HOW BEST CAN WE MANAGE MEDICAL EQUIPMENT By Khalif D.Mohamud BMET-GCRH 4TH BIENNIAL EAST AFRICA REGIONAL HEALTHCARE ENGINEERING CONFERENCE & EXHIBITION THEME:MEDICAL EQUIPMENT –A PROACTIVE APPROACH HOW BEST CAN WE MANAGE MEDICAL EQUIPMENT By Khalif D.Mohamud BMET-GCRH
PREAMBLE Increasing dependence of medical professionals on equipment, both for diagnosis and treatment, demands their availability at all times through a comprehensive and responsive engineering support
OVERVIEW Procurement Utilization Equipment audit/Inspection Maintenance & repairs Condemnation &disposal Training for newly acquired equipments
PROCUREMENT Critical to quality, cost, efficiency, safety of services. Planning + Procedure = Procurement
Planning Requirements Planning/Needs Assessment Use co-efficient Budgeting & Resource Allocation Equipment specifications
Procedure Requisition / Specification / Evaluation Provisioning (various tender methods) Delivery /Inspection and Installation Commissioning / Acceptance Service contract Training (users & maintainers)
UTILIZATION Equipment Utilization, is it ADEQUATE? TO FULL CAPACITY? What is the cost-effectiveness of continuing to operate & maintain equipment that is not regularly used? Factors affecting utilization of equipment Training of staff Preventive maintenance and after-sale service Back up power supply(UPS) systems Hospital based libraries to facilitate equipment sharing = Improved Utilization Levels
EQUIPMENT AUDIT Is the periodic evaluation of the quality of performance of medical equipment to ensure better Utilization. Audit = Stem Equipment Wastage = Improve Utilization
MAINTENANCE This is any action or combination of actions carried out to retain an item in or restore it to, an acceptable condition. ROLE OF BMET Set up inventory of equipment , spares, and tools. Organize a PPM system. Supervise maintenance contract. Set replacement policy. Oversee the stock control for spares and consumables. Initiate safety procedures. Supervise capabilities for fault finding and modification. Provide feedback to manufacturers.
CONDEMNATION & DISPOSAL Obsolete, beyond economic repair = Condemnation & Disposal Condemnation The reasons for condemning equipment will usually be: Beyond economical repair - Where equipment comes in and the cost of repairing it is considered too high after looking at the current value (taking depreciation into account), and the age of the equipment. Technically obsolete - Parts and service support are no longer available. Clinically obsolete - The clinician using the device (or manufacturer) recommend replacement for clinical reasons. (Diagnostic ultrasound imaging usually becomes clinically obsolete after 5 years due to the rapid improvements in imaging technology, but can still be used and supported by the supplier.) Equipment that has been damaged by contamination.
Disposal Once the equipment has been condemned it should be quarantined or thrown away. To quarantine the equipment means removing it from clinical use and putting it somewhere it cannot be used which is allocated as an area for scrapped equipment. There may be an alternative use for this equipment: Research project Training Sold on to vetinary practice, etc.
TRAINING Continue professional development by participating in education and training on medical equipment and systems. Training by the supplier of the equipment dealing with its operation, Training outside the hospital in a recognized institution/manufacturer dealing with maintenance/repairs of the particular supplied equipment