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HILLVIEW HOSPITAL THE HANDSOAP DECISION CASE STUDY

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HILLVIEW HOSPITAL THE HANDSOAP DECISION CASE STUDY
Executive Summary
To: Paul Howarth, Euipemnt management coordinator
From: Mark Greig, Clinical Engineering manager
Subject: Feasibility of the In-house Endoscope Repair

Issue: As currently the awareness that has been arising on the approach of in-house endoscope repairing, I have conducted a series analysis based on varies aspects of the existing and potential issues, the problem statement is presented below:

“VH must find a best solution on controlling its medical equipment maintenance costs, improving operation efficiency, reducing the operating total costs, thus, making the most of the government funds in order to improve patients’ satisfaction?


The department has received the quotations form 4 potential supplier as listed below:
Let Barton responsible for the repair and maintenance.
Cooperate with out-of-province service supplier working on the preventive repair level
Move the repairs to in-house and combine the department with other 2 hospitals

After fully comparing the 3 alternatives I would recommend to combine the maintenance departments for all 3 hospital and move the first 3 level of repair operations – preventative maintenance, pre-repair screening and minor repairs to in-house.

I look forward to receiving your approval of this recommendation; therefore we can initiate the action plan in a timely manner.

Regards,

Size-up
Issue
So what
81% of the budget came from the Ministry of Health
Most of the budget came from government, if anything happened and government wants to reduce their available funds, the hospitals budget will be largely reduced.
In BME department, the team includes Howarth, Pickersgill, Greig, 12special area technologists and a secretary.
No expert for purchasing. Could they be ok to handle all the purchasing problems and tightly control the budget?
Endoscopes were maintenance and repair intensive
If so the endoscope will be very hard to be repaired and maintenance, and requires professional staffs and technical.

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