Of Puerto Rico's 69 hospitals, 58 were without power and fuel as of Tuesday morning, and the government plans to establish 7 temporary hospitals, according to a FEMA report
Daily Operations Briefing
•Tuesday, September 26, 2017
8:30 a.m. EDT
Health and Medical: PR –11 of 69 hospitals have either power or fuel supply; government will create 7 temporary hospitals; USVI –1 hospital condemned by USACE
The mayor of San Juan said two people on life support died Monday because their hospital ran out of fuel, according to CBS’s David Begnaud
The island’s governor is pushing for the federal government to temporarily waive the Jones Act, a law requiring that all goods shipped between U.S. ports be carried by U.S. owned-and-operated ships. President Donald Trump’s administration has so far not granted his request. (Reuters, Sept 27th)
According to Brian Ward on HCPRO, a Joint Commission spokesman stated, “During his tenure he has served as an advocate for healthcare organizations as they strive to improve the quality and safety of their physical environments.”
After nearly 13 years as the director of engineering at The Joint Commission (TJC), George Mills, a familiar and widely respected figure in the healthcare technology management (HTM) community, will be leaving the accreditation organization on Oct. 6 to join JLL, a leading professional services firm.
“I fought some good fights, wrote some good papers, did some good presentations, and was privileged to work with the industry’s leaders,” Mills said. “I feel satisfied with a lot of the things I’ve accomplished, and I feel like it’s the right time for me to make a career change.”
Mills said his move to JLL will build on the expertise he has developed in healthcare.
“By joining JLL, I will be able to operationalize my teachings and demonstrate to healthcare organizations how to transform from a reactive approach to a proactive solution that benefits patients,” Mills said. “I believe together we can make a difference and show the industry that change is possible.”
As director of healthcare technical operations, Mills will oversee teams focused on quality and compliance, plant operations and facility management, safety, supply chain management, healthcare project and development services, and energy and sustainability.
“This is an exciting opportunity to get out and work hands-on with the field,” Mills said. “JLL is a solid company with a lot of resources behind them, and being in charge of operations, it’s up to me to figure out how to best orchestrate them. They have a lot of the pieces, and they’ve asked me to help bring the program to the next level.”
Throughout his 32-year career in the healthcare industry, Mills has worked to make patient environments safer and healthier. His presentations at the AAMI Annual Conference & Expo have routinely drawn standing-room-only crowds, and his “Ask George” column in AAMI’s journal BI&T was a popular feature.
Mills said his greatest success at TJC was in 2012 when the Centers for Medicare & Medicaid Services allowed HTM departments to utilize alternative equipment maintenance programs, with some exceptions.
Mills said he’s ready to “strap on the work belt and get back into it.” He said his new job would allow him to put into practice much of what he has preached.
“I’ve been teaching the intent of The Joint Commission standards for 12 years, and by managing facilities and HTM contracts and staff, I get a chance to put the tires on the car and drive it down the street,” he said. “This is an opportunity to really show the industry that we can be compliant with the expectations of The Joint Commission, and when we are, patient safety and the patient care environment improve.”
Mills will continue to serve as a member of AAMI’s Board of Directors.
wo weeks after The Joint Commission confirmed that its engineering department director would be leaving the organization, a Chicago-based professional services firm proudly announced him as a new hire.
George Mills, MBA, FASHE, CEM, CHFM, CHSP, who worked 14 years for the accrediting organization, will transition next month into his new job as director of healthcare technical operations with JLL, the company said Wednesday in a statement.
“George’s vision and passion for the improvement of hospital operations will benefit the hospital systems we serve across the country,” said Peter Bulgarelli, executive managing director of JLL’s Healthcare group, in the statement. “In his new role with JLL, George’s direct work with healthcare organizations on regulatory and compliance matters through JLL solutions and technology will take our platform to the next level for our clients.”
Mills, who will take the lead on JLL’s healthcare technical operations platform, will manage teams focused on a number of areas, including not only compliance matters and facility management but supply chains, sustainability initiatives, and more, the company noted.
Mills said in the statement that his transition will enable him to put his teachings into practice and show healthcare organizations how to implement solutions proactively. “I believe together we can make a difference and show the industry that change is possible,” he said.
JLL Healthcare says it offers solutions related to facilities and real estate in order to push healthcare organizations forward both clinically and financially. The company says its clients include 540 hospitals.
