.... Technology Management in Latin America and the Caribbean Antonio Hernandez
HEALTH TECHNOLOGIES People's Environmental Community Services Individual Services Protection Technologies Clinical Technologies Support Technologies Promotion Technologies Prevention Technologies Pharmaceutical Medical and Other Equipment Products and Devices Clinical Procedures e- Tele- - TELEMEDICINE Information Infrastructure and Equipment Source: Developing Technology Assessment in Latin America and the Caribbean - PAHO/WHO
PAHO Technical Cooperation on Services Physical Infrastructure & Technology To Collaborate with the Member States in National Development and Institutional Capacity Building on care Technology and Engineering in Services
HEALTH SERVICES PHYSICAL AND TECHNOLOGICAL INFRASTRUCTURE E- Tele- Telemedicine EQUIPMENT MEDICAL DEVICES INDUSTRIAL MEDICAL DEVICES REGULATION EQUIPMENT TECHNOLOGY MANAGEMENT ARCHITECTURE AND ENGINEERING HEALTHCARE FACILITY DEVELOPMENT CLINICAL ENGINEERING HOSPITAL ENGINEERING PLANT OPERATION MAINTENANCE MAINTENANCE SERVICES HEALTHCARE TECHNOLOGY ASSESSMENT
Regional Status Technology Dependant Countries Lack of National Policy for Technology Management Few Medical Device Regulatory Programs Average 50% of Equipment Out of Service or Not in Use Obsolete Buildings. Deterioration 50% Shortage of Professional and Technical Staff Few Universities & Technical School with Programs on BE, CE, Lack of Physical Infrastructure Planning Programs Weak Maintenance Programs Weak After Sale Support Service Less than 1% of Operation Budget for Maintenance Lack of Equipment Inventories and Control Systems Continuous Acquisition of Technology
1991-2005 PAHO/WHO Strategic Alliance American College of Clinical Engineering (ACCE) Partners: Emergency Care Research Institute (ECRI) International Certification Commission (ICC) Medical Devices Bureau - Canada (MDB) FDA/Center for Devices and Radiological (CDRH) Association for Advancement of Medical Instrumentation (AAMI) American Society for care Engineering (ASHE) Mexican Biomedical Engineering Society (SOMIB) National Center for Excellence on Technology (CENETEC) Institute of Electrical and Electronic Engineering (IEEE/EMBS) ORBIS Objective Clinical Engineering and Technology Management Workshops (ACEW)
ACEW Goal To Built and Strength care Technology Management & Clinical Engineering Capacity Worldwide
ACEW METHODOLOGY ACEW Planning Authority Invited to Attend an ACEW Country Authorities Request to PAHO/WHO ACCE PAHO/WHO Contract Team Leader and Faculty Selection (ACEW Roster) Proposed Program Mission to Prepare Program (Second Level ACEW) HTM Survey (Second Level ACEW) Teleconferences (10-15) Presentations and Reference Material Selection of Participants (Country Coordinator) International Participants ACEW Execution Visit to Local Hospitals Interviews with Local Authorities care Situation/Challenges in the Country/Region Readings Team Work Forums for Discussions Case Studies Programs in Latin American & Caribbean ACEW Proceedings CD-ROM
ACEW SYLLABUS Three Level ACEW care Technology Management Technology Assessment Human Resources Development Patient Safety, Risk Management & User Error Maintenance Service Management Technology Management Shared Services Utility Systems in care Facilities New Issues: Electro Magnetic Interference (EMI/EMC) Medical Telemetric Systems/ Wireless Communications Patient Care Device Interoperability Norms and Standards: ISO, IEC, ITU, IEE Telemedicine/Tele-/e- PACS, RIS, HL7, DICOM Medical Devices Regulation Medical Device Incident Investigation Donated/Refurbished Medical Equipment Reuse of Single-Use Medical Devices Essential Technology Package - EHTP
