9.30h - antonio hernandez
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Risk Management
PAHO Perspective
Antonio Hernandez
Regional Advisor on Physical Infrastructure & Technology
Pan American Health Organization / World Health Organization
Antonio Hernandez
Regional Advisor on Physical Infrastructure & Technology
Pan American Health Organization / World Health Organization
CURSOE
OFICIN
A
DE
TRABALHOS
OBRE
GERENCIAMENTOD
E
RISCOE
SEGUR
CURSOE
OFICIN
A
DE
TRABALHOS
OBRE
GERENCIAMENTOD
E
RISCOE
SEGURANANA
EMS
A
A
EMS
ADEDE
Sao
Paulo
-SP,
Brazil
Nov.
5
7,
2007
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OutlineOutline
The Pan American Health Organization PAHO
Risk Management (RM) Concepts
Health Technology Taxonomy & Trends
Physical Infrastructure & Technology - RM Perspective
Challenges & Opportunities
The Pan American Health Organization PAHO
Risk Management (RM) Concepts
Health Technology Taxonomy & Trends
Physical Infrastructure & Technology - RM Perspective
Challenges & Opportunities
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ORGANIZATIONS LEADERSHIPORGANIZATIONS LEADERSHIP
Director:
Dr. Mirta Roses Periago
Deputy Director:
Dr. Cristina V. Beato
Assistant Director:
Dr. Carissa Etienne
Director of Administration:
Mr. Michael Boorstein
Director:
Dr. Mirta Roses PeriagoDeputy Director:
Dr. Cristina V. Beato
Assistant Director:
Dr. Carissa Etienne
Director of Administration:
Mr. Michael Boorstein
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ORGANIZATIONS HISTORY
International Sanitary Bureau (ISB) is formed by the First GeneralInternational Sanitary Convention of American States
19021902
ISB renamed Pan American Sanitary Bureau19231923
Adoption of the Pan American SanitaryCode which continues in force today
19241924
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ORGANIZATIONS HISTORY
Ratification of the Pan American Sanitary Code by all the AmericanRepublics.
International Health Conference drafts the Constitution for a
World Health Organization.Pan American Sanitary Conference reorganizes the Bureau and its
Governing Bodies, and gives a new name to the organization: the PanAmerican Sanitary Organization (PASO).
Establishment of the World Health Organization (WHO).
PASO also becomes the WHO Regional Office for the Americas(AMRO).
PASO becomes the specialized agency for health for the InterAmericanSystem.
Pan American Sanitary Organization is renamed Pan American HealthOrganization (PAHO).
19361936
19461946
19471947
19481948
19491949
19501950
19581958
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AMROWashington, DC
USA
AMROWashington, DC
USA
AFROBrazzaville,
Rep. Du Congo
AFROBrazzaville,
Rep. Du Congo
EMROAlexandr ia,
Egypt
EMROAlexandria,
Egypt SEARONew Delhi,
India
SEARONew Delhi ,
India
WPRO
Manila,Philippines
WPRO
Manila,Philippines
EUROCopenhagen,
Denmark
EUROCopenhagen,
Denmark
HQGeneva,
Switzerland
HQGeneva,
Switzerland
Regional StructureRegional Structure
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HeadquartersHeadquarters
Country OfficesCountry Offices
CentersCenters
CFNICFNI
CARECCAREC
PANAFTOSAPANAFTOSA
BIREMEBIREME
CLAPCLAP
CEPISCEPIS
INCAPINCAP
PRESENCE OF PAHO IN THE REGIONPRESENCE OF PAHO IN THE REGION
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PAHO MEMBERSTATESPAHO MEMBERSTATES
Antigua and Barbuda
Argentina
Bahamas
BarbadosBelize
Bolivia
Brazil
Canada
Chile
Colombia
Costa Rica
Cuba
DominicaDominican Republic
Ecuador
El Salvador
Grenada
Guatemala
Antigua and Barbuda
Argentina
Bahamas
BarbadosBelize
Bolivia
Brazil
Canada
Chile
Colombia
Costa Rica
Cuba
DominicaDominican Republic
Ecuador
El Salvador
Grenada
Guatemala
Guyana
Haiti
Honduras
JamaicaMexico
Nicaragua
Panama
Paraguay
PeruSaint Kitts and Nevis
Saint Lucia
Saint Vincent and
the Grenadines
Suriname
Trinidad and Tobago
United States
Uruguay
Venezuela
Participating States
France
Kingdom of the
NetherlandsUnited Kingdom of Great
Britain and Northern
Ireland
Associate Member
Puerto Rico
Observer States
SpainPortugal
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PAHO - Specialized Agency on HealthPAHO - Specialized Agency on Health
Organization of American
States
Specialized Agency
Inter American
Systems
United Nations
SystemPAHOPAHO
Regional Office of the
World Health Organization
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Risk ManagementRisk Management
Risk Management is a Process to Make Decision
that will Eliminate or Minimize the Consequences
of a Accidental Losses
The Process: Objective
Efficient
Pragmatic
Risk Management is a Process to Make Decision
that will Eliminate or Minimize the Consequences
of a Accidental Losses
The Process: Objective
Efficient
Pragmatic
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Risk Management Program PurposeRisk Management Program Purpose
Protect the Organization/Institution Against Loss
Property Loss
Net Income Loss Liability Loss
Personnel Losses
Protect the Organization/Institution Against Loss
Property Loss
Net Income Loss Liability Loss
Personnel Losses
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Risk Management Program ComponentsRisk Management Program Components
Risk Identification
Risk Analysis
Loss Prevention
Claims Management Disaster Preparedness
Risk Identification
Risk Analysis
Loss Prevention
Claims Management Disaster Preparedness
HEALTH TECHNOLOGIES
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HEALTH TECHNOLOGIES
People's Health Environmental Health
Community Health Services Individual Health Services
Protection
Technologies
Clinical
Technologies
MedicalEquipmentand Devices
ClinicalProcedures
Organization
Information
Infrastructure
and Equipment
Prevention
Technologies
Promotion
Technologies
Support
Technologies
Pharmaceuticaland OtherProducts
TELEMEDICINETELEMEDICINE
Electronic Medical Record
Epidemiological Information Clinical Information
Health Information System
ee--HealthHealthTeleTele--HealthHealth --
Source: Developing Health Technology Assessment in Latin America and the Caribbean - PAHO/WHO
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Health TechnologiesHealth Technologies
Assessment
Safe, and Cost-effective Interventions ...
Regulation
Efficacy, Safety and Quality Devices
Management
Planning, Acquisition, Use, Maintenance, Evaluation &Discharge
Technical Support Service
Training, Information, Maintenance
Assessment
Safe, and Cost-effective Interventions ...
Regulation
Efficacy, Safety and Quality Devices
Management
Planning, Acquisition, Use, Maintenance, Evaluation &
Discharge
Technical Support Service
Training, Information, Maintenance
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Health TechnologiesHealth Technologies
Convergence
Moving to Uniformity
Integration
Process of Incorporated as Equals
Development
Accelerated
Interoperability
Exchange Information Among Them
Convergence
Moving to Uniformity
Integration
Process of Incorporated as Equals
Development
Accelerated
Interoperability
Exchange Information Among Them
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HEALTH SERVICES PHYSICAL AND
MEDICAL DEVICES REGULATION
PLANT OPERATION
MAINTENANCE SERVICES
CLINICAL HOSPITAL
DEVICES
ENGINEERING ENGINEERING
TECHNOLOGICAL INFRASTRUCTURE
INDUSTRIALMEDICAL EQUIPMENT TECHNOLOGY MANAGEMENT
HEALTHCARE FACILITY DEVELOPMENT
MAINTENANCE
ARCHITECTURE AND ENGINEERING
E-HealthTele-Health
Telemedicine
HEALTHCARE TECHNOLOGY ASSESSMENT
TH S/EV -A H H
1
ENERGYMANAGEMENT
MAINTENANCEMANAGEM ENT
SAFETYANDBIO-SAFETY
ENVIRONMENTALMANA GEMENT
DISASTER PREPAREDNESS
HEALTHCARE FACILITIESHEALTH CARE FACILITIES
ENGINEERING PROGRAMSENGINEERING PROGRAMS
TH S/EV -A H H
HEALTH CARE FACILITYDEVELOPMENTHEALTHCAREFACILITYDEVELOPMENT
FUNCTIONALPROGRAMMING
DESIGN
CONSTRUCTION
INSTALLATION
ACEPTANCE TEST
OPERATION ANDMAINTENANCE
PLANNING
EQUIPMENT
THS /EV-AHH
EQUIPMENT TECHNOLOGYMANAGEMENEQUIPMENTTECHNOLOGYMANAGEME
PLANNINGPLANNING
PROCUREMENTPROCUREMENT
MANAGEMENTMANAGEMENT
ASSESSMENTASSESSMENT
DISPOSALDISPOSAL
REPLACEMENTREPLACEMENT
MEDICAL DEVICE REGULATION PROGRAMMEDICAL DEVICE REGULATIONPROGRAM
Define &Classify"MEDICALDEVICE"Define &Classify"MEDICAL DEVICE"
PrePre --MarketApprovalMarketApproval
PostPost--MarketVigilanceMarketVigilance
AuditManufacturer &DistributorAuditManufacturer &Distributor
ApplyPreApply Pre -- MarketAssessmentControlsMarketAssessmentControls
HarmonizeRegulatoryRequirementsHarmonizeRegulatoryRequirements
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Paradigm Shift in HealthcareParadigm Shift in Healthcare
Old Paradigm : Service-Centered CarePrimary Health Care (Alma Ata)
Hospital without Walls
Reaching the Community
New Paradigm: Patient-Centered Care
Point-of-Care TechnologiesPersonal Monitoring Devices
Telemedicine
Old Paradigm : Service-Centered CarePrimary Health Care (Alma Ata)
Hospital without Walls
Reaching the Community
New Paradigm: Patient-Centered Care
Point-of-Care TechnologiesPersonal Monitoring Devices
Telemedicine
PAHO T h i l C tiPAHO Technical Cooperation on
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PAHO Technical Cooperation on
Health Services
Physical Infrastructure & Technology
PAHO Technical Cooperation on
Health Services
Physical Infrastructure & Technology
To Collaborate with the Member States in
National Development
and
Institutional Capacity Building
on
Healthcare Technology
To Collaborate with the Member States in
National Development
and
Institutional Capacity Building
on
Healthcare Technology
Ch ll i LA&CCh ll i LA&C
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Challenges in LA&CChallenges in LA&C
Technology Dependant Countries
Lack of National Policy for Science & Technology in Health
Few Medical Device Regulatory Programs
Limited use of Evidence-Based Information for Decision-Making
Limited or No Use of Norms, Standards and Codes
Average 50% of Equipment Out of Service or Not in Use
Obsolete Buildings and Highly Deteriorated (50%)
Shortage of Professional and Technical Staff
Few Universities & Technical School with Programs on BE, CE,
Lack of Physical Infrastructure Planning Programs
Deficient Maintenance Programs & After Sale Support Service
Low Budget Allocation for Maintenance
Lack of Equipment Inventories and Control Systems
Continuous Acquisition of Technology
Technology Dependant Countries
Lack of National Policy for Science & Technology in Health
Few Medical Device Regulatory Programs
Limited use of Evidence-Based Information for Decision-Making
Limited or No Use of Norms, Standards and CodesLimited or No Use of Norms, Standards and Codes
Average 50% of Equipment Out of Service or Not in Use
Obsolete Buildings and Highly Deteriorated (50%)
Shortage of Professional and Technical Staff
Few Universities & Technical School with Programs on BE, CE,
Lack of Physical Infrastructure Planning Programs
Deficient Maintenance Programs & After Sale Support Service
Low Budget Allocation for Maintenance
Lack of Equipment Inventories and Control Systems
Continuous Acquisition of Technology
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OpportunitiesOpportunities
National Strategic Alliances (Public-Private)
Coordination with Academic Sector
Interaction with Scientific and Professional Societies
Work with PAHO/WHO Collaborating Centers
Institutional Capacity Building on Technology Management
Networks of9 Experts
9 Institutions
Links to Global Initiatives9 International Standards for Healthcare Technology (OMS/ISO/IEC/ITU)9 Health Technology Assessment (HTAi)
9 Medical Devices Regulation (GHTF/PAHO)
9 Global Alliance for Patient Safety (WHO)
9 e-Health/Telemedicine (PAHO/WHO)
9 Integrating Healthcare Enterprise (IHE)- Patient Care Domain (HIMSS/ACCE)
National Strategic Alliances (Public-Private)
Coordination with Academic Sector
Interaction with Scientific and Professional Societies
Work with PAHO/WHO Collaborating Centers
Institutional Capacity Building on Technology Management
Networks of9 Experts
9 Institutions
Links to Global Initiatives9 International Standards for Healthcare Technology (OMS/ISO/IEC/ITU)9 Health Technology Assessment (HTAi)
9 Medical Devices Regulation (GHTF/PAHO)
9 Global Alliance for Patient Safety (WHO)
9 e-Health/Telemedicine (PAHO/WHO)
9 Integrating Healthcare Enterprise (IHE)- Patient Care Domain (HIMSS/ACCE)
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Risk Management Program is a EnablerFactor for Quality, Safety, Equity and
Cost-Effectiveness on
Health Services Delivery
Risk Management Program is a EnablerFactor for Quality, Safety, Equity and
Cost-Effectiveness on
Health Services Delivery
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