Clinical Engineering In

Canada
BY AAA.
INTRODUCTION

• Combination of engineering knowledge and

management competencies are the pillars of clinical
engineering.
Canada CE Association rapid growth is due to the scope
of services it offers and representing their constituents
to other association and co-workers in healthcare
industry.
Medical Device Technology Management
•Device tracking and inventory
•Acquisition
•Unscheduled maintenance
Scheduled Maintenance Technology
Assessment And Planning
•Planning and pre-purchase evaluation.
•Assessments of safety,efficacy, and cost
effectiveness.
•Long range device planning.
Risk Management
•Reuse policy development.
•Managing hazard alerts and recalls from health
Canada, FDA ,ECRI and vendors.
•Incident investigation.
•Education of device uses.
•Modification of devices.
Clinical Engineering departmental
funding sources and economic pressures
•Canadian clinical engineering department are funded
from hospital global budgets.
•Funding levels are inconsistent , has no national workload
measurement system exist for clinical engineering in
Canada.
•In some case the clinical engineering service has been
successful in tying an increase in capital-equipments
inventories to an increase in operating funds for the
department.
Regional Services
As of the year 2000, most provinces and territories have reorganized hospitals into
regional groups with a single governing board.
Clinical engineering departments were,most often,stand alone services providing only
one hospital.
Clinical engineering departments in larger hospitals found themselves providing
servicing to number of smaller institutions within their geographical area.
They provide services over broad areas with funding coming from regionalized hospital
group.
Large department took responsibility for managing technicians and they were paid by
individual hospitals.
Out Sourcing And Third Party Payers
There is nothing in the Canada health care act that prohibits outsourcing of
sevices by hospitals even though penetration in clinical engineering servicing for
profit in Canada has been limited.
Mergers and acquisitions are always occurring.
The number of independent groups for profit in clinical engineer services has
been decreased during 1990’s.
GE Medical(Canada) is one of the largest independent Canadian group that
offers full range of multivendor services.
In 2001, ServiceMaster Canada is the only large independent group that offers
clinical engineering services in country.
Sources Of Trained Staff
Managers in Clinical engineering come from the clinical engineering program at the University
of Toronto Institute of Biomaterials and Biomedical Engineering which offers a master of health
care degree.
Technologists come from a number of postsecondary programs that two or three year
programs in Electronics engineering technology with Biomedical focus.
British Columbia Institute Of Technology
Northern Alberta Institute Of Technology
Service Initiatives
Many initiatives have been taken to develop enhancements to the service that
are funded by charging the end users directly.
Departments are also looking outside their organizations for source of revenue.
With the growth of complex technologies used in the operation room and ICU,
there has been a growth in the number of equipment technicians to operate
these complex devices during routine procedures.
In the past, routine clinical engineering staff procedures was avoided due to
staffing limitations still there appears to be more opportunities for growth.
New Program
 with the move towards Electronic Patient Record(EPR) clinical
engineering services are working more closely with IT srvices.
So Positions have been created in clinical engineering groups to
meet computer networking needs.
CANADIAN CLINICAL ENGINEERING
ASSOCIATIONS.
Institute of biomedical engineering technologists- www.asttbe.qrg/ibet
Alberta clinical engineering society- jack.hauzeneder@ex.thr.bc.ca
Clinical engineering society of Ontario- www.ceso.on.ca
CITIZENSHIP IN CANADA.
As Canada is lacking in working populations. They are very interested in attracting immigrants
from other country and is one such provider.
Citizenship in Canada is very much easy compared to others as the have very simple eligibility
criteria.
Even for higher studies Canada is one of the best place. As it provide the immigrant students to
work off campus without work permit.
ACCREDITATION AND PEER REVIEW
CCHSA- CANADIAN COUNCIL ON HEALTH SERVICES ACCREDITATION is a non profit ,non
governmental organization that is similar to the joint commission on accreditation of health care
organization in united states.
CCHSA-provides health service organizations with the opportunity for voluntary participation in
an accreditation program based on national standards.
They provide sections that address quality measurement and quality improvement.
Likewise there are many organisations that act as a stimulus for the growth of clinical
engineering in Canada.
THANK YOU