THE ROLE OF BIOMEDICAL ENGINEERING IN HEALTH TECHNOLOGY MANAGEMENT
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1 THE ROLE OF BIOMEDICAL ENGINEERING IN HEALTH TECHNOLOGY MANAGEMENT THE OPPORTUNITIES AND CHALLENGES IN A LOCAL HEALTH CARE SETTING 2017 CADTH SYMPOSIUM HAL HILFI, CORPORATE MANAGER THE OTTAWA HOSPITAL APRIL 25, Affiliated with Affilié à
2 OBJECTIVE 1. The role of Biomedical Engineers in testing, maintaining, and supporting the use of medical devices and equipment (Case study) 2. The potential to expand Biomedical Engineering roles and responsibilities in health technology management
3 Approx. 12,000 employees Serving Eastern Ontario & Western Quebec population ABOUT TOH Bed cap: 1,130 beds Affiliated with: U of Ottawa Heart Institute & Faculty of Medicine Ottawa Hospital Research Institute Biomed staff: 31 Biomed techs + 1 engineer covering 3 campuses Medical assets: ~22,600 3
4 KEY SERVICES PROVIDED Hours of Operation Monday to Friday : On-Call Coverage outside normal hours including weekends and statutory holidays Primary Service Medical equipment emergency support Corrective maintenance Preventative Maintenance Secondary Service Consultation and evaluation of new technology Special Projects Affiliated with Affilié à
5 Medical Devices Lifecycle Management MEDICAL DEVICE LIFECYCLE 22,600 Active assets Approx. 10,000 PM hours End of Support (EoS) & (RFS) Monitoring & Metrics Planning Selection and Procurement Acceptance & Deployment Quality Impact Risk Management Maintenance Cost Impact 5
6 CASE STUDY INFUSION PUMPS Affiliated with Affilié à 6
7 Colleague Pump Journey at TOH THE INFUSION PUMP STORY Colleague Pump 2007 TOH acquired Baxter Colleague pumps 2013 Colleague version P1.7 approved by Health Canada Decision Point 2010 FDA recall 7
8 WHY CHANGE TO A NEW PUMP? Challenges Address pump safety issues related to battery reliability DERS compliance Rapid wireless deployment of Master Drug Library (MDL) Asset utilization dashboard & optimization Continuous Quality Improvement (CQI) data & analytics Future auto-documentation (integration with EMR) 8
9 Qty = 1600 pumps Affiliated with Affilié à 9
10 Implementation of wireless smart infusion pumps SIGMA PUMP Wireless capability (Wi-Fi) Master Drug Library (MDL) CQI functionality Utilization reporting Consumable contract not impacted 10
11 Color Coded Asset Tag Centralized Pool RTLS Tag 11
12 SMART INFUSION PUMPS Objectives 1) Measure DERS compliance with the implementation of wireless, smart infusion pumps at TOH. (DERS = Dose Error Reduction System) 2) Each CCA, analyze frequency of: a) Hard limits attempted b) Soft limits exceeded and pullbacks 3) Design and initiate CQI data analysis process to monitor performance of wireless, smart infusion pump system 12
13 STUDY METHOD Study design Descriptive study of 7 CCAs infusion data - Anesthesia OR, Critical Care, BU, Med/Surg., Neonatal, Oncology Data collection 1,600 Spectrum pumps across TOH 12 months data Data analysis Data collected is collected and analyzed on a quarterly basis by Biomed Engineering Report is presented to Safe Medication Practice committee Feedback provided to CCA educators and pharmacy for proper actions 13
14 CQI DATA ANALYSIS RESULTS Affiliated with Affilié à 14
15 DERS COMPLIANCE (%) PER MONTH BY (CCA) Hospital s Weighted Average DERS compliance is > 98% Affiliated with Affilié à 15
16 PERCENTAGE HARD LIMIT ATTEMPTS BY CARE AREA BASED ON DERS INFUSIONS JAN MAR 2017 Affiliated with Affilié à
17 CONCLUSIONS Designed and proposed CQI data analysis process DERS compliance > 98% Top 5 drugs in each CCA are identified & investigated Soft and hard limits attempted analyzed quarterly and adjusted as necessary Feedback to CCA educators provided Appropriate action taken to improve MDL Compliance with Accreditation Canada ROP by providing data report to Safe Medication Practice committee 17
18 RECOMMENDED VS. CURRENT MODELS COMPARISON Clinical Engineering Health Technology Management Services (Recommended) In addition to current services: Centralized technology assessment group of experts Complete evaluation of new technologies prior to acquisition (planning phase), including life cycle cost analysis (TCO) Assessment of service contract req t and vendor management (out of country repairs) On-going (lifecycle) medical equipment management program (risk analyses, repair cost control elements, CI) Comprehensive device tracking (Alerts & Recalls) management program Compliance with government and accrediting standards Comprehensive and proactive EoS program Biomedical Engineering Health Technology Management Services (Current) Partial evaluation of new equipment mostly corporate fleets Inspection & testing (functional, safety, performance) Preventive maintenance Corrective maintenance Calibration Incident reporting & investigation 18
19 Hal Hilfi Corporate Manager, Biomedical Engineering (613) Ext
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