The literature points out that given the dynamics and complexity in the global scenario,
aggravated by the pandemic moment that the world is going through, health governance
constitutes a necessary prerogative to provide organizations with transformative management
models. This research is a case study whose general objective is to evaluate the adherence of
the results/action of governance in health at Fundação Santa Casa de Misericórdia (FSCMPA)
by measuring good governance practices. It is a methodological procedure of case study of an
applied, exploratory and descriptive nature, with a quantitative and qualitative approach. For
data collection, a management tool was developed (google forms questionnaire) applied and
tested in the organization from October/2021 to November/2021 to evaluate the mechanisms of
leadership, strategy and control from the self-assessment of 68 employees. For the elaboration
of the questionnaire, the methodology of the governance and management guide prepared by
the Federal Audit Court (TCU) was used as a reference, applicable to health secretariats and
councils, which was duly adapted to be applied in hospital units. For data processing,
descriptive statistical analysis was used, and for the Categorization of Answers - Numerical
limits of the stages of capacity -, an adaptation of the TCU Secretariat for External Control of
State Administration (Secex Administration). The survey resulted in an improved governance
maturity level for the leadership and strategy mechanisms that reached a stage of 71.46% and
82.26%, respectively. The control mechanism indicated an intermediate maturity level of
67.90%, demonstrating weaknesses in good governance practices. It is concluded that despite
the Santa Casa de Misericórdia do Pará Foundation (FSCMPA) having reached an improved
institutional maturity index of 73.87%, the adherence of its actions to good governance
practices needs to be better worked. The research leaves as a product a governance model for
hospital organizations, accompanied by an assessment instrument capable of promoting
continuous improvement in governance practices, as well as recommendations to encourage
behavioral changes in public administration.
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