project proposal

HETM49000 Proposal Draft

Cardiology Hospital/Radiology Department

Submitted to:

Tim Cooney

By

IUPUI

Executive Summary

The proposed project recommends the new developing plan for Radiology Department in Cardiology Hospital. The project purposes to develop a new plan for 3-years service training, and plan for needed equipment’s to support PM/Repair on site for the Radiology department. The new development plan will be effectively best solution for the budget to achieve all requirements. The chosen facility for this project is Cardiology Hospital, that has an average of 100 patients per day. The disciplines of cardiology hospital will include cardiac electrophysiology, cardio geriatrics, Echocardiography, interventional cardiology, Nuclear cardiology, and pediatric cardiology. The type of departments in cardiology hospital are oncology, rehabilitation, emergency, medicine, surgery, and endoscopy. Patient care is the first priorities in cardiology hospital for their heart disorders, coronary circulation disorders, disorders of the myocardium, disorders of the pericardium, disorders of the heart valves, and diseases of blood vessels.

Assumptions

The Radiology Engineering (RE) Department is considering the proposal to develop the new healthcare facility of Cardiology Hospital. The proposal for improving 3-year service training plan for various levels of Biomedical Engineering Technicians for the assigned department, and specific subset of Equipment in that facility. Also, the proposal provides a developed plan for needed equipment to support PM/Repair on site for equipment chosen.

Stakeholders

By implementing this development plan in the Cardiology hospital, the Radiology Department will be positively affected in improving the healthcare environment. For Radiology Department, the new planning project to develop the cardiology hospital will benefit the CFO of hospital, Patients, Physicians, specialist’s users of Radiology equipment, Nurses, Department Head, Director manager, equipment specialist, other affected department, and the receivers.

Problems

The underlying problems is that Radiology Department in Cardiology Hospital requires a new development plan for service training that involves with various levels of Biomedical Engineering Technicians that also include a plan for PM/Repair to the parts of assigned to each. The hospital needs new equipment for radiology department and requires training for each equipment to preform PM/Repair. For providing all the underlying services the budget will take a big part of this development.

· Training Various Levels of Biomedical Engineers by Vendors.

· 3-years plan for service training to do PM/Repair.

i) Assigning Biomedical Engineers in Training for Equipment

ii) Certified Engineers & Preform PM/Repair,

iii) Parts

iv) Tools

· Selecting Imaging Equipment for Radiology Department.

Solutions

In Biomedical Engineering Department, we provide for each technician a training for different equipment received by the vendor General Electric (GE). As a manager of the department we are requesting to have qualified Engineer from the vendor to provide training to Biomedical Engineering technicians we have in the hospital to apply PM & Repair to the equipment as the following:

Biomedical Engineer 3: required for training on MRI assigned.

Biomedical Engineer 2: required for training on CT assigned, and for training on X-Ray

Biomedical Engineer 1: required for training on troubleshooting and PM for other devices assigned.

The Radiology Department will have 4 Biomedical Engineering Technicians for the assigned equipment listed based on their levels and training. According to AAMI, the job description of all of Biomedical Engineering Technology (BMET, levels 1-3):

· BIOMED 1: Maintain medical equipment based on specified management plan provided to them. Preform a general routine tasks of installation, maintenance, calibration and basic repairs for the assigned equipment. In addition, general skills and experience for (BMET-1) should demonstrates a basic possesses of electromechanical systems and devices that includes radiological, laboratory, and network medical systems.

· BIOMED 2: Maintain medical equipment based on specified management plan provided to them. Preform their specialty tasks of installation, maintenance, calibration and repairs for the assigned equipment. In addition, general skills and experience for (BMET-2) is higher level than (BMET-1), which can give an advantage of teaching BMET-1 to work on higher equipment such as: X-Ray, Ultrasound, and life support equipment.

· BIOMED 3: Maintain medical equipment based on specified management plan provided to them. Preform a full work on all tasks of installation, maintenance, calibration and repairs for the assigned equipment. In addition, general skills and experience for (BMET-3) is a detailed demonstrating of communicating with device supported and acuity equipment for direct patient care. Also, a good source for other engineers to mentor and teach high tech equipment.

