Healthcare Technology Management (HTM)

Transcription

1 Healthcare Technology Management (HTM) Izabella A. Gieras, MS, MBA President, ACCE Clinical Engineering Manager William Beaumont Hospital Beaumont Services Company Michigan, U.S.A. Advanced Clinical Engineering Workshop Buenos Aires, Argentina April 24-28, 2006

2 Evolution of Healthcare - Past 2

3 Evolution of Healthcare - Present 3

4 Evolution of Healthcare - Future 4

5 Agenda Healthcare Technology Healthcare Technology Management (HTM) Strategic HTM and Clinical Engineering Conclusion Outcomes of Successful HTM 5

6 Health Technology - Categories Drugs: aspirin, beta-blockers, antibiotics Biologics: vaccines, blood products Devices, equipment and supplies: pacemakers, CT scanners Medical and surgical procedures: nutrition counseling, coronary angiography, gall bladder removal 6

7 Health Technology - Categories Support systems: electronic health record systems, telemedicine systems, drug formularies, clinical laboratories Organizational and managerial systems: prospective payment using diagnosis-related groups, alternative health care delivery configurations, total quality management programs 7

8 Health Technology - Purposes Prevention Screening Diagnosis Treatment Rehabilitation 8

9 Health Technology - Stage of Diffusion Future Experimental Investigational Established Obsolete/outmoded/abandoned 9

10 Healthcare Technology Management (HTM) HTM is defined as the systematic process in which qualified healthcare professionals, typically clinical engineers, in partnership with other health care leaders, plan for and manage health technology assets to the highest quality care at the best cost. Clinical Engineering Handbook,

11 Medical Technology Management Strategic Technology Planning Technology Assessment Risk Assessment Life Cycle Analysis Technology Procurement & Implementation Technology Utilization and Servicing Technology Risk Management and Quality Improvement Technology Replacement Planning 11

12 12

13 HTA - Experts Physicians Nurses Other Clinicians Healthcare Administrators Biomedical & Clinical Engineers Pharmacologists Epidemiologists Patients Radiology Technicians Lawyers Ethicists Information Specialists Biostatisticians Decision Scientists Computer Programmers 13

14 HTM Vision in Hospitals To enable our institution to deploy safe, effective and efficient medical technologies through a professional clinical engineering practice that is based on proven methodology and algorithm. 14

15 Medical Technology Management Strategic Technology Planning Technology Assessment Risk Assessment Life Cycle Analysis Technology Procurement & Implementation Technology Utilization and Servicing Technology Risk Management and Quality Improvement Technology Replacement Planning 15

16 Strategic Technology Planning Road Map Technology Services Policies Safety Quality Cost Performance Efficiency Core Business of the Hospital 16

17 Strategic Technology Cycle Innovation Adoption 17

18 Medical Technology Management Strategic Technology Planning Technology Assessment Risk Assessment Life Cycle Analysis Technology Procurement & Implementation Technology Utilization and Servicing Technology Risk Management and Quality Improvement Technology Replacement Planning 18

19 Technology Assessment Assessment of Need Clinical effectiveness Risk and safety concerns (regulations) Device evaluation Assessment of Impact Infrastructure Users Maintenance 19

20 Technology Assessment Assessment of Cost ROI Life cycle analysis Standardization Assessment of Benefit Clinical Financial Technical 20

21 Purchase Price Space Preparation Costs Installation Costs Shipping Customs Duty Insurance Incoming Inspection 20% - LLC Train Users Train Suppliers Train Service Support Replace Stock Stock New Supplies Preventive Maintenance (PM) PM Parts Corrective Maintenance (CM) Repair Parts Software License 80% Y. David 21

22 Medical Technology Management Strategic Technology Planning Technology Assessment Risk Assessment Life Cycle Analysis Technology Procurement & Implementation Technology Utilization and Servicing Technology Risk Management and Quality Improvement Technology Replacement Planning 22

23 Technology Procurement & Implementation Procurement Determining final specifications, options, terms, conditions under which technology will be acquired Training and service needs Request for proposal Review of proposal, negotiations! Awarding the bid/contract - acquisition 23

24 Technology Procurement & Implementation Implementation Training (clinical, technical) Incoming equipment inspections Deployment of technology Clinical acceptance 24

25 Medical Technology Management Strategic Technology Planning Technology Assessment Risk Assessment Life Cycle Analysis Technology Procurement & Implementation Technology Utilization and Servicing Technology Risk Management and Quality Improvement Technology Replacement Planning 25

26 Technology Utilization and Servicing Maintenance support Inventory Parts, supplies, upgrades Procedures Scheduling Monitoring Clinical and technical partnership Vendor relationships Service contracts 26

27 Medical Technology Management Strategic Technology Planning Technology Assessment Risk Assessment Life Cycle Analysis Technology Procurement & Implementation Technology Utilization and Servicing Technology Risk Management and Quality Improvement Technology Replacement Planning 27

28 Technology Risk Management and Quality Improvement Patient outcomes User satisfaction Risk assessment Incident investigations Recalls and hazard alerts 28

29 Medical Technology Management Strategic Technology Planning Technology Assessment Risk Assessment Life Cycle Analysis Technology Procurement & Implementation Technology Utilization and Servicing Technology Risk Management and Quality Improvement Technology Replacement Planning 29

30 Technology Replacement Planning Strategic replacement planning Safety Regulations Clinical benefit New and emerging technologies Technical support Standardization Budget (cost benefit analysis) 30

31 Conclusions Proper attention to appropriate site preparation and equipment installation can help ensure good equipment performance and a long useful life, but don t forget 31

32 Purchase Price Space Preparation Costs Installation Costs Shipping Customs Duty Insurance Incoming Inspection 20% - LLC Train Users Train Suppliers Train Service Support Replace Stock Stock New Supplies Preventive Maintenance (PM) PM Parts Corrective Maintenance (CM) Repair Parts Software License 80% Y. David 32

33 Conclusions Proper attention to appropriate planning and preparation for equipment supplies, maintenance, training, and repairs can mean the difference between success and failure! 33

34 Muchas Gracias Preguntas? 34