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© AAMI 2018 www.aami.org
Introduction of Clinical Engineer
System in Japan June 1 | 13:00-17:00
Hiroki Igeta, MSc, BEng, CCE 1) 2)
Aso Iizuka Hospital 1)
Japan Association for Clinical Engineers (JACE) 2)
・ Clinical Engineer License System
Established in 1987
National License
・ Education
4 years education in university
or
3 years education at a polytechnic college
Clinical Engineers : Japan
Operating Equipment in the Clinical Environment 40%
• Respiratory therapy
• Perfusion (HEART-LUNG machine)
• Dialysis (Dialysis equipment)
• Operative treatment (Surgical equipment)
• Intensive care units
• Cardiac catheterization
• Catheter abrasion for arrhythmias
• Hyperbaric oxygen therapy
• Other treatment (defibrillators)
• Pacemaker, ICD, CRT
Service Delivery Management 20%
Patient Safety 20%
Healthcare Technology Management (HTM) 20%
The Facts
Haemodialysis
Cardiac Catheter
(intervention)
HTM
Hyperbaric Oxygen Therapy Intensive Care Perfusion
Operation Room
Endoscopy
Operation Assistance
Staff Education Pacemaker Clinic Capsule Endoscopy
(Interpretation)
Our Clinical Fields (a case of Aso Iizuka Hospital)
Japan Association for Clinical Engineers
(JACE)
JACE was established under the approval of the Ministry of Health,
Labor, and Welfare (MHLW) in March 2002.
The objective of JACE is to contribute to the promotion and development of
the nation’s medical care and welfare through the raise of professional ethics of
CEs, enhancement of their professional knowledge and skills, and
improvement of reliability of equipment-based medical care and welfare,
including life-support systems.
About 40,000 licensed Clinical Engineers in Japan
About 19,000 of them are the members of JACE
Roles of JACE
• Safety Management Activities in Clinical Engineering Fields
• Awareness Activities
• Development of Knowledges and Skills, and Quality Improvement
• Welfare for the Members
• Publishing Books and Journals
Annual Conference of JACE
120 Oral Presentations
500 Poster Presentations
5 Lectures
18 Luncheon Seminars
2 Lectures Open to the Public
4 Symposiums
17 Workshops
40 Exhibitions
Participant: Over 5,000
(The 25th Congress of JACE in 2015)
Organisations of JACE
The General Assembly
Election administration committee
Board
General Affairs Dept.
Finance Dept.
Operation Dept.
Academic Dept.
The General Assembly Management Committee Work-Life Balance Committee Ethics and Legal Committee Statistics Committee Intensive Care Committee Respiratory Care Committee Home Care Committee Safety Management Committee etc. Finance Committee Haemodialysis Related Safety Committee Vascular Access Management Committee Disaster Response Committee International Committee Medical-Academia-Industrial Collaboration Committee Journal Editorial Committee News Letter Editorial Committee etc. JACE Academy Management Committee Certification System Committee JACE Award Management Committee etc.
20 committees
1 committee
14 committee
11 committee
The Roles
1) To promote medical device development
based on clinical needs
2) To support our members in device development
3) To expand CEs’ fields and opportunities
Medical-Academia-Industrial Collaboration Committee
Activities of the Committee
・ Idea posting system on the web site of JACE
・ Needs/idea evaluation service by committee
・ Introducing CEs’ needs and ideas at a matching events.
・ Introducing needs and ideas by CEs at exhibitions, expos, etc.
Certification System Committee
New certification in HTM
Tow layers of certification system (pilot outline)
Standard : Basic knowledge in HTM
Upper level : Advanced level of knowledge in HTM
Aiming to stipulate the CE’s roles on the reimbursement system
Presence of CEs allows to charge more fee
Ideally, linking the certificate with the reimbursement system…
Starting from 2019
Concern for the Future
0
20
40
60
80
100
120
140
1950
1955
1960
1965
1970
1975
1980
1985
1990
1995
2000
2005
2010
2015
2020
2025
2030
2035
＜65y/o
≧65y/o
million
Population Trends of Japan
Data from “Bureau of Statistics of the Ministry of
Internal Affairs and Communications”
Number of Clinical Engineers
0
10,000
20,000
30,000
40,000
50,000
2005
2007
2009
2011
2013
2015
2017
2019
2021
2023
2025
1,000
1,200
1,400
1,600
1,800
1990
1995
2000
2005
2010
2015
2020
2025
kilo
Number of Beds
Data from the Ministry of Health, Labour and Welfare
• Medical device development could be a new field to use CEs’
engineering skills and their medical knowledge.
Need to expand CEs’ fields and opportunities
• Stipulating the CE’s roles on the reimbursement system would lead
to strengthened CE’s importance and presence in the clinical fields.
