Politics 2013 Patrick K. Lynch, CBET, CCE BMET, Engineer,
Writer, Educator, Organizer, Activist, Chief Do-Gooder Global
Medical Imaging (GMI) Charlotte, NC NCBA Septamber 12, 2013 1
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Who am I? 2 CBET, CCE, CPHIMS, CHTS-PW, fACCE 35 years in
Biomed Managed large In-house, ISO and corporate Biomeds Active in
certification of BMETs and CEs 1 st Pres of NCBA (North Carolina
branch) - 1980 President, HTMA-SC Member of all Biomed Associations
(honorary NC and KY) Board Member META and FMESA Advisor OH, KY,
TN, UT, VA, NC Trainer Engineering World Health (Rwanda, Honduras)
Trainer ACCE (Cuba) Chief Clinical Engineer - Heineman Medical
Foundation (Guatemala) Currently, works for GMI is sales
development, who sponsors my activities.
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3 IT HR Admin Mat Mgmt Acctg
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There are some other vital departments (other than our
customers) They are bigger, They are more powerful, They think that
hospitals revolve solely around them, Their priorities are not
ours, They do not understand the realities of HTM. 5
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Specific Departments Accounting Human Resources IT Materials
Management 6
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Lets examine their Functions Activities View of the world
Interactions with HTM And.... 7
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Lets develop strategies for succeeding by framing our needs in
ways that further their goals. 8
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9 Accounting Human Resources IT Materials Management
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Accounting 2011 Patrick Lynch and GMI blog -
http://gmi3.com/blog10
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Definition The development and use of a system for recording
and analyzing the financial transactions of a business or other
organization. Wiktionary 2011 Patrick Lynch and GMI blog -
http://gmi3.com/blog11
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How they see the world... 12
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How they see the world... Add photo here 13
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Major Functions Payroll Accounts Receivable Accounts Payable
Budgeting Financial Statements 2011 Patrick Lynch and GMI blog -
http://gmi3.com/blog14
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Areas where Biomed may interact with Accounting Operating
Budgeting Capital Budget Monthly explanation of budget deviations
FTE numbers Overtime Distributed vs. Consolidated budget for
equipment maintenance Ways to chargeback equipment costs 2011
Patrick Lynch and GMI blog - http://gmi3.com/blog15
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10 things every Accounting Director needs to know about Biomed
1. Monthly budgets can vary widely, especially is it only
represents a small part of the hospital equipment. 2. We need to
control outside service providers. In order to do that, we must
control the dollars that are paid to them. 3. Biomed must have a
unified budget which includes all maintenance coasts for all
medical equipment, including laboratory and radiology and radiation
therapy. 4. Training and travel can be as much as 5% of the total
annual budget. 5. Training and Travel for Biomed is different than
for everyone else in the hospital. 2011 Patrick Lynch and GMI blog
- http://gmi3.com/blog16
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10 things every Accounting Director needs to know about Biomed
6. We are the least costly maintainers of medical equipment on the
planet. 7. Overtime is the norm. For general Biomed, 10%. For
Imaging engineers - 15%. 8. Biomed must be able to stop payment for
capital purchases if we do not certify that the purchase order is
not fulfilled to our definition. 9. We are 110% for the hospital.
10. Unlike most other departments, Biomed is ready, willing and
able to go above and beyond it's core mission to help the hospital.
2011 Patrick Lynch and GMI blog - http://gmi3.com/blog17
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Strategies Know your budget inside out Have emergency plans for
additional ways to save the hospital money. Make friends with the
person in acctg who services your department Discuss BEFOREHAND
needs, strategies, etc. Carve out Biomed Training and Travel to be
separate from the rest of the hospital. 2011 Patrick Lynch and GMI
blog - http://gmi3.com/blog18
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Human Resources 2011 PKL, GMI blog at
http://gmi3.com/blog19
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Definition Human Resources Management (HRM) function includes a
variety of activities, and key among them is deciding what staffing
needs you have and whether to use independent contractors or hire
employees to fill these needs, recruiting and training the best
employees, ensuring they are high performers, dealing with
performance issues, and ensuring your personnel and management
practices conform to various regulations. Managementhelp.org 2011
PKL, GMI blog at http://gmi3.com/blog20
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How HR sees the world... 21
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How HR sees the world... 22
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2011 PKL, GMI blog at http://gmi3.com/blog23
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Where Biomed may interface with HR Job Descriptions Pay Scales
Recruiting of Staff Promotion of staff Annual Reviews Overtime 2011
PKL, GMI blog at http://gmi3.com/blog24
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10 things every HR Director needs to know about Biomed 1. Our
profession is made up of highly specialized people. There are few
cookie-cutter people who are totally interchangeable. 2. Unique
skills must be evaluated carefully. 3. The right person can save
the hospital tens or hundreds of thousands of dollars in excess of
their salary. 4. Recruiting efforts by HR are almost useless. 5.
