A Comprehensive System for Healthcare Technology Management HTM
Current models to manage and organize technology in hospitals have evolved over the established 40or 60 years ago according to totally different circumstances of now, therefore, have a failure of origin. In the context of new technologies, it is not enoug
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Pontifical Catholic University of Peru / Engineering Department, Bioengineering Laboratory, Lima, Peru
Abstract— Current models to manage and organize technology in hospitals have evolved over the established 40or 60 years ago according to totally different circumstances of now, therefore, have a failure of origin. In the context of new technologies, it is not enough improve the outdated model, but a new model needs to be raised by re-engineering to achieve appropriate levels of clinical effectiveness, efficiency, safety, cost control and quality that users expect of the technology used in hospitals. Many of the current premises on good practices in healthcare technology management HTM provided by specialized institutions on health are impractical, because in the current processes do not have neither the human resources, nor the liability, nor the appropriate procedures for its implementation. The aim of this work is to provide a process map and their components to implement an effective HTM system in hospitals. Our initial results obtained with the support of a computer platform makes evident that the parameters of clinical effectiveness, efficiency, safety, cost control and quality can be improved, as well as, to reflect on the need to rethink the hospital organization for decision-making on technology. Keywords— Clinical Engineering, Healthcare Technology Management, HTM Process map. I. INTRODUCTION
Peruvian health sector as other ones from developing countries, has not understood neither manages adequately Health Technology HT and its relevant influence in safety, effectiveness, quality and sustainability of health organizations [1]. This evidence determines low-quality of health services, lack of human resources experts, absence of HT policies and regulation, plans and strategies with no accuracy/level of quality required, etc. [2]. Not developed countries traditionally focus mainly on equipment maintenance; according to surveys: the budget aimed to equipment maintenance is less than 2% of the annual operative budget, while the operability of medical equipment is under 57% in a hospital classified as “high-level”, in other side the regulation related to medical equipment ignores the metrological verification; all of these factors are against the implementation of a functional clinical service. This article presents the design of a healthcare technology management-HTM system, in a comprehensible model. The initial information obtained primarily [3], supported the
evaluation of HTM in Peruvian hospitals, based on the current processes, the authors adjust and propose new ones. II.
NEW PERSPECTIVE IN CE, HTM, HTA AND OTHERS
A. Healthcare Technology HT HT is not only medical devices, that in the new concept of medical devices they include implants, implements, software, applications, etc. In this sense, HT include as well: clinical procedures, information systems, materials and medical supplies, energy systems, hospital equipment and infrastructure, further organizational models and medicines. New prospects sh
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