Hospital Asset Maintenance Engineering for the Next Century

Hospital Asset Maintenance Engineering for the Next Century offers a cutting- edge perspective on the management of physical assets within hospitals, incorporating life cycle assessment support models applicable to various types of assets.
This book provides a comprehensive overview of hospital physical assets, addressing aspects such as asset maintenance, metrology, cross- infection control, spare parts management, logistics, and adherence to international standards, all framed within a lean approach to holistic medicine practiced in healthcare settings. It also delves into the convergence of future hospital concepts, including a biophilic design approach, with the latest advancements in engineering maintenance, and life cycle assessment methodologies.
This book will be an asset for hospital engineers, facility managers, professionals, students and researchers involved in healthcare infrastructure and maintenance.

Contents
About the Author........................................................................................................ix
Chapter 1 Global Framework.................................................................................1
1.1 Framework..................................................................................1
1.2 Physical Assets KPI's..................................................................3
1.3 Physical Assets Around the World..............................................6
1.4 Political Options.......................................................................10
Chapter 2 Physical Assets....................................................................................14
2.1 Buildings...................................................................................14
2.2 Technical Facilities...................................................................16
2.3 Equipment.................................................................................17
Chapter 3 Physical Assets Maintenance..............................................................26
3.1 Framework................................................................................26
3.1.1 Transversal Concepts...................................................26
3.1.2 Maintenance Algorithms.............................................28
3.1.3 Metrology....................................................................30
3.1.4 Key Performance Indicators........................................36
3.2 Building Maintenance...............................................................40
3.3 Technical Facilities Maintenance..............................................42
3.4 Equipment Maintenance...........................................................46
3.5 New Maintenance Planning Approaches..................................53
3.5.1 Maintenance of Buildings...........................................54
3.5.2 Maintenance of Technical Facilities............................56
3.5.3 Maintenance of Medical Equipment...........................59
Chapter 4 Physical Assets Life Cycle Management............................................66
4.1 General Concepts......................................................................66
4.2 Public Private Partnerships.......................................................68
4.3 Main Life Cycle Models...........................................................71
4.3.1 Linear Depreciation Method.......................................71
4.3.2 Sum of the Digits Method...........................................72
4.3.3 Exponential Method....................................................73
4.4 A Holistic Model for the Physical Assets Life Cycle...............75
4.5 Life Cycle Investment Considering Maintenance
and Non- Production..................................................................75
4.6 Life Cycle of Physical Assets with Recovery...........................77
4.6.1 Basic Concepts to Support Math Models....................77
4.6.2 Behaviour of the Physical Asset Value Over Time......79
4.6.3 Production Economic Movements..............................79
4.6.4 Functioning Economic Movements.............................81
4.6.5 Global Movements Analysis.......................................81
4.6.6 Return On Investment..................................................82
4.6.7 Example of Lice Cycle of Physical Assets with
Recovery......................................................................82
4.7 Reserve Set................................................................................83
4.7.1 Reserve Set Example...................................................85
Chapter 5 Cross Infection....................................................................................89
5.1 Cross Infection Framework.......................................................89
5.2 Cross Infection and Hospital Design........................................92
5.3 Cross Infection and Logistics....................................................97
Chapter 6 Vertical Standards..............................................................................103
6.1 Standards for Buildings...........................................................103
6.2 Standards for Technical Facilities...........................................103
6.3 Standards for Medical Equipment..........................................104
Chapter 7 Horizontal Standards.........................................................................113
7.1 Physical Asset Management Standards...................................113
7.2 Maintenance Standards...........................................................118
7.3 Risk Standards........................................................................118
7.4 Energy Standards....................................................................120
7.5 Environmental Standards........................................................123
7.5.1 Circular Economy Standards.....................................125
Chapter 8 Stocks Management..........................................................................129
8.1 Spare Parts..............................................................................129
8.2 Pareto Analysis........................................................................130
8.3 Main Approaches....................................................................131
8.3.1 Supply Program.........................................................132
8.3.2 Order Point................................................................136
8.3.3 Procurement Plan......................................................138
8.3.4 Security Parts.............................................................139
Chapter 9 Acquisition Models...........................................................................142
9.1 Terms of Reference.................................................................142
9.1.1 Term of Reference to Purchase Physical assