list, click Linear Down (first row, second option from the left). In the Type list, select Linear. Also under Gradient stops, customize the gradient stops as follows: Select the first stop in the slider, and then do the following: Click the button next to Color, and then click under Theme Colors select White, Background 1 (first row, the first option from the left). In the Position box, enter 65%. Select second stop in the slider, and then do the following: Click the button next to Color, and then click under Theme Colors select Black, Text 1, Lighter 50% (second row, the second option from the left). In the Position box, enter 96%.

João Paulo dos Reis Neto
- Cardiologista e Clínico Geral, desde 1993 atuando no sistema de saúde suplementar - Sócio Diretor da Mobile Saúde e Analysis Auditoria - Diretor executivo de plano de saúde por 14 anos - Comitê Consultivo ISPOR América Latina - Grupo Técnico Assistência Farmacêutica ANS - Grupo Técnico Rol ANS - Ex-professor de MBA em Auditoria de Sistemas de Saúde (Univ. Estácio de Sá). Animated tipping scales (Difficult) To reproduce the shape effects on this slide, do the following: On the Home tab, in the Drawing group, click Shapes, and under Basic Shapes select Oval (first row, second option from the left). Press and hold SHIFT and on the slide, drag to draw a circle. On the Home tab, in the Slides group, click Layout, and then click Blank. Select the oval. Under Drawing Tools, on the Format tab, in the Size group, do the following: In the Shape Width box enter 2.16”. In the Shape Height box enter 2.16”. With the oval still selected, on the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Fill in the left pane, and in the Fill pane, do the following: Also in the Format Shape dialog box, click Line Color in the left pane, and in the Line Color pane click No line. Click the button next to Color, and then under Theme Colors select White, Background 1, Darker 25% (fourth row, first option from the left). Select Solid fill. Also in the Format Shape dialog box, click 3-D Format in the left pane, and in the 3-D Format pane do the following: Under Depth, in the Depth box enter 3.5 pt. Next to the Top list, in the Width box enter 5.5 pt. and in the Height box enter 9.5 pt. Under Bevel, in the Top list, under Bevel select Angle (second row, first option from the left). Also in the Format Shape dialog box, click 3-D Rotation in the left pane, and in the 3-D Rotation pane, under Rotation do the following: In the Z box enter 65.2°. In the Y box enter 298.9°. In the X box enter 297.8°. Also in the Format Shape dialog box, click Shadow in the left pane, and in the Shadow pane do the following: In the Blur box enter 15 pt. In the Size box enter 105%. In the Transparency box enter 60%. In the Angle box enter 120°. On the Home tab, in the Drawing group, click Shapes, and under Rectangles select Rounded Rectangle (second option from the left). On the slide, drag to draw a rounded rectangle. Select the circle and position towards the bottom of the slide. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Align and select Align Center. In the Distance box enter 9 pt. Select the rectangle. Under Drawing Tools, on the Format tab, in the Size group, in the Shape Height box enter 4.2” and in the Shape Width box enter 0.18”. Drag the yellow adjustment diamond to the right to create a rounded top. In the Format Shape dialog box, in the left pane click Fill tab, and in the Fill pane do the following: On the Home tab, in the Drawing group, click the Format Shape dialog box launcher. Click Solid fill. Also in the Format Shape dialog box, in the left pane click 3-D Format, and in the 3-D Format pane do the following: Also in the Format Shape dialog box, in the left pane click Line Color, and in the Line Color tab click No line. In the Color list, under Theme Colors select White, Background 1, Darker 15% (third row, first option from the left). Under Bevel, in the Top list select Circle. Select the rounded rectangle. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Align and select Align Center. Position the bottom of rectangle so that it slightly overlaps the oval. Next to the Top list, in the Width box enter 10 pt. and in the Height box enter 10 pt. Select the second rounded rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following: With the rounded rectangle still selected, on the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. In the Shape Width box enter 0.13”. In the Shape Height box enter 4.35”. With the second rounded rectangle still selected, on the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Rotate and select Rotate Left 90°. Select the first (vertical) round rectangle. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Select the second (horizontal) round rectangle. On the Home tab, in the Drawing group, click Arrange, under Position Objects, point to Align and select Align Center. Position the second (horizontal) round rectangle so that it slightly overlaps the top of the first, vertical round rectangle. Select the third (vertical) rounded rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following: Position the third, smaller round rectangle at the intersection at the top of the first (vertical) and second (horizontal) round rectangles. In the Shape Width box enter 0.32”. In the Shape Height box enter 0.32”. Select the third smaller round rectangle. On the Home tab, in the Drawing group, click Arrange, under Position Objects, point to Align and select Align Center. Select the second oval. Under Drawing Tools, on the Format tab, in the Size group, do the following: Select the oval. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Press and hold SHIFT and select the second (horizontal) and third (smaller) round rectangles. On the Home tab, in the Drawing group, click Arrange, and under Group Objects select Group. In the Shape Height box enter 1.93”. On the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. On the Format Shape dialog box, click Fill in the left pane, and in the Fill pane do the following: In the Shape Width box enter 1.93”. Also in the Format Shape dialog box, click Shadow in the left pane, and in the Shadow pane, in the Presets list select No Shadow. Click the button next to Color, and then under Theme Colors select White, Background 1, Darker 15% (third row, first option from the left). Next to the Top list, in the Width box enter 5.5 pt and in the Height box enter 5 pt. Under Bevel, in the Top list, under Bevel, select Slope (second row, fourth option from the left). Next to the Bottom list, in the Width box enter 11 pt and in the Height box enter 5 pt. Under Bevel, in the Bottom list, under Bevel, select Angle (second row, the first option from the left). In the X box enter 287.8°. Position this oval (or dish) on the left side of the slide, approximately 2.5 inches below the horizontal round rectangle In the Z box enter 74.1°. In the Y box enter 297.1°. Select the line. On the Home tab, in bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Line Color in the left pane, and in the Line Color pane do the following: On the Home tab, in the Drawing group, click Shapes, and under Lines select Line (first option from the left). On the slide, drag to draw a line from left edge of the horizontal rectangle and to the bottom left edge of the dish. Click Solid line. Also in the Format Shape dialog box, click Line Style in the left pane, and in the Line Style pane do the following: In the Width box enter 3.75 pt. In the Join type list select Round. In the Cap type list select Round. In the Dash type list select Round Dot (second option). Select the line. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. On the Home tab, in the Drawing group, click Arrange, and then under Order Objects select Send to Back. Position duplicate line so the top point is at the same position as the top point on the first line. Position the end point is on the right edge of the dish. Select the second line. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Rotate and select Flip Horizontal. Position the second group on the right side of the slide. Select the group of (the two dotted lines and the dish). On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Press and hold CTRL and select both lines and the dish. On the Home tab, in the Drawing group, click Arrange, and under Group Objects select Group. Press and hold CTRL and select both left and right groups. On the Home tab, in the Drawing group, click Arrange, and then do the following: Under Position Objects, point to Align and select Align Selected Objects. Under Order Objects select Send to Back. Under Position Objects, point to Align and select Align Top. To reproduce the animation effects on this slide, do the following: Also on the Animation tab, in the Animation group, click the Effect Options dialog box launcher. In the Spin dialog box, do the following: Select top horizontal bar group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. On the Effect tab, do the following: Also in the Amount list, select Clockwise. In the Amount list, in the Custom box enter 10 and press ENTER. Clear the Smooth Start box. On the Timing tab, do the following: Clear the Smooth End box. In the Speed list select Fast. Select the left dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Up. Click OK. In the Start list select With Previous. Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Up dialog box, do the following: On the Timing tab, in the Start list, select With Previous, and then in the Speed list, select Fast. On the Effect tab, clear the Smooth Start and Smooth End boxes. Select the motion path on the slide. Press and hold the SHIFT key and drag the end point (red arrow) down to shorten the motion path (approximately .33” length). (Note: If needed, zoom in to see the objects. On the View tab, in the Zoom group, click Zoom, and in the Zoom dialog box, in the Percent box enter 200%. After editing, on the View tab, in the Zoom group click Fit to Window to return to the slide to its original size.) Select right dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Down. Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Down dialog box, do the following: Select the down motion path on the slide. Press and hold SHIFT and the drag end point (red arrow) upwards to shorten path (approximately .33” length). Select the top horizontal bar group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. Also in the Amount list, select Counterclockwise. In the Amount list, in the Custom box enter 20 and press ENTER. Select the left dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Down. Select the down motion path on the slide. Press and hold SHIFT and the drag end point (red arrow) upwards to shorten path (approximately .66” length). Select the Down motion path for the right dish on the slide. Press and hold SHIFT and drag the start point (green arrow) to meet end point (red arrow) from the first Up motion path. Select the right dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Up. Select the motion path on the slide. Press and hold the SHIFT key and drag the end point (red arrow) down to shorten the motion path (approximately .66” length). Select the Up motion path for the right dish on the slide. Press and hold SHIFT and drag the start point (green arrow) to meet end point (red arrow) from the first Down motion path. To reproduce the background effects on this slide, do the following: In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the right pane, and then do the following: Right-click the slide background area, and then click Format Background. Under Gradient stops, click Add gradient stops or Remove gradient stops until two stops appear in the slider. In the Direction list, click Linear Down (first row, second option from the left). In the Type list, select Linear. Also under Gradient stops, customize the gradient stops as follows: Select the first stop in the slider, and then do the following: Click the button next to Color, and then click under Theme Colors select White, Background 1 (first row, the first option from the left). In the Position box, enter 65%. Select second stop in the slider, and then do the following: Click the button next to Color, and then click under Theme Colors select Black, Text 1, Lighter 50% (second row, the second option from the left). In the Position box, enter 96%. CV Lattes:

Custos Assistenciais

IDH e Gastos com Saúde

Ansiedade e Frustração de Todos
“Você poderia pagar a conta antes?” Altos Custos + Qualidade Insatisfatória Acesso Limitado à Assistência à Saúde Tendência natural de encontrar um culpado, como se fosse um problema isolado

Contexto atual Definição de prioridades = uso racional dos recursos
As ferramentas de tomadas de decisão baseadas em evidências desempenham papel importante neste contexto Quanto temos para gastar? Que áreas, serviços ou doenças vamos priorizar? Onde investir e desinvestir? Animated tipping scales (Difficult) To reproduce the shape effects on this slide, do the following: On the Home tab, in the Drawing group, click Shapes, and under Basic Shapes select Oval (first row, second option from the left). Press and hold SHIFT and on the slide, drag to draw a circle. On the Home tab, in the Slides group, click Layout, and then click Blank. Select the oval. Under Drawing Tools, on the Format tab, in the Size group, do the following: In the Shape Width box enter 2.16”. In the Shape Height box enter 2.16”. With the oval still selected, on the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Fill in the left pane, and in the Fill pane, do the following: Also in the Format Shape dialog box, click Line Color in the left pane, and in the Line Color pane click No line. Click the button next to Color, and then under Theme Colors select White, Background 1, Darker 25% (fourth row, first option from the left). Select Solid fill. Also in the Format Shape dialog box, click 3-D Format in the left pane, and in the 3-D Format pane do the following: Under Depth, in the Depth box enter 3.5 pt. Next to the Top list, in the Width box enter 5.5 pt. and in the Height box enter 9.5 pt. Under Bevel, in the Top list, under Bevel select Angle (second row, first option from the left). Also in the Format Shape dialog box, click 3-D Rotation in the left pane, and in the 3-D Rotation pane, under Rotation do the following: In the Z box enter 65.2°. In the Y box enter 298.9°. In the X box enter 297.8°. Also in the Format Shape dialog box, click Shadow in the left pane, and in the Shadow pane do the following: In the Blur box enter 15 pt. In the Size box enter 105%. In the Transparency box enter 60%. In the Angle box enter 120°. On the Home tab, in the Drawing group, click Shapes, and under Rectangles select Rounded Rectangle (second option from the left). On the slide, drag to draw a rounded rectangle. Select the circle and position towards the bottom of the slide. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Align and select Align Center. In the Distance box enter 9 pt. Select the rectangle. Under Drawing Tools, on the Format tab, in the Size group, in the Shape Height box enter 4.2” and in the Shape Width box enter 0.18”. Drag the yellow adjustment diamond to the right to create a rounded top. In the Format Shape dialog box, in the left pane click Fill tab, and in the Fill pane do the following: On the Home tab, in the Drawing group, click the Format Shape dialog box launcher. Click Solid fill. Also in the Format Shape dialog box, in the left pane click 3-D Format, and in the 3-D Format pane do the following: Also in the Format Shape dialog box, in the left pane click Line Color, and in the Line Color tab click No line. In the Color list, under Theme Colors select White, Background 1, Darker 15% (third row, first option from the left). Under Bevel, in the Top list select Circle. Select the rounded rectangle. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Align and select Align Center. Position the bottom of rectangle so that it slightly overlaps the oval. Next to the Top list, in the Width box enter 10 pt. and in the Height box enter 10 pt. Select the second rounded rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following: With the rounded rectangle still selected, on the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. In the Shape Width box enter 0.13”. In the Shape Height box enter 4.35”. With the second rounded rectangle still selected, on the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Rotate and select Rotate Left 90°. Select the first (vertical) round rectangle. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Select the second (horizontal) round rectangle. On the Home tab, in the Drawing group, click Arrange, under Position Objects, point to Align and select Align Center. Position the second (horizontal) round rectangle so that it slightly overlaps the top of the first, vertical round rectangle. Select the third (vertical) rounded rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following: Position the third, smaller round rectangle at the intersection at the top of the first (vertical) and second (horizontal) round rectangles. In the Shape Width box enter 0.32”. In the Shape Height box enter 0.32”. Select the third smaller round rectangle. On the Home tab, in the Drawing group, click Arrange, under Position Objects, point to Align and select Align Center. Select the second oval. Under Drawing Tools, on the Format tab, in the Size group, do the following: Select the oval. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Press and hold SHIFT and select the second (horizontal) and third (smaller) round rectangles. On the Home tab, in the Drawing group, click Arrange, and under Group Objects select Group. In the Shape Height box enter 1.93”. On the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. On the Format Shape dialog box, click Fill in the left pane, and in the Fill pane do the following: In the Shape Width box enter 1.93”. Also in the Format Shape dialog box, click Shadow in the left pane, and in the Shadow pane, in the Presets list select No Shadow. Click the button next to Color, and then under Theme Colors select White, Background 1, Darker 15% (third row, first option from the left). Next to the Top list, in the Width box enter 5.5 pt and in the Height box enter 5 pt. Under Bevel, in the Top list, under Bevel, select Slope (second row, fourth option from the left). Next to the Bottom list, in the Width box enter 11 pt and in the Height box enter 5 pt. Under Bevel, in the Bottom list, under Bevel, select Angle (second row, the first option from the left). In the X box enter 287.8°. Position this oval (or dish) on the left side of the slide, approximately 2.5 inches below the horizontal round rectangle In the Z box enter 74.1°. In the Y box enter 297.1°. Select the line. On the Home tab, in bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Line Color in the left pane, and in the Line Color pane do the following: On the Home tab, in the Drawing group, click Shapes, and under Lines select Line (first option from the left). On the slide, drag to draw a line from left edge of the horizontal rectangle and to the bottom left edge of the dish. Click Solid line. Also in the Format Shape dialog box, click Line Style in the left pane, and in the Line Style pane do the following: In the Width box enter 3.75 pt. In the Join type list select Round. In the Cap type list select Round. In the Dash type list select Round Dot (second option). Select the line. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. On the Home tab, in the Drawing group, click Arrange, and then under Order Objects select Send to Back. Position duplicate line so the top point is at the same position as the top point on the first line. Position the end point is on the right edge of the dish. Select the second line. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Rotate and select Flip Horizontal. Position the second group on the right side of the slide. Select the group of (the two dotted lines and the dish). On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Press and hold CTRL and select both lines and the dish. On the Home tab, in the Drawing group, click Arrange, and under Group Objects select Group. Press and hold CTRL and select both left and right groups. On the Home tab, in the Drawing group, click Arrange, and then do the following: Under Position Objects, point to Align and select Align Selected Objects. Under Order Objects select Send to Back. Under Position Objects, point to Align and select Align Top. To reproduce the animation effects on this slide, do the following: Also on the Animation tab, in the Animation group, click the Effect Options dialog box launcher. In the Spin dialog box, do the following: Select top horizontal bar group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. On the Effect tab, do the following: Also in the Amount list, select Clockwise. In the Amount list, in the Custom box enter 10 and press ENTER. Clear the Smooth Start box. On the Timing tab, do the following: Clear the Smooth End box. In the Speed list select Fast. Select the left dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Up. Click OK. In the Start list select With Previous. Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Up dialog box, do the following: On the Timing tab, in the Start list, select With Previous, and then in the Speed list, select Fast. On the Effect tab, clear the Smooth Start and Smooth End boxes. Select the motion path on the slide. Press and hold the SHIFT key and drag the end point (red arrow) down to shorten the motion path (approximately .33” length). (Note: If needed, zoom in to see the objects. On the View tab, in the Zoom group, click Zoom, and in the Zoom dialog box, in the Percent box enter 200%. After editing, on the View tab, in the Zoom group click Fit to Window to return to the slide to its original size.) Select right dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Down. Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Down dialog box, do the following: Select the down motion path on the slide. Press and hold SHIFT and the drag end point (red arrow) upwards to shorten path (approximately .33” length). Select the top horizontal bar group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. Also in the Amount list, select Counterclockwise. In the Amount list, in the Custom box enter 20 and press ENTER. Select the left dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Down. Select the down motion path on the slide. Press and hold SHIFT and the drag end point (red arrow) upwards to shorten path (approximately .66” length). Select the Down motion path for the right dish on the slide. Press and hold SHIFT and drag the start point (green arrow) to meet end point (red arrow) from the first Up motion path. Select the right dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Up. Select the motion path on the slide. Press and hold the SHIFT key and drag the end point (red arrow) down to shorten the motion path (approximately .66” length). Select the Up motion path for the right dish on the slide. Press and hold SHIFT and drag the start point (green arrow) to meet end point (red arrow) from the first Down motion path. To reproduce the background effects on this slide, do the following: In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the right pane, and then do the following: Right-click the slide background area, and then click Format Background. Under Gradient stops, click Add gradient stops or Remove gradient stops until two stops appear in the slider. In the Direction list, click Linear Down (first row, second option from the left). In the Type list, select Linear. Also under Gradient stops, customize the gradient stops as follows: Select the first stop in the slider, and then do the following: Click the button next to Color, and then click under Theme Colors select White, Background 1 (first row, the first option from the left). In the Position box, enter 65%. Select second stop in the slider, and then do the following: Click the button next to Color, and then click under Theme Colors select Black, Text 1, Lighter 50% (second row, the second option from the left). In the Position box, enter 96%.

