Ministry of health national Policy for Management …

1 national Policy for Management of Medical Devices in Albania1 Ministry of healthnational Policy for Management of Medical Devices in albania 2 Ministry of healthThe production of this document has been financed by the swedish international Developement Cooperation agency - sida. sida does not neccessarily share the same views expressed in the document. The responsibility of the content remains with the Policy for Management of Medical Devices in Albania3 Ministry OF HEALTHN ational Policy for Management of Medical Devices in Albania4 Ministry of healthREPUBLIC OF ALBANIAM inistry of HealthMINISTERNo. 3272 Prot. Tirana, 356, Date The Approval of the national Policy for the Management of Medical Devices in Albania In support to article 102, paragraph 4 of the Constitutional Law of Republic of Albania and in the implementation of the long term Strategy for the development of the Albanian healthcare system I ORDERThe approval of the national Policy for the Management of 1.

2 Medical Devices in Albania. The General Directorate of Policy and Healthcare Planning, 2. the Directorate of Human Resources, the Directorate of Procurement in the Ministry of health , the national Biomedical Center and hospital institutions, are requested to implement this Order. This order enters into power with immediate effect. THE MINISTER Nard Ndoka Signed and sealed national Policy for Management of Medical Devices in Albania5 Table of Contentsabbreviations ..61. introduction and background .. Purpose of Policy Document .. scope of Policy Document .. The Medical technology Challenge .. Medical Devices Management sector (MDMs) in Ministry of health .. state agency of Medical Devices .. Clinical engineering Units (CeU) ..163. technical infrastructure support systems .. Guidelines on adverse event reporting system on medical devices.. Guidelines on Medical device information system.

3 274. Medical Device Guidelines for local and regional hospitals .. Guidelines on acquisition of Medical Devices .. Guidelines on acceptance test of Medical Devices .. Guidelines on Clinical Use of Medical Devices .. Guidelines on Maintenance of Medical Devices ..615. health technology assessment .. Vision .. institutionalization of hta ..76annexes ..79annex 1 ..79 The legislative framework for Public Procurement in albania ..79annex 2 ..89 Checklist of Questions to be addressed prior to Procurement of Medical ..89annex 3 ..91list of requirements for inclusion in the invitation for tenders ..91annex 4 ..91 Procedures required for the Process of Procuring Medical Devices through Donation ..91annex 5 ..101sample of Medical Devices to be registered ..101annex 6 ..106adverse event reporting ..106annex 7 ..115in-house manufactured products ..1156 Ministry of healthAbbreviationsAER Adverse events reportingALL Albanian LekBENC Biomedical Engineering CentreBSc Bachelor of ScienceCE Clinical EngineeringCEU Clinical engineering unitsCRT Cathode ray tubesEBM Evidence based medicineEC European CommissionECB European Central BankECRI Emergency Care Research Institute, AER reporting institution etc.

4 EU European UnionGDP Gross domestic productHII health Insurance InstituteHMIS health Management information systemHSR health sector reformsICU Intensive Care UnitINSTAT Albania s national Institute of StatisticsIPH Institute of Public HealthLCC Life-cycle costs LTHSD Long-term Strategy for the Development of the Albanian health SystemMDD Medical Device DirectiveMDIS Medical Device Information SystemMDMS Medical Devices Management SectorMOES Ministry of Education and ScienceMoH Ministry of health MOLGD Ministry of Local Governments and DecentralisationSAMD State Agency of Medical Devices NGO Non-governmental organizationNCQSA national Centre of Quality, Safety and Accreditation of health InstitutionsPCB Polychlorated biphenylesPHC Primary health carePHM Public health managementPPA Public Procurement AgencyPPL Public Procurement Law PRSP Poverty reduction strategy and policySAA Stabilization and Association AgreementSEK Swedish KronerSida Swedish International Development AssistanceTOR Terms of referenceTOT Training of trainersUNESCO United Nations Educational and Social CouncilUNDP United Nations Development ProgrammeWB World BankWEEE European Directive on Electrical and Electronic Waste WHO World health OrganizationNational Policy for Management of Medical Devices in Albania7 1.

