Systemic Budget Assessment Model of Medical Equipments Installation and Maintenance at Csss Du Lac-Des-Deux-Montagnes

Abstract

The arrival of new medical specialists within the CSSS of Lac-des-Deux-Montagnes requires a technological enhancement of its clinical and/or medical departments. On that account, this study gives a brief summary of the key elements to consider when planning for such an upgrade. In regard to the methodology, the medical devices were sorted into ten categories based mainly on their exploitation cost, and, in some cases, on the actual absence of the manufacturer's warranty. In fact, the use of such an approach has enabled the elaboration of a new parametric model for the budget which simplifies the assessment of a new technological development. As a result, a comprehensive analysis of the actual costs over the last ten years has demonstrated that the recurring operating costs of specialized medical equipment is consistent with our model with the following contingency: half of the observed standard deviation. It appears that the real recurring cost remains essentially the same during and after the manufacturer’s warranty. In addition, some specialized inputs that could have an impact on operating costs should also be considered: systems installation and integration requirements, electromagnetic compatibility, infection control, water, air and steam quality.
We share this technological management tool whose parameters have significantly influenced the way functional and technical programs are being managed at the CSSS du Lac-des-Deux- Montagnes.

Keywords: Specialized Medical Equipment, Functional and Technical Program, Strategic Planning, Standardization, Parameterized Capital Cost Budget, Technology Operating Budget.