Dr. Neelesh R.S. Bhandari MBBS (A.F.M.C), MD ( Path.) PGP in Human rights Certificate in web designing

Role of Healthcare technicologist inDevelopment of health systems

New frontiers in healthcare technology-

1) Telemedicine2) Continuing medical education3) Electronic medical records4) Picture archiving and communication system

(PACS)5) Retraining of personnel

6) Non-medical and administrative uses……

How to use technology In healthcare ?

Effective use of healthcare technology requires effective healthcare technology management system in place for

Planning Implementation Maintenance Repair Improvement of services

Components of a HTMS

Which is Better??

Who are the clients of HTMS??

Clients of HTM services-

The clients of the HTM Service are people such as: ◆ equipment users ◆ health facility managers (CHC or District Hospital I/C”s) ◆ patients ◆ senior officers in the HTM Service( Zonal officers) ◆ decentralized health authorities ( NACO, mohfw, etc) ◆ the health service provider.( treating doctor)

Point to ponder-

it is better to break a tool while actively undertaking maintenance, rather than breaking nothing but never doing any work !!

Our current concern-

TELEMEDICINE

Components of telemedicine-

Role of HTMS in Telemedicine

Responsibilities in telemedicine-

Training of Doctors and medical staff in equipment handling. . Monitor progress of infrastructural readiness at site. . Carry out software customization as part of the project. . Prepare customized Training Manuals if required. . Carry out testing, integration and fitness certification of hardware and software. . Integrate and .”Hot”. test the complete application through connectivity available in the central

office. . Debug the issues that may arise. . Test security protocols. . Dismantle equipment when required E.t.c..

Major requirements -

(1) Maintenance , preventive and curative.

economic benefits of technology maintenance-

-It increases the lifetime of equipment and thus helps to save scarce investment resources

-It enhances the demand for health services,

since demand for services is crucially dependent upon the availability of healthcare technology ( important after implementation of swasthya

beema)

Levels of maintenance

(2) Skill building of medical personnel-

- On site training - Virtual training * real time multilocation interactive * Pre-recorded CD,s / DVD,s * via broadband

E-Trainings

Training requirements of staff-

How to evaluate any healthcare technology management system in our setup??

Checklist for determining functioning of HTMS.

Facility level ◆ Does any Facility HTM Team and Working Group take part in all major decisions relating to

their field in their facility? ◆ What are the major tasks of the existing HTM Service at this level at the moment? ◆ Which activities are presently not provided by the HTM Service at this level? District/diocesan level ◆ Does any District HTM Team and Working Group take part in all major decisions relating to

their field in their district? ◆ What are the major tasks of the existing HTM Service at this level at the moment? ◆ Which services are presently not provided by the HTM Service at this level? ◆ Does the district-level HTM Service supervise and advise lower levels of the HTMS? Regional/provincial level ◆ Does the Regional HTM Team and Working Group take part in all major decisions relating to

their field in their region? ◆ What are the major tasks of the existing HTM Service at this level at the moment? ◆ Which services are presently not provided by the HTM Service at this level? ◆ Does the regional-level HTM Service supervise and advise lower levels of the HTMS?

Responsibilities

◆ advises the district health management on healthcare technology issues ◆ undertakes maintenance and other HTM activities which require basic- and medium-level skills (skill levels 1 and 2, also most of 3) in the district hospital,

as well as the health centres and health posts in their area ◆ keeps stocks of spare parts according to their maintenance level ◆ monitors and supervises work conducted by private sector companies and artisans ◆ supervises and supports the work of Facility HTM Teams and Working Groups in their area ◆ undertakes quality assurance and cost control at district level ◆ provides adequate representation of HTM in the planning and budgeting of the district health management team ◆ liaises with a higher level of the HTM Service (such as a region or the centre). ◆ enable the ongoing development of technical skills ◆ respond to the rapid changes in equipment designs

Thanks for your patience.