Chapter 18 Healthcare Technology Management (2)

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Chapter 18

Healthcare Technology Management

Dec 2024
Outline

• Objective
• Introduction
• Operational standards
• Implementation guidance
• Summary
Objectives
 By the end of this session the participants will be able to

o Define what Healthcare technology Management means


o Describe aim & purpose of implementing health care
technology management system
o Understand role & responsibility of HCTM team within the
facility
1-Introduction

 Healthcare technology management (HTM) is crucial for Ethiopia's


healthcare sector transformation plan (HSTPII and HSTPIII).
 About 28 % of medical equipment in Addis Ababa hospital and about 50%
medical Equipment in the Regions are non-functional.
 The medical equipment management Implementation is not
satisfactory as expected .
 The Hospital management and health workers are become more aware of
the importance of HTM
 The Ethiopian Ministry of Health (FMOH) has introduced EHSIG to
improve healthcare technology management across hospitals.
2- Operational standards
1.The hospital has organized Healthcare Technology
Management Structure
2.The hospital has HTM committee (HTMC) from multi-
disciplinary team
3.The hospital has a functional HTM information system
4.The hospital has standard medical device maintenance
workshop
5.The hospital has medical oxygen devices management system
2-Operational standards…(2)

6.The hospital has cold chain equipment (CCE) management

system

7.The hospital has separate medical device and spare part store

8.The hospital has appropriate acquisition system for medical

devices

9.The hospital has proper medical devices installation and

commissioning practice
2-Operational standards…(2)

10.The hospital has a proper medical device maintenance practice

11.The hospital conducts capacity building for users and BME/T on

proper utilization, safety, and maintenance of medical devices

12.The hospital has a proper decommissioning and disposal system


3- Implementation guidance

 Health care technology management.


 The HTMU ensures the hospital allocate sufficient budget for
operational, maintenance and spare part for Medical devices
 The Health Technology Management Unit (HTMU) should
have a structured for biomedical staff within hospitals.
 Set up ongoing medical device training for all users with
qualified instructors.
 The HTMU head should be part of the hospital senior
management team.
 The HTMU should conduct preventive and corrective
maintenance for medical device
3-Implementation …(1)

 The HTMU should adhere to the procurement agreement's guidelines for medical

equipment after-sales contract management.

• The HTMU should develop a written procedure describing the processes for managing

risk, improving safety and quality of utilization .

• The HTMU establishes automated and centralized documentation system that tracks all

equipment and spare parts for planning, budgeting, acquisition, reporting and other

purposes.

• The HTMU participates on equipment planning, purchase, installation, maintenance,

troubleshooting, and technical support

• The HTMU works towards national and international service accreditations.


3-Implementation…(2)
 Healthcare technology management cycle
 This cycle ensures a comprehensive and efficient approach to managing healthcare
technology . The stapes includes:-

1. Planning & assessment

2. Budgeting & financing

3. Technology assessment & selection

4. Procurement & logistics

5. Installation &commissioning

6. Training & skill development

7. Operation & safety

8. Maintenance & repair

9. Decommissioning & disposal


Healthcare Technology Management Cycle
Organogram for Hospital
HTMU/department/directorate/team
3-implementation…(4)
The responsibility of (HTMC) is to:
• Oversee establishment of a medical equipment inventory

• Develop a model medical equipment list

• Monitor the implementation of policies, standards and guidelines for:

• Planning and procurement of medical equipment

• donation of medical equipment

• Disposal of medical equipment

• Review incident reports related to medical equipment


3-Implementation …(5)

 Healthcare technology management (HTM) information


system
• Is hardware or software products intended to transfer, store,
convert formats, and display medical device information.
 The major category of information about medical device are:

• Medical device Inventory


• Bin and stock card
• Medical device History file,
• Risk classification system
• Spare parts and accessories inventory management
3-Implementation …10

 Medical Equipment may be availed to the hospital through one

of the following means.

 Purchasing

 Donation

 Leasing and Renting

 Cluster based equipment sharing


3-Implementation …13

 Choosing purchase methods.


 Centralized procurement
 Group procurement
 Decentralized procurement
 Mixed procurement
 Using procurement agents
 Medical Device Donation
3-Implementation …15

 Installation of medical devices


 Pre-installation work involves:

• Preparing the site to be ready for equipment when it arrives


• Organizing any lifting equipment
• Organizing any warehouse (storage) space
• Confirming installation and commissioning details
• Confirming training details.
3-Implementation …23
 Decommissioning and disposal of medical equipment .

 The disposal of all medical equipment no longer needed by the


hospital, should set up a Medical Equipment Disposal
Committee. (see Appendix B).
 The hospital should develop and receive management
approval for a fixed asset disposal policy.
 Disposal of medical equipment recording the disposition in
the Equipment History File by moving it to a separate dead
file.
Summary
• HCTMS offers a blueprint for building up a successful (HTM)
system in healthcare facilities .

• It also encourages a fresh look at how hospitals are structured


in order to make technology-related decisions.

• Understand how to implement Healthcare Technology


Management (HTM) and Health Technology Assessment
(HTA) within all types of organizations

• Technology Policy and Regulations, Health Technology


Planning (HTP) and Acquisition, as well as Asset and Risk
Management
Thank You!

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