医療機器管理における経営効果の波及について

•

6 likes•2,111 views

系列病院での学術発表会で発表したスライドです

Health & Medicine

医療機器管理における
果営効経の波及について
費用削減は、
100倍返しだ!!
東神戸病院安全管理推進室臨床工学技士・看護師島田尚哉

医療機器管理の
性能の維持、安全
目的

機器管理は
費用がかかる

臨床工学技士
CE
Clinical Engineering Technologist

人件費

CEの人件費を、回収できるか?!

業務効率
を
上げ、

費用
を
下げる。

３事例

Ｃａｓｅ．１
ケーブル断線多発

断線
ベッドサイド用
パルスオキシメータ

機器管理データベースで
分析
故障事例を

これを
徹底してから、

0
2
4
6
8
10
12
14
16
¥0
¥100,000
¥200,000
¥300,000
¥400,000
¥500,000
¥600,000
¥700,000
対策前対策後
費用
故障件数
15件
2件
¥70万
¥7万6千
ケーブル断線、対策前後の比較
故障が激減し、費用が約1/10になった

Ｃａｓｅ．２
離床センサー、原因不明の不具合が多発

Ｃａｓｅ．２
省略 –抄録参照-

Ｃａｓｅ．３
慢性人工呼吸器患者の長期入院

¥21万3千
¥14万
在宅用急性期用
アラーム減少
入浴が簡便
散歩が容易

ＣＥ1人分の人件費を
補うだけの、
費用削減はできなかった。

経営効果の視点で
費用削減を紐解く

費用
収益
利益

利益率１％の病院で
収益増で利益を1万円ＵＰするには？

費用
収益
利益
￥100万の収益ＵＰ
利益率１％の病院で
収益増で利益を1万円ＵＰするには？

利益￥１万分ＵＰ
費用
収益
利益
￥100万の収益ＵＰ
利益率１％の病院で
収益増で利益を1万円ＵＰするには？

￥100万の収益ＵＰ
利益￥１万分ＵＰ
利益率１％の病院で
収益増で利益を1万円ＵＰするには？

￥100万の収益ＵＰ利益￥１万分ＵＰして、やっとになる
利益率１％の病院で
収益増で利益を1万円ＵＰするには？

利益率１％の病院で
費用削減で利益を1万円ＵＰするには？

費用
収益
利益
￥１万の費用削減
利益率１％の病院で
費用削減で利益を1万円ＵＰするには？

費用
収益
利益
￥１万の費用削減利益￥１万分ＵＰ
収益
利益率１％の病院で
費用削減で利益を1万円ＵＰするには？

￥１万の費用削減利益￥１万分ＵＰすればにつながる
利益率１％の病院で
費用削減で利益を1万円ＵＰするには？

つまり、
収益増
￥100万の収益ＵＰ利益￥１万分ＵＰして、やっとになる
費用削減
￥１万の費用削減利益￥１万分ＵＰすればにつながる

つまり、
利益￥１万分ＵＰ
利益￥１万分ＵＰ
収益増
費用削減

￥100万の収益ＵＰ￥１万の費用削減することは、することと、
同等の経営効果が
あるといえる
収益増費用削減
つまり、

￥100万の収益ＵＰ￥１万の費用削減
×100
収益増費用削減
つまり、

費用削減は、収益増より
倍の
経営効果がある

¥7万3千
費用削減
¥730万
収益増≒
Ｃａｓｅ.３に当てはめる
費用削減を経営効果の視点で振り返る

ＣＥの
人件費
¥730万＜
Ｃａｓｅ.３に当てはめる
費用削減を経営効果の視点で振り返る

費用削減
病院経営
に大きく影響する

笑顔というかたちで、
100倍になって返ってきます

島田尚哉
shimada_ns_ce@yahoo.co.jp
@naorock_fes

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医療機器管理における経営効果の波及について

1. 医療機器管理における果営効経の波及について費用削減は、 100倍返しだ!! 東神戸病院安全管理推進室臨床工学技士・看護師島田尚哉

2. 医療機器管理の性能の維持、安全目的

3. 機器管理は費用がかかる

4. 臨床工学技士 CE Clinical Engineering Technologist

6. CEの人件費を、回収できるか?!

7. 業務効率を上げ、

8. 費用を下げる。

10. Ｃａｓｅ．１ケーブル断線多発

11. 断線ベッドサイド用パルスオキシメータ

12. 機器管理データベースで分析故障事例を

17. これを徹底してから、

18. 0 2 4 6 8 10 12 14 16 ¥0 ¥100,000 ¥200,000 ¥300,000 ¥400,000 ¥500,000 ¥600,000 ¥700,000 対策前対策後費用故障件数 15件 2件 ¥70万 ¥7万6千ケーブル断線、対策前後の比較故障が激減し、費用が約1/10になった

19. Ｃａｓｅ．２離床センサー、原因不明の不具合が多発

20. Ｃａｓｅ．２省略 –抄録参照-

21. Ｃａｓｅ．３慢性人工呼吸器患者の長期入院

22. ¥21万3千 ¥14万在宅用急性期用 アラーム減少 入浴が簡便 散歩が容易

24. ＣＥ1人分の人件費を補うだけの、費用削減はできなかった。

25. 経営効果の視点で費用削減を紐解く

26. 費用収益利益

27. 利益率１％の病院で収益増で利益を1万円ＵＰするには？

28. 費用収益利益￥100万の収益ＵＰ利益率１％の病院で収益増で利益を1万円ＵＰするには？

29. 利益￥１万分ＵＰ費用収益利益￥100万の収益ＵＰ利益率１％の病院で収益増で利益を1万円ＵＰするには？

30. ￥100万の収益ＵＰ利益￥１万分ＵＰ利益率１％の病院で収益増で利益を1万円ＵＰするには？

31. ￥100万の収益ＵＰ利益￥１万分ＵＰして、やっとになる利益率１％の病院で収益増で利益を1万円ＵＰするには？

32. 利益率１％の病院で費用削減で利益を1万円ＵＰするには？

33. 費用収益利益￥１万の費用削減利益率１％の病院で費用削減で利益を1万円ＵＰするには？

34. 費用収益利益￥１万の費用削減利益￥１万分ＵＰ収益利益率１％の病院で費用削減で利益を1万円ＵＰするには？

35. ￥１万の費用削減利益￥１万分ＵＰすればにつながる利益率１％の病院で費用削減で利益を1万円ＵＰするには？

36. つまり、収益増￥100万の収益ＵＰ利益￥１万分ＵＰして、やっとになる費用削減￥１万の費用削減利益￥１万分ＵＰすればにつながる

37. つまり、利益￥１万分ＵＰ利益￥１万分ＵＰ収益増費用削減

38. ￥100万の収益ＵＰ￥１万の費用削減することは、することと、同等の経営効果があるといえる収益増費用削減つまり、

39. ￥100万の収益ＵＰ￥１万の費用削減 ×100 収益増費用削減つまり、

40. 費用削減は、収益増より倍の経営効果がある

41. ¥7万3千費用削減 ¥730万収益増≒ Ｃａｓｅ.３に当てはめる費用削減を経営効果の視点で振り返る

42. ＣＥの人件費 ¥730万＜Ｃａｓｅ.３に当てはめる費用削減を経営効果の視点で振り返る

43. 費用削減病院経営に大きく影響する

44.

45. 笑顔というかたちで、 100倍になって返ってきます

46. 島田尚哉 shimada_ns_ce@yahoo.co.jp @naorock_fes

Editor's Notes

それだけでなく、多大な出費を余儀なくされる事態が起こります。
以上で発表を終わります