In-house Endoscope Support Submitted by Name: Anne-Louise Smith Affiliation: CED Collaborator National association (if exists): SMBE, Society of Medical & Biological Engineering Location: Adelaide, South Australia E-mail address for contact: anne-louise.smith@sa.gov.au

Country Estimates in Brief Please fill the statistics you can find Population Australia 24M South Australia 1.7M Population Growth Rate Australia 1.3% South Australia 0.7% Life Expectancy at Birth 80.3 male, 84.4 female Infant Mortality Rate 3/1000 live births under 1 yr Number of Health Centers in Country 747 public hospitals 612 private hospitals Total Expenditure on Health as % of GDP 9.1% Global CE / HTM Success Stories

Country's Health Technology Program In-house Endoscope Support Conduct a 2 year trial to prove endoscope uptime could be increased with in-house support at no increase in service cost Started pilot study mid-2012 (South Australia) Baseline Average repair turnaround time 50 days 12% repairs completed within 30 days January 2016 Global CE / HTM Success Stories

Country's Health Technology Program Next Steps for Success Story Set-up and implement pilot study Two specialist biomedical technicians received intensive training for 2 weeks in USA On their return, they trained multiple staff in easy repairs, and more senior staff in moderately difficult repairs Three specialised workstations were created at the 3 major hospitals and 3.5 staff allocated to endoscope repairs Ongoing support by specialists to supervise and maintain high quality of repairs Workforce Health and Safety risks mitigated by good work practices (gloves, eye protection, users sign off on sterilisation before repairs) January 2016 Global CE / HTM Success Stories

Conclusions and Action Plan Endoscopes available when needed for patient treatment Turnaround time for repair decreased Average 12 days (down from 50 days) 61% repairs completed within 30 days (up from 12%) Costs reduced: Less spare scopes needed in stock and cost of service ratio for endoscopes reduced from 18% to 10% The 3.5 staff were made permanent to continue in-house endoscope support (650 flexible endoscopes) Now investigating other biomedical technologies with long repair times with the view of bringing support in-house January 2016 Global CE / HTM Success Stories