Clinical Engineering in France State and trends for the future Martine Decouvelaere, P. Macquet, A. Vogt Association Française des Ingénieurs Biomédicaux – AFIB French Clinical Engineers Association
The French reform for hospitals (2007) Medical technologies
Competition
Executive board
Administrative and technical departments
Pôles d’activités médicales
Activity-based financing
Clinical Engineering
Reforming hospital governance 4th EUROPEAN CONFERENCE ON HEALTHCARE ENGINEERING
Increasing investment 2
Clinical Engineer Survey - 2006 French « Baccalaureat » + 5 or 6 year higher education 30% women Seniority in the post 35 30 25 20
33 27 23 15
15 10 5 0
9 3 0 to 4 years
5 to 10 years
11 to 15 years
16 to 20 years
21 to 25 years
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> 25 years
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Clinical Engineering • To manage medical equipement, from planning to scrapping – Advise and contribute to hospital design – Purchase new equipment • Plan and purchase • Specify implementation requirements • Verify and check newly delivered equipement
– Manage the maintenance – Manage replacement and scrapping 4th EUROPEAN CONFERENCE ON HEALTHCARE ENGINEERING
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Clinical Engineers, Role and Activities Role of the Clinical Engineer (% of time spent) 5,70% 4,00%
Equipment purchasing Advice, hospital design
4,60% 9,00%
40,30%
Management Maintenance Organization
10,40%
Contribution to strategy 13,00%
Quality assurance 13,00%
Others activities
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• The Clinical engineer – serves the entire hospital interest – suggests organizational changes to increase efficiency of medical equipment use – helps hospital to adress issues such as : • Which technical resources are necessary to achieve the needed performance? • Which equipment is the most appropriate for a given medical need? • What is the appropriate maintenance plan to assure safety and availability we want to? at an affordable cost… 4th EUROPEAN CONFERENCE ON HEALTHCARE ENGINEERING
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The Clinical Engineers’ Field (% of answers) Radiation protection Hemodialysis Laboratory Medical device vigilance Functional explorations Medical imaging Medicine wards Operating theater Anaesthesia and ICU 0%
10%
20%
30%
40%
50%
60%
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70%
80%
90% 7
Clinical Engineering Department • Staff (mean) : – 2 engineers, – 7 technicians, – 1 clerk
• 1 engineer for 3,35 technicians • 1 engineer for 342 acute beds
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Trends : Healthcare Technology • • • •
Computers and networks Molecular medicine Genetics • Nanotechnologies • • • •
More complex Less invasive Remote monitoring Predictive Personnalized
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Trends : Hospital and Society • Concentration of technical ressources • From one day to long stay care • Shortage of qualified health professionnals
• Patient-oriented workflow and organization • Healthcare networks : human & technical ressources • Monitor and control safety and security • Control healthcare expenses 4th EUROPEAN CONFERENCE ON HEALTHCARE ENGINEERING
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Strategic trends as shown by our 2010 study • Contribute to hospital strategic decisions about technological issues • Develop integration of medical technology : technical and human issues • Take into account economic issues and ROI • Develop monitoring of technological development, experience sharing and networking, at a regional, national and international level. 4th EUROPEAN CONFERENCE ON HEALTHCARE ENGINEERING
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Quels sont les axes d’évolution les plus intéressants, pour chaque IBM / pour le métier ?
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Quelles seraient en conséquence les compétences à développer ?
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Peut-on concevoir une évolution des IBM vers d’autres structures que l’hôpital ? Lesquelles ?
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Professional Perspectives • As an engineer : – Technical expert, – Maintenance manager – Project manager
• Real job opportunities IF added value is shown and promoted • Human intelligence and management skills needed … 4th EUROPEAN CONFERENCE ON HEALTHCARE ENGINEERING
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