Medical Devices Management (MDM)

Transcription

1 Medical Devices Management (MDM) IHEEM 4 th October 2016

2 There is no fixed definition and in many Trusts no recognised role Often referred to as : Clinical Devices Management Biomedical Equipment Management Healthcare Technology Management

3 Medical Devices All products except medicines, used in health care for diagnosis, prevention, monitoring and treatment It covers a vast range of devices including software and IT infrastructure and not just the items that are looked after by EBME /Clinical Engineering

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5 The process of dealing with or controlling things or people (Oxford Dictionaries) The organisation and coordination of the activities of a business in order to achieve defined objectives.... Management consists of the interlocking functions of creating corporate policy and organizing, planning, controlling, and directing an organisation's resources in order to achieve the objectives of that policy (Business dictionary) "if there has been any management in Clinical Engineering, it has been concealed from me Anonymous Director of Estates

6 Governance Productivity and Utilisation IT integration and EPR connectivity Clinical and Technology developments Procurement options Principles of Lord Carter report. Reducing cost of ownership Maintenance Consumables

7 The UK NHS healthcare technology market is worth 4.6 Billion NHS 2015/16 budget: Billion Typical Acute DGH Medical Equipment maintenance 2m per annum MAINTENANCE EFFICIENCY SAVINGS OF CIRCA 100K PER ANNUM ARE VERY ACHIEVABLE PROJECT BASED SAVINGS CAN BE SIGNIFICANT

8 Often invisible to the executive Responsibilities Leadership technical and business? Safety, Quality and governance Communication Cost avoidance and management Cost Improvement Training and development Management qualifications/experience? Professional technical qualifications?

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12 Do you understand all the risks associated with Medical Devices? - Know where all the assets are? - Who is trained? - Who is responsible for maintenance? CQC Requirements Cost management Equipment Replacement Plan

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14 Example kindly provided with permission of West Hertfordshire Hospital NHS Trust Risk Assessment X Risks which were considered serious and/or needed further investigation urgently. Medical Devices -Risk REPORT Adequate records Technical Leadership Medical Devices policy and monitoring. Inventory control Inconsistent application of processes led to inappropriate equipment and support services purchases on some occasions Working environment for Clinical Engineering Disposal of Equipment - Users retain and continue to use equipment past its supported lifespan CAS alerts did not have appropriate Medical Devices technical appraisal and actions. Datix reports - delays in appropriate reviews and responses.

15 Example kindly provided with permission of West Hertfordshire Hospital NHS Trust Risk Assessment! Risks which are not considered to be either serious or urgent but require further work. Medical Devices -Risk REPORT Service records did not adequately reflect service activity External service provider management required Work processes need review Equipment Replacement Planning Equipment utilisation and availability Clinical Engineering COSHH management not fully compliant Information Governance on equipment library record keeping Service availability (enhanced support for medical equipment to meet extended hours and efficiency objectives) and Out of Hours support

16 Example kindly provided with permission of West Hertfordshire Hospital NHS Trust Risk Assessment Medical Devices -Risk REPORT Risks that have been mitigated but must be monitored. Technical competency issues Information Governance linked to the recording of pressure relieving mattress use. Maintenance of Patient Trolleys, Couches and Exam Chairs. Helpdesk process antiquated and manual User support interface / process for reporting defective equipment was antiquated. Condition of labels on equipment leading to confusion when users report faults. Datix reporting categorisation (Medical Devices) not continually kept up to date.

17 Record Keeping and Inventory Management Equipment Investment and Replacement Planning Procurement processes Performance management Medical Device Reporting and Policy Procurement and Supply Chain Management Utilisation and availability

18 Inventory management is the foundation of good practice

19 Technology planning Information required to plan replacement Review of the business critical / clinical replacement Lifecycle and utilisation review Linkage of asset register to the Trusts capital asset register and programme

20 Governance structure Board representation Does your Medical Devices Policy and Medical Devices Group have oversight and good reporting of all Medical Devices?

21 Efficient management of service and other contracts. Multiple suppliers Contract levels NHS Supply chain Transformation planning and agenda Lord Carter report

22 Standardisation Centralised management Equipment included, typically Infusion Devices but generally under utilised Utilisation and availability should be recorded Linkage to equipment asset management database

23 June MTS appointed to provide risk and gap assessment August 2014 Recommendations for improvement programme October 2014 MTS appointed to provide implementation and transformation support Work streams agreed August 2016 Trust Medical Devices Manager appointed Continuous improvement programme

24 1. Medical Devices Reporting and Policy 2. Remedial and Planned Maintenance 3. Supply Chain Management 4. Acquisition and inventory management 5. User Training 6. Investment Planning & Equipment Replacement 7. Equipment Library 8. Governance and compliance (includes CQC action plan)

25 Trust wide asset database to include all equipment (except Pathology) Awareness and closure of CAS and Datix reports significantly improved Restructuring of Clinical Engineering complete Facilities improved (Equipment Library) Medical Devices Group re-generated and two sub groups established (updated terms of reference and membership)

26 Improved performance management Turnaround times and working hours PPM improved from 54% to 84% with improved reporting of missing equipment Medical Device Training can now report against KPI s (still WIP) Centralised helpdesk process implemented Updated Medical Devices Policy approved and operational Medical Devices Training Policy approved and operational Cost improvements delivered

27 Description Savings Bariatric Beds (Hiring to owning) Hi-Low Beds (Ward allocated to Library managed) 55, per annum 25, per annum minimum Hybrid Mattresses Estimated 550k over 5 years (inclusive of purchase costs) Maintenance review and contract consolidation Estimated 100, per annum

28 It is internationally accepted that technology can be an accelerant for delivering transformation MDM is about managing technology and should be acknowledged to be an important part of the Transformation Agenda

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