The brand name JLL is a trademark registered to Jones Lang LaSalle Inc.
A spokesperson for The Joint Commission said August 24 that Mills would be leaving his current post effective October 9. John D. Maurer, SASHE, CHFM, CHSP, will take over as acting director on an interim basis.
Effective October 9, George Mills, MBA, FASHE, CEM, CHFM, CHSP, will leave The Joint Commission (TJC) as director of engineering. Mills has been with TJC for 14 years and has served in his current role for the past six years.
TJC’s spokeswoman Elizabeth Eaken Zhani spoke out about Mills’ departure, telling 24×7 Magazine: “During his tenure, [Mills] has served as an advocate for healthcare organizations as they strive to improve the quality and safety of their physical environments.”
In a notice posted by AAMI, Mills stated that he will be leaving TJC for JLL, a professional services firm. “By joining JLL, I will be able to operationalize my teachings and demonstrate to healthcare organizations how to transform from a reactive approach to a proactive solution that benefits patients,” Mills told AAMI officials. “I believe together we can make a difference and show the industry that change is possible.”
John D. Maurer, SASHE, CHFM, CHSP, engineer, TCJ’s Department of Engineering, Division of Healthcare Improvement, will serve as interim acting director while a search for Mills replacement is conducted.
George Mills is leaving The Joint Commission
The Joint Commission confirmed Thursday afternoon that a key figure in standards interpretation for the healthcare accrediting organization will be departing this fall.
George Mills, MBA, FASHE, CEM, CHFM, CHSP, who has served as director of the organization’s engineering department for the past six years, will leave his post effective October 9. Mills has been with The Joint Commission for 14 years.
“During his tenure he has served as an advocate for healthcare organizations as they strive to improve the quality and safety of their physical environments,” a spokesperson for The Joint Commission said in an email.
The confirmation came after HCPro’s resident hospital safety expert, Steve MacArthur, safety consultant for The Greeley Company, blogged Thursday on murmurings of an impending Mills exit. The Joint Commission also confirmed MacArthur’s report that John D. Maurer, SASHE, CHFM, CHSP, will take over as acting director of engineering on an interim basis.
“I don’t anticipate that this will engender a significant change in how business will be conducted, including the practical administration of the Life Safety portion of the accreditation survey process,” MacArthur wrote, noting that he has always found Maurer to be “thoughtful, helpful, and equitable.”
Beginning October 9, Maurer will serve as acting director while a search for Mills’ successor is undertaken, the spokesperson said. Mills declined Thursday to comment on his forthcoming departure, and Maurer could not be reached.
MediMizer is an independent biomedical and facilities software company that developed the leading CMMS or “computerized maintenance management software” used for clinical engineering, biomedical engineering, facilities, environmental departments in hospitals as well as the biomedical service organizations that service hospitals.
PartsSource is the world’s largest provider of medical replacement products and services, with over 4 million parts and services that extend across more than 3,000 suppliers in the industry. PartsSource partners with leading healthcare organizations to maximize medical equipment uptime and utilization through the only comprehensive managed service designed to empower clinical engineering leaders with the people, processes and technology to achieve high-performance HTM.
Clinical Engineers and Technicians can spend significant amount of time during their day shopping for parts. To streamline the part sourcing and purchasing, MediMizer and PartsSource have created a Lite integration between the MediMizer CMMS and PartsSource.com. This integration provides your biomed technicians with a simple, single-click access to easily find and source parts and equipment they need to repair and improve equipment uptime.
The Lite integration provides clinical engineers with easy access to the parts and services from within MediMizer’s work-order or inventory features. By providing integration from MediMizer to PartsSource.com, your biomed department can:
The Lite integration provides a simple search capability between systems without any IT or connectivity challenges. Customers using the Lite Integration will get an immediate pathway into the search experience in PartsSource.com. The standard integration is a much more robust integration designed for enterprise customers that would like to connect the CMMS more extensively and PartsSource products. The standard integration supports SSO (Single Sign-On) and can share additional data sets including part cost and purchasing data between systems for advanced reporting but requires additional IT resources to implement.
To help ensure that you get the best possible pricing for the parts you are purchasing, MediMizer has created reports that you can send to your PartsSource rep and obtain their help negotiating the price. You can access these reports and next steps information by going to the “Parts” section and clicking on the “PartsSource” submenu.