transição demográfica transição epidemiológica tecnologias em saúde
Overlapping, transparent text (Note: To view beyond the edges of the slide, on the View tab, in the Zoom group, select Zoom. In the Zoom dialog box, under Zoom out click 50%.) (Intermediate) Tip: It may be helpful to use the Selection and Visibility pane when reproducing this slide. To open up the Selection and Visibility pane, on the Home tab, in the Editing group, click the arrow to the right of Select and select Selection Pane. Drag the end point (red arrow) of the motion path approximately 5 inches beyond right edge of slide. Drag the starting point (green arrow) of the motion path approximately 5 inches beyond left edge of slide. To reproduce the text effects on this slide, do the following: In the Selection and Visibility pane, select the third text box in the list. On the Home tab, in the Slides group, click Layout, and then click Blank. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Entrance click Fade. On the Insert tab, in the Text group, click Text Box. On the slide, drag to draw a text box on the slide. Also on the Animations tab, in the Timing group, do the following: Enter text (in the example slide, it is “transparent”), select the text, and then on the Home tab, in the Font group, do the following: In the Start list select With Previous. In the Delay box enter 0.5 seconds. In the Font list select Century Gothic. In the Duration box, select 0.5 seconds. In the Font Size box enter 90 pt. Also on the Animation tab, in the Advanced Animation group, click Add Animation, and then under Motion Paths click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Left, and then click OK. Click Bold. Select the text box. Under Drawing Tools, on the Format tab, in the bottom right corner in the WordArt Styles group, click the Format Text Effects: Text Box dialog box launcher. In the Format Text Effects dialog box, click Text Fill in the left pane, and in the Text Fill pane do the following: On the Animation tab, in the Timing group, do the following: Click Solid fill. Click the button next to Color, and then under Theme Colors select White, Background 1 (first row, first option from the left). In the Duration box select 3 seconds. On the slide, select the motion path for the third text box, press and hold SHIFT, and then do the following: In the Transparency box, enter 40%. Drag the end point (red arrow) of the motion path approximately 5 inches beyond left edge of slide. On the slide, select the text box and position I on the left side. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Drag the starting point (green arrow) of the motion path approximately 5 inches beyond right edge of slide. Position the second, duplicate text box on the right side of the slide area. In the Selection and Visibility pane, select the first text box in the list. Right-click the text box, select Edit Text, and change the text (in the example above, it is “overlapping”). Select the second text box, and under Drawing Tools, on the Format tab, in the bottom left corner in the WordArt Styles group, click the Format Text Effects dialog box launcher. In the Format Text Effects dialog box, click Text Fill in the left pane, and in the Text Fill pane do the following: In the Delay box, enter 3.5 seconds. In the Color list, under Theme Colors select Black, Text 1 (first row, the second option from the left). Press and hold CTRL, and select both text boxes. On the Home tab, in the Drawing group, click the arrow below Arrange, under Position Objects, point to Align and do the following: On the Animations tab, in the Timing group, do the following: Select Align Selected Objects. In the Duration box, select 3 seconds (Slow). Select Align Top. Select the second text box (in the example above, it is “overlapping” in black text). On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. On the slide, select the motion path for the first text box, press and hold SHIFT, and then do the following: Press and hold CTRL, and select the second and the third (black) text boxes. On the Home tab, in the Drawing group, click the arrow below Arrange, under Position Objects, point to Align and do the following: Select Align Left. Select the first (white) text box on the slide. On the Home tab, in the Drawing group, click the arrow below Arrange, under Order Objects select Bring Forward. To reproduce the background effects on this slide, do the following: Right-click the slide background area, and then click Format Background. In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the Fill pane, and then do the following: To reproduce the animation effects on this slide, do the following: In the Type list, select Linear. In the Selection and Visibility pane, select the second text box in the list. Click the button next to Direction, and then click Linear Down (first row, second option from the left). On the Animation tab, in the Advanced Animation group, click Add Animation, and then under Entrance click Fade. Under Gradient stops, click Add gradient stop or Remove gradient stop until two stops appear in the slider. Also on the Animation tab, in the Timing group, do the following: In the Start list, select With Previous. Also under Gradient stops, customize the gradient stops that you added as follows: In the Duration list, enter 0.50. Select the first stop in the slider, and then do the following: Also on the Animation tab, in the Advanced Animation group, click Add Animation, and then under Motion Paths click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Right, and then click OK. In the Position box, enter 0%. Click the button next to Color, and then under Theme Colors click White, Background 1, Darker 35% (fifth row, first option from the left). On the Animations tab, In the Animation group, click the Effect Options dialog box. In the Right dialog box, do the following: On the Timing tab, in the Start list, select With Previous. Select the last stop in the slider, and then do the following: On the Timing tab, in the Duration box, enter 3.00. In the Position box, enter 100%. On the Effect tab, under Settings, check the box next to Auto-Reverse. Click the button next to Color, and then under Theme Colors click Black, Text 1, Lighter 15% (fifth row, second option from the left). Click OK. On the slide, select the motion path, press and hold SHIFT, and then do the following: tecnologias em saúde

Competição de soma zero
Animated tipping scales (Difficult) To reproduce the shape effects on this slide, do the following: On the Home tab, in the Drawing group, click Shapes, and under Basic Shapes select Oval (first row, second option from the left). Press and hold SHIFT and on the slide, drag to draw a circle. On the Home tab, in the Slides group, click Layout, and then click Blank. Select the oval. Under Drawing Tools, on the Format tab, in the Size group, do the following: In the Shape Width box enter 2.16”. In the Shape Height box enter 2.16”. With the oval still selected, on the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Fill in the left pane, and in the Fill pane, do the following: Also in the Format Shape dialog box, click Line Color in the left pane, and in the Line Color pane click No line. Click the button next to Color, and then under Theme Colors select White, Background 1, Darker 25% (fourth row, first option from the left). Select Solid fill. Also in the Format Shape dialog box, click 3-D Format in the left pane, and in the 3-D Format pane do the following: Under Depth, in the Depth box enter 3.5 pt. Next to the Top list, in the Width box enter 5.5 pt. and in the Height box enter 9.5 pt. Under Bevel, in the Top list, under Bevel select Angle (second row, first option from the left). Also in the Format Shape dialog box, click 3-D Rotation in the left pane, and in the 3-D Rotation pane, under Rotation do the following: In the Z box enter 65.2°. In the Y box enter 298.9°. In the X box enter 297.8°. Also in the Format Shape dialog box, click Shadow in the left pane, and in the Shadow pane do the following: In the Blur box enter 15 pt. In the Size box enter 105%. In the Transparency box enter 60%. In the Angle box enter 120°. On the Home tab, in the Drawing group, click Shapes, and under Rectangles select Rounded Rectangle (second option from the left). On the slide, drag to draw a rounded rectangle. Select the circle and position towards the bottom of the slide. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Align and select Align Center. In the Distance box enter 9 pt. Select the rectangle. Under Drawing Tools, on the Format tab, in the Size group, in the Shape Height box enter 4.2” and in the Shape Width box enter 0.18”. Drag the yellow adjustment diamond to the right to create a rounded top. In the Format Shape dialog box, in the left pane click Fill tab, and in the Fill pane do the following: On the Home tab, in the Drawing group, click the Format Shape dialog box launcher. Click Solid fill. Also in the Format Shape dialog box, in the left pane click 3-D Format, and in the 3-D Format pane do the following: Also in the Format Shape dialog box, in the left pane click Line Color, and in the Line Color tab click No line. In the Color list, under Theme Colors select White, Background 1, Darker 15% (third row, first option from the left). Under Bevel, in the Top list select Circle. Select the rounded rectangle. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Align and select Align Center. Position the bottom of rectangle so that it slightly overlaps the oval. Next to the Top list, in the Width box enter 10 pt. and in the Height box enter 10 pt. Select the second rounded rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following: With the rounded rectangle still selected, on the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. In the Shape Width box enter 0.13”. In the Shape Height box enter 4.35”. With the second rounded rectangle still selected, on the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Rotate and select Rotate Left 90°. Select the first (vertical) round rectangle. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Select the second (horizontal) round rectangle. On the Home tab, in the Drawing group, click Arrange, under Position Objects, point to Align and select Align Center. Position the second (horizontal) round rectangle so that it slightly overlaps the top of the first, vertical round rectangle. Select the third (vertical) rounded rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following: Position the third, smaller round rectangle at the intersection at the top of the first (vertical) and second (horizontal) round rectangles. In the Shape Width box enter 0.32”. In the Shape Height box enter 0.32”. Select the third smaller round rectangle. On the Home tab, in the Drawing group, click Arrange, under Position Objects, point to Align and select Align Center. Select the second oval. Under Drawing Tools, on the Format tab, in the Size group, do the following: Select the oval. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Press and hold SHIFT and select the second (horizontal) and third (smaller) round rectangles. On the Home tab, in the Drawing group, click Arrange, and under Group Objects select Group. In the Shape Height box enter 1.93”. On the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. On the Format Shape dialog box, click Fill in the left pane, and in the Fill pane do the following: In the Shape Width box enter 1.93”. Also in the Format Shape dialog box, click Shadow in the left pane, and in the Shadow pane, in the Presets list select No Shadow. Click the button next to Color, and then under Theme Colors select White, Background 1, Darker 15% (third row, first option from the left). Next to the Top list, in the Width box enter 5.5 pt and in the Height box enter 5 pt. Under Bevel, in the Top list, under Bevel, select Slope (second row, fourth option from the left). Next to the Bottom list, in the Width box enter 11 pt and in the Height box enter 5 pt. Under Bevel, in the Bottom list, under Bevel, select Angle (second row, the first option from the left). In the X box enter 287.8°. Position this oval (or dish) on the left side of the slide, approximately 2.5 inches below the horizontal round rectangle In the Z box enter 74.1°. In the Y box enter 297.1°. Select the line. On the Home tab, in bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Line Color in the left pane, and in the Line Color pane do the following: On the Home tab, in the Drawing group, click Shapes, and under Lines select Line (first option from the left). On the slide, drag to draw a line from left edge of the horizontal rectangle and to the bottom left edge of the dish. Click Solid line. Also in the Format Shape dialog box, click Line Style in the left pane, and in the Line Style pane do the following: In the Width box enter 3.75 pt. In the Join type list select Round. In the Cap type list select Round. In the Dash type list select Round Dot (second option). Select the line. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. On the Home tab, in the Drawing group, click Arrange, and then under Order Objects select Send to Back. Position duplicate line so the top point is at the same position as the top point on the first line. Position the end point is on the right edge of the dish. Select the second line. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Rotate and select Flip Horizontal. Position the second group on the right side of the slide. Select the group of (the two dotted lines and the dish). On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Press and hold CTRL and select both lines and the dish. On the Home tab, in the Drawing group, click Arrange, and under Group Objects select Group. Press and hold CTRL and select both left and right groups. On the Home tab, in the Drawing group, click Arrange, and then do the following: Under Position Objects, point to Align and select Align Selected Objects. Under Order Objects select Send to Back. Under Position Objects, point to Align and select Align Top. To reproduce the animation effects on this slide, do the following: Also on the Animation tab, in the Animation group, click the Effect Options dialog box launcher. In the Spin dialog box, do the following: Select top horizontal bar group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. On the Effect tab, do the following: Also in the Amount list, select Clockwise. In the Amount list, in the Custom box enter 10 and press ENTER. Clear the Smooth Start box. On the Timing tab, do the following: Clear the Smooth End box. In the Speed list select Fast. Select the left dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Up. Click OK. In the Start list select With Previous. Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Up dialog box, do the following: On the Timing tab, in the Start list, select With Previous, and then in the Speed list, select Fast. On the Effect tab, clear the Smooth Start and Smooth End boxes. Select the motion path on the slide. Press and hold the SHIFT key and drag the end point (red arrow) down to shorten the motion path (approximately .33” length). (Note: If needed, zoom in to see the objects. On the View tab, in the Zoom group, click Zoom, and in the Zoom dialog box, in the Percent box enter 200%. After editing, on the View tab, in the Zoom group click Fit to Window to return to the slide to its original size.) Select right dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Down. Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Down dialog box, do the following: Select the down motion path on the slide. Press and hold SHIFT and the drag end point (red arrow) upwards to shorten path (approximately .33” length). Select the top horizontal bar group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. Also in the Amount list, select Counterclockwise. In the Amount list, in the Custom box enter 20 and press ENTER. Select the left dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Down. Select the down motion path on the slide. Press and hold SHIFT and the drag end point (red arrow) upwards to shorten path (approximately .66” length). Select the Down motion path for the right dish on the slide. Press and hold SHIFT and drag the start point (green arrow) to meet end point (red arrow) from the first Up motion path. Select the right dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Up. Select the motion path on the slide. Press and hold the SHIFT key and drag the end point (red arrow) down to shorten the motion path (approximately .66” length). Select the Up motion path for the right dish on the slide. Press and hold SHIFT and drag the start point (green arrow) to meet end point (red arrow) from the first Down motion path. To reproduce the background effects on this slide, do the following: In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the right pane, and then do the following: Right-click the slide background area, and then click Format Background. Under Gradient stops, click Add gradient stops or Remove gradient stops until two stops appear in the slider. In the Direction list, click Linear Down (first row, second option from the left). In the Type list, select Linear. Also under Gradient stops, customize the gradient stops as follows: Select the first stop in the slider, and then do the following: Click the button next to Color, and then click under Theme Colors select White, Background 1 (first row, the first option from the left). In the Position box, enter 65%. Select second stop in the slider, and then do the following: Click the button next to Color, and then click under Theme Colors select Black, Text 1, Lighter 50% (second row, the second option from the left). In the Position box, enter 96%. “Eu ganho” “Você perde”

