Referenced in the federal PPP law, the concessionaire's monthly consideration is only paid when the works and services outlined in the contract are ready. During service provision, a monthly assessment of the private partner’s performance is conducted against the performance standards established in the contract.

The performance assessment of the Concessionaire comprises the determination and calculation of the PERFORMANCE INDEX, represented by a score, quantified according to the assessment of more than 180 parameters and performance indicators.

The score (value) obtained from the PERFORMANCE INDEX (PI) represents the general satisfaction with the services provided by ONM Health, which is assessed according to the performance goals classified according to a scale that goes from “bad”, meaning failure to achieve the goals, to “excellent”, meaning that the goals were achieved and exceeded.

In addition to gauging the quality of the services provided, the PERFORMANCE INDEX is also used to adjust the CONCESSIONAIRE’s compensation, which will be partially proportional to its performance. The concessionaire may be penalized in up to 60% of the value of the monthly consideration, in accordance with the provisions of the Concession Contract.

The Performance Index is the result of the calculation and weighting of three major sub-indexes and their component indicators:

• Quality Index (QI) – Assesses the quality of the service provided by the CONCESSIONAIRE;
• Availability Index (AI) – Assesses the degree of availability of HOSPITAL’s infrastructure and services;
• Conformity Index (CI) – Assesses compliance with standards, laws, and technical, contractual, and regulatory requirements;

Although HMDCC operation has started in December 2015, as per contractual arrangements, the first performance measurement of the services performed by the Concessionaire was conducted in August 2016.

Operational Performance Assessment
Minimum score: 1. Maximum score: 4.