16 Years - 31 ACEW Addis Ababa, Ethiopia January 30 February 1, Leader: Kevin Taylor Long Beach, CA, USA January 30-31, Leader: Arif Subhan Cartagena, Colombia July 11-15, 2005 Leader: Tobey Clark Kingston, Jamaica - April 11-15, 2005 Leader: Tony Easty Pristina, Kosovo - October 11-15, 2004 Leader: Tom Judd San Jose, Costa Rica - May 17-21, 2004 Leader: Tobey Clark Managua, Nicaragua - March 15-19, 2004 Leader: Matt Baretich
16 Years - 31 ACEW Cancun, Mexico - September 17-18, 2003 Leader: Yadin David Santiago de Chile, Chile - August 25-29, 2003 Leader: Frank Painter Roseau, Dominica - July 14 18, 2003 Leader: Elliot Sloane Monterrey, Mexico - November 5-9, 2002 Leader: Yadin David Guayaquil, Ecuador - September 7-13, 2002 Leader: Binseng Wang Lima, Peru - March 18-22, 2002 Leader: Frank Painter Coro, Venezuela March 13-17, 2002 Leader: Yadin David San Jose, Costa Rica February 25 March 1, 2002 Leader: Tobey Clark
16 Years - 31 ACEW Sao Paulo, Brazil - June 4-6, 2001 Leader: Binseng Wang Havana, Cuba - May 20-21, 2001 Leader: Elliot Sloane Katmandu, Nepal - April 9-13, 2001 Leader: Jim Wear Guayaquil, Ecuador - March 26-30, 2001 Leader: Frank Painter Panama City, Panama - November 13-17, 2000 Leader: Ira Tackel Vilnius, Lithuania - September 25-29, 2000 Leader: Alfred Jacknunas Chicago, USA - July 21-22, 2000 Leader: Frank Painter Santo Domingo, Dominican Republic - March 13-17, 2000 Leader: Frank Painter
16 Years - 31 ACEW Capetown, South Africa - November 8-12, 1999 Leader: Tom Judd Moscow, Russia -September 13-18, 1999 Leader: Yadin David Hartford, USA - June 10-12, 1999 Leader: Frank Painter Mexico City, Mexico - November 2-6, 1998 Leader: Frank Painter Washington D.C., USA - June 4-7, 1997 Leader: Tom Judd Beijing, China - November 6-10, 1995 Leader: Alan Levenson Boston, USA - May 12-15, 1993 Leader: Yadin David Washington D.C., USA - May 11-27, 1991 Leader: Tom Judd
ACEW Statistics 16 Years 31 ACEW 21 Countries Hosted ACEW 13 from Latin America and the Caribbean (LA&C) 52 Countries have Participated in ACEW 30 from LA&C 1, 721 Attendees 1,291 from LA&C 62 Faculty Members of ACCE 14 Former ACEW Attendees 1,212 Hours of Lecture 2 Certification Boards on CE (Brazil & Mexico)
ACEW Distribution 6 ACEW 5 4 3 2 1 0 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Year
ACEW Outcomes in LA&C National Technology Centers ACEW Conveyed by Ministries of Parallel ACEW Tracks for Hospital Directors and Administrators National Policies in care Technology Management ACEW Participants in Key Political and Technical Positions Technology Management and CE declared as Institutional Priority care Decision Makers Attending ACEW CE Widely Promoted CE Departments in Hospitals Universities Organizing Masters Programs in CE CE Associations Active Role of CE on: Medical Device Regulatory Programs Risk Management Programs Telemedicine e- Incident Investigations (Forensic CE) Technology Assessment Programs
Challenges & Opportunities National Strategic Alliances (Public-Private) Coordination with Universities and Professional Societies Institutional Capacity Building in care Facilities for Technology Management Links to Global Initiatives International Standards for care Technology (OMS/ISO/IEC/ITU) Technology Assessment (ihta) Medical Devices Regulation (GHTF/PAHO) Global Alliance for Patient Safety (WHO) e-/telemedicine (PAHO/WHO) Patient Care Devices Interpretability (IEEE/ACCE)
Future ACEW Buenos Aires, Argentina April 24-28, Steve Grimes, Leader Cape Town, South Africa May Tobey Clark, Leader San Salvador, El Salvador Matt Baretich, Leader Florianopolis, Brazil November
Listserv Groups HTA Technology Assessment e- e- & Telemedicine MED-DEVICES Medical Devices Regulation INFRATECH Services Physical Infrastructure & Technology INFRACARIB Services Physical Infrastructure & Technology for the Caribbean Countries