EBME
Year 1: Create policy and processes that support the executive strategy
Create & ratify Trust-wide
medical devices management policy, then implement.
Outcome: change in practice
Year 2: Implement the policy and strategy. Implement connected programme
Connect medical IT & devices into electronic patient record.
Improve clinical workflow.
Outcome: Efficiencies
Figure 2: Five year asset management strategy
should be led by the board, working with the appropriate stakeholders to ratify and then implement changes in management and operational practice.
2. Once implemented, the strategy should deliver a programme that connects medical equipment into the EPR. Clinical evidence shows that this will deliver better clinical outcomes, and create a more sustainable and efficient organisation.
3. When the data is readily available, it can be integrated into other patient surveillance systems to carry out automated clinical decision support, which allows for prompt changes in treatment, or earlier discharge.
4. Once the organisation has bedded in policies and processes, the next step is telehealth, offering ‘remote clinical services’, such as ‘hospital at home’, where equipment at home can be connected directly into the EPR, giving the benefit of freeing up hospital beds.
5. Once all these systems are connected and fully operational, the next logical step would be investment in artificial intelligence (AI) software algorithms to monitor the data coming in and assist by supporting clinical decision stakeholders,
ultimately improving patient outcomes. The five-year asset management strategy, shown in figure 2, is indicative of how changing organisational policy and practice can deliver 21st Century clinical outcomes for patients, and also deliver financially sustainable plans.
Year 3: Make use of available data. Improve services
Integrate systems: patients surveillance, research, clinical decision support
Leverage data.
Outcome: Efficiencies
Year 4: Embed technology services outside the organisation
Remote ‘hospital at home’ services
Remote monitoring (telehealth)
Outcome: Efficiencies
Year 5: Expand the use of Artificial Intelligence to support clinical decision making
Integrated IT & devices
Improving
management & supporting clinical decisions
Outcome: Successful plan
CSJ
References 1. Sandham, John. Device Management Policy. www.
ebme.co.uk. [Online] April 2014. https://www.ebme.
co.uk/seminar/transcriptions/device-management- policy.
2. Middlesex University Research Repository. https://
www.mdx.ac.uk/. [Online] March 2014. https://
eprints.mdx.ac.uk/19157/1/JSandhamThesis.pdf.
3. HM Government. Strength and Opportunity. London: Office for Life Sciences, 2017. p. 43.
4. Vanlint, Kayley. Bioscience and Health Technology Sector Statistics 2018. London: Office for Life Science, 2019.
5. Medicines & Healthcare products Regulatory Agency. Managing Medical Devices. [Online] April 2015.
https://assets.publishing.service.gov.uk/government/ uploads/system/uploads/attachment_data/ file/421028/Managing_medical_devices_-_ Apr_2015.pdf.
6. Hancock, Matt.
https://www.gov.uk/government/ speeches/better-tech-not-a-nice-to-have-but-vital-to- have-for-the-nhs.
www.gov.uk. [Online] January 2020.
About the author
John Sandham DProf, CEng, FIHEEM, FIWBL, MIET, is an internationally recognised and respected chartered engineer, and a ‘Doctor in Professional Studies’ for ‘Compliance in Medical Devices Management Policy’. He has over 35 years of experience, with the last 20 years in senior executive roles such as managing director, chief executive, and chairman. John is professionally registered with the UK Engineering Council through the Institute of Healthcare Engineering and Estate Management as a Fellow (FIHEEM), and is also a member of the Institute of Engineering and Technology (MIET). John is also well known academically, with over 300 published articles, and a professional doctoral thesis. He is a visiting senior research fellow at Middlesex University, and a ‘Fellow of the Institute of Work Based Learning’ (FIWBL), giving lectures in medical devices management, policy development and organisational learning. John has been chairing the national ‘Electronic and Biomedical Engineering (EBME) Conference’ since 2009, attracting thousands of professional delegates responsible for asset management, maintenance, and user training.
NOVEMBER 2020
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How to buy, use & manage
Integrate devices & IT
Beyond the EMR
Technology enabled services
Fully integrated technology
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