1. CLINICAL ENGINEERING part(3) Dr. Dalia H. Elkamchouchi

2. Inventory Applied to medical equipment and facilities and accessories State of Conservation Age of Technological Registers in organizations as FDA Recall Evaluations Value – US$ –New –Substitution Energy consumption Technical & Administrative Data –Serial number –Model –Manufacturers –Owner –Contracts –Warranty –Technical Responsible Back

3. Market Procurement Improve the knowledge of medical equipment market Improve the knowledge about the market of healthcare facilities –Medical Equipment Fairs –Mechanical Fairs –Electrical & Electronic Fairs –Specialized Magazines –Technical Papers and Newspaper –Internet groups –Engineering and Maintenance Associations –Benchmarkingعلامات أرشاد Back أقتناء السوق

4. Law, Standards and Regulations State and Federal Laws –Water Quality –Electricity Supply –HVAC –Sterilization Standards –NFPA, ANSI, ASHRAE, ISO, AAMI, JCAHO FDA –Registers, Recalls ECRI – 1991 –13,000 standards and guidelines 800 organizations and agencies (North America) Back These regulations can help Hospitals to become active participants in healthcare technology improvements by correctly applying legal and technical standards and, in addition, make more money.

5. Equipment Control Equipment history Maintenance procedures What are the expenses and costs related to maintenance? Are they high? How many hours of work? Who is the Responsible for the equipment? What are the maintenance indicators? –MTBF –MTTR –Availability Up Time Down Time Back

6. Costs & Expenses Control Actions may be applied to the two principal types of costs and expenses, i.e.: –Medical equipments –Facilities In addition, actions may also be taken to recuperate money as related to: –Review contracts How to obtain more from the same contracts? –Contractual compliance –New contracts –New technologies What kind of knowledge can be used to change the operational costs? Back

7. Process Management How to manage a clinical engineering department using processes? –Define how workers and patient can have benefits from processes –Create internal administrative procedures To open work orders To prepare requisition of spare parts and consumables Register engineering activities to monitor performance to achieve defined goals Issue management reports Evaluate medical equipment Register activities of maintenance –Corrective & Preventive and others Back

8. Risk Management Back Helps hospital by to:  Avoiding exposure risks  Minimizing liability exposure  Staying compliant with regulatory reporting requirements JCAHO – PSTM  Require minimum technology-based risks management activities Recognition, evaluation and risks control –Determination of technology-related incidents with followed-up steps to prevent recurrences –Evaluation and documentation of the effectiveness of these steps

9. Contract Management Back Helps hospital fully explore its contracts on: –Service and Maintenance –Electricity –Medical gases –Combustibles –Warranties –Acceptance tests –Price of spare parts –Timeframes –Performance indicators evaluations

10. Personal Management Helps the hospital’s maintenance and engineering staff be: –Involved –Prepared to execute its functions –Properly assigned to specific technical tasks –Creative and solution-oriented –Focused on objectives and goals Back

11. Technology Incorporation * Back Helps hospitals organize and take full advantage of technologies by:  Analyzing needs and developing specifications  Developing a vendor list  Analyzing proposals and site planning  Evaluating samples  Choosing the best proposal  Controlling deliveries and installations  Performing acceptance testing  Final acceptance

12. Technology Incorporation Back Clinical Team Requirements  Ability of staff to assimilate the technology  Medical staff satisfaction (short and long term)  Impact on staffing (numbers, functions)  Projected utilization  On-going related supplies required  Effect on healthcare delivery and results (convenience, safety, or standard of care)  Written, clinical practice guidelines  Credentialed staff  Clinical staff initial and ongoing training  Effect on existing technology in the department or other services/departments

13. Maintenance Preventive –Documentation Operational manual Operational maintenance Registers –Tools Adequate tools required Simulators and performance equipment tests Calibration certification of these equipments Corrective –Service manual –Training –Functional principles Management of these processes Back

14. Patient Safety Safety is a condition of being safe from: –Danger –Injury –Damage Regulations and Standards –Air conditioning (tuberculosis) –X-Ray dose –Medical air quality –Electrical current leakage –Burns associated to electrosurgical units –Alarms management Back

15. Strategic Technology Planning Is an accountable, systematic approach to ensuring that cost-effective, efficacious, appropriate,فعال و ملائم and safe equipment is available to meet the demands of quality patient care, and allows an institution to remain competitive. Ex: –In house service management –Management and analysis of external service providers –Involvement in the equipment acquisition process –Involvement in facility planning and design –Reducing technology related incidents –Training equipment users –Reviewing equipment replacement needs –On-going assessment of emerging technologies Back

16. Training Back Training is one more management tool to be used in preparing people to meet the new challenges brought on by new technologies. Therefore, training must enable the Hospital and each of its staff members to grow and to develop, as needs and opportunities change.

17. Quality Quality of Care –It means providing healthcare with the most efficient use of resources Measuring quality of care –Quality Assurance (QA) & Quality Improvement (QI) are formal sets of activities to measure the quality of care Back

18. Quality of Medical Technology Inventory –Institution’s experience with that and similar devices –Equipment functions –Industry standards (state of art) –Age –Current device condition Select a valid indicator to measure equipment’s clinical performance –Availability –Functionality –Financial performance –Safety Back

19. Quality of Medical Technology Types of indicators –Type and # of devices scheduled for service –Total # and type of devices inspected –Type and # of devices that failed an inspection –Type and # of devices for which on-demand service was requested –Type and # of devices found with physical damage –Type and # of devices for which user’s complaint was registered, but no problem found –Type and # of devices involved in accidents or incident –Type and # of devices that were serviced more than one time in any 7-day period –Type and # of devices for which abnormal labor or replacement parts were required Back