BUSI Quiz Answers

BUSI Quiz Answers Quiz 1 1. Explain the 5 pillars of the Canada Health Act. Comprehension - The system must meet all medically necessary health services of the patient Public administration - Not for profit, administered by public authority Universality - All insured persons in the province or territory must be entitled to public health insurance coverage on uniform terms and conditions. Portability - Must be the same for people who move within canada or travel out of the country - aka snowbirds Accessibility - There can be no barriers, ie financial or anything else 2. Discuss with examples, the role of “private” healthcare that exists currently in the Canadian Health Care System. - The role of private health care exists to fulfill the pillar of “comprehension” by supplying services such as, optometrists, dentists, home care, physiotherapists, blood work, pharmaceuticals - Is currently growing to incorporate new things, such as MRI and technology based services that have high wait times, and are expensive to be publicly administered 3. Explain the cost determinants of 3 various methods of physician reimbursement and the positive and negative influences on patient care. Fee-for Service Definition: Pay based on service - Pros : - Motivates doctors to work more - Promotes speed and incentivizes volume - Cons : - May lead to a quantity over quality theme in hospitals/clinics Capitation Definition: Based on patient list “money follows the patient” - Pro - Promotes speed and incentivizes volume - Can incentivize good quality care in order to keep happy, healthy patients - Giving poor care to many patients - Con - Can lead to doctors giving bad treatment in order for them to be able to take more patients Salary Definition: Funder controls primary care (standard yearly rate) - Pro - Promotes collaboration and resource sharing - Con - Can lead to less competition/laziness Quiz 2 1. Why is having Clinical Engineering report to the Chief Information Officer (CIO) suitable? - CIOs are concerned with the applications of technology in the business and how this can be managed CIOs manage a business’s IT systems and functions, creates and delivers strategies and policies, and places great emphasis on internal customers - That the different systems are working together in harmony, and solving compatibility issues between systems - Clinical engineers are responsible for electrical safety and training staff on the technology around them - Research and development - Health Technology management - New tech assessment , making sure it is suitable for patient rooms and that the staff are trained safely on it - Medical device management - Scheduled maintenance and corrective maintenance, if devices aren't working or need to be re evaluated for safety purposes every 2 months etc the clinical engineer will make sure this happens on time - As such, clinical engineers are responsible for keeping an up to date inventory of all of the technical devices and systems used - Patient safety & risk management - Similar to device management clinical engineers need to monitor recalls and warnings for the different devices used in the hospital - Education - Clinical engineers are responsible for electrical safety and training staff on the technology around them 2. Why is having Clinical Engineering report to the Chief Financial Officer (CFO) suitable? ● Clinical engineers work with both technology and their management. This could include large purchases when upgrading, repairing and researching new technologies ● Capital equipment procurement ● Medical device/ health technology management 3. Discuss some key aspects of the definitions of Clinical Engineering as stated by the ACCE, AHA, and ICC organizations. “A clinical engineer is a professional who supports and advances patient care by applying engineering and managerial skills to health care technology.“ “a person who adapts, maintains, and improves the safe use of equipment and instruments in the hospital.” “an engineer whose professional focus is on patient-device interfacing; one who applies engineering principles in managing medical systems and devices in the patient setting” - Good for why the report to the CIO. They are concerned with medical systems, which require a more holistic understanding of how devices interact with each other 4. Explain with examples one of the key Roles of Clinical Engineering Services in healthcare organizations. (I thought there were Three core roles - Service role - Repairs of medical equipment, medical imaging, clinical laboratory - Lifecycle management - Consulting role - Pre-purchasing planning and design - Safety - Screening hazards - Education and training - Project management role - Deploying new technologies - Research for construction and expansion - Other - Resource and staff management - Budget development - Quality assurance Quiz # 4 1. Explain what a ‘Near-Miss” is and why its role in incident prevention? - when someone almost gets injured - “Near Miss” ▪ is an unplanned event that did not result in injury, illness, or damage - but had the potential to do so - it is important to study and fix the issues that cause these to ensure they don’t happen again / worse - A more proactive approach instead of reactive 2. Why does a FDA recall affect the Canadian marketplace in terms of medical devices? - The FDA recalls are the global standard, and HC often follows similar guidelines and practices - Often times if there is a recall by the FDA for medical equipment in the US, then the same medical equipment is being used in Canada - 3 classes Class 1 A Class I recall is the most serious type of recall. There is a reasonable chance that the product will cause serious health problems or death. Class 2 A Class II recall usually represents a less serious risk than a Class I recall. There is either a possibility that the device will cause temporary or reversible health problems, or there is a remote chance that the device will cause serious health problems. Cass 3 A Class III recall represents a less serious risk than a Class II recall. In a Class III recall, there is little chance that using or being exposed to the device will cause health problems. However, because the product violates FDA law, there is still a need to take an action to address the problem. 3. When performing an Incident Investigation, what sources of information can be used to establish a time-line reference? Include examples. - Review surroundings - Witness Accounts / interviews - Patient/staff injury reports - Logs - Service Record