1. Global Clinical Engineering Success Stories Name: Andrea Garcia-Ibarra, Biomedical Engineer. Advisor - Direction of Drugs and Health Technologies Location: Bogotá, Colombia. E-mail address for contact: ingenierandrea@gmail.com – agarciai@minsalud.gov.co Submitted by

2. January 2016 Country Estimates in Brief Global CE / HTM Success Stories2 Population 47.5 Million (2015. DANE) Population Growth Rate 1.1% (2014 – 2015. DANE) Average Life Span Male: 70 Female: 77 (2012. OPS) Infant Mortality Rate 20.1 (2012. OPS) Health care providers 17.000 hospitals: (13.000 private/ 4.000 public) 33.600 Professionals (Doctors, therapists and others) Total Expenditure on Health as % of GDP 6.8 (2012. DANE)

3. Medical Equipment Management Background Key Success Story Colombia attended the Health Technology Management (HTM) Seminar 2015 and to formulate an action plan for medical equipment management. Our system is decentralized, each health care provider has autonomy and administrative independence to medical equipment management, so in Colombia, Ministry of Health does not procurement or maintenance of medical equipment. Ministry of Health has a unit: Direction of Drugs and Health Technologies, its role is to design decrees, resolutions, policy documents, recommendations and guidelines regarding health technologies Public health care providers must spend 5% of their budget 1 on infrastructure and hospital equipment maintenance, including medical equipment. However, there are no recommendations for these expenditures. Private health care providers do not have a specific percentage requirement to spend on maintenance. The maintenance of the medical equipment is mandatory in order to be a licensed 2 health care provider, but other items of medical equipment management are not included. January 2016Global CE / HTM Success Stories3 1.Decree 1769 of 1994. 2.Resolution 2003 of 2014

4. Medical Equipment Management What we did... Key Success Story Propos a solution for our health care providers: We will establish mandatory requirements for medical equipment management for public and private health care providers as part of the requisites to be licensed, and they must include recommendations for spending the 5% of the budget designated for medical equipment maintenance. January 2016Global CE / HTM Success Stories4

5. The Ministry of Health determined mandatory requirements to increase patient and user safety regarding the following stages of life cycle: –Selection –Procurement –Inventories –Commissioning –Maintenance –End of life These requirements will ensure that the medical equipment will be safe and available. The Ministry of Health establishes a guideline for medical equipment maintenance: –Maintenance programming planning –Human skills with emphasis on training –Material and financial resources –Indicators and improvement actions –Recommendations for spending 5% of the budget on infrastructure and hospital equipment maintenance. January 2016Global CE / HTM Success Stories5 Mandatory Requirements for Medical Equipment Management (in progress) Key Success Story

6. It will be mandatory to appoint an a biomedical engineer or biomedical technician as responsible for medical equipment management for each health care provider. It will be mandatory to create a “Clinical engineering network” in Colombia. It will be composed of the biomedical engineer or biomedical technician responsible in each health service providers, and organized by region and managed by the Ministry of Health. The clinical engineering network will support the implementation of the requirements and the dissemination of successful experiences and lessons learned in medical equipment management. It will be mandatory to establish procedure for control and surveillance of medical equipment management. January 2016Global CE / HTM Success Stories6 Mandatory Requirements for Medical Equipment Management (in progress) Key Success Story

7. Conclusions and Action Plan The Ministry of Health will include these “Mandatory Requirements for Medical Equipment Management” as a binding Resolution. It will be part our country’s regulations. Implementation will be mandatory within three years, meanwhile, we as a country must prepare to assimilate these requirements. The Ministry of Health will establish specific guidelines for the following stages: –Selection –Procurement –Inventories –Commissioning –Maintenance –End of life Although there is no National Department or Unit in the Ministry of Health for management, Colombia will carry out standardized processes in medical equipment management for each health care provider, under the direction of a biomedical engineer or technician. January 2016Global CE / HTM Success Stories7

8. Reference 1 (remove this page after its use) Declaration from Global CE Summit The inaugural Global CE Summit group was convened in Hangzhou, China on October 23, 2015 for the purpose of improving global health and wellness for the growing world population by focusing on healthcare technology challenges such as identification of common global issues, strengths in collaboration, expansion of opportunities and needs for clinical and biomedical engineering (CE/BME) research, education and practice skills. The Global CE Summit group included representatives from senior CE/BMEs, national societies, international federations, and WHO that agreed on the need to educate, advocate, articulate, and harmonize definitions, scope of practice of CE/BME, body of knowledge (BOK), as well as the expansion of academic programs, credentialing & certification, better recognition and value driven, role for international collaboration, and of interdisciplinary relationships. The Global CE Summit group agreed on an Action Plan that includes: Creating document supporting WHO approach to ILO facilitating recognition of our practices as part of the healthcare team Identification of a common core of knowledge that all CEs are expected to demonstrate Understanding the relationship between systems engineering methods and CE/BME fields Initiating a program for educating other professional stake holders, government and administrators about value of CE/BME Documenting and setting Categories of specialization of advanced practice skills Articulating our value proposition to address needs of our healthcare systems Promoting the creation of academic programs that deliver required knowledge for successful career Identifying appropriate Grand Challenges to encourage problem solving and innovation Planning on a promotion program to recognize the contribution of CE profession to the improvement of healthcare systems The timeline agreed upon is end of March 2016 for action plan draft and for identifying Resources needed. January 2016Global CE / HTM Success Stories8

9. Reference 2 Roadmap from now until March 2016 Continue momentum and expand engagement within our community to demonstrate (create) value for decision-maker stakeholders. By creating a White Paper by end of March 2016, to include: –CE BOK (Body of Knowledge) and BOP (Body of Practice) definitions –Specific work & examples contributing to quality & efficiency in healthcare services; via example case studies. Recognize how Healthcare Technology (HT) is the fundamental delivery tool for modern healthcare delivery. Include a short video on what CEs do daily. –Deliver to appropriate decision-maker structure(s), eg, ILO, WHO, Ministries of Health Started with powerpoint with bullets; provided to WHO in early November 2015 for ILO submission –Collect case studies illustrating how CE/BME help improve access to high quality, safe, affordable healthcare services by deploying and managing health technologies (HT). Supported by photos, video, etc. Best ways to facilitate sharing of CE-HTM Success Stories? –Website in transition now … Dropbox now … to collect data. CED creating a Templates to assist. Another example, pending CEHTA articles re global HTM and CE development … see http://www.cehta.org/http://www.cehta.org/ –How can collaborators assist now? Do you have case studies to share now …? Examples: India CEs in South India using telemedicine for preventable blindness India has robust military healthcare – need framework for ideal CE services; they want to know how other countries’ military use HT & HTM in healthcare delivery India creating National Accreditation board for hospitals; CE related guidelines being developed January 2016Global CE / HTM Success Stories9