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The Plan

From HTMcommunityDB.org

As of 11-3-16

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Contents

Introduction

As explained elsewhere (see HTM Community Database Project), our primary purpose in forming this community-wide Task Force (the Maintenance Practices Task Force) and creating this project is to address the need for a clear, professional position on the simple, basic issue of how different planned maintenance (PM) strategies affect the associated levels of equipment-related patient safety. This web site is intended to provide a practical mechanism for implementing those plans and utilizing the database associated with the project.

We have broken down the project plan into the following project tasks, organized under the relevant project objective. The project objectives are copied over from the "Background" section of the HTM Community Database Project:


Objective #1. Develop, and gain community-wide acceptance for, a scientifically sound but simple to understand RCM-based methodology for determining which specific

types of medical devices are made safer by periodic planned maintenance - along with a clear explanation of why routine PM fails to improve the

safety of the majority of medical devices.

Project Task (PT) 1.1 Develop a position statement for the HTMC MPTF on RCM

  • Completed 4-11-17
See Position Statement of the HTMC MPTF on RCM

PT 1.2 Develop and disseminate a simple-to-understand article explaining the new RCM-based methodology

  • Completed 5-23-16.

Article was uploaded as a PDF to the www.AAMI.org website. Navigate to / Membership & Community/ HTM Resources/ Management Tools/ "Reliability-Centered Maintenance: A Tool for Optimizing Medical Device Maintenance".

Or see http://s3.amazonaws.com/rdcms-aami/files/production/public/FileDownloads/HTM/Idea_Exchange/160523_Ridgway_RCM_Tool.pdf

PT 1.3 Obtain recognition and support for the project from the medical equipment manufacturers

  • Target date for completion: On going

PT 1.4 Obtain recognition for the project from the relevant accrediting and regulatory bodies

  • Target date for completion: TBD

PT 1.5 Continue to disseminate information on the new RCM-based methodology as widely as possible

  • Target date for completion: On going



Objective #2. Develop guidelines and tools to facilitate a rational optimization of PM programs, including a standardized format for the

maintenance documentation required to support the RCM-based analytical methods being proposed.

Project Task (PT) 2.1 Develop HTMC generic PM procedures for the "top 20" device types listed in Tiers A, B and C of Table 4.

Several procedures (e.g. C.VEN-01, APN.M-01, and INF.D-01) have been created already and can be used as models. They can be viewed by clicking on the relevant HTMC Procedure Code links in the sixth column of Table 4.

Section 5.2 of HTM ComDoc 5. provides a brief description of the standard format for these procedures. As noted in subsections 5 and 6 of Section 5.2, identifying the appropriate Device Restoration (DR) and Safety Testing (ST) tasks for each of these specific device type procedures will require reviewing at least a representative sample of several different manufacturer versions of these procedures. We would therefore appreciate volunteers with access to at least some of these procedures to participate in this task.

Members of the TF: If you are willing to assist with this task, please respond by email to: htmc.mptf@gmail.com

This task needs to be completed before PT 3.1 and PT 4.1 can be completed.

  • Target date for completion: ASAP

PT 2.2 Standardization of the way certain maintenance activities are performed on PM-critical devices

Persuade the members of the HTM community to standardize the way the four maintenance activities listed below are performed on all potentially PM Priority 1 devices. PM Priority 1 devices are those whose PM procedures have one or more tasks that are labelled "A rating of 9 here could result in a high severity/ life-threatening outcome"

(1) The scope of the Device Restoration (DR) and Safety Verification (SV) tasks performed during a PM;
(2) The way that PM Findings (the physical condition ratings) are documented and reported;
(3) The way that PM Findings (significant physical degradations and hidden failures of safety verification-critical devices) are documented and reported;
(4) The way that overt equipment system failures are categorized and reported.

This task needs to be completed before PT 3.1 and PT 4.1 can be completed.

  • Target date for completion:TBD



Objective #3. Create a community-wide database to provide a substantial body of quantitative evidence

to support this rational optimization.

Project Task (PT) 3.1 Get commitments from several potential data aggregators (ISOs, CMMS vendors, multi-hospital systems with in-house equipment maintenance staff) to begin providing standardized packages of data for posting on the site.

The data aggregation process is described in the aggregator "Welcome Package" (PT 3.2) and Section 7.5 of HTM ComDoc 7.

Anyone in any of the three primary categories of potential data aggregators (see above) who is willing to step forward, please volunteer by email to: htmc.mptf@gmail.com
  • Target date for completion: On going

PT 3.2 Develop aggregator "Welcome Package"

  • Completed 1-15-17
See New Welcome Package - for Data Aggregators



Objective #4. Build up a collection of information on each device’s demonstrated level of PM-related reliability and safety based on the aggregated maintenance data

for each specific manufacturer - model version of the different types of device.

Project Task (PT) 4.1 Document periodic reviews of the database findings

  • Target date for completion:On going


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