Needs assessment on medical equipment Gobierno federal salud The National Center for Health Technology Excellence perspective (CENETEC / Mexican MoH) B.E. Maria Luisa Gonzalez Retiz GLOBAL FORUM ON MEDICAL DEVICES Bangkok, Thailand September 10th, 2010 Index CENETEC: Position in the MoH Tools developed Epidemiological needs Device lists Inventories Challenges Gobierno federal salud CENETEC: Position in the MoH President of Mexico • Organization National Health Council Main Decision Makers salud Health Minister Viceminister of Health Promotion and Prevention Viceminister of Administration and Financing Viceminister of Integration and Development of the Health Sector National Social Health Protection Commission Health Risk Protection Commission COFEPRIS Privileged position General Director of Health Quality General Director of Health Planning National Center for Health Technology Excellence Founded in 2004 General Director of Health Information Gobierno federal General Director of Health Evaluation Medical Judge Commission CONAMED Mexico Overview Gobierno federal salud p Ma 110 million inhabitants 2 million km2 74% urban population 24 million people in towns with less than 2,500 inhabitants Tools developed for Needs Assessment Epidemiological needs Gobierno federal Certificate of Need salud Technical approval Device lists Medical and telemedicine equipment lists Inventories SINERHIAS Certificate of Need • High Cost Medical Equipment • Needs assessment: Clinical needs, epidemiological needs • Similar equipment in the area, productivity and availability • Specialized personnel available • Acquisition alternatives • Cost-benefit analysis Gobierno federal salud Certificate of Need http://www.cenetec.salud.gob.mx Gobierno federal salud Technical approval Telemedicine project technical ruling CENETEC´s approval number Recommendations Gobierno federal salud Medical and telemedicine equipment lists http://www.cenetec.salud.gob.mx Gobierno federal salud Medical and telemedicine equipment lists Rural first level medical facility Total cost of equipment Gobierno federal CENTRO DE SALUD DE UN NÚCLEO RURAL CB code Suma de Total Suma de TOTAL 1R Local Central de esterilizacion y equipos (ceye) $1,018,877.37 Tipo de Bien Equipo y Mobiliario Administrativo Equipo y Mobiliario Médico Devices needed salud Precio unitaro (promedio) Clave CB Descripción por clave de CB 511.232.0022 CESTO PARA PAPELES 181 $181.34 515.619.0877 531.385.1080 MESA ALTA CON RESPALDO (120 CM) 2,284 ESTERILIZADOR DE VAPOR AUTOGENERADO$PARA 209,337.71 DENTAL Y MAXILOFACIAL. 1 209,338 $2,284.20 $209,337.71 $ 181.34 Cant 1R TOTAL 1R 1 Total Total Central de esterilizacion y equipos (ceye) Cocineta $211,803.25 Equipo y Mobiliario Administrativo 523.481.0462 523.782.1490 517.270.0097 S/C 889 HORNO DE MICROONDAS REFRIGERADOR 9 PIES COCINETA DE GAS JUEGO DE LOZA Y CUBIERTOS $ $ $ $ 2,500.00 4,131.87 7,587.69 1,850.00 1 1 1 1 2,500 4,132 7,588 1,850 $2,500.00 $4,131.87 $7,587.69 $1,850.00 $16,069.56 511.026.0337 ANAQUEL 7 ENTREPAÑOS $ 3,644.99 1 3,645 $3,644.99 $3,644.99 511.232.0022 511.790.0059 CESTO PARA PAPELES PORTARROTAFOLIO CON PIZARRÓN $ $ 181.34 11,787.21 1 1 181 11,787 $181.34 $11,787.21 Total Cocineta Farmacia Total Farmacia Sala de espera Areas Equipo y Mobiliario Administrativo Equipo y Mobiliario Administrativo Type of device Costs & quantities Inventories SINERHIAS (Information System on medical Equipment, Infrastructure and Human Resources for Health Care). Gobierno federal • Medical units inventory: quantity, type, (hospitals, primary care), key identification data, demographic variables COMPONENTS salud • Medical Equipment: Inventory, functionality, perceived needs. • Human Resources: specialties, training and productivity • • Operating since 2002 Contains medical equipment used in Primary Care and Specialties (200 most common pieces of medical equipment) • Information is collected at local level and concentrated nationally by the MoH *Catalogue of variables were constructed, based on Mexican Official Norms (NOM 197 & NOM 128), Catalogue for Essentials Health Services (CASES), Global Medical Device Nomenclature, GMDN. Inventories • Primary care analysis Type of medical unit % Primary care General Hospitals Specialized hospitals Total 86% 10% 4% 100% Number of pieces of equipment 209,976 24,759 10,182 244,917 Gobierno federal salud Challenges • Authorities/Decision makers – Alliances • Users – Facilitate the process – Automation – Spreading knowledge – Inform and sensitize – Disclosure and positioning – Reliable information Gobierno federal salud Gobierno federal salud Thank you all! www.cenetec.salud.gob.mx