Destinação dos Recursos
8,9% ,3% ,9% ,0% 3,0% Consultas Exames Internações PQA Outros

Materiais e Medicamentos
Honorários 11 % Diárias 13 % Equipamentos 8 % Gases 11 % Materiais e Medicamentos 39 % OPME 8 %

Desafio: Mudança no Modelo de Atenção à Saúde
PERFIL DO BENEFICIÁRIO SADIO RISCO Sem fatores Fatores, estado e comportamento ASSINTO- MÁTICO DOENTE SINTOMÁTICO SEQÜELADO Sem ter conhecimento Baixa / Média Complexidade Alta SEQÜELA Indicada reabilitação DOMI- CILIAR OBJETIVOS Estilo de vida Aderência Hábitos saudáveis/Exames preventivos Aderência ao tratamento Reabilitação Atenção Domiciliar GRANDES GASTADORES MODELO DE ATENÇÃO Promoção da saúde e qualidade vida Gerenciamento de fatores de risco Gerenciamento de doenças Casos Diretrizes baseadas em evidências :: Identificação da população (BI) Tábuas de morbidade e risco :: Avaliação de resultados :: Educação da população

Prestadores de serviços Fornecedores de produtos e tecnologias
Fragmentação do setor saúde Stakeholders Prestadores de serviços Hospitais, clínicas Médicos e outros profissionais da saúde SADT Financiadores Público (SUS) Privados (operadoras; empregadores; indivíduos) Fornecedores de produtos e tecnologias Medicamentos: (indústria; distribuidores; farmácias) Materiais (indústria; distribuidores) Equipamentos (indústria; distribuidores) Cliente final (governo, famílias, empresas) O setor é muito complexo Cadeia de valor fragmentada: as operações de saúde geralmente são fragmentadas ao longo da sua cadeia de valor. Isto pode acarretar decisões locais e resultar na denominada competição de soma zero, em que os participantes lutam para dividir o valor gerado, e não para aumentá-lo. Uma das questões relevantes dessa fragmentação contempla o envolvimento de diferentes agentes nas atividades de decisão ou recomendação (exemplo: médicos), consumo (exemplo: consumidores e pacientes), pagamento (exemplo: governo e operadoras de saúde) e oferta de produtos e serviços (exemplo: indústria de materiais médicos, indústria farmacêutica, hospitais, provedores de serviços de medicina diagnóstica) para a realização de um mesmo procedimento de saúde. Assim, é importante a compreensão dos gestores sobre essas questões para uma efetiva atuação no setor

Fluxos financeiros na cadeia de valor da saúde
Fonte: CADEIA DE VALOR DA SAÚDE: UM MODELO PARA O SISTEMA DE SAÚDE BRASILEIRO Pedroso, M.C.; Malik, A.M.Revista Ciência & Saúde Coletiva / ISSN

Tecnologia em saúde Há cobertura legal? Critérios para a
Procedimentos /técnica Equipamentos / exames Próteses e devices Medicamentos Há cobertura legal? Critérios para a regulamentação? Como pagar? PROCESSO DE INCORPORAÇÃO ANÁLISE TÉCNICA/ESPECIALIZADA AVALIAÇÃO ECONÔMICA/FINANCEIRA

Ponto de equilíbrio Farmacoeconomia e Economia da Saúde
Preservar o investimento inovador da indústria Proteger o pagador de inovações que não entregam valor ao paciente

Ferramentas Animated SmartArt vertical list (Intermediate)
1 Perfil epidemiológico 2 Dados econômicos 3 Modelos preditivos Animated SmartArt vertical list (Intermediate) To reproduce the animation effects on this slide, do the following: On the Animation tab, in the Animation group, click Animation Pane. To reproduce the SmartArt effects on this slide, do the following: On the Home tab, in the Slides group, click Layout, and then click Blank. Select the SmartArt graphic, and then on the Animations tab, in the Animation group, click the More arrow at the Effects Gallery and click More Effects. In the Change Entrance Effect dialog box, under Exciting select Curve Up, and click OK. On the Insert tab, in the Illustrations group, click SmartArt. In the Choose a SmartArt Graphic dialog box, in the left pane, click List. In the List pane, click Vertical Block List (sixth row, first option from the left), and then click OK to insert the graphic into the slide. In the Animation group, click Effect Options, and under Sequence, click One by One. In the Timing group, do the following: Select the graphic, and then click one of the arrows on the left border. In the Type your text here dialog box, enter text for each of the rectangles. On the Timing tab, in the Start list, select After Previous. On the Timing tab, in the Duration list, select Press and hold CTRL, and select each of the second-level rectangles on the slide. Drag the left sizing handle of one of the second-level rectangles to the left 0.5” to increase the width of the second-level rectangles. Note: The first-level rectangles (rounded rectangles) will decrease in width at the same time. In the Animation Pane, click the double arrow under the curve up entrance effect (first effect) to expand the list of effects. Press and hold CTRL, and select the second, fourth, and sixth effects (curve up entrance effects). On the Animations tab, in the Animation group, click the More arrow at the Effects Gallery and click More Entrance Effects. In the Change Entrance Effect dialog box, under Basic, select Peek In, and click OK. Select the SmartArt graphic. Under SmartArt Tools, on the Design tab, in the SmartArt Styles group, click the More arrow at the SmartArt Styles gallery, and under Best Match for Document select Intense Effect (fifth option from the left). Press and hold CTRL, and then select each of the first-level rectangles (rounded rectangles) in the SmartArt graphic. In the Animation group, click Effect Options, and under Direction, click From Top. Under SmartArt Tools, on the Format tab, in the WordArt Styles group, click the arrow to the right of Text Fill, and under Theme Colors select White, Background 1, Darker 25%. (fourth row, first option from the left). In the Start list, select With Previous. In the Duration list, select Under SmartArt Tools, on the Format tab, in the Shape Styles group, click the arrow to the right of Shape Fill and under Theme Colors select White, Background 1 (first row, first option from the left). To reproduce the background effects on this slide, do the following: Right-click the slide background, and then click Format Background. In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the Fill pane, and then do the following: Select the top, second-level rectangle in the SmartArt graphic. Under SmartArt Tools, on the Format tab, in the Shape Styles group, click the arrow to the right of Shape Fill and under Theme Colors select Olive Green, Accent 3. (first row, seventh option from the left). In the Type list, select Radial. In the Direction list, click From Center (third option from the left). Under Gradient stops, click Add gradient stop or Remove gradient stop until two stops appear on the slider, then customize the gradient stops as follows: Select the center, second-level rectangle in the SmartArt graphic. Under SmartArt Tools, on the Format tab, in the Shape Styles group, click the arrow to the right of Shape Fill and under Theme Colors select Olive Green, Accent 3, Lighter 40% (fourth row, seventh option from the left). Select the first stop on the slider, and then do the following: In the Position box, enter 33%. Select bottom, second-level rectangle in the SmartArt graphic. Click the button next to Color, and then under Theme Colors click White, Background 1 (first row, the first option from the left). Under SmartArt Tools, on the Format tab, in the Shape Styles group, click the arrow to the right of Shape Fill and under Theme Colors select Olive Green, Accent 3, Lighter 60% (third row, seventh option from the left). Press and hold CTRL, and select each of the second-level rectangles. Select the last stop on the slider, and then do the following: On the Home tab, in the Font group, in the Font Color list select White, Background 1 (first row, first option from the left). In the Position box, enter 100%. Click the button next to Color, and then under Theme Colors click White, Background 1, Darker 15% (third row, first option from the left). Under SmartArt Tools, on the Format tab, in the WordArt Styles group, click the arrow to the right of Text Effects, then point to Shadow, and under Outer, click Offset Diagonal Bottom Right.