Technicians can search the PartsSource.com catalog for products without registering. However, to purchase products, technicians will need to register. Registering with PartsSource is fast and easy. Technicians can register with us once you click on the quick link in MediMizer or by going to the PartsSource website here: https://www.partssource.com/register. You simply insert your basic contact information and you are all set.
No, it is completely free to register with PartsSource.
PartSource’s Customer Care team members are dedicated to providing support to our customers across a variety of help topics. You can speak to a customer care representative with questions about registering and/or our suite of products and services, by calling: 877-497-6412.
MediMizer’s Support department is available to answer any questions you have about this new feature. You can reach them via phone, by calling: 760-642-2008 or by emailing: Support@MediMizer.com
We have GoToMeeting for meetings and demos. GoToAssist is available for support. GoToWebinar is used to host our webinars. We already use a VOIP phone service. In April calls slowed but now are back to normal levels.
The FDA has not seen any evidence of any cyberattack on an in-use medical device but knows they might be "impacted". Laboratory testing has shown the ability to hack medical devices. According to United Press International, the FDA has issued five product-specific safety communications since 2015 on cybersecurity vulnerabilities. The problems were found in Abbott's implantable cardiac devices and implantable cardiac pacemakers, Merlin's home transmitter of implanted cardiac devices, and Hospira's and Symbiq's infusion systems.
Commissioner Scott Gottlieb, M.D. announced the release of a cybersecurity “playbook” to assist health care delivery organizations, as well as the signing of two memoranda of understanding to promote information sharing, preparedness, and response around cybersecurity risks. The book was prepared by MITRE Corporation for the FDA. The full title is “Medical Device Cybersecurity Regional Incident Preparedness and Response Playbook.” The MOUs cover plans for the sharing and distribution of information about threats. The Department of Homeland Security is one agency that shares information with the FDA and performs simulations and post-event reviews that assist the FDA.
Part of the playbook presents exercises to help staff recognize a cyberattack in an emergency. Learning what actions to take during the cyberattack is the goal after recognition.
MediMizer Software helps the HTM community by offering full IT/HIPAA/Cybersecurity documentation for the patient equipment.
All Life Support Equipment is also high-risk equipment. EC.02.04.01 and EC.02.04.03 now require our customers to determine what is high risk equipment.
We would like your feedback as we develop this list. We will move our updated list online for further review. If you find any of the names inaccurate or redundant, please comment.
Balloon Pump, Intra-Aortic (IABP)
Extracorporeal Membrane Oxygenation (ECMO)
Heart-Lung Bypass Machine (Pump, Extracorporeal Perfusion)
Heart-Lung Bypass Heat Exchanger
Pacemaker, Cardiac External
Pump, Blood, Extraluminal (Roller Pump)
Ventilator / Respirator
Intermittent positive pressure breathing (IPPB) machines
Other High Risk Equipment:
Apnea monitor for infants (24 months and under)
Electrosurgical Unit (Including hyfrecators)
Heat Exchanger, Heart-Lung Bypass
Monitor, Airway Pressure
Warmer, Blood / Plasma
Are these High Risk?
Ablation Unit, Ultrasonic
Air Flow Gauge
Balloon Pump, Gastrointestinal
Continuous Fluid Management Renal Replacement
Cryosurgical Unit, Cardiac
Electric nerve stimulator
Nebulizer, Electrostatic and Ultrasonic
PCCTS Work Station
Phaco and Vietretomy System
Power Supply on Life Support Device
Pressure pads and pump
Vacuum, Curettage System
Ventricular Assist Device Drive Console
Warmer, Radiant, Infant
Water Treatment, Reverse Osmosis
Wound Drainage Pump
Xenon Ventilation System
We have a couple more questions.
Is there any equipment that is high-risk only when used in special circumstances?
(Quadriplegic care, home care, neonate care, etc)
Are there any ventilators or anesthesia equipment that are not high-risk?
What equipment can harm staff if it fails?
Note: Iron Lung is on the list because NIH reports that they have been reintroduced for neonatal use.
All aspects including work requests, web dashboard and web work orders are running in Windows 10. We will continue to test the new Windows 10 updates, now automatic, as they arrive.
Windows 10 simplifies the start screen that would cover your desktop. Now you can use a small little popup or make it larger. So it can look like Windows 7 or Windows 8.
You can also run our web apps in the Edge browser.