Transcript People to always read on Biomedtalk or TechNation Listservs

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Toolbox for the New HTM Director
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(New, Upwardly Mobile, or Experienced)
Patrick K. Lynch, CCE, CBET, CPHIMS, HIT Pro/PW
GMI (Global Medical Imaging)
Charlotte, NC
:
MD Expo
Reston, Virginia
April 4, 2013
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Mary Logan, President of AAMI
William Hyman, TSTC Professor retired
Karen Waninger
Dick Felton
Jenifer Brown
Manny Roman
Dave Dickey
Glenn Scales
Rick Hampton
Pat Lynch, Blogger, writer
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www.BMET.wikia.com
www.CMIA.org
www.NTBA.org
www.AAMI.org
www.patientysafety.org
www.educationaltechnology.com
www.Healthcarecommunication.com
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SVR
COSR
CMMS
CMS
JC
Risk-Based
Preventive Maintenance (not Preventative)
BMET vs. CE
HTM
ROI
??
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TechNation Magazine
HTM Magazine
24x7 Magazine
AHRA Free electroninc Journal
TechRepublic Free Newsletter
BiomedtalkListserv
TechNation Listserv
MedTech
AdvanceWeb - Health Information Professionals
AdvanceWeb - Imaging and Radiation Oncology
Imagetalk Listserv
LinacTalk Listserv
AdvanceWeb Executive Insight
Frank's Hospital Workshop
ITC Magazine
Radiology Management
HTMA-SC
CDC Blog
Patient Safety (NPSF.org)
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DITEC
Pronk
GMI
Dunlee
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CBET
CRES
CLES
CCE
CPHIMS
HIT Pro / PW
A+
Net+
Sec+
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ECRI Institute
AAMI Membership
Local Biomedical Association
ACCE Membership
Journal of Clinical Engineering Magazine
Modern Healthcare
HIMSS
AHRA
CLMA
ASRT
META
Any Local Association within Driving Distance for Training
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The AAMI Community
META
ACCE
HIMSS
AHRA
BMET Wiki
Medical Devices and the FDA
X-ray & C-Arm Equipment Service Engineers
Biomedical & Clinical Engineering
Biomedical Specialist
Clinical Engineering / HTM
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Annual cost of a Service Contract runs from 18% to 25%
COSR for contracts with manufacturer is 18% to 25%
COSR with In-house Service
Most Biomed Departments are in the basement.
The average cost of each item is a complete inventory of a hospital is about
$11,000.
The Average time to complete an electrical safety test is 15 minutes.
The average number of items that can be excluded from PMs using a riskbased analysis is 33%.
The average PM takes about 40 minutes.
The average Repair takes about 1.0 hour.
Experienced Biomeds in the same job can take care of approximately 10%
more equipment each year.
Staffing - Biomeds can maintain approximately 1.700 items or $5M (general
biomed equipment) or $12M for Imaging.
The fully loaded cost of a Biomed is approximately $90.00 per hour.
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EMR
E.H.R.
CPOE
CDSS
DICOM
HL7
Ping
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1.
Have a complete inventory of all patient care
devices at my hospital/health system
Monitoring
Central Sterile
IV Pumps
Xray Rooms
Portable Xray
Mammo
Processors/printers
Linear Accelerator
Laboratory
automated analyzers
Leased Equipment
Scopes
Ultrasound Xducers
Potential future
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2. Assign Acquisition Cost to all equipment items
Why?
How do you compare yourself to others?
Bed size?
Number of pieces of equipment?
Scope of Work?
Number of ORs?
Number of Patient Visits?
Number of Discharges?
Patient Acuity?
Square footage of buildings?
Dollar value of Equipment Maintained?
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3. Consolidate all Equipment Maintenance under a single
budget
Why?
HTM is the only professional maintenance
manager in the hospital.
Control . . . .
of what is done
of vendors
of service providers
of coverages
of add-on charges
of when service is performed
of costs
of upgrades made to machines
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4. Know my Cost of Service Ratio (COSR)- Overall and
by department and by equipment class
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4. Know my Service Value Ratio - Overall and by
department and by equipment class
Metric
Measure of
Value of
Equipment
Maintained
Volume of
Work
Required
Total Cost of
Service
Cost to
perform
Work
Required
COSR (Cost
of Service
Ratio)
Efficiency of
maintenance
operation
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5. Have a BMET Training budget that is 5% of the
total HTM Budget
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BMET Training is an INVESTMENT, not a COST
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$5M budget = $250,000 training = 15 people = $16.7k per
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$10M budget = $500,000 training = 25 people = $20k per
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1-2 weeks per technician
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Where to get training?
Manufacturer
Training Company (DITEC, RSTI, Laser Institute)
Online Courses (Open Courseware, Prof Messer)
Local Association
National Association (AAMI, MD Expo)
Nearby Association
Free Magazines
Paid Magazines
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6. No one in the hospital can sign a service agreement
except the Director of HTM
• All Service Agreements are paid from
the HTM Budget
• Must have a policy that is signed by
both the CEO and the Director of
Materials Management
• Never sign a service agreement for
greater than 1 year.
• Any Contract can be cancelled with 90
day’s notice for any reason or no
reason.
• Never bundle operating costs
(reagents, service, supplies, training)
in capital expenses (purchase,
software, rebuilds, upgrades).
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7.
Get free lifetime passwords and updates to all
medical devices
Pre-purchase Negotiation
Anything is possible
Get everything you can.
Free school, updates, manuals, CDs, software
upgrades, tools, test jigs, PM procedures, calibration
procedures, tech support, etc., etc., etc.
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8. JC (or DMV or CMS) visits are a non-event for HTM and
HTM staff
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9.
Have a means to stop capital payments if all
required items are not delivered.
How?
o
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o
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Know Accounts Payable Person
What is his/her job?
Ask them to stop payment.
Done!
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10. Every customer in the hospital is delighted with HTM's
performance (and the performance of all of the staff)
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Annual Customer Satisfaction Survey
Monthly Meetings with Major Customers
Open-door policy
Anonymous Comments Box
Above all, excellent service. FIX THE CUSTOMER.
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Have a complete inventory of all patient care devices at my
hospital/health system
Assign Acquisition Cost to all equipment items
Consolidate all Equipment Maintenance under a single budget
Know my Service Value Ratio - Overall and by department and
by equipment class
Have a BMET Training budget that is 5% of the total HTM
Budget
No one in the hospital can sign a service agreement except the
Director of HTM
Get free lifetime passwords and updates to all medical devices
JC (or DMV or CMS) visits are a non-event for HTM and HTM
staff
Have a means to stop capital payments if all required items are
not delivered.
Every customer in the hospital is delighted with HTM's
performance (and the performance of all of the staff)
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 Thank
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you
For the complete Presentation, Come to
 MD Expo, Reston, VA
 April 2,3,4
 Free for all hospital employees
 www.mdexposhow.com/dc
Download complete Presentation
after April 4, 2013 at http://HTMASC.wildapricot.org
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[email protected]
704-941-0116
Watch my blog at www.gmi-blog.com
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