Questões importantes para discussão
Como devemos gerenciar o sistema de saúde de forma a melhorar os resultados e minimizar os custos? Qual o papel do público e privado na atenção à saúde? Quanto precisamos de recursos para financiar a saúde com qualidade? Como deve ser a balança financeira público / privado / indivíduo? Como administrar a transição demográfica e epidemiológica que estamos vivenciando? Como deve se dar a incorporação de novas tecnologias? Quem avalia, quem paga?

Questões importantes para discussão
O modelo predominante no Brasil para pagar prestadores de serviços (fee for service) é viável a médio e longo prazo? Novos modelos de pagamento são aplicáveis no Brasil? Farmacoeconomia e Economia da Saúde

Casos do mundo real

Casos do mundo real Neste trabalho foram comparados os efeitos do adequado e inadequado controle do Diabetes tipo II, de acordo com os níveis de Hemoglobina Glicada (HbA1c). Os dados foram obtidos por meio de pesquisa realizada entre beneficiários do plano de saúde portadores da doença. Simulação de Monte Carlo foi usada para prever complicações de curto, médio e longo prazo, de acordo com dois cenários prováveis (bom ou mau controle da doença). Os riscos relativos de complicações oftalmológicas, renais e cardiovasculares, foram comparados nos dois grupos. No horizonte de 10 anos ficou demonstrado que o adequado controle glicêmico reduz as taxas de complicações e de mortalidade pela doença. Com isso, é possível à operadora identificar e priorizar medidas que facilitem o controle, racionalizando os recursos utilizados no tratamento das complicações.

Casos do mundo real JBES Abril 2012, Volume 4, Número 1 (Difficult)
Animated tipping scales (Difficult) To reproduce the shape effects on this slide, do the following: On the Home tab, in the Drawing group, click Shapes, and under Basic Shapes select Oval (first row, second option from the left). Press and hold SHIFT and on the slide, drag to draw a circle. On the Home tab, in the Slides group, click Layout, and then click Blank. Select the oval. Under Drawing Tools, on the Format tab, in the Size group, do the following: In the Shape Width box enter 2.16”. In the Shape Height box enter 2.16”. With the oval still selected, on the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Fill in the left pane, and in the Fill pane, do the following: Also in the Format Shape dialog box, click Line Color in the left pane, and in the Line Color pane click No line. Click the button next to Color, and then under Theme Colors select White, Background 1, Darker 25% (fourth row, first option from the left). Select Solid fill. Also in the Format Shape dialog box, click 3-D Format in the left pane, and in the 3-D Format pane do the following: Under Depth, in the Depth box enter 3.5 pt. Next to the Top list, in the Width box enter 5.5 pt. and in the Height box enter 9.5 pt. Under Bevel, in the Top list, under Bevel select Angle (second row, first option from the left). Also in the Format Shape dialog box, click 3-D Rotation in the left pane, and in the 3-D Rotation pane, under Rotation do the following: In the Z box enter 65.2°. In the Y box enter 298.9°. In the X box enter 297.8°. Also in the Format Shape dialog box, click Shadow in the left pane, and in the Shadow pane do the following: In the Blur box enter 15 pt. In the Size box enter 105%. In the Transparency box enter 60%. In the Angle box enter 120°. On the Home tab, in the Drawing group, click Shapes, and under Rectangles select Rounded Rectangle (second option from the left). On the slide, drag to draw a rounded rectangle. Select the circle and position towards the bottom of the slide. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Align and select Align Center. In the Distance box enter 9 pt. Select the rectangle. Under Drawing Tools, on the Format tab, in the Size group, in the Shape Height box enter 4.2” and in the Shape Width box enter 0.18”. Drag the yellow adjustment diamond to the right to create a rounded top. In the Format Shape dialog box, in the left pane click Fill tab, and in the Fill pane do the following: On the Home tab, in the Drawing group, click the Format Shape dialog box launcher. Click Solid fill. Also in the Format Shape dialog box, in the left pane click 3-D Format, and in the 3-D Format pane do the following: Also in the Format Shape dialog box, in the left pane click Line Color, and in the Line Color tab click No line. In the Color list, under Theme Colors select White, Background 1, Darker 15% (third row, first option from the left). Under Bevel, in the Top list select Circle. Select the rounded rectangle. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Align and select Align Center. Position the bottom of rectangle so that it slightly overlaps the oval. Next to the Top list, in the Width box enter 10 pt. and in the Height box enter 10 pt. Select the second rounded rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following: With the rounded rectangle still selected, on the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. In the Shape Width box enter 0.13”. In the Shape Height box enter 4.35”. With the second rounded rectangle still selected, on the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Rotate and select Rotate Left 90°. Select the first (vertical) round rectangle. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Select the second (horizontal) round rectangle. On the Home tab, in the Drawing group, click Arrange, under Position Objects, point to Align and select Align Center. Position the second (horizontal) round rectangle so that it slightly overlaps the top of the first, vertical round rectangle. Select the third (vertical) rounded rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following: Position the third, smaller round rectangle at the intersection at the top of the first (vertical) and second (horizontal) round rectangles. In the Shape Width box enter 0.32”. In the Shape Height box enter 0.32”. Select the third smaller round rectangle. On the Home tab, in the Drawing group, click Arrange, under Position Objects, point to Align and select Align Center. Select the second oval. Under Drawing Tools, on the Format tab, in the Size group, do the following: Select the oval. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Press and hold SHIFT and select the second (horizontal) and third (smaller) round rectangles. On the Home tab, in the Drawing group, click Arrange, and under Group Objects select Group. In the Shape Height box enter 1.93”. On the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. On the Format Shape dialog box, click Fill in the left pane, and in the Fill pane do the following: In the Shape Width box enter 1.93”. Also in the Format Shape dialog box, click Shadow in the left pane, and in the Shadow pane, in the Presets list select No Shadow. Click the button next to Color, and then under Theme Colors select White, Background 1, Darker 15% (third row, first option from the left). Next to the Top list, in the Width box enter 5.5 pt and in the Height box enter 5 pt. Under Bevel, in the Top list, under Bevel, select Slope (second row, fourth option from the left). Next to the Bottom list, in the Width box enter 11 pt and in the Height box enter 5 pt. Under Bevel, in the Bottom list, under Bevel, select Angle (second row, the first option from the left). In the X box enter 287.8°. Position this oval (or dish) on the left side of the slide, approximately 2.5 inches below the horizontal round rectangle In the Z box enter 74.1°. In the Y box enter 297.1°. Select the line. On the Home tab, in bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Line Color in the left pane, and in the Line Color pane do the following: On the Home tab, in the Drawing group, click Shapes, and under Lines select Line (first option from the left). On the slide, drag to draw a line from left edge of the horizontal rectangle and to the bottom left edge of the dish. Click Solid line. Also in the Format Shape dialog box, click Line Style in the left pane, and in the Line Style pane do the following: In the Width box enter 3.75 pt. In the Join type list select Round. In the Cap type list select Round. In the Dash type list select Round Dot (second option). Select the line. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. On the Home tab, in the Drawing group, click Arrange, and then under Order Objects select Send to Back. Position duplicate line so the top point is at the same position as the top point on the first line. Position the end point is on the right edge of the dish. Select the second line. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Rotate and select Flip Horizontal. Position the second group on the right side of the slide. Select the group of (the two dotted lines and the dish). On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Press and hold CTRL and select both lines and the dish. On the Home tab, in the Drawing group, click Arrange, and under Group Objects select Group. Press and hold CTRL and select both left and right groups. On the Home tab, in the Drawing group, click Arrange, and then do the following: Under Position Objects, point to Align and select Align Selected Objects. Under Order Objects select Send to Back. Under Position Objects, point to Align and select Align Top. To reproduce the animation effects on this slide, do the following: Also on the Animation tab, in the Animation group, click the Effect Options dialog box launcher. In the Spin dialog box, do the following: Select top horizontal bar group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. On the Effect tab, do the following: Also in the Amount list, select Clockwise. In the Amount list, in the Custom box enter 10 and press ENTER. Clear the Smooth Start box. On the Timing tab, do the following: Clear the Smooth End box. In the Speed list select Fast. Select the left dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Up. Click OK. In the Start list select With Previous. Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Up dialog box, do the following: On the Timing tab, in the Start list, select With Previous, and then in the Speed list, select Fast. On the Effect tab, clear the Smooth Start and Smooth End boxes. Select the motion path on the slide. Press and hold the SHIFT key and drag the end point (red arrow) down to shorten the motion path (approximately .33” length). (Note: If needed, zoom in to see the objects. On the View tab, in the Zoom group, click Zoom, and in the Zoom dialog box, in the Percent box enter 200%. After editing, on the View tab, in the Zoom group click Fit to Window to return to the slide to its original size.) Select right dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Down. Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Down dialog box, do the following: Select the down motion path on the slide. Press and hold SHIFT and the drag end point (red arrow) upwards to shorten path (approximately .33” length). Select the top horizontal bar group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. Also in the Amount list, select Counterclockwise. In the Amount list, in the Custom box enter 20 and press ENTER. Select the left dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Down. Select the down motion path on the slide. Press and hold SHIFT and the drag end point (red arrow) upwards to shorten path (approximately .66” length). Select the Down motion path for the right dish on the slide. Press and hold SHIFT and drag the start point (green arrow) to meet end point (red arrow) from the first Up motion path. Select the right dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Up. Select the motion path on the slide. Press and hold the SHIFT key and drag the end point (red arrow) down to shorten the motion path (approximately .66” length). Select the Up motion path for the right dish on the slide. Press and hold SHIFT and drag the start point (green arrow) to meet end point (red arrow) from the first Down motion path. To reproduce the background effects on this slide, do the following: In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the right pane, and then do the following: Right-click the slide background area, and then click Format Background. Under Gradient stops, click Add gradient stops or Remove gradient stops until two stops appear in the slider. In the Direction list, click Linear Down (first row, second option from the left). In the Type list, select Linear. Also under Gradient stops, customize the gradient stops as follows: Select the first stop in the slider, and then do the following: Click the button next to Color, and then click under Theme Colors select White, Background 1 (first row, the first option from the left). In the Position box, enter 65%. Select second stop in the slider, and then do the following: Click the button next to Color, and then click under Theme Colors select Black, Text 1, Lighter 50% (second row, the second option from the left). In the Position box, enter 96%. JBES Abril 2012, Volume 4, Número 1

