Day 1 :
Association of Medical Device Reprocessors, USA
Keynote: Single-use device reprocessing: Paving the way for increased patient safety, lower costs and reduced medical waste
Time : 09:30-10:10
Daniel J Vukelich is the President of the Association of Medical Device Reprocessors (AMDR), the global trade associating representing the legal, regulatory and other trade interests of the commercial medical device reprocessing industry. AMDR’s core mission is to promote the proper reprocessing and re-manufacturing (cleaning, repair/refurbishing, testing, sterilization, among other steps) of “single use” devices (SUDs). He also represents the industry before the European Union, Canada, Japan and other international bodies
Globally, hospital reuse of “single-use” devices, or SUDs, has the potential to adversely impact patient safety. However, international regulatory authorities are coming to regulate SUD reprocessing as a manufacturing activity, which has resulted in evidence supporting patient safety, lower device costs and waste reduction creating a win-win for hospitals and health care systems. Commercial SUD reprocessing is an established best practice in the U.S., Canada and Germany, with emerging stages of regulation happening in Japan, South Africa and all of Central and Latin America. The new comprehensive European Medical Device Regulation (MDR) set to be adopted in June of 2017 is taking SUD reprocessing to a new level there. The MDR will regulate the reuse of SUDs as a manufacturing activity and thus such reuse, whether it takes place in hospitals or commercial entities, is subject to EU manufacturer requirements, including CE marking requirements. The regulation of SUD reuse is an important first step toward stopping unregulated SUD reuse in hospitals. Moreover, regulation will provide an overt, legal and safe pathway for hospitals to acquire lower-cost and environmentally preferable reprocessed devices. The result will be increased patient safety, more competition, and lower costs and reduced medical waste for hospitals. This session will provide an overview of the literature and data supporting the safety of regulated SUD reuse, but will also briefly address a 2016 study addressing device failure rates (new versus reprocessed). This session will address the differences between hospital reprocessing and commercial reprocessors meeting medical device manufacturer requirements, and provide insight into the implications of the new requirements for hospitals. This session will also provide an overview of the economic and environmental implications for healthcare markets where SUD reprocessing has been regulated, evaluating safety, cost saving and environmental factors.
University College Cork, Ireland
Keynote: Analysis of cute hospital reconfiguration policy in Ireland: A case study of three geographically contiguous models of public acute hospital reconfiguration
Time : 09:55-10:35
Orla Healy was trained and worked in hospital medicine for five years before embarking a career in Public Health Medicine following appointment as a Consultant in Public Health Medicine in 2005. She worked in national and regional capacity in the areas of Health Service Improvement, Patient Safety and Acute Hospital Policy Development. She is a Senior Lecturer at the Department of Epidemiology and Public Health, UCC. Her activity there includes Undergraduate and Post Graduate lectures, PhD supervision and collaborative applied public research with UCC on behalf of the health services. In May 2016, she was appointed as Director of Quality, Governance and Patient Safety to the newly established South/South West Hospital Group (SSWHG) and in February 2017, she was appointed as Director of Strategy, Planning and Population Health in the SSWHG. Her research interests include Health Policy Analysis, Health System Re-design & Evaluation and Population Health.
Healthcare policy is contentious and rarely off the socio-political agenda. An acute hospital reconfiguration policy was put in place in Ireland in 2006. Implementation varies by region and has occurred in the absence of either a clear methodology with which to plan or judge service changes. The aim of this research was to assess implementation of reconfiguration in three areas and account for observed variation. A multiple case study design involving three regions was undertaken. Three geographically contiguous hospital networks were selected. Documentary analysis of policy documents was performed and a historical chronology was produced. System-level indicators of reconfiguration (activity data) were quantitatively analysed to provide objective evidence of policy implementation and to explore changes that could be attributed to reconfiguration, or extraneous factors. Each network faced challenges to the sustainability of its acute hospitals, yet each had taken different and distinctive approaches to reconfiguration. One region, the Mid-West has fully reconfigured services. The process was complex and unstable. The process was rushed because of regulatory pressure following the publication of a patient safety investigation. Reconfiguration was almost complete in the South. The process was stable, albeit slow. Plans to reconfigure services in the South-East were abandoned. Reconfigured regions showed differentiation of services and specialty development. All regions implemented nationally mandated reconfiguration of cancer services. Reconfiguration was not a determinant of regional self-sufficiency in the delivery of care. Reconfiguration of acute hospitals is a function of the historical and socio-political context. The delivery of high quality sustainable acute hospital services is dependent on strategic configuration of hospital services. At regional level this translates to the requirement for evidence-based, well-articulated plans that are consistent with national policy but tailored to local context and sustained commitment to implementation by distributed clinical leadership supported by coherent national policy.
ADInstruments Pty Ltd, New Zealand
Time : 10:50-11:30
A D C (Tony) Macknight graduated MBChB from the University of Otago Medical School in 1963. After a year as a House Surgeon working for the Auckland Hospital Board, he returned to the University of Otago Department of Physiology where he completed a PhD in 1968 and an MD in 1969 studying aspects of cell volume regulation under the supervision of Professor James Robinson. He then spent two years doing postdoctoral research at the Massachusetts General Hospital, Harvard Medical School in the laboratory of Professor Alexander Leaf working on epithelial transport. He returned to a position as Lecturer in Physiology at the University of Otago in 1971. In 1981 he was elected a Fellow of the Royal Society of New Zealand and in 1984 he was appointed as the Wolf Harris Professor of Physiology at the University of Otago, a position he held until his retirement from full-time academic work at the beginning of 2002. He continued his research until 2007, his research group in Otago collaborating with the group headed by Professor Mortimer Civan at the University of Pennsylvania in a study of the transport pathways involved in the production of the aqueous humour. In addition to his research interests, he played a major role in the introduction in 1987 of problem-based, case- oriented learning in physiology for medical students at the University of Otago. During the 1990s he was a key member of the Curriculum Development group that designed and implemented a new, systems-based, case-related two year preclinical medical course. He also initiated the development of the computer-based data acquisition system for use in biomedical teaching and research that is now marketed internationally by ADInstruments as the PowerLab system and is used in universities, research institutes and industry throughout the world. Professor Macknight was the chairman of the Organising Committee for the 34th International Congress of the International Union of Physiological Sciences (IUPS) that was held in Christchurch, NZ in 2001 as well as the Chairman of the International Scientific Program Committee for that Congress. He was a member of the Council of the IUPS from 2001 to 2009. Presently he acts Director of Education for ADInstruments, is a member of the IUPS Education Committee, and continues to serve on Grant Reviewing Committees of the Health Research Council of NZ
E-learning has become ‘fashionable’ and the internet hosts an increasing number of modules and courses from simple lessons to MOOCS. But how best to design these? We now understand better than ever before how people actually learn and we should design our materials to enhance that learning. We learn by taking information from the environment through our sensory inputs into our working memory. Our working memory is very limited and we must not overload it. We need to process the information there, rehearse it and link it to knowlege we already have in long-term memory. There are four fundamental steps that facilitate learning: First, the learner must focus on key graphics and words – both are necessary to enhance learning. Second, the learner must rehearse this information in working memory to organize it and integrate it with existing knowledge in long-term memory. Third, in order to do this integration, the limited working memory that we all have, must not be overloaded. Fourth, new knowledge stored in long-term memory must be able to be retrieved when needed in the future and so must be learnt in context. With this template in mind, I shall take, as an example, a simple lesson and analyse how the material in this is best presented to maximise student learning.