The cost of medical equipment plays an important role in the delivery of healthcare. Victoria Hospital Clinical Engineering is an important branch of hospital team management that works to develop strategies to improve service quality and reduce equipment repair costs. Biomedical engineering and maintenance team members are responsible for ensuring the use of quality equipment such as the endoscope and minimizing repair times. All these issues have a major influence on the cost of the hospital project. For example, Victory Hospital, located in Canada, is evaluating different options to reduce the cost of repairing its endoscopes. This equipment is used in the endoscopy department for gastroenterological and surgical interventions. In 1993, 2,500 cases were subject to rough and in-depth maintenance of the equipment, where applicable, before and after each of these cases. Despite proper care of the scope, repairs are still necessary. The total cost of the repair that year was $60,000 and the repair services were performed by an original equipment manufacturer in Ontario. OEM was the only company in place providing the highly engineered parts and services needed to repair these scope equipment. Victoria Hospital and other facilities felt that OEM fees were extremely high, but they had no other options to consider until other companies decided to enter the industry. This turnaround was a way for hospitals like VH to reduce organizational costs because other competitors offered cheaper repairs and written guarantees within a reasonable turnaround time. Unfortunately, the reality is that the third party model is the cheapest in the long run...... middle of paper ...... you understand why the change is necessary. For example, he can explain to employees the advantages and disadvantages of the current process and how the new changes implemented will improve the organization. Smith and his Universal Hosts members will work to promote hospital efficiency. The team should establish a policy and procedure that would be a step towards an organizational structure. This process will constitute a framework that will define the formal hierarchical relationships between the different management levels. For example, guidelines can be used as a process protocol for managers to follow to help their employees through the change process. The team should also provide internal training to all departments so that employees can be aware of and implement the new changes. Training will increase skill level and improve staff productivity.