1.Politics 2012Patrick K. Lynch, CBET, CCE BMET, Engineer, Writer, Educator, Organizer, Activist, Chief Do-Gooder Global Medical Imaging (GMI)Charlotte, NC ICISFebruary 2, 20121

2. CCE 37 years in Biomed 1st Pres of NCBA Active in certification of BMETs and CEs Member of all Biomed Associations Managed large in-house, ISO and corporate Biomeds Currently, works for GMI is sales development, whosponsors my activities. Visit my blog at http://gmi3.com/blog 2 3. Acctg3 4. 4 5. A Brief Story . . .5 6. 6 7. 7 8. 8 9. 9 10. There are some other vital departments(other than our customers) They are bigger, They are more powerful, They think that hospitals revolve solely around them, Their priorities are not ours, They do not understand the realities of HTM.10 11. Specific DepartmentsAccountingAdministrationHuman ResourcesITMaterials Management11 12. There are some other vital departments(other than our customers) They are bigger, They are more powerful, They think that hospitals revolve solely around them, Their priorities are not ours, They do not understand the realities of HTM.12 13. Lets examine their Functions Activities View of the world Interactions with HTMAnd . . . .13 14. Lets develop strategies for succeeding by framing our needs in ways that further their goals.14 15. Accounting MaterialsAdministrationManagementHuman IT Resources 15 16. Accounting 2011 Patrick Lynch and GMI blog - http://gmi3.com/blog16 17. Definition The development and use of a system for recording and analyzing the financial transactions of a business or other organization.Wiktionary2011 Patrick Lynch and GMI blog -http://gmi3.com/blog 17 18. How they see the world . . . 18 19. How they see the world . . . Add photo here 19 20. Major Functions Payroll Accounts Receivable Accounts Payable Budgeting Financial Statements2011 Patrick Lynch and GMI blog -http://gmi3.com/blog20 21. Areas where Biomed mayinteract with Accounting Operating Budgeting Capital Budget Monthly explanation of budget deviations FTE numbers Overtime Centralized vs. Consolidated budget for equipmentmaintenance Ways to chargeback equipment costs 2011 Patrick Lynch and GMI blog - http://gmi3.com/blog 21 22. 10 things every Accounting Directorneeds to know about Biomed1. Monthly budgets can vary widely, especially is it only represents a small part of the hospital equipment.2. We need to control outside service providers. In order to do that, we must control the dollars that are paid to them.3. Biomed must have a unified budget which includes all maintenance coasts for all medical equipment, including laboratory and radiology and radiation therapy.4. Training and travel can be as much as 5% of the total annual budget.5. Training and Travel for Biomed is different than for everyone else in the hospital.2011 Patrick Lynch and GMI blog -http://gmi3.com/blog22 23. 10 things every Accounting Directorneeds to know about Biomed6. We are the least costly maintainers of medicalequipment on the planet.7. Overtime is the norm. For general Biomed, 10%. For Imaging engineers - 15%.8. Biomed must be able to stop payment for capital purchases if we do not certify that the purchase order is not fulfilled to our definition.9. We are 110% for the hospital.10.Unlike most other departments, Biomed is ready, willing and able to go above and beyond its core mission to help the hospital.2011 Patrick Lynch and GMI blog -http://gmi3.com/blog 23 24. Strategies Know your budget inside out Have emergency plans for additional ways to savethe hospital money. Make friends with the person in acctg who servicesyour department Discuss BEFOREHAND needs, strategies, etc. Carve out Biomed Training and Travel to beseparate from the rest of the hospital/2011 Patrick Lynch and GMI blog -http://gmi3.com/blog 24 25. Administration2011 PKL, GMI blog at http://gmi3.com/blog 25 26. 26 27. Definition Hospital administration is a phrase used todescribe those professionals who are a part ofupper management in organized hospitals. The hospital administration provides leadershipand strategic directions within the organization toinsure continuity and targeted growth over time. Job titles for individuals in these roles include Administrator, Director, Executive Director, Chief Operating Officer, Chief Executive Officer, Chief Information Officer, Chief Nursing Officer, as well as Vice Presidents.2011 PKL, GMI blog at http://gmi3.com/blog 27 28. How they see the world. . .28 29. How they see the world. . .29 30. Functions of Administration Daily Operations Growth Attracting Physicians Attracting Patients Financial Management Attracting Nurses Provision of physical space to provide services Watching competition and planning accordingly Maintaining knowledge of federal and state regulations Selecting programs which the hospital can deliver and earn aprofit on.2011 PKL, GMI blog at http://gmi3.com/blog 30 31. Areas which Biomed may dealwith Administration Report to a VP in Administration Budgets - preliminary approval Capital Equipment Departmental Expansion / Hiring Regulatory Compliance Equipment installation 2011 PKL, GMI blog at http://gmi3.com/blog 31 32. 