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This presentation discusses the integration of new medical technology into the Australian Defence Force's health system. By ensuring the adoption of effective, cost-efficient technologies, the aim is to enhance service delivery and patient satisfaction. The presentation reviews the evolution of medical device usage in hospitals, aligns with management procedures within the Defence Materiel Organisation, and highlights the importance of innovative approaches in health logistics. The goal is to improve operational capabilities while maintaining a systematic yet adaptive management model.
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Managing New Technology In the Military Health Paradigm N-QLD Military Medicine Conference 4 Aug 2007 By LCDR Bob Curtis, RAN
Aim • Ensure that new medical technology is introduced to ADF DHS based on efficacy, cost-effectiveness and evidence. • Harness the advancement in medical technology for better clinical quality and patient satisfaction in service delivery.
“In a survey of 3 large hospitals in Houston, Tx with a combined bed capacity of about 1400 beds, the avg No of medical devices being used per bed has increased between 1982 to 2002 from 4 devices per bed to 17 devices per bed” IEEE Engineering in Medicine & Biology; Jun 2004
Technology Phases • Cutting (sometimes bleeding) Edge • State of the Art • Advanced • Mainstream • Mature • In Decline (Popper & Buskirk, 1993)
Class 8 (Health) Ref: ADFP 703 Management procedures for Medical & Dental materiel • DMO • HMLP • Single Service Logistics Branches • DNSDC
“There exists a significant relationship between flexibility, technology management and the various phases of technology management”. Khamba JS, Flexible Management of New Technology
Health Tech Innovators • DSTO • CSIRO • ADF Capability Development Executive • DHSD Capability Development Directorate • RPDE (Rapid Prototyping, Development & Evaluation) -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- • Tertiary Institutions e.g. UQ Centre for Health Innovation Solutions (CHIS)
JP-2060 ADF Deployable Health Capability • 4 Phases (so far) - 0 thru 3 ($250-350M) • Phase 3 - Deliver optimum quality services for the prevention, treatment and evacuation of casualties by the adoption of a 'whole of system’ approach to the delivery of health support, addressing each of the following five Health Operating Systems: • preventive health; • treatment; • medical evacuation; • health information systems (C4IS); and • health services logistics.
JP-2060 ADF Deployable Health Capability • Facilitator – Delivery Mechanism: • Defence Materiel Organisation • Good or Bad? • Tried & True! • All Class 8 Health Logistics
Systematic but Innovative • Managing Technology requires discipline • Ability to think ‘laterally’ • Combination of both concepts • Systems Development Life Cycle (SDLC) • “Delivering capability – not just equipment!”
SDLC • Planning Phase • Analysis Phase • Design Phase • Construction Phase • Implementation Phase • Post Implementation Review • Maintenance
Rapid Applications Development • Alternative to SDLC • Phases: • Prototyping • Iteration • Time Limit (requirement, not deadline) • Rapid development (multiple players) • Practical acceptance as a key measure of success
Triple Helix model • Involving Innovative Enterprises • Create Innovative Environments • Create Disruptive Technologies • Accelerate Technology Advancements • Promote Tech transfer and commercialisation • Provide value US DoD TATRC
Systems • Healthcare is a system of systems • Now - even down to the nano-level! • Equipment level (i.e. technology) – in very near future – all be systematised! • Each item will be ‘networked’ with their own ‘IP’ address.
Systems • Synergistic relationship of: • Doctrine • Human resources • Training • Facilities • Equipment (technology) • For the best results!
System Examples • Hospital Information Systems • Electronic Patient Records • Pathology analysers
System Examples • Radiology processors & PACS • In / Outpatient Pt data capture • Ancillary services
In conclusion • DMO – will remain lead Agency • No requirement to ‘reinvent the wheel’ • Improve the existing model • Make it more dynamic & adaptive • Greater awareness of ‘systematisation’ • Cutting edge but not necessarily bleeding edge!!