Casos do mundo real (Difficult) Animated tipping scales
To reproduce the shape effects on this slide, do the following: On the Home tab, in the Drawing group, click Shapes, and under Basic Shapes select Oval (first row, second option from the left). Press and hold SHIFT and on the slide, drag to draw a circle. On the Home tab, in the Slides group, click Layout, and then click Blank. Select the oval. Under Drawing Tools, on the Format tab, in the Size group, do the following: In the Shape Width box enter 2.16”. In the Shape Height box enter 2.16”. With the oval still selected, on the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Fill in the left pane, and in the Fill pane, do the following: Also in the Format Shape dialog box, click Line Color in the left pane, and in the Line Color pane click No line. Click the button next to Color, and then under Theme Colors select White, Background 1, Darker 25% (fourth row, first option from the left). Select Solid fill. Also in the Format Shape dialog box, click 3-D Format in the left pane, and in the 3-D Format pane do the following: Under Depth, in the Depth box enter 3.5 pt. Next to the Top list, in the Width box enter 5.5 pt. and in the Height box enter 9.5 pt. Under Bevel, in the Top list, under Bevel select Angle (second row, first option from the left). Also in the Format Shape dialog box, click 3-D Rotation in the left pane, and in the 3-D Rotation pane, under Rotation do the following: In the Z box enter 65.2°. In the Y box enter 298.9°. In the X box enter 297.8°. Also in the Format Shape dialog box, click Shadow in the left pane, and in the Shadow pane do the following: In the Blur box enter 15 pt. In the Size box enter 105%. In the Transparency box enter 60%. In the Angle box enter 120°. On the Home tab, in the Drawing group, click Shapes, and under Rectangles select Rounded Rectangle (second option from the left). On the slide, drag to draw a rounded rectangle. Select the circle and position towards the bottom of the slide. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Align and select Align Center. In the Distance box enter 9 pt. Select the rectangle. Under Drawing Tools, on the Format tab, in the Size group, in the Shape Height box enter 4.2” and in the Shape Width box enter 0.18”. Drag the yellow adjustment diamond to the right to create a rounded top. In the Format Shape dialog box, in the left pane click Fill tab, and in the Fill pane do the following: On the Home tab, in the Drawing group, click the Format Shape dialog box launcher. Click Solid fill. Also in the Format Shape dialog box, in the left pane click 3-D Format, and in the 3-D Format pane do the following: Also in the Format Shape dialog box, in the left pane click Line Color, and in the Line Color tab click No line. In the Color list, under Theme Colors select White, Background 1, Darker 15% (third row, first option from the left). Under Bevel, in the Top list select Circle. Select the rounded rectangle. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Align and select Align Center. Position the bottom of rectangle so that it slightly overlaps the oval. Next to the Top list, in the Width box enter 10 pt. and in the Height box enter 10 pt. Select the second rounded rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following: With the rounded rectangle still selected, on the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. In the Shape Width box enter 0.13”. In the Shape Height box enter 4.35”. With the second rounded rectangle still selected, on the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Rotate and select Rotate Left 90°. Select the first (vertical) round rectangle. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Select the second (horizontal) round rectangle. On the Home tab, in the Drawing group, click Arrange, under Position Objects, point to Align and select Align Center. Position the second (horizontal) round rectangle so that it slightly overlaps the top of the first, vertical round rectangle. Select the third (vertical) rounded rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following: Position the third, smaller round rectangle at the intersection at the top of the first (vertical) and second (horizontal) round rectangles. In the Shape Width box enter 0.32”. In the Shape Height box enter 0.32”. Select the third smaller round rectangle. On the Home tab, in the Drawing group, click Arrange, under Position Objects, point to Align and select Align Center. Select the second oval. Under Drawing Tools, on the Format tab, in the Size group, do the following: Select the oval. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Press and hold SHIFT and select the second (horizontal) and third (smaller) round rectangles. On the Home tab, in the Drawing group, click Arrange, and under Group Objects select Group. In the Shape Height box enter 1.93”. On the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. On the Format Shape dialog box, click Fill in the left pane, and in the Fill pane do the following: In the Shape Width box enter 1.93”. Also in the Format Shape dialog box, click Shadow in the left pane, and in the Shadow pane, in the Presets list select No Shadow. Click the button next to Color, and then under Theme Colors select White, Background 1, Darker 15% (third row, first option from the left). Next to the Top list, in the Width box enter 5.5 pt and in the Height box enter 5 pt. Under Bevel, in the Top list, under Bevel, select Slope (second row, fourth option from the left). Next to the Bottom list, in the Width box enter 11 pt and in the Height box enter 5 pt. Under Bevel, in the Bottom list, under Bevel, select Angle (second row, the first option from the left). In the X box enter 287.8°. Position this oval (or dish) on the left side of the slide, approximately 2.5 inches below the horizontal round rectangle In the Z box enter 74.1°. In the Y box enter 297.1°. Select the line. On the Home tab, in bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Line Color in the left pane, and in the Line Color pane do the following: On the Home tab, in the Drawing group, click Shapes, and under Lines select Line (first option from the left). On the slide, drag to draw a line from left edge of the horizontal rectangle and to the bottom left edge of the dish. Click Solid line. Also in the Format Shape dialog box, click Line Style in the left pane, and in the Line Style pane do the following: In the Width box enter 3.75 pt. In the Join type list select Round. In the Cap type list select Round. In the Dash type list select Round Dot (second option). Select the line. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. On the Home tab, in the Drawing group, click Arrange, and then under Order Objects select Send to Back. Position duplicate line so the top point is at the same position as the top point on the first line. Position the end point is on the right edge of the dish. Select the second line. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Rotate and select Flip Horizontal. Position the second group on the right side of the slide. Select the group of (the two dotted lines and the dish). On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Press and hold CTRL and select both lines and the dish. On the Home tab, in the Drawing group, click Arrange, and under Group Objects select Group. Press and hold CTRL and select both left and right groups. On the Home tab, in the Drawing group, click Arrange, and then do the following: Under Position Objects, point to Align and select Align Selected Objects. Under Order Objects select Send to Back. Under Position Objects, point to Align and select Align Top. To reproduce the animation effects on this slide, do the following: Also on the Animation tab, in the Animation group, click the Effect Options dialog box launcher. In the Spin dialog box, do the following: Select top horizontal bar group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. On the Effect tab, do the following: Also in the Amount list, select Clockwise. In the Amount list, in the Custom box enter 10 and press ENTER. Clear the Smooth Start box. On the Timing tab, do the following: Clear the Smooth End box. In the Speed list select Fast. Select the left dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Up. Click OK. In the Start list select With Previous. Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Up dialog box, do the following: On the Timing tab, in the Start list, select With Previous, and then in the Speed list, select Fast. On the Effect tab, clear the Smooth Start and Smooth End boxes. Select the motion path on the slide. Press and hold the SHIFT key and drag the end point (red arrow) down to shorten the motion path (approximately .33” length). (Note: If needed, zoom in to see the objects. On the View tab, in the Zoom group, click Zoom, and in the Zoom dialog box, in the Percent box enter 200%. After editing, on the View tab, in the Zoom group click Fit to Window to return to the slide to its original size.) Select right dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Down. Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Down dialog box, do the following: Select the down motion path on the slide. Press and hold SHIFT and the drag end point (red arrow) upwards to shorten path (approximately .33” length). Select the top horizontal bar group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. Also in the Amount list, select Counterclockwise. In the Amount list, in the Custom box enter 20 and press ENTER. Select the left dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Down. Select the down motion path on the slide. Press and hold SHIFT and the drag end point (red arrow) upwards to shorten path (approximately .66” length). Select the Down motion path for the right dish on the slide. Press and hold SHIFT and drag the start point (green arrow) to meet end point (red arrow) from the first Up motion path. Select the right dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Up. Select the motion path on the slide. Press and hold the SHIFT key and drag the end point (red arrow) down to shorten the motion path (approximately .66” length). Select the Up motion path for the right dish on the slide. Press and hold SHIFT and drag the start point (green arrow) to meet end point (red arrow) from the first Down motion path. To reproduce the background effects on this slide, do the following: In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the right pane, and then do the following: Right-click the slide background area, and then click Format Background. Under Gradient stops, click Add gradient stops or Remove gradient stops until two stops appear in the slider. In the Direction list, click Linear Down (first row, second option from the left). In the Type list, select Linear. Also under Gradient stops, customize the gradient stops as follows: Select the first stop in the slider, and then do the following: Click the button next to Color, and then click under Theme Colors select White, Background 1 (first row, the first option from the left). In the Position box, enter 65%. Select second stop in the slider, and then do the following: Click the button next to Color, and then click under Theme Colors select Black, Text 1, Lighter 50% (second row, the second option from the left). In the Position box, enter 96%.