10 things every CEO/COO/CIO/VP needs toknow about Biomed1. We are the least costly maintainers of medical equipment on the planet.2. Job Satisfaction for our highly technical people is primarily met by technical training and a sense of accomplishment.3. Training and Travel for Biomed is different than for everyone else in the hospital.4. Training is the second largest expense behind payroll.5. Biomed training is different from any other training and travel in the hospital. It CANNOT be delayed or reduced. 2011 PKL, GMI blog at http://gmi3.com/blog 32 33. 10 things every CEO/COO/CIO/VP needs toknow about Biomed6. Our CMMS system is the key to our departmental operations. It captures and generates reports that are useful for the entire hospital.7.The manufacturers are NOT the friends ofthe hospital.8. We care... about the hospital, about the costs, about the patients, about the staff, about the equipment.9. Biomed is 110% on the side of the hospital.10.We need to control outside service providers. In order to do that, we must control the dollars that are paid to them. 2011 PKL, GMI blog at http://gmi3.com/blog 33 34. 10 things every CEO/COO/CIO/VP needs toknow about Biomed11. Biomed must have a say in EVERY capitalpurchase for medical equipment, or related items.12. Unlike most other departments, Biomed isready, willing and able to go above and beyond itscore mission to help the hospital.2011 PKL, GMI blog at http://gmi3.com/blog 34 35. Strategies Meet Often (Monthly) Regular Reports Short include successes include financials include CMMS Reports Invite VP to Department Meetings Get him/her to truly understand Clinical Engineering and how itbenefits him and the hospital. Send Clinical Engineering articles of interest to him, showinghow others do things that you want to do. Support Biomeds presence on Capital Committees, and on finalsignoff of new capital equipment and installations.2011 PKL, GMI blog at http://gmi3.com/blog 35 36. Human Resources 2011 PKL, GMI blog at http://gmi3.com/blog 36 37. Definition Human Resources Management (HRM) functionincludes a variety of activities, and key among themis deciding what staffing needs you have andwhether to use independent contractors or hireemployees to fill these needs, recruiting and trainingthe best employees, ensuring they are highperformers, dealing with performance issues, andensuring your personnel and management practicesconform to various regulations. Managementhelp.org2011 PKL, GMI blog at http://gmi3.com/blog37 38. How HR sees the world . . .38 39. How HR sees the world . . .39 40. 2011 PKL, GMI blog at http://gmi3.com/blog 40 41. Where Biomed mayinterface with HR Job Descriptions Pay Scales Recruiting of Staff Promotion of staff Annual Reviews Overtime2011 PKL, GMI blog at http://gmi3.com/blog 41 42. 10 things every HR Directorneeds to know about Biomed1. Our profession is made up of highly specialized people. There are few cookie-cutter people who are totally interchangeable.2. Unique skills must be evaluated carefully.3. The right person can save the hospital tens or hundreds of thousands of dollars in excess of their salary.4. Recruiting efforts by HR are almost useless.5. Pay ranges are not very useful for highly unique people. 2011 PKL, GMI blog at http://gmi3.com/blog 42 43. 10 things every HR Director needsto know about Biomed6. We sometimes have to go outside of the norm to retain highly valuable people.7. Biomed staff are among the most loyal to the hospital of any employees.8. Our jobs are 24 x 7, even though we are hourly enployees. We dont mind being creative with hours, comp time and expenses.9. Unlike most other departments, Biomed is ready, willing and able to go above and beyond its core mission to help the hospital.2011 PKL, GMI blog at http://gmi3.com/blog 43 44. Strategies Multi-tiered Job Descriptions and steps. Write very detailed job descriptions. Understand the review process and the relations topay changes.2011 PKL, GMI blog at http://gmi3.com/blog 44 45. Information Technology October 2010 Patrick Lynch and GMI 45 46. Definition Information Technology (I.T.) is the "technology"used for thestudy, understanding, planning, design, construction, testing, distribution, support and operations ofsoftware, computers and computer related systemsthat exist for the purpose of Data, Information andKnowledge processing ITAAOctober 2010 Patrick Lynch and GMI 46 47. Major functions EHR Radiology Information Business officeSystem Security Patient Data VPN access for PACS various companies Connectivity with Electronic Door accessdoctors offices and Passwords and loginshomes HIPAA Education Billing Patient Accounting Staff Laboratory InformationSystem October 2010 Patrick Lynch and GMI47 48. How I.T. sees the world . . .48 49. How I.T. sees the world . . .49 50. Areas where Biomed mayinteract with IT Patient Care equipment that communicated acrossthe hospital network Access to Internet Sites that Biomed needs but ITblocks Servers in IT that contain programs that Biomedmaintains Software and hardware maintenance philosophies Desirabliity of Service ContractsOctober 2010 Patrick Lynch and GMI50 51. 