The Radiology Department will require the Biomedical Engineering Technicians to attend and follow up with the installation of the equipment while the vendor’s Technician is preforming and after everyone will have an assessment to answer based on their understanding. Furthermore, based on General Electric (GE) vendor there are two options of contracts; a long-term contract and Medium-term contract. Based on the two options, the budget will vary on training the Biomedical Engineering Technicians, where the long-term contract will have a free training, parts, and labor for the equipment. Also, for the second option which is the short-term contract will cost me for the training the Biomedical Engineering Technicians.

As a manger of the Radiology Department, choosing a long-term contract will be the best option for the budget to have all of the following covered: All engineers are trained to the assigned equipment, parts are covered, free labor to the imaging equipment. According to Clinical Engineering Department at IU Health University Hospital, general Electric (GE) provides a 3-year warranty that includes (parts & Labor) for equipment. However, looking for other options of vendors has no long-term contract to cover what General Electric have offered. For instant, general electric is the vendor who is considered to be contracted with for all Imaging Equipment for Cardiology Hospital. In addition, after the contract is expired the radiology department will consider to re-new the contract for only the parts and consider the Biomedical Engineering Technicians to preform the repair at the time. As a manger of the Radiology Department, for emergency situation happens to the Technician not attending, or traveling, the manger will replace their position to preform the PM/Repairs that appears during that period.

Tools:

Project Objective

Identifying specific objectives for the project play help in solving the problem thoroughly. The project objectives include:

1. To determine the number of medical imaging equipment and other equipment for facility.

2. To select proper vendor for better cost and best performance of equipment.

3. To do fully training performance to medical imaging devices by Biomedical Engineering Technicians assigned for Radiology Department.

4. To determine what type of contract and warranty the vendor will offer.

5. To provide all tools needed to do PM/repair on site for assigned equipment types.

6. To select the right plan and technology for their need.

7. To obtain feedback from stakeholders.

8. To minimize the budget by the development plan.

Developmental Methodologies

The first activity that will be considered to start developing newly healthcare facility is to obtain what type of equipment and quantities the hospital needs to determine how many PM/Repair it would take to assign Biomedical Engineering Technicians to preform. Also, determine what benefits will the vendor provide to train Biomedical Engineering Technicians.

Constraints, Limitations and Risks

The Biomedical Engineering Department of Radiology consider federal and state regulations and standards on equipment safety for patient care. The Biomeds of the Radiology Department follow up with Food and Drug Administration (FDA), and National Fire Protection Agency (NFPA) to preform PM/Repair.

Project Phases, Milestones and Intermediate Deliverables

1. Contact vendors to determine contracts and warranty.

2. Demonstrate how Radiology Engineering Technicians will work.

3. Identify the number of devices the facility requires.

4. Meet with the Clinical Engineering Department to determine the feasibility of this project.

5. Share all this information with the stakeholders for their feedback.

6. Studying the outcomes of the plan for the budget.

7. Understand the infrastructure needed for quantities of equipment.

8. Understand the size, disciplines, types of departments, and patient care in the facility.

9. Understand what brands and vendors are good for the budget.

10. Understand what tools needed for PM/repair on site for assigned equipment type.

Quality Assurance and Testing Processes and Procedures

The project plan development alongside stakeholders will take part in evaluating the outcomes. At the end of the project, the project objectives will be reviewed in order to determine whether all the objectives are met accordingly. Feedback from participants is going to be used to determine the success level of the proposal.

Summary

Cardiology Hospital is in need of improvement in one area of the facility which is Radiology Department. The project is based on planning the steps towards bettering the service provision in the department. To this end, there are equipment and practices that should be put in place to bring about the desired changes. Some are new while other are replacements for long-served instruments. The devices will be obtained from General Electric (GE) vendor.

The mission of the Biomedical Department of Radiology is to provide quality diagnostic and therapeutic imaging services and good maintenance for radiology X-ray, CT scan, Ultrasound, MRI and continually improve our services.

Our goals are to provide quality service to patients and referring physicians. In addition, continue to grow successfully in an increasingly competitive market and be the leader. Also, operate in an efficient, productive, and cost effective manner. Maintain excellence of our repair/PM programs. Furthermore, continue to advance the science of translational and clinical imaging research.

There will be need for training of hospital personnel on the use of the tools and equipment. The focus is on achievement of objectives of the project. The process will follow elaborate methodology and procedure in implementation of the project details. There are potential issues that could hamper the progress of the project such as scheduling and costs. The milestones should help move systematically along the plan. The hospital has project implementation team that will assess and evaluate the project all the way.

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