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Joined: Aug 2004
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Hi everybody!
It's been a while since I have participated here.

We are in the process of being accredited thru ACI(Canadian). We were already ISO certified before and this is supposed to be a more advanced accreditation for clinical/medical. As usual Biomedical is involved in ALL aspects.
Now comes the KPI-key performance Indicators.
Any ideas already in place about KPIs in your respective departments?
Thanks in advance!

bong
Oman

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Hi Bong
The following details are help to put few dots on the white board...it is not complete and you can add whatever you think about the BME dept performances... Example KPIs and conditions are:

1. Is there any equipment required for Use, which is not available?
-----1. If the equipment unit is not working and the # of
services are affected
2.Even if one subsystem of the main unit is not working.
3. Only if the user lodges a ‘Complaint’
2. Has Planned PM carried out for the month?
----If PPM for the month as per the scheduled and
agreed by user
3.Has PPM been completed for the month on time to schedule?
----If the PPM is not done on the scheduled date as per
the yearly schedule agreed by user
4.Has the appropriate response time met the service requests
for the month?
------If the response time for user request is not met.
--Engineer tel. response time
--Onsite response time
5.Are all reports submitted after service and signed?
----PPM report,breakdown service report, QA report
signed by user.
6.Has safety and performance test been completed on equipment
maintained during the month?
----If safety and performance test is not carried out
after each repair, then any justification noted..
7.Are all reports and records accurate and correct?
-----If any missing or wrong data in the work orders
8. Have all service request been completed within the
agreed time.
-----If a user request is not closed within agreed time
frame for repair.

The above deatils are small egs and you may draw KPI for commissioning and acceptance test, technical manual library data, equipment library data, decommissioning and disposal of equipment data,etc etc..

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Here's some advice for your people, Bong. It might sound a bit like stating the obvious, but here goes ...

Look around the world and decide which accreditation regime is not only deemed by knowledgeable folk to be "the best" but also the one that is most likely to give the most positive outcomes (you know, in terms of patient care) where you are. Noting, of course, that those two requirements may offer up different regimes! ... and then:- go for that one (only). smile

Otherwise, it looks like you'll be going through all this all over again every couple of years or so. Or perhaps I've read the situation wrongly ... could it be that folk out there have too much time on their hands? Not to mention "making a name for themselves" - which is not that unusual at University Hospitals, I'm afraid. whistle

Also, aren't KPI's for BME more or less the same for any worthwhile accreditation scheme? What did you use last time? think

Meanwhile, see earlier threads.

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Hi Bong,

I see your institution has already been under the ISO certification programme. I guess there are documents related to the ISO process and pertains to Biomedical Engineering. When we have our JCI Accreditation, these same documents are being used as reference on top of the ISO process. So there is no need to re-invent again just for another accreditation.

Generally our focus on the KPIs are the quality processes (QPs) you have written. Our QPs are divided into

a) Preventive Maintenance;
b) Corrective Maintenance;
c) Commissioning;
d) Condemnation;
e) Medical device related accident investigation;
f) Equipment on Loan and Trial;
g) Medical Device Alert Notification;
h) Calibration of Biomedical Test Instrument.

Of course the KPI must be specified for each of the QP, for example the response time for corrective maintenance, turnaround time for both PM and CM, etc. Setting KPI varies from Institution to Institution and will not likely to be the same through out.

Regards
Roger

Last edited by Roger; 22/11/12 9:46 AM.

Make the impossible POSSIBLE. I know we all can and it is the wisdom to distinguish one from the other.

My blog: http://biomedicalengineeringconsultancy.blogspot.sg/

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Thanks for all the replies. I have been away on a long vacation leave hence was not able to respond.

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Originally Posted By: Geoff Hannis

Here's some advice for your people, Bong. It might sound a bit like stating the obvious, but here goes ...

Look around the world and decide which accreditation regime is not only deemed by knowledgeable folk to be "the best" but also the one that is most likely to give the most positive outcomes (you know, in terms of patient care) where you are. Noting, of course, that those two requirements may offer up different regimes! ... and then:- go for that one (only). smile

Otherwise, it looks like you'll be going through all this all over again every couple of years or so. Or perhaps I've read the situation wrongly ... could it be that folk out there have too much time on their hands? Not to mention "making a name for themselves" - which is not that unusual at University Hospitals, I'm afraid. whistle

Also, aren't KPI's for BME more or less the same for any worthwhile accreditation scheme? What did you use last time? think



Unfortunately we did not pay attention to "KPIs" during the ISO certification process. All we were doing was see to it that all equipment have a history sheet made available whenever the auditors look for it. There was a big emphasis on PPM so the PPM team of our bme department always saw to it that the PPM sticker is on all equipment. All documentation for each equipment should be available all the time. I now see several KPIs here yet we did not define any as it was not required then.

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OK, but my advice still stands, Bong. whistle

PM was one of your KPI's (and probably the most important one at that).

KPI's, QP's, Policies and Procedures ... in many ways they are just different "buzzwords" for the same thing:- points to be considered when engaging in sound management of biomedical engineering.

Just look at Roger's list. That's the same old stuff that many of us have been trying to do for forty years or more! smile

Meanwhile, surely the accreditation agency provides you with details of the KPI's that they will be assessing you against? think

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Geoff,

Problem is they want us to recommend/submit KPIs for them to "approve". The list of KPIs that the Canadian accreditation consultant provided to our Quality department are all Medical related. Nothing was for Maintenance let alone Biomedical.

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Sounds like a complete waste of time to me, Bong. frown

What's the point?

Other than that, see advice offered at my post of 15-Oct-12.


If you don't inspect ... don't expect.
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I was asked something similar for JCI and I just replied 100% as the work flows, we do not set targets below 100%, service request/repair/order parts/obtain quotations. It never stops so how can you set a target. PPM needs to be 100% if it means going back to the equipment several times if it was not made available.


I am not Flippant, I am Smart
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