10 things every IT Director needsto know about Biomed1. Our jobs are like the fire department - 24 hours a day instant response, lives are on the line.2. Equipment uptime, safety, accuracy and reliability are our #1 priorities.3. We know the operation and use of all medical devices. We participate in patient care. We train users to operate their equipment.4. Security is unimportant to us.5. We do not operate in a rigidly defined space. We do whatever is necessary to enable the treatment of patients.6. We prefer to rely upon ourselves instead of vendors or manufacturersOctober 2010 Patrick Lynch and GMI51 52. 10 things every IT Director needsto know about Biomed7. Hardware contracts are NOT a part of our norm.8. We understand healthcare and patient care.9. We are very comfortable in the patient care setting.10. We want to work with you, but not on your terms.11. We know a lot about technology. And we cancomprehend more about IT issues than you think.12. Unlike many other departments, Biomed isready, willing and able to go above and beyond itscore mission to help the hospital.October 2010 Patrick Lynch and GMI52 53. Strategies Educate Chief of IT about Biomed, how we aredifferent, and how we are working toward the samegoals. Develop an understanding of ITs mandates andbusiness practices. Develop a close relationship with somebody in IT who can cut through the official policiesOctober 2010 Patrick Lynch and GMI53 54. Materials Management October 2010, Patrick Lynch and GMI 54 55. Main job is The organizational functions responsible for theplanning, sourcing, stocking and logistics activitiesof materials used in the internal and externalfulfillment of demand. The Bridgefield Group October 2010, Patrick Lynch and GMI 55 56. Major Functions Buying the right items for all the Forcasting future needsoperations of a hospital Finacial management Medical Supplies Strategic partnerships Capital Equipmentshortages Food unique products Cleaning Supplies JIT inventory Vendor managed Inventories Computers Delivery of supplies to users Security Inventory Control Maintenance items Ethics Pharmaceuticals sharing of confidential Storeroom functions for day-in-dayinformationout items receiving perks or kickbacks Receiving function remaining objective Shipping Order placement Vendor Management October 2010, Patrick Lynch and GMI 56 57. How MM sees the world. . . 57 58. How MM sees the world. . . 58 59. Areas which Biomed interfaceswith Materials Management Sourcing of Parts Purchasing conditions for new Capital Equipment Receiving of new Capital Equipment Receiving of Parts Asset control of Capital Equipment ContractsOctober 2010, Patrick Lynch and GMI 59 60. 10 things every Materials Managerneeds to know about Biomed1. We have MANY JIT needs.2. We have MANY one-off needs.3. One-time, Oneshot deals are not unusual.4. There often isnt time to go through the "normal" channels to setup new vendors, or bid, or wait till tomorrow.5. Just because we cut deals and sometimes buy from our friends doesnt mean that we are unethical, receiving payoffs or stealing from the hospital.6. We must be a part of EVERY capital purchase.October 2010, Patrick Lynch and GMI60 61. 10 things every Materials Managerneeds to know about Biomed7. Sign NO point-of-sale maintenance agreements.8. Our terms and conditions must be a part of every capital purchase.9. Biomed must sign off before final payments are made on any capital purchase.10. The manufacturers are NOT friends of thehospital.11. Unlike most other departments, Biomed isready, willing and able to go above and beyond itscore mission to help the hospital.October 2010, Patrick Lynch and GMI 61 62. Strategies Read all Purchasing Policies Read all Capital Equipment Policies Negotiate modifications which will meet your needsand benefit the hospital Develop Ts&Cs regardingtraining, passwords, manuals, etc. Insert Out-Clauses on ALL Contracts.Last SlideOctober 2010, Patrick Lynch and GMI62 63. Take-Aways In every encounter, emphasize how biomed cansupport the organizational goals. Remember, Biomed isnt the biggest, the baddest, or the most powerful, so we have to be very CREATIVE when dealing with the other entities in the hospital.63 64. Watch Tech Nation and BiomedTalk Contribute to the BMET Wiki Visit Pat Lynchs blog at http://gmi3.com/blog plynch@gmi3.com (704)941-0116Thank you 64