The way forward in facilities management.
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The Clean Air Act, enacted in 1970, failed to provide for an enforceable regulatory scheme at any level of government. In late 1990, Congress passed the Clean Air Act Amendments, of which Title V is the focal point. This amendment includes the Operating Permit Program, which states that all "major sources" are required to obtain Title V operating permits on or before November 15, 1995. Under Title V, the burden of demonstrating compliance will now fall directly to the facility itself. This document both summarizes and highlights the requirements of the Operating Permit Program and presents guidelines for preparing to file a Title V Operator Permit application.
This document is the beginning of a two-part series that will help the reader understand and prepare for a world of electrical peculiarities. Part I offers an introduction to the problematic world of harmonics and their effects on medical equipment. Part II will take the subject a step further to cover the practical issues involving the handling and mitigation of harmonic distortion.
The Medical University of South Carolina (Charleston, SC) responded to the necessity of reducing costs in a competitive marketplace by developing a program called Technology Assessment and Equipment Management. The program uses a process that systematically evaluates clinical equipment acquisitions and provides over sight on equipment management within the 587-bed tertiary care center. This article reviews how equipment is evaluated and purchased emphasizing cost control.
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Today's hospitals have invested a substantial portion of their capital budgets on the purchase of high-tech equipment--diagnostic imaging machinery, clinical laboratory apparatus, biomedical devices--and yet only half have developed strategies for taking care of that equipment as it ages. When do you replace it? When is it obsolete? How do you determine whether it is cost effective? Kenneth Halverson examines the steps to take to develop and implement a successful asset management program that will enable you to keep your high-tech equipment going.
Too many of our nation's hospitals have been become complacent over disaster preparedness. They develop a document to meet a licensure requirement or a joint Commission on Accreditation of Healthcare Organizations standard. The language is minimal and when the document is exercised, only a few portions (personnel recall and mass casualty, in particular) are tested. It would benefit hospitals to take time to talk to those recently effected by floods, earthquakes or hurricanes, so that they would learn that to be really prepared to face and survive a disaster, extensive, in-depth planning must take place.
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