The IEB-UFSC has a structure named Center of Management and Development of

Health Care Technology (Ceged-TMH) that concentrates Health Care Technology Management (GTMH) to Health Care Facilities (HCF), developing procedures and methodologies for health care management as well as serving as a reference center to the state of Santa Catarina. It also develops research and implementing projects of technology management methods for medical use, enabling a better exploitation of financial, technological and human resources.

More recently, it was recognized as a collaborative center of the PAHO-WHO in this area. The main objective of this center is to provide quality to the health care technological processes aiming at adequacy in the use of health care technology. This article will present the growth of this structure during the incorporation of technology in the public hospitals which belongs to the Health State Department of Santa Catarina (SES-SC), through a case of management and acquisition of health care technology in 10 hospitals in the public health net of the State of Santa Catarina.

THE ROLE OF THE CLINICAL ENGINEERING IN THE PROCESS OF INCORPORATING TECHNOLOGY BASED ON PROCEDURES

ABSTRACT ABSTRACT

1 1 1 1 1Marcelo Hayashide , Priscila Avelar , Renan Feltrin , Renato Zaniboni and Renato Garcia1Biomedical Engineering Institute; IEB-UFSC, Federal University of Santa Catarina

{hayashide, priscila, feltrin, zaniboni, renato}@ieb.ufsc.brBRAZIL

Biomedical Engineering Institute of the Federal University of Santa Catarina (IEB-UFSC), Brazil, has been developed a medical technology management program in 15 Health Care Facilities (HCF) in collaboration with the State Department of Health of Santa Catarina (SES-SC) for more than 12 years. Ten of the facilities have a Local Center of Clinical Engineering (CELEC) and the others five have support of the Center of Management and Development of Health Care Technology (Ceged-TMH) of IEB-UFSC. Based on the management model developed by IEB-UFSC, one of the activities for the technological process in healthcare is related to the acquisition and incorporation of medical equipment. Together, CELECs teams and Dimension and Incorporate Technology Center (DIT) of Ceged-TMH, work actively in to incorporate technological needs. Studies from medical equipment technology are developed according to the necessities of the public network. Technology settings are based on normative and regulatory requirements in Brazil. The incorporation of the new technology is followed by studies from, technical specification, public bidding analysis for acquisition, acceptance and installation, as well technical training, before being released at the hospital.

UNIVERSIDADE FEDERAL

DE SANTA CATARINA

INTRODUCTION INTRODUCTION

METHODOLOGY METHODOLOGY

Throughout these years a model for the process of the GTMH has been in development, and has had as a base three pillars which allow a kind of clinical engineering that supports the quality of the technological process. This model demonstrates these three pillars: infrastructure, human resources and technology. In order to increase health care service quality clinical engineering must analyze the process front to the importance of developing specialized and qualified human resources so that the user is then apt to make use of this technology. From the point of view of the physical infrastructure (construction, electricity, facilities, gas and medical fluids, water, etc.) this must be adequate for the use of the technology; because an inadequate evaluation of the local context, facility conditions and future cost prediction when open for business may lead to inadequate investments and therefore, process inefficiency. Finally, with an appropriate balance of well sized technology and adequate incorporation and management throughout the entire life cycle will allow improvement in the quality of health care services.

RESULTSRESULTS

In figure 4 it is noticed that the number of technical specification that were created were greater than the number of incoming inspections based in the public bidding processes. The requests for purchase were forwarded for acquisition without the General Administration of SES-SC approval. Many of these requests were terminated because the new equipment acquisition did not meet the strategic action requirements, and there were also no financial resources available at the time. As a solution to this evidenced fact, the IEB-UFSC defines in joint action with the SES-SC that all incorporation processes must only be initiated with approval conditioned to the necessity demonstrated by the health care units. Therefore, from 2006 up to today the objective has been of lowering the number of technical specification and increasing the number of incoming inspections guaranteeing in this manner quality to the technological process.

CONCLUSIONCONCLUSION

Successful Cases:Market research, techincal specification and evaluation of the public bidding for acquisition of one MRI and two CT´s for Heath Care Facilities from SES-SC – Investments US$ 2 million;

Market research, techincal specification and evaluation of the public bidding for acquisition of e MRI and one CT for the city of Joinville (largest city in the state of SC); – Investments: USD$ 1,5 million;

Evaluation for incorporation of imaging medical devices donates by Brazilian IRS (20 CT´s, 20 mamographs, Ultra-sound,etc) – Investiments US$ 12 Million;

Dimensioning, planning, acquisition, incoming inspections of medical devices for the new Hospital at São Miguel do Oeste SES-SC 2009/2011 – Investiments US$ 1,5 Million; – 50 Beds;

Dimensioning, planning, acquisition, incoming inspections and inventory of medical devices for the renovation of Florianopolis Hospital (SES/SC) in 2010/2011. – Investiments US$ 2 Million; – 60 Beds.

Figure 1 - Methodology for Medical Devices Incorporating used Public Network in the State of Santa Catarina

Figure 2 - Annual Amount Incoming Inspections in SES-SC

The mission of SES-SC is to guarantee access to the population of the State of Santa Catarina/Brazil aiming quality health care service for life quality increase of this population. Based on the methodological and through survey and analysis of the conditions in the equipment inventory of public hospitals in the city of Florianopolis; the IEB-UFSC begins to act as a partner of the State since 1998.

Nowadays the results obtained by the inventory of facilities with CELECs have the average of 150 beds per hospital, with a total of 7.400 equipment. From 2003 to 2012, it was acquired approximately 13.500 equipment, 868 incoming inspections were realized and the total investments were around US$ 27 million. The constant renewal of the inventory of the SES-SC HCF, enables the chance to perceive between the years of 2003 and 2012 an investment amount of approximately US$ 27.182.800,21.

In this research, part of this investment represented average 13.484 health care equipment incorporated between the years of 2003 and 2012 in 10 Health Care Facilities, as shown in figure 2 e 3. Between the years from 2003 to 2012 the Ceged-TMH/IEB-UFSC has given support to over 2.000 public bidding processes.

Figure 3 - Equipment Incorporated from 2003 to 2012 in SES-SC.

Figure 4 - Number of Technical Specification x Public Bidding Processes in SES-SC from 2003

Second WHO Global Forum on Medical Devices ‘Priority Medical Devices for Universal Health Coverage’

22-24 November 2013, Geneva, SwitzerlandAbstract Number: 171093 / F07