Patient safety

Healthcare Technology Management (HTM) and Clinical Engineering Workshop

Ministry of Social Protection, PAHO/WHO, ACCE


Day 2 agenda

Tuesday, 12 July 2005

Concurrent session for directors and administrators


Time Min Section/Title Description Speakers
8:00am 60 Healthcare Technology Policy (HTP) Impact Analysis The contribution of health technology policy and health technology management (HTM) activities in providing cost benefits, improved quality of care, and improved patient outcomes, is demonstrated through several relevant case studies from other countries. The WHO Essential Health Technology Package (EHTP) concept is introduced as health technology planning and management tool. Tom Judd
9:00am 30 HTP Case Studies The World Health Organization has developed guidelines for a National Health Devices Policy that includes issues to be considered. Model policies will be presented along with several case studies of how they have been applied. Tom Judd
9:30am 30 Break    
10:00am 45 Technology Planning and Assessment – Case Studies Technology assessment principles that can impact on planning at the macro level (national and regional) and micro level (Hospital, Clinic) will be reviewed. Case studies will highlight these principles. Yadin David
10:45am 45 Technology Planning and Procurement - Case Studies A review of how planning and procurement sets up effective management of medical devices. In each phase of the process we will identify the key decisions, the information required for decision-making, and the impact of the decision on the process, and illustrate this information using several case studies. Refurbished medical equipment. Petr Kresta
11:30am 30 Colombia Presentations Presentations by country representatives on the status of healthcare, technology management, and clinical engineering in Colombia. TBD
12:00pm 60 Lunch    
1:00pm 30 An Integrated Safety Program Philosophy and concepts for current safety issues & safety education; IOM report; Patient safety efforts by JCAHO and other organizations; Failure mode analysis systems approach to medical device safety: environment, facility, user, patient, maintainer, manufacturer. Medical device incidents, investigation and prevention. Reuse of disposables Frank Painter
1:30pm 30 Quality Improvement (QI) Quality of care in healthcare delivery is measured and improved through development of appropriate QI infrastructure - “Quality Culture” and tools. Care QI tools include carefully selected quality indicators, use of evidence-based medicine to drive care, and the provision of data feedback to practitioners on effectiveness. Similarly, HTM quality can be seen through key HTM quality indicators, devices quality assurance and QI programs, and regulatory compliance programs. Tom Judd
2:00pm 30 Electromagnetic Compatibility Malfunctions and potential patient injuries have been induced on medical devices via electromagnetic interference from electromagnetic fields emitted by wireless telecommunication systems. These incidents were reported to regulatory agencies and have published on literatures. The risk from EMI is low but needs minimization to reduce these risks. Kok-Swang Tan
2:30pm 30 Break    
3:00pm 30 Medical Devices, Information Systems and Telemedicine Medical devices are being integrated into the overall healthcare information system. Benefits of medical device networks and telemedicine; Telemedicine technology; Texas Medical Center program; implementation in Colombia Yadin David
3:30pm 30 Teleradiology and PACS Information technology infrastructure for healthcare. Teleradiology and PACS systems; implementation of medical imaging system networks and communciations Petr Kresta
4:00pm 30 Open discussion Reflection on the day’s presentations: Faculty insights and participant questions Tom Judd, facilitator

Concurrent for engineers and academia


Time Min Section/Title Description Speakers
8:00am 30 Discussion Group Assignments The discussion group assignment will be presented, model format, group faculty facilitators recognized, first evening meeting scheduled, and participants divided up into groups (six). Tobey and Faculty
8:30am
HTP
45 Technology Planning Technology planning overview in healthcare systems; life cycle cost analysis Yadin David
9:15am
HTP
45 Technology Assessment The importance of assessing new technologies; technology trends; process for assessment; resources Petr Kresta
10:00am 30 Break    
10:30am
HTP
30 Technology Acquisition in Hospitals Hospital technology acquisition issues and processes; specification development Tobey Clark
11:00am
HTP
30 Refurbished and Donated Medical Equipment What to look for when purchasing Pre-owed equipment or knowing what attributes are needed in accepting donated equipment (ACCE policy on donated equipment and other recommendations). Yadin David
11:30am
HTP
30 Equipment Replacement Planning Developing a system to determine when equipment should be replaced based on costs, safety issues, support, obsolescence, etc. Tobey Clark
12:00pm 60 Lunch    
1:00pm
HCTS
30 Managing Your Medical Equipment Maintenance Program Overview of medical equipment maintenance management Tobey Clark
1:30pm
HCTS
30 Equipment Control Inventory, database file, Scheduling inspections and preventive maintenance, PM procedures, determining workloads, staffing levels, work units, test equipment resources, space requirements and Documenting work performed Petr Kresta
2:00pm
HCTS
30 Preventative Maintenance Using a Risk-based approach to improve the efficiency of PM programs Tobey Clark
2:30pm 30 Repairs responding to requests for service (strategies for handling the call), down-time determining spare parts stocking levels documentation Frank Painter
3:00pm 5:00pm
HCTS
30 Break    
3:30pm
HCTS
30 Managing Your Contracts Developing a strategy for manufacturer service prior to purchase; Evaluating service contracts; Negotiating maintenance services from manufacturers; Managing manufacturer service during the contract Frank Painter
4:00pm
HCTS
30 Service training Positioning for manufacturer service training or third party training; how to get the most from the training; knowing your limitations Tobey Clark
4:30pm 30 Discussion   Tobey Clark, facilitator
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