Submitted by Name: Libin Affiliation: Shanghai 6th People’s Hospital affiliated to Shanghai Jiao-tong University National association : Clinical engineer branch of Chinese medical association Location: Shanghai, P.R.China E-mail address for contact: libin2001@hotmail.com

Shanghai medical equipment management Quality Control Center Introduction The situation of Shanghai medical institutions Shanghai city has 23 million population and 6340.5 square kilometers 122 Grade II and above hospitals, about 1000 biomedical engineers Over 26 billion medical equipment assets, more than 300 thousand purchase amount per year 300 thousand medical equipment, including 800 large-scale ones Organizational framework of the Medical equipment QC center Medical equipment management quality control center was setup by Shanghai Municipal Health Bureau in Shanghai 6th people’s hospital in 2005. The expert committee consists of the Clinical engineer dept. Chiefs from 19 hospitals in Shanghai. The annual funds are supported from the local MOH and Shanghai 6th People’s Hospital. Two-stage QC network The medical equipment quality control network consists of the quality control center and regional groups. The Shanghai QC center is responsible for top 122 hospitals. The regional QC groups are responsible for about 100 clinics.

What we did… Establishment of standards Training Regular inspection Build management requirements of medical devices, common working guidelines, and more than 50 related institutions and norms Design 30 standardized templates, including purchase contract, acceptance inspection and preventive maintenance programs Form the Quality Control Handbook about local medical equipment management Training Training about management & technology: about QC training & inspection, 2~3times per year, covering about 300 participants QC administrator training: spreading information through the network of QC administrators, practicing related measures Show sites building: 12 hospitals were highlighted as show sites of medical equipment management among all medical institutions in Shanghai. Regular inspection The biomedical engineering team and network carries out technical and managerial inspection annually, which covers 122 hospitals. The annual score of checking , as the evaluation for medical quality of hospitals, is reported to Shanghai Municipal Health Bureau . In the quality checking of emergency equipment in 2009, 84 devices had safety risks among 257 respirators and defibrillators. In 2015, the QC center, with Shanghai Municipal Health Inspection together, launched the technical checking of 80 CT /MR systems in use, which involving 65 hospitals.

What we insist & what we get Professional investigation and Feedback Design a satisfaction survey of after-sale service quality of medical equipment Last 8 years，More than 30 reports Cover 122 hospitals, 14 kinds of medical equipment, 72 brands Cooperate with many official and academic organizations Professional data analysis company Publish the result and ranking list on reports, journals, internet and annual commendation meeting Promote the approach to other 8 provinces in China More investigations are coming soon, such as the investigation of personnel management, the investigation of new medical equipment technology and the investigation of the maturity of domestic medical equipment. Achievement In resent 10 years, the QC center has been awarded as Shanghai excellent QC center in successive years. The supervisory project of after-sales service had the honour to get 2011 the third prize of Hospital Technology Innovation Award of Chinese Hospital Association.

Conclusion and Result Before 2005 Improvement measures Now 2016 Low management quality in some hospitals Build standard work guidelines Enhance the management level of medical equipment No standard contract Design standard purchase and service contract Adopted by over 95% hospitals in Shanghai No QC administrator in CE dept. Create QC administrators group among hospitals Over 100 QC administrators share experience, exchange information, deliver instructions etc. A mass of complain about after-sale service of medical equipment Launch a satisfaction survey of after-sale service quality, involving 14 kinds and 72 brands Manufactures pay more attention to details, communication with customers and improvement of their service. Incomplete annual Service reports Set indispensable contents for a service report from a manufacturer Learn about the previous and present information of a medical equipment Gaps between contracts and preventive maintenance reports Spot check randomly according to over 200 preventive maintenance reports in our QC database Ensure that manufacturers complete actually what they have promised. Rely on manufacturers’ service Build over 25 the third-part service supplier database Provide competition, reduce cost, serve efficiently Lack of technical training on maintenance for in-house engineers Cooperate with manufacturers to design about 45 training programs Get more practice, experience accumulation, theory and information