Pay ranges are not very useful for highly unique people. 2011 PKL,
GMI blog at http://gmi3.com/blog25
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10 things every HR Director needs to know about Biomed 6. We
sometimes have to go outside of the norm to retain highly valuable
people. 7. Biomed staff are among the most loyal to the hospital of
any employees. 8. Our jobs are 24 x 7, even though we are hourly
employees. We don't mind being creative with hours, comp time and
expenses. 9. Unlike most other departments, Biomed is ready,
willing and able to go above and beyond it's core mission to help
the hospital. 2011 PKL, GMI blog at http://gmi3.com/blog26
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Strategies Multi-tiered Job Descriptions and steps. Write very
detailed job descriptions. Understand the review process and the
relations to pay changes. 2011 PKL, GMI blog at
http://gmi3.com/blog27
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Information Technology October 2010 Patrick Lynch and
GMI28
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Definition Information Technology (I.T.) is the "technology"
used for the study, understanding, planning, design, construction,
testing, distribution, support and operations of software,
computers and computer related systems that exist for the purpose
of Data, Information and Knowledge processing ITAA October 2010
Patrick Lynch and GMI29
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Major functions EHR Business office Security VPN access for
various companies Electronic Door access Passwords and logins HIPAA
Billing Accounting Laboratory Information System Radiology
Information System Patient Data PACS Connectivity with doctor's
offices and homes Education Patient Staff October 2010 Patrick
Lynch and GMI30
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How I.T. sees the world... 31
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How I.T. sees the world... 32
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Areas where Biomed may interact with IT Patient Care equipment
that communicated across the hospital network Access to Internet
Sites that Biomed needs but IT blocks Servers in IT that contain
programs that Biomed maintains Software and hardware maintenance
philosophies Desirabliity of Service Contracts October 2010 Patrick
Lynch and GMI33
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10 things every IT Director needs to know about Biomed 1. Our
jobs are like the fire department - 24 hours a day instant
response, lives are on the line. 2. Equipment uptime, safety,
accuracy and reliability are our #1 priorities. 3. We know the
operation and use of all medical devices. We participate in patient
care. We train users to operate their equipment. 4. Security is
unimportant to us. 5. We do not operate in a rigidly defined space.
We do whatever is necessary to enable the treatment of patients. 6.
We prefer to rely upon ourselves instead of vendors or
manufacturers. October 2010 Patrick Lynch and GMI34
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10 things every IT Director needs to know about Biomed 7.
Hardware contracts are NOT a part of our norm. 8. We understand
healthcare and patient care. 9. We are very comfortable in the
patient care setting. 10. We want to work with you, but not on your
terms. 11. We know a lot about technology. And we can comprehend
more about IT issues than you think. 12. Unlike many other
departments, Biomed is ready, willing and able to go above and
beyond it's core mission to help the hospital. October 2010 Patrick
Lynch and GMI35
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Strategies Educate Chief of IT about Biomed, how we are
different, and how we are working toward the same goals. Develop an
understanding of ITs mandates and business practices. Develop a
close relationship with somebody in IT who can cut through the
'official' policies October 2010 Patrick Lynch and GMI36
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Materials Management October 2010, Patrick Lynch and GMI37
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Main job is The organizational functions responsible for the
planning, sourcing, stocking and logistics activities of materials
used in the internal and external fulfillment of demand. The
Bridgefield Group October 2010, Patrick Lynch and GMI38
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Major Functions Buying the right items for all the operations
of a hospital Medical Supplies Capital Equipment Food Cleaning
Supplies Computers Security Maintenance items Pharmaceuticals
Storeroom functions for day-in-day out items Receiving function
Shipping Order placement Vendor Management Forcasting future needs
Finacial management Strategic partnerships shortages unique
products JIT inventory Vendor managed Inventories Delivery of
supplies to users Inventory Control Ethics sharing of confidential
information receiving perks or kickbacks remaining objective
October 2010, Patrick Lynch and GMI39
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How MM sees the world... 40
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How MM sees the world... 41
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Areas which Biomed interfaces with Materials Management
Sourcing of Parts Purchasing conditions for new Capital Equipment
Receiving of new Capital Equipment Receiving of Parts Asset control
of Capital Equipment Contracts October 2010, Patrick Lynch and
GMI42
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10 things every Materials Manager needs to know about Biomed 1.
We have MANY JIT needs. 2. We have MANY one-off needs. 3. One-time,
One-shot deals are not unusual. 4. There often isn't time to go
through the "normal" channels to setup new vendors, or bid, or wait
till tomorrow. 5. Just because we cut deals and sometimes buy from
our friends doesn't mean that we are unethical, receiving payoffs
or stealing from the hospital. 6. We must be a part of EVERY
capital purchase. October 2010, Patrick Lynch and GMI43
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10 things every Materials Manager needs to know about Biomed 7.
Sign NO point-of-sale maintenance agreements. 8. Our terms and
conditions must be a part of every capital purchase. 9. Biomed must
sign off before final payments are made on any capital purchase.
10. The manufacturers are NOT friends of the hospital. 11. Unlike
most other departments, Biomed is ready, willing and able to go
above and beyond it's core mission to help the hospital. October
2010, Patrick Lynch and GMI44
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Strategies Read all Purchasing Policies Read all Capital
Equipment Policies Negotiate modifications which will meet your
needs and benefit the hospital Develop Ts&Cs regarding
training, passwords, manuals, etc. Insert Out-Clauses on ALL
Contracts. October 2010, Patrick Lynch and GMI45 Last Slide
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Take-Aways In every encounter, emphasize how biomed can support
the organizational goals. Remember, Biomed isnt the biggest, the
baddest, or the most powerful, so we have to be very CREATIVE when
dealing with the other entities in the hospital. 46
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Download at www.HTMA-SC.org Watch TechNation and BiomedTalk
Contribute to the BMET Wiki Visit Pat Lynchs blog at
http://gmi3.com/blog [email protected] (704)941-0116 [email protected]
Thank you 47