Animated tipping scales (Difficult)
To reproduce the shape effects on this slide, do the following: On the Home tab, in the Drawing group, click Shapes, and under Basic Shapes select Oval (first row, second option from the left). Press and hold SHIFT and on the slide, drag to draw a circle. On the Home tab, in the Slides group, click Layout, and then click Blank. Select the oval. Under Drawing Tools, on the Format tab, in the Size group, do the following: In the Shape Width box enter 2.16”. In the Shape Height box enter 2.16”. With the oval still selected, on the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Fill in the left pane, and in the Fill pane, do the following: Also in the Format Shape dialog box, click Line Color in the left pane, and in the Line Color pane click No line. Click the button next to Color, and then under Theme Colors select White, Background 1, Darker 25% (fourth row, first option from the left). Select Solid fill. Also in the Format Shape dialog box, click 3-D Format in the left pane, and in the 3-D Format pane do the following: Under Depth, in the Depth box enter 3.5 pt. Next to the Top list, in the Width box enter 5.5 pt. and in the Height box enter 9.5 pt. Under Bevel, in the Top list, under Bevel select Angle (second row, first option from the left). Also in the Format Shape dialog box, click 3-D Rotation in the left pane, and in the 3-D Rotation pane, under Rotation do the following: In the Z box enter 65.2°. In the Y box enter 298.9°. In the X box enter 297.8°. Also in the Format Shape dialog box, click Shadow in the left pane, and in the Shadow pane do the following: In the Blur box enter 15 pt. In the Size box enter 105%. In the Transparency box enter 60%. In the Angle box enter 120°. On the Home tab, in the Drawing group, click Shapes, and under Rectangles select Rounded Rectangle (second option from the left). On the slide, drag to draw a rounded rectangle. Select the circle and position towards the bottom of the slide. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Align and select Align Center. In the Distance box enter 9 pt. Select the rectangle. Under Drawing Tools, on the Format tab, in the Size group, in the Shape Height box enter 4.2” and in the Shape Width box enter 0.18”. Drag the yellow adjustment diamond to the right to create a rounded top. In the Format Shape dialog box, in the left pane click Fill tab, and in the Fill pane do the following: On the Home tab, in the Drawing group, click the Format Shape dialog box launcher. Click Solid fill. Also in the Format Shape dialog box, in the left pane click 3-D Format, and in the 3-D Format pane do the following: Also in the Format Shape dialog box, in the left pane click Line Color, and in the Line Color tab click No line. In the Color list, under Theme Colors select White, Background 1, Darker 15% (third row, first option from the left). Under Bevel, in the Top list select Circle. Select the rounded rectangle. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Align and select Align Center. Position the bottom of rectangle so that it slightly overlaps the oval. Next to the Top list, in the Width box enter 10 pt. and in the Height box enter 10 pt. Select the second rounded rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following: With the rounded rectangle still selected, on the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. In the Shape Width box enter 0.13”. In the Shape Height box enter 4.35”. With the second rounded rectangle still selected, on the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Rotate and select Rotate Left 90°. Select the first (vertical) round rectangle. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Select the second (horizontal) round rectangle. On the Home tab, in the Drawing group, click Arrange, under Position Objects, point to Align and select Align Center. Position the second (horizontal) round rectangle so that it slightly overlaps the top of the first, vertical round rectangle. Select the third (vertical) rounded rectangle. Under Drawing Tools, on the Format tab, in the Size group, do the following: Position the third, smaller round rectangle at the intersection at the top of the first (vertical) and second (horizontal) round rectangles. In the Shape Width box enter 0.32”. In the Shape Height box enter 0.32”. Select the third smaller round rectangle. On the Home tab, in the Drawing group, click Arrange, under Position Objects, point to Align and select Align Center. Select the second oval. Under Drawing Tools, on the Format tab, in the Size group, do the following: Select the oval. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Press and hold SHIFT and select the second (horizontal) and third (smaller) round rectangles. On the Home tab, in the Drawing group, click Arrange, and under Group Objects select Group. In the Shape Height box enter 1.93”. On the Home tab, in the bottom right corner of the Drawing group, click the Format Shape dialog box launcher. On the Format Shape dialog box, click Fill in the left pane, and in the Fill pane do the following: In the Shape Width box enter 1.93”. Also in the Format Shape dialog box, click Shadow in the left pane, and in the Shadow pane, in the Presets list select No Shadow. Click the button next to Color, and then under Theme Colors select White, Background 1, Darker 15% (third row, first option from the left). Next to the Top list, in the Width box enter 5.5 pt and in the Height box enter 5 pt. Under Bevel, in the Top list, under Bevel, select Slope (second row, fourth option from the left). Next to the Bottom list, in the Width box enter 11 pt and in the Height box enter 5 pt. Under Bevel, in the Bottom list, under Bevel, select Angle (second row, the first option from the left). In the X box enter 287.8°. Position this oval (or dish) on the left side of the slide, approximately 2.5 inches below the horizontal round rectangle In the Z box enter 74.1°. In the Y box enter 297.1°. Select the line. On the Home tab, in bottom right corner of the Drawing group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Line Color in the left pane, and in the Line Color pane do the following: On the Home tab, in the Drawing group, click Shapes, and under Lines select Line (first option from the left). On the slide, drag to draw a line from left edge of the horizontal rectangle and to the bottom left edge of the dish. Click Solid line. Also in the Format Shape dialog box, click Line Style in the left pane, and in the Line Style pane do the following: In the Width box enter 3.75 pt. In the Join type list select Round. In the Cap type list select Round. In the Dash type list select Round Dot (second option). Select the line. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. On the Home tab, in the Drawing group, click Arrange, and then under Order Objects select Send to Back. Position duplicate line so the top point is at the same position as the top point on the first line. Position the end point is on the right edge of the dish. Select the second line. On the Home tab, in the Drawing group, click Arrange, and then under Position Objects, point to Rotate and select Flip Horizontal. Position the second group on the right side of the slide. Select the group of (the two dotted lines and the dish). On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Press and hold CTRL and select both lines and the dish. On the Home tab, in the Drawing group, click Arrange, and under Group Objects select Group. Press and hold CTRL and select both left and right groups. On the Home tab, in the Drawing group, click Arrange, and then do the following: Under Position Objects, point to Align and select Align Selected Objects. Under Order Objects select Send to Back. Under Position Objects, point to Align and select Align Top. To reproduce the animation effects on this slide, do the following: Also on the Animation tab, in the Animation group, click the Effect Options dialog box launcher. In the Spin dialog box, do the following: Select top horizontal bar group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. On the Effect tab, do the following: Also in the Amount list, select Clockwise. In the Amount list, in the Custom box enter 10 and press ENTER. Clear the Smooth Start box. On the Timing tab, do the following: Clear the Smooth End box. In the Speed list select Fast. Select the left dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Up. Click OK. In the Start list select With Previous. Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Up dialog box, do the following: On the Timing tab, in the Start list, select With Previous, and then in the Speed list, select Fast. On the Effect tab, clear the Smooth Start and Smooth End boxes. Select the motion path on the slide. Press and hold the SHIFT key and drag the end point (red arrow) down to shorten the motion path (approximately .33” length). (Note: If needed, zoom in to see the objects. On the View tab, in the Zoom group, click Zoom, and in the Zoom dialog box, in the Percent box enter 200%. After editing, on the View tab, in the Zoom group click Fit to Window to return to the slide to its original size.) Select right dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Down. Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Down dialog box, do the following: Select the down motion path on the slide. Press and hold SHIFT and the drag end point (red arrow) upwards to shorten path (approximately .33” length). Select the top horizontal bar group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. Also in the Amount list, select Counterclockwise. In the Amount list, in the Custom box enter 20 and press ENTER. Select the left dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Down. Select the down motion path on the slide. Press and hold SHIFT and the drag end point (red arrow) upwards to shorten path (approximately .66” length). Select the Down motion path for the right dish on the slide. Press and hold SHIFT and drag the start point (green arrow) to meet end point (red arrow) from the first Up motion path. Select the right dish group. Also on the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Motion Paths. In the Add Motion Path dialog box, under Lines & Curves, click Up. Select the motion path on the slide. Press and hold the SHIFT key and drag the end point (red arrow) down to shorten the motion path (approximately .66” length). Select the Up motion path for the right dish on the slide. Press and hold SHIFT and drag the start point (green arrow) to meet end point (red arrow) from the first Down motion path. To reproduce the background effects on this slide, do the following: In the Format Background dialog box, click Fill in the left pane, select Gradient fill in the right pane, and then do the following: Right-click the slide background area, and then click Format Background. Under Gradient stops, click Add gradient stops or Remove gradient stops until two stops appear in the slider. In the Direction list, click Linear Down (first row, second option from the left). In the Type list, select Linear. Also under Gradient stops, customize the gradient stops as follows: Select the first stop in the slider, and then do the following: Click the button next to Color, and then click under Theme Colors select White, Background 1 (first row, the first option from the left). In the Position box, enter 65%. Select second stop in the slider, and then do the following: Click the button next to Color, and then click under Theme Colors select Black, Text 1, Lighter 50% (second row, the second option from the left). In the Position box, enter 96%.

Tendências e Desafios QUALIDADE ACESSO CUSTO EFICIÊNCIA EQUIDADE

Tendências e Desafios O QUE É VALOR EM SAÚDE EM BEM ESTAR
+ ANOS DE VIDA? + QUALIDADE DE VIDA? + ANOS COM QUALIDADE? + SAÚDE? + EDUCAÇÃO? + ????????

