What does the department do?
- Maintain Equipment Data
- Work Orders, Unscheduled, Service
- Work Orders, Scheduled
- Parts and Materials
- Contract Management and Negotiation
- Purchase equipment, materials and services
Important
- Patient Safety
- Costs
- Reliability
Compliance and Standards
- TJC, The Joint Commission
- FDA, SMDA, CMS
- AAMI, ECRI, ACCE
- DNS, others
- State
Policies and Procedures support these functions.
Measurement
- Occupied beds, surgeries, inpatient count, outpatient visits, costs of operation.
- Total cost of medical equipment inventory
- Total cost of building
- Total income
- Total cost of maintenance
- Total cost per cost center
- MTBF, Mean Time Between Failure
- Completion of tasks within a safe period
- Uptime
- Employee use of time
- Contract costs
Issues to deal with
- Independent evaluation standard for determining inspection program
- Mergers affecting hospitals and data
- Access of information to all parties that repair equipment
Questions
- Are there fewer hospitals in the US, in the world?
- Are there fewer beds in the US, in the world?
- How many hospitals single, 2-10, 11-40, 41+ in group
Purchasing
- Reason equipment is needed
- Alternatives to purchasing (sharing, leasing, other alternatives)
- Compared to extending life
- Affect on income, customer acquisition
- Lower other costs, efficiency, productivity
Supreme Court Decisions
- Access to Parts, Training, Documentation
- Electronic Records?
Risk Factors
- Likelihood of failure causing negative outcome
- Failure is not Noticeable
- Availability of Replacement
Mitigating factors
- System has reliable self-check
- System has long model-wide history without failure
- System will not operate in failed state.
- Failure is easily mitigated by human action (i.e. using another thermometer)