5 Introduction and Purpose of Policy DocumentThis document describes the health sector Policy in the field of Management of medical devices in albania. it reflects the long term strategy for the Development of the albanian health system (lthsD) developed by the Ministry of health (Moh) and approved by the Council of Ministers in 2004 as well as the stabilization and association agreement (saa) signed by the Government of albania and the european Union (eU) in 2004 the Ministry of health initiated the development of this document with support from sida and swedish health Care. it has been approved by the Ministry of health in au-gust 2007. The document describes the technology infrastructure and competence necessary for the use of modern medical devices in the albanian health care system. it shall serve as a base for development of future legislation concerning medical devices.

6 Also based on this Policy document, hospitals and other health care providers will be encouraged to build a local technology infrastructure to support safe and efficient use of medical de-vices. These guidelines are in line with the european legisla-tive framework for medical Scope of Policy Documentover the recent decade albania has adopted a wide variety of health Policy documents and the Ministry of health has identified a number of health Policy goals, but none of them 8 Ministry of healthhave specifically addressed the issues of safe and efficient use of medical devices in albania. reorganisation of the health services and modernisation of hospitals and health centres are necessary and important steps on the road to a health care that meets european standards. Modernization of the health care services should ensure that medical devices and other capital investments are used properly and that they are main-tained in a good way, so that expected lifetimes are ensured and patient safety not violated.

7 This Policy document describes all organizational changes and specific regulations and guidelines required to ensure a better Management of medical devices and their safe and efficient use. The organizational issues addressed in this document in-clude the organizational and operational plan of the Medical Devices Management sector (MDMs) in the Moh, organiza-tion and functioning of the Clinical engineering Units (CeU) at the albanian hospitals, and the role and functioning of the state agency of Medical Devices (saMD) at national level. (refer to chapter 2). some important systems to support a technology infrastructure are described in chapter 3. Policies, guidelines, rules and regulations, intended to cover all stages of clinical use of medical devices (life-cycle Management ) in albania, are developed in detail in chapter 4, while chapter 5 focuses on health technology The Medical Technology Challenge Due to many donations and national investments in albanian hospitals a rapid change of medical care is at hand.

8 It gives the medical staff access to modern technology with a possibility for better treatment of diseases. effective modern health care depends both on highly skilled staff for safe and efficient use of medical devices but also on safe and efficient medical de-vices which must be available and prepared to produce results during their entire lifetime. This development is making life easier for both medical staff and patients if everything is going according to plans. But all national Policy for Management of Medical Devices in Albania9medical devices have a limited life-expectancy and will sooner or later suffer from break-downs. investments in new technol-ogy without investments in an infrastructure to run it will only result in short life expectancies for the technology, and cause frustration among the staff using it, resulting in inefficient and ineffective medical care.

9 There is consequently a need to focus on support for medical technology kinds of medical devices, even new ones, must fit into a technology infrastructure managed by professionals since they require safe procedures and guidelines on how to use the device and conduct preventive maintenance. it is no longer just about the repair of faulty devices as new medical devices tend to be more complex than older inventions and must be carefully selected and introduced to fit the user. The devices are often integrated into advanced medical systems that re-quire an understanding of computers, medical applications and specialised with modern medical technology therefore requires specially trained clinical engineers. Providing proper mainte-nance for medical devices is a cost-effective way ofensuring not only that the devices last longer, but more im-portantly that they provide safety for patients.

10 The albanian health care sector has in the past suffered due to availability of complex devices that requires specialists for repair and maintenance. support has increasingly been required from external experts. This situation is not sustainable as it creates important budget constraints, may bring frustrations due to non-working equipment or additional costs hiring expertise for service. in the worst case, patients miss out on important examinations or treatments due to faulty medical of health2. Organization of Clinical Engineering in Medical Devices Management Sector (MDMS) in Ministry of Introduction and Backgroundto design and monitor the technology infrastructure in the albanian health care the Moh must take the lead. The adop-tion of the eU legislative framework for medical devices also requires special attention. since special competence is needed, a special unit within Moh must be set a unit is the Medical Devices Management sector (MDMs) in the Moh, which is responsible for the overall su-pervision and monitoring of the use of medical devices in the health care sector.