1. 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
address for contact:

2. Shanghai medical equipment management Quality Control Center Introduction
The situation of Shanghai medical institutions
Shanghai city has 23 million population and 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.

3. 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.

4. 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.

5. 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