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)© AAMI 2018 www.aami.org

Clinical Engineers : Japan・ Clinical Engineer License System
Established in 1987
National License

・ Education
4 years education in universityor
3 years education at a polytechnic college

The Facts
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%

Our Clinical Fields(a case of Aso Iizuka Hospital)

HTM

Haemodialysis

Operation RoomOperation AssistancePerfusion

Intensive Care

Cardiac Catheter(intervention)

Hyperbaric Oxygen Therapy

Endoscopy

Capsule Endoscopy(Interpretation)

Pacemaker Clinic

Staff Education

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 ofCEs, enhancement of their professional knowledge and skills, andimprovement 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
Participant: Over 5,000
120 Oral Presentations
500 Poster Presentations
5 Lectures
18 Luncheon Seminars
2 Lectures Open to the Public
4 Symposiums
17 Workshops
40 Exhibitions(The 25th Congress of JACE in 2015)

Organisations of JACE
General Affairs Dept.
20 committees

Finance Dept.
The General Assembly

Board

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

1 committee

Election administration committee
Operation Dept.
14 committee

Academic Dept.
11 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.

Medical-Academia-Industrial
Collaboration 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

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

Starting from 2019

Upper level : Advanced level of knowledge in HTM

Ideally, linking the certificate with the reimbursement system…

Aiming to stipulate the CE’s roles on the reimbursement system

Presence of CEs allows to charge more fee

Concern for the Future
million140120kilo＜65y/o50,0001,800≧65y/o40,0001,600

100

30,000

80
1,400

60

20,00040

1,200

10,000

20
1,000

0

Number of Clinical Engineers

Data from the Ministry of Health, Labour and Welfare

Need to expand CEs’ fields and opportunities• Medical device development could be a new field to use CEs’
engineering skills and their medical knowledge.
• Stipulating the CE’s roles on the reimbursement system would leadto strengthened CE’s importance and presence in the clinical fields.

2025

2023

2021

2019201720152013

2011

2009

2007

2005

2025

Number of Beds

2020

2015

2010

2005

2000

Data from “Bureau of Statistics of the Ministry ofInternal Affairs and Communications”

1995

2035
2030
2025
2020
2015
2010
2005
2000
1995
1990
1985
1980
1975
1970
1965
1960
1955
1950

Population Trends of Japan

1990

0

Thank you for your attention

Sheep-Rin

Hiroki Igeta
Aso Iizuka Hospital

higetah2@aih-net.com