Professional Documents
Culture Documents
Equipment Planning
Equipment Planning
management practices Research & develop products & services that will benefit customers
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Educational Background
Bachelor in Engineering (Biomedical
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Work Experience
1. Review of Capital Equipment Funding
Strategy for Hospitals 2. Hospitals Medical Equipment Project 3. Medical Equipment Asset Evaluation
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Introduction
When and why to buy what from
whom for how much! Avoid: buying what you dont need for a high price and at the wrong time Buying the right equipment, for the lowest price, for the right reasons and at the right time.
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outcomes, reduce costs, and improve quality of life for patients Major asset of the health care industry Health care compression Increasingly important to manage medical equipment to control costs & improve quality & performance
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Why Plan?
A significant portion of equipment
(i.e. 25%-50%) that exists in developing countries cannot be used Main causes:
Lack of funds Improper management
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Equipment Lifecycle
Installation Acceptance testing and approval Clinical Use Planned Maintenance and Unplanned
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staff Advises hospital strategic planning committee and capital budget committee Manage all medical technology including medical equipment planning process
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Equipment Planning
What? When? Systematic approach to determine the
hospitals equipment needs Need a complete, accurate and up-todate medical equipment inventory
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determining equipment replacement; Identifying how and when maintenance is to be conducted and how much this costs; Utilization records; Maintenance and repair records; Acceptance testing; Ease in locating medical equipment; and Minimizing safety risks
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Planning Considerations
Clinical Effectiveness ii. Cost of Ownership iii. Strategic medical technology direction iv. Client and Medical Staff Perception
i.
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i. Clinical Effectiveness
Availability (MTBF) how often it breaks Downtime duration Age - over 7 years very difficult to get
parts from anywhere thus may result in longer downtimes Accuracy/Effectiveness of diagnosis and treatment Speed of procedure Spare critical equipment for emergency use
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volume and usage frequency) Speed (faster studies = more patient thorough put) Medical Expenditure Limit- Cost of Maintenance and Repair versus Replacement 2nd hand resale value/trade in price
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MEL Example
Grapht D t rm M Fa or fromP ce U ful LifeRe a o e e ine EL ct re nt se m ining
80 70 60
MEL Factor
50 40 30 20 10 0 20 30 55 65 70 80 100 0 5 10 15 25 35 40 45 50 60 75 85 90 95
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R e m a in i n g L i f e % U s e fu l E s tim a te d E q u ip m e n t M EL L i f e E x p e c t a nRc e m a i n i n g y R e p la c e m e n t L ME Type F a c to r (m n th s ) (m o n th s ) L ife o C ost U lt r a s o u n d 8 4 96 8 7 .5 65 7 , 0 0 0 , 0 0 05 5 0 , 0 0 4, MRI 0 72 0 10 4 5 , 0 0 0 , 0 0 4 5 0 ,0 0 0 0 C T Scanner 24 72 3 3 .3 2 6 .5 2 0 , 0 0 0 , 0 5 ,03 0 0 , 0 0 0 M o b ile aXy -r 48 96 50 40 9 0 0 , 0 0 0 3 6 0 ,0 0 0 U n it H e m o d ia ly s is 24 96 25 20 6 2 0 , 0 0 0 1 2 4 ,0 0 0 U n it
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consumables/service contracts/ ease of user training, etc Technology & lifecycle of the equipment Latest medical technology- marketing value Connectivity- internally and externally Mobility and portability- multi-location
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Advantages of Planning
Facilitates introduction of new
technology Standardization of equipment Coordinated purchasing approach Multiple site/facility service contract agreements
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2. Equipment Assessment
Why? Who? Collecting data for assessment
Lifecycle cost analysis Historical utilization and consumption data Installation and construction needs Manufacturers profile/background On-site demonstration, clinical trials & bench tests Upgrading current technology-forklift upgrade Alternative technologies
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Forklift upgrade
A forklift upgrade is considered a
large-scale upgrade where large parts of the existing infrastructure must be overhauled. A forklift upgrade requires investing in or buying new hardware and possibly the hiring or contracting of on-site technicians to complete
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Advantages of Assessment
Select the correct equipment to
purchase All the hospitals requirements will be met Quicken the assessment process for the same equipment type
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3. Equipment Acquisition
How? Cost? Manage the acquisition process
Investigate best acquisition option Refining quotations from equipment
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Acquisition Options
Purchase Outright Operating Lease Finance Lease Vendor financing Rental (pay per use) Revenue sharing Group Purchase
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process for its members Scope: medical consumables and medical supplies, pharmaceuticals, and medical equipment HIGPA (Health Industry Group Purchasing Association) reported Health care providers report they save between 10-15 % by channeling purchases through GPOs, totaling USD19-33.7 billion in savings for 2002
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4. Equipment Disposition
Final step, but also the 1st step-
medical equipment planning & lifecycle Identification of equipment that can no longer serve its primary purpose Assessment of a secondary and/or tertiary purpose within the hospital Balance of the need for NEW versus USED
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Disposition Options
Relocation Trade-In Sell Donate Dispose/Scrap
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equipment Asset is formally removed from the accounting records by Finance and Accounting
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equipment in the hospital [January February] 2. Conduct a medical technology assessment for new and emerging technologies to fit with current or desired clinical services [March-April] 3. Planning for replacement and selection of new technologies [May-June]
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[July August] 5. Provide input to the capital budgeting process [SeptemberOctober] 6. Implement equipment acquisition and monitor ongoing utilization [ongoing] 7. Dispose of equipment [on-going]
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hospital with a purchase cost above 50,000 Analyze utilization, technology trends, hospitals strategic and clinical directions Project their replacement costs into a 5-year capital expenditure plan
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Conclusion (1)
Medical equipment inventory
Complete Accurate Up-to-date
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Conclusion (2)
Develop in-house medical equipment
planning, assessment, acquisition and disposition policies and procedures Develop a 5-year major medical equipment capital budget
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reducing capital expenditure Long term medical equipment capital budget expenditure Increase the availability of equipment, and reduce the downtime
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Excellent References
ECRI
(http://www.ecri.org)
MD Buyline
(http://www.mdbuyline.com/)
s/9899475.pdf)
al_report.pdf)
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