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wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia
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Key Technology Trends Key Medical Problem Areas
Wireless communication
Chronic diseases
WiFi, Bluetooth, WMTS…
Most healthcare $ will go to chronic versus
Mobile systems
acute care problems
wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia
35 million in 2000
Estimated 70 million in 2030
and Parkinson’s
RF tags and magnetic sensors on dishware
Growth in services for diseases of aging
Kitchen tasks monitored with complex
Cancer and cardiac care
software routines
Osteoporosis and prostrate care
Long pauses may be predictive of future
Alzheimer’s and Parkinson’s diseases Alzheimer’s and Parkinson’s disease
Mobility focused care - rehabilitation
wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia
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Healthcare Practice Changes:
Inpatient-->Outpatient-->Home US Health Care Market
Care moving to the patient Describe as one of the most fragmented, complex
e.g. glucose monitoring and delivery, and rapidly changing markets in the world.
Heartstart home AED, Kamen stair climbing Labor intensive, employing > 10 million Americans,
wheelchair Expenditures > $1.2 trillion in 1999
Patients are more knowledgeable, want 13.1% of GDP - the highest of any major developed
economy.
more involvement & have higher 42 million Americans remain uninsured under the
expectations regarding in their care current system
Diagnostikzentrum Graz - teleradiology Care ranks #37 according to WHO
images accessible by doctors and patients High administrative and support costs.
wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia
Total Cost
Cost Drivers of Inpatient of Ownership
Expenditures in U.S. Healthcare The “TIP” of the Iceberg
Equipment Purchase Price
Medical Wages
Below the water:
Medical Technology Installation and
New higher cost technology
ongoing Life Cycle
On going costs, retraining, facilities
Costs may make up
Consumer demand
the bulk of the
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Key Standards and
Institute for Medicine Report:
Regulations To err is human: building a safer health system
European Union and US Food & Drug 44,000-98,000 die each year due to
Administration medical error
ISO 9000 Mostly medication errors
Integrating the HC Enterprise/DICOM More than 2/3rds due to “human error”
HIPPA Medical Device related estimated at
Hospital Accreditation Bodies (JCAHO) about 1-2% of total (M. Shepard)
Insurers and Employers in US Ventilator, transfusion, infusion, defibrillator,
utility systems, electrosurgery, trocars &
WHO and Practice groups - outcomes anesthesia units
wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia
Telemedicine
Key Clinical Technology
Trends
Electronic Medical
“The electronic
Record exchange and
Automation use of medical
data and
Lab automation information from
Computerized one location to
another for the
Provider Order purpose of
Entry patient care.”
Robotics
wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia
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Key Clinical Technology
Trends
Cancer treatment
Radiation therapy advances, e.g. IMRT
Radioactive seeds planted at tumor site
Advances in screening techniques
Pain management improvements
Biotechnology advances
Diabetes care
Non-invasive and continuous glucose
monitoring
Automated insulin infusion
wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia
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Centralized Clinical Data Development of Surgery
Analysis Centers
Imaging Centers
Digitized images transferred to central
server for Internet transmission
Teleradiology images read by central
review and diagnostics center
Physiological monitoring, ECG, EEG…
Similar in operation to flight control
center today
1800’s Surgical Theater Cut…See…Clear field
wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia
Remote Telesurgery
Development of Surgery (From Computer Motion Inc.)
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Key Medical Device Key trends in healthcare
Industry Trends technology management and
Consolidation
support services
GE, Siemens or Philips for all physiological Outsourcing
monitoring and imaging needs Half of U.S. hospitals, but changing back to
Proprietary support information and inhouse
diagnostics Comprehensive asset management
Multi-vendor service Clinical and non-clinical
Service as a prime profit center
Asset, operations and finance providers
wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia
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Clinical Engineering at Preparation for the Future:
The University of Vermont USA Actions
Started in 1973 Understand what biotechnology, nano-
University department
Focus on Technology
Preparation for the Future: Life-Cycle Model
Actions EVALUATE /
Understand IT standards and show value ACQUIRE
e.g.PACS administration, interface specialist DETERMINE INSTALL /
Don’t do unneeded inspections! FEASIBILITY TRAIN
Use your data to right-size scheduled PM TECHNOLOGY
Be the medical device safety expert MANAGEMENT
Know the tools (FEMA, root cause, forensics)
MONITOR /
Apply and communicate equipment Total ASSESS SERVICE /
SUPPORT
Cost of Ownership and ROI SELL /
DISPOSE
Comprehensive asset management
wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia
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Preparation for the Future: Preparation for the Future:
Actions: PARTNERSHIPS Actions: PARTNERSHIPS
Fluke Biomedical Corporation
Training session
Carson City, NV USA
at the Univ. of
We provide
Product development
Vermont
Device evaluation and Beta testing Personnel from
General consultation the Government
They provide of Egypt
Analyzers, simulators, etc. Combined Fluke
Other departmental assistance including
Warranty will be up
skills, finances, communication,
Threats - Local Service
marketing and savvy
Group
wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia wc2003 - World Congress on Medical Physics & Biomedical Engineering - Sydney, Australia
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Organizational Improvement
Education of Clinical Engineers
Critical - Toolkit
Performance improvement based on Classical engineering disciplines
Systems engineering
measurement, actions and monitoring
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