CLINICAL ENGINEERING part(2)

1. CLINICAL ENGINEERING part(2) Dr. Dalia H. Elkamchouchi

2. Healthcare Technology Definitions • Healthcare Technology. What is it? • Healthcare technology includes the devices, equipment, systems, software, supplies, pharmaceuticals, biotechnologies, medical and surgical procedures, organizational structures used in the prevention, diagnosis, and treatment of disease in humans; for rehabilitation; and for assistive purposes. • Here we will focus on medical equipment and hospital installations and facilities.

3. Technology Life-Cycle نموذج أختبار زوال أو تقادم أندماج الأنتشارالمبكر أبتكار • “A process by which technology is created, tested, applied, and replaced or abandoned” • *Know the maturity of a technology • * Support systematic and rational decisions

4. Technology Life-Cycle *We should use the technology life cycle in understanding and analyzing healthcare technology. *We need to know how and why some technologies die and when a certain technology will begin to give a return on investment. *Hospitals must be able to answer if technologies are adequate (كافي) for their present situation, as well as in the future. *In addition, one has to know the risks that are involved in deciding to adopt(يتخذ أو يتبنى) a new technology. *By using the technology life cycle analysis, decision-makers will be able to make rational decisions and measure the real added values before committing themselves to the new technology.

5. Cost-Effectiveness • A process that combines qualitative and quantitative considerations in order to know the costs of a project compared to the resultant benefits. • Costs are normally expressed in dollars • Benefits in terms of: • Lives saved • Disabilities avoided • Quality-adjusted life years saved • Other relevant objectives as client satisfaction or marketing strategies

6. Life Cycle Cost Analysis (LCC) • Initial purchase price • Shippingشحن • Renovations ترميمات • Installation تجهيزات مواقع • Supplies أمدادت • Associated disposablesغير مفيد بعد الأستعمال • Cost per use • And OTHER costs as: staff training, ease of use, servicing, spare parts, upgrades, networking …

7. Ease of Use • Clinical Evaluation Prior to Purchase Decision • Prepare the user for proper operation • In service Training • Documentation • Equipment design • User’s ability • Human factors • Patient and user discomfort • Keyboard • Device controls • Alarms User-friendly aspects need to be considered

8. LCC & NPV Analysis

9. Modules for practicing? Full Clinical Engineering Implementation Partial Clinical Engineering Implementation Technology Advisory Counseling Technology Audit & Action Plans Technology Inventory Economic Rescue Plans Technology Incorporation Planning

10. Full Clinical Engineering Implementation 16 Complementary areas Diagnostic Studies الدراسات التشخيصية Inventory Market Procurement Law Standards and Regulations Equipment Control Costs & Expenses Control Process Management Risk Management Contract Management Personal Management Technology Incorporation Maintenance Patient Safety Technology Planning Training Quality Back

11. Diagnostic Evaluation Criteria Continuing Education Risk management Technology Incorporation & Acquisition Equipment Control Legal Standards & Regulations Maintenance Preventive Corrective Documentation Administrative Technical Safety

12. Diagnostic Excellence & Quality Leadership: participation Planning: actions Social Concerns: attended Clients: necessities Information: use Personal: capacitating Processes: practice Results: defined

13. Diagnostic National Accreditation Organization Physical Projects Management Physical Infra-Structure Facilities Management Waste Management Medical Equipment Management Safety Management SWOT Strengthens - Weakness - Opportunities - Threats - Back