Desafios Como gerenciar o sistema de saúde de forma a melhorar os resultados e minimizar os custos Entender melhor o papel do público e privado na atenção à saúde e a balança financeira Definir o quanto precisamos de recursos para financiar a saúde com qualidade Animated pointer and light-up text (Advanced) To reproduce the background effects on this slide, do the following: On the Home tab, in the Slides group, click Layout, and then click Blank. Right-click the slide background area, and then click Format Background. In the Format Background dialog box, click Fill in the left pane, select Solid fill in the right pane, and select White, Background 1 (first row, first option from the left). To reproduce the rectangle on this slide, do the following: On the Home tab, in the Drawing group, click Shapes, and then under Rectangles click Rounded Rectangle (second option from the left). On the slide, drag to draw a rounded rectangle. Select the rectangle. Drag the yellow diamond adjustment handle to the left to decrease the amount of rounding on the corners. With the rounded rectangle still selected, under Drawing Tools, on the Format tab, in the Size group, do the following: In the Shape Height box, enter 3.5”. In the Shape Width box, enter 0.25”. Under Drawing Tools, on the Format tab, in the bottom right corner of the Shape Styles group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Fill in the left pane. In the Fill pane, select Solid fill, click the button next to Color, and then under Theme Colors click White, Background 1, Darker 15% (third row, first option from the left). Also in the Format Shape dialog box, click Line Color in the left pane. In the Line Color pane, select No line. Also in the Format Shape dialog box, click Shadow in the left pane. In the Shadow pane, click the button next to Presets, under Outer select Offset Bottom (first row, second option from the left), and then do the following: In the Transparency box, enter 0%. In the Size box, enter 100%. In the Blur box, enter 8.5 pt. In the Angle box, enter 90°. In the Distance box, enter 1 pt. Also in the Format Shape dialog box, click 3-D Format in the left pane. In the 3-D Format tab, do the following: Under Bevel, click the button next to Top, and then under Bevel click Circle (first row, first option from the left). Next to Top, in the Width box, enter 5 pt, and in the Height box, enter 5 pt. Under Surface, click the button next to Material, and then under Standard click Matte (first row, first option from the left). Click the button next to Lighting, and then under Neutral click Soft (first row, third option from the left). On the slide, select the rounded rectangle. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Select the duplicate rectangle. On the Home tab, in the Drawing group, do the following: Click the arrow next to Shape Fill, and then click No Fill. Click the arrow next to Shape Outline, and then click No Outline. Drag the second rectangle above the first rectangle until the lower edge overlays the top edge of the first rectangle. (Note: When the spinning animation effect is created later for these rectangles, the spin will center where the edges of the rectangles meet.) Press and hold CTRL, and then select both rectangles. On the Home tab, in the Drawing group, click Arrange, and do the following: Point to Align, and then click Align Selected Objects. Point to Align, and then click Align Center. Click Group. On the slide, drag the group until it is centered horizontally on the left edge of the slide (straddling the edge). On the Home tab, in the Drawing group, click Arrange, point to Align, and then do the following: Click Align to Slide. Click Align Middle. To reproduce the dashed arc on this slide, do the following: On the Home tab, in the Drawing group, click Shapes, and then under Basic Shapes click Arc (third row, 12th option from the left). On the slide, drag to draw an arc. Select the arc. Under Drawing Tools, on the Format tab, in the Size group, do the following: In the Shape Height box, enter 7.5”. In the Shape Width box, enter 7.5”. With the arc still selected, on the Home tab, in the Drawing group, click the arrow next to Shape Outline and then do the following: Under Theme Colors, click White, Background 1, Darker 15% (third row, first option from the left). Point to Dashes, and then click Dash (fourth option from the top). On the slide, drag the yellow diamond adjustment handle on the right side of the arc to the bottom of the arc to create a half circle. Drag the arc until the yellow diamond adjustment handles are on the left edge of the slide. With the arc still selected, on the Home tab, in the Drawing group, click the arrow under Arrange, point to Align, and then do the following: To reproduce the half circle on this slide, do the following: On the slide, select the arc. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Select the duplicate arc. Under Drawing Tools, on the Format tab, in the Size group, do the following: In the Shape Height box, enter 3.33”. In the Shape Width box, enter 3.33”. With the second arc still selected, under Drawing Tools, on the Format tab, in the Shape Styles group, click the arrow next to Shape Fill, and then under Theme Colors click White, Background 1, Darker 5% (second row, first option from the left). Under Drawing Tools, on the Format tab, in the Shape Styles group, click the arrow next to Shape Outline, and then click No Outline. Under Drawing Tools, on the Format tab, in the Shape Styles group, click Shape Effects, point to Shadow, and then click Shadow Options. In the Format Shape dialog box, click Shadow in the left pane. In the Shadow pane, click the button next to Presets , under Inner click Inside Right (second row, third option from the left), and then do the following: In the Transparency box, enter 86%. In the Blur box, enter 24 pt. In the Angle box, enter 315°. In the Distance box, enter 4 pt. On the slide, drag the second arc until the yellow diamond adjustment handles are on the left edge of the slide. On the Home tab, in the Drawing group, click Arrange, and then do the following: Point to Align, and then click Align to Slide. Point to Align, and then click Align Middle. Click Send to Back. To reproduce the button shapes on this slide, do the following: On the Home tab, in the Drawing group, click Shapes, and then under Basic Shapes click Oval (first row, second option from the left). On the slide, drag to draw an oval. Select the oval. Under Drawing Tools, on the Format tab, in the Size group, do the following: In the Shape Height box, enter 0.34”. In the Shape Width box, enter 0.34”. Under Drawing Tools, on the Format tab, in the Shape Styles group, click More, and then click Light 1 Outline, Colored Fill – Olive Green, Accent 3 (third row, first option from the left). Under Drawing Tools, on the Format tab, in the bottom right corner of the Shape Styles group, click the Format Shape dialog box launcher. In the Format Shape dialog box, click Fill in the left pane. In the Fill pane, select Solid Fill. Click the button next to Color, and then under Theme Colors click Olive Green, Accent 3, Lighter 80° (second row, seventh option from the left). Also in the Format Shape dialog box, click Shadow in the left pane. In the Shadow pane, click the button next to Presets, under Outer click Offset Bottom (first row, second option from the left), and then do the following: Also in the Format Shape dialog box, click 3-D Format in the left pane, and then do the following in the 3-D Format pane: Under Bevel, click the button next to Top, and then under Bevel click Art Deco (third row, fourth option from the left). Next to Top, in the Width box, enter 5 pt, and in the Height box, enter 5 pt. Under Contour, click the button next to Color, and then under Theme Colors click White, Background 1 (first row, first option from the left). In the Size box, enter 3.5 pt. On the slide, select the oval. Under Drawing Tools, on the Format tab, in the bottom right corner of the Size group, click the Size and Position dialog box launcher. In the Format Shape dialog box, click Position in the left pane, and in the Position pane, do the following to position the third and fourth ovals: In the Horizontal box, enter 2.98”. In the Vertical box, enter 1.5”. Select the oval. On the Home tab, in the Clipboard group, click the arrow under Paste, and then click Duplicate. Select the duplicate oval. Under Drawing Tools, on the Format tab, in the bottom right corner of the Size group, click the Size and Position dialog box launcher. In the Format Shape dialog box, click Position in the left pane, and in the Position pane, do the following to position the third and fourth ovals: In the Horizontal box, enter 3.52”. In the Vertical box, enter 2.98”. Repeat step 9 two more times, for a total of four ovals. Under Drawing Tools, on the Format tab, in the bottom right corner of the Size group, click the Size and Position dialog box launcher. In the Format Shape dialog box, click Position in the left pane, and in the Position pane, do the following to position the third and fourth ovals: Select the third oval on the slide, and then enter 3.52” in the Horizontal box and 4.27” in the Vertical box. Select the fourth oval on the slide, and then enter 2.99” in the Horizontal box and 5.66” in the Vertical box. To reproduce the text on this slide, do the following: On the Insert tab, in the Text group, click Text Box, and then on the slide, drag to draw the text box. Enter text in the text box and select the text. On the Home tab, in the Font group, do the following: In the Font list, select Corbel. In the Font Size list, select 22. Click the arrow next to Font Color, and then under Theme Colors click White, Background 1, Darker 50% (sixth row, first option from the left). On the Home tab, in the Paragraph group, click Align Text Left to align the text left in the text box. On the slide, drag the text box to the right of the first oval. Select the text box. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Click in the text box and edit the text. Drag the second text box to the right of the second oval. Repeat steps 5-7 to create the third and fourth text boxes, dragging them to the right of the third and fourth ovals. To reproduce the animation effects on this slide, do the following: On the Home tab, in the Editing group, click Select, and then click Selection Pane. In the Selection and Visibility task pane, select the rectangle group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. Also on the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Spin dialog box, do the following: On the Effects tab, in the Amount list, in the Custom box, enter 123°, and then press ENTER. Also in the Amount list, click Counterclockwise. On the Timing tab, in the Duration box, select 1.00. On the Timing tab, in the Start list, select With Previous. On the slide, select the first oval. On the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Emphasis Effects. In the Add Emphasis Effect dialog box, under Basic, click Fill Color. On the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In Fill Color dialog box, the do the following: On the Effects tab, in the Fill Color list, click More Colors. In the Colors dialog box, on the Custom tab, enter values for Red:130, Green:153, Blue: 117. On the Timing tab, in the Duration box, , enter 0.50. On the Timing tab, in the Start list, select After Previous. On the slide, select the first text box. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Entrance click Fade. Also on the Animations tab, in the Timing group, do the following: In the Start list, select With Previous. In the Duration box, enter 0.50. In the Selection and Visibility task pane, select the rectangle group. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Emphasis click Spin. On the Effects tab, in the Amount list, in the Custom box, enter 22°, and then press ENTER. Also in the Amount list, click Clockwise. On the Timing tab, in the Start list, select On Click. On the Timing tab, in the Duration box, enter 0.50. On the slide, select the second oval. On the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Emphasis Effects. In the Add Emphasis Effect dialog box, under Basic, click Fill Color. On the Animations tab, in the Animation group, click the Effect Options dialog box launcher. In the Fill Color dialog box, do the following: On the slide, select the second text box. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Entrance click Fade. On the slide, select the third oval. On the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Emphasis Effects. In the Add Emphasis Effect dialog box, under Basic, click Fill Color. On the Timing tab, in the Speed list, select Very Fast. On the slide, select the third text box. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Entrance click Fade. On the slide, select the fourth oval. On the Animations tab, in the Advanced Animation group, click Add Animation, and then click More Emphasis Effects. In the Add Emphasis Effect dialog box, under Basic, click Fill Color. On the slide, select the fourth text box. On the Animations tab, in the Advanced Animation group, click Add Animation, and then under Entrance click Fade. On the Animations tab, in the Timing group, do the following: In the Duration box, enter 0:50. Decidir onde (des)investir em saúde sem que haja prejuízo da qualidade da assistência e mantendo a viabilidade do público e privado

Joao Paulo dos Reis Neto

Desafios e Estratégias na Gestão dos Custos Assistenciais

Apresentações semelhantes

Apresentação em tema: "Desafios e Estratégias na Gestão dos Custos Assistenciais"— Transcrição da apresentação:

Apresentações semelhantes

Sobre projeto

Feedback

Login

Autorizar-se através da rede social:

Desafios e Estratégias na Gestão dos Custos Assistenciais

Apresentações semelhantes

Apresentação em tema: "Desafios e Estratégias na Gestão dos Custos Assistenciais"— Transcrição da apresentação:

Apresentações semelhantes

Sobre projeto

Feedback