Deinstadt Deborah C
USCS Equipment Technology Solutions, Brookfield, Wis., USA.
Radiol Manage. 2003 Jul-Aug;25(4):36-9.
Identifying a clear maintenance philosophy is the first step toward choosing the right program for your healthcare organization. The second step is gaining a clear understanding of how proposed savings and improvements will be delivered. The third and last step is requiring that the proposed company or manager have specific tools in place for measuring and analyzing program performance. There are three primary philosophies underlying current equipment management options. These include risk-transfer philosophy (e.g., maintenance insurance, service contracts, multi-vendor and outsource programs), asset management philosophy (e.g., programs delivering a management system based on managed time-and-materials), and internal management (in-house managed programs). The last step in selecting the right program is insisting that proper performance measurements be built into the proposed management program. A well-managed program provides results in three general areas: financial outcomes, operational improvements and process improvements. Financial outcomes are the easiest to measure. Operational and process improvements are more challenging to assess but equally important to the program's overall success. To accurately identify results in these three areas, the overall management program should measure the following eight separate components: procedures and support for department staff; equipment inventory, benchmark costs, and budget guidelines; experienced equipment support team; objective, independent analysis of maintenance events; repair documentation and reporting; vendor relations; equipment acquisition analysis; and recommendations for improvement. Do everything you reasonably can to assure that the selected company can work side-by-side with you, providing objective, measurable advice that is ultimately in your best interest. You will then know that you have been thorough in your marketplace selection and can confidently move into implementation, expecting tangible and successful results.
确定清晰的维护理念是为您的医疗保健机构选择正确方案的第一步。第二步是清楚了解拟议的节省措施和改进将如何实现。第三步也是最后一步是要求拟议的公司或经理具备用于衡量和分析方案绩效的特定工具。当前设备管理选项有三种主要理念。这些理念包括风险转移理念（例如维护保险、服务合同、多供应商和外包方案）、资产管理理念（例如基于管理的时间和材料提供管理系统的方案）以及内部管理（内部管理的方案）。选择正确方案的最后一步是坚持在拟议的管理方案中纳入适当的绩效衡量标准。一个管理良好的方案在三个总体领域产生成果：财务成果、运营改进和流程改进。财务成果最容易衡量。运营和流程改进评估起来更具挑战性，但对方案的整体成功同样重要。为了准确确定这三个领域的成果，总体管理方案应衡量以下八个单独的组成部分：对部门员工的程序和支持；设备库存、基准成本和预算指南；经验丰富的设备支持团队；对维护事件的客观、独立分析；维修文件和报告；供应商关系；设备采购分析；以及改进建议。尽您合理所能确保选定的公司能与您并肩合作，提供客观、可衡量且最终符合您最大利益的建议。这样您就会知道您在市场选择方面已经全面周到，并能满怀信心地进入实施阶段，期待取得切实且成功的成果。
