2. Medical Equipment
Donation
• Ensure that donations are
safe and sustainable
• Will improve the outcomes
and increase impact
• Will help protect the
environment
• Help create friendship
Learning points
3. • Safe and sustainable medical
equipment supply (SASMES)
• Health Outcomes and Patient
Safety (HOPS)
• Reprocessing Medical Equipment:
Rotarian Research Group for the
Environment
(Re-MERGE)
4.
5. Working Together
Empowers, Encourages and Embraces
The Mission of Service
Safe and Sustainable Medical Equipment Supply (SASMES)
Demetress Harrell – SASMES Chair
District Governor Elect
Time to Fine-Tune Medical Equipment Donations
dcharrell@hospiceinthepines.org
6. SASMES – SAFE AND SUSTAINABLE
MEDICAL EQUIPMENT SUPPLY
➢ Understand our Mission, Vision and Valuable Purpose
➢ Established by the International Rotary Fellowship of
Healthcare Professionals
➢ Purpose: Cultivate and capture lessons from enormous
experienced Rotarians in supporting health programs that
include the supply or purchase of medical equipment
SASMES – SAFE AND SUSTAINABLE
MEDICAL EQUIPMENT SUPPLY
7. A world where everyone has access to quality healthcare, supported by
appropriate, affordable and sustainable medical devices.
To encourage Rotarians to follow best practices and guidelines, and to
offer technical advice if needed, when engaging in programs that provide
new or repurposed medical devices and supplies to improve patient care.
Our Vision
Our mission
8. Action Initiatives
➢Act as a resource to Rotarians from both recipient and donor countries for
projects
➢Compile a ‘Good Practice Guide’ that can guide Rotarians through all stages of
the equipment donation and procurement process
➢Build mutually beneficial and lasting professional connections, trust and
friendship between the recipient and donor.
➢Share lessons learned
➢Raise awareness about the environmental impact of decommissioning and
disposing of outdated equipment
➢Maintain a roster of Rotarians with experience in the field to serve as advisors
Medical device - any supply, device or equipment used for medical purposes that enable healthcare professionals to screen, diagnose,
treat and rehabilitate patients.
Our Actions
9. Safe and Sustainable Medical
Equipment Supply (SASMES)
With your help we will make a
difference in the lives of those seeking
quality healthcare and medical
supplies.
10. Relevance
Collaborating with new groups makes your club more appealing, encourages a diverse membership
base, and expands your capacity for service.
14. Goals of Equipment Donation
International Rotary Fellowship of Healthcare Professionals (IRFHP)
15. Focus on Outcomes and Patient Safety
Our Vision
A world in which no person is
harmed in health care, and
everyone receives safe and
respectful care, every time,
everywhere.
Our Mission
Provide support to achieve the
highest quality health services in
a safe environment for patients
and health care workers.
16.
17. Improving Health Outcomes
Through Quality and Safety Improvement
Rotary International’s Strategic Plan
• Increase Our Impact improving health outcomes
• Expand Our Reach through collaboration among Rotarians in over
200 countries
• Enhance Participant Engagement by involving all stakeholders in
initiatives and patient and health worker safety
• Increase Our Ability to Adapt through learning and sharing best
practices leading to improved outcomes of care
18. Explore and Share
• Two Direct Rotary Areas of Focus
• Disease Prevention and Treatment
• Maternal and Child Health
• Five Indirect Rotary Areas of Focus
• WASH – Water, Sanitation, and Hygiene
• Community Development
• Basic Education and Literacy
• Environment
• Peace and Conflict Avoidance and Resolution
• End Polio Now
20. Addressing Needs and Emergency Responses
• Community or Organization identifies the need
• Help in translating need to equipment and supplies
• Focus on Goals and Outcomes – all are measurable
• Quantitative
• Qualitative
• Experience
• Emergency versus Planned Approach
• Still focus on needs and qualitative response; quantitative if able
• Planned approach – goals should be at beginning
21. Emergency Response
✓Listen to needs of healthcare providers and community
✓Ensure the medical equipment and supplies meet their needs
✓If training is needed, provide by in-person or virtual; manuals
✓ Follow up with healthcare providers and usage
22. Understanding the Community
• Listening
• Working with in-country Rotary Club
• Identifying leaders in community
• Identify leaders involved in project
• Facilitating discussions; not leading
• Set aside preconceived ideas and beliefs
• Help balance fact with perception in
23. Setting Goals – Engaged, Collaborative Design
Strategic Planning with administrators,
physicians, nurses, laboratory technicians,
nursing and lab students, finance,
environmental services, social work
Participants from hospitals, Nursing and
Midwifery Programs, Laboratory, Finance,
Environmental Services, Community
24. Increase Our Impact
Benefit to Patients, Healthcare Providers, Community
• Focused development on Impact
• Outcomes – Quantitative, Qualitative, Participant Experience
• Opportunities in identifying baselines and improvement
27. The Re-MERGE team
Jenny Orth Bruce Mang Rose Oh Chabelly Bonilla
Hi there! My name is Chabelly. I
am from northern New Jersey, and
I am an undergrad at Seton Hall
University, majoring in
anthropology. I am also a licensed
pharmacy technician. Being in this
subgroup is an amazing learning
and research experience.
My name is Rose and I am a
prospective freshman at
Queen's University (Canada)
in the Bachelor of Health
Science Honours Program.
This subgroup presented me
new and eye-opening
knowledge.
Hey, my name is Bruce and I am
an undergrad studying
biochemistry at UT Austin. I am
currently beginning to get
involved in pediatric clinical
research as well as drug
repurposing research. This
research program has taught me
valuable tings about medical
devices.
28. • Early Stage
• Middle Stage
• End Stage
• Continued Life Cycle
Pathway of USA Medical Equipment
30. A PAGE FOR BIG BOLDBULLET ITEMS
● Do not abandon ship after you donate!
● Follow up is key to success
● E.g. backup systems (Brother’s Brother Foundation)
Maintenance
31. A PAGE FOR BIG BOLDBULLET ITEMS
● Demurrage fees can range from $75 - $200 / day (Flexport)
● Liability insurance
Legal and Insurance Consequences
32. A PAGE FOR BIG BOLDBULLET ITEMS
● Autonomy, Beneficient, Non-Maleficience, and Justice
● Equal standard of care: HIC LMIC (Pilkington)
Bioethics
34. MAJORITY OF DTP GRANTS ARE FOR MEDICAL EQUIPMENT
80% OF MEDICAL EQUIPMENT IN LIC ARE DONATED
ONLY 10-30% ARE PUT TO USE
50%
OF MEDICAL
EQUIPMENT IN LOW
INCOME COUNTRIES
IS UNUSABLE
WHO
IRFHP GUIDELINES
https://rotaryhealthprofessionals.org/
38. Good Practice Guide to assist Rotarians
involved in transferring redundant medical
equipment to places where it is needed
JOIN US
https://rotaryhealthprofessionals.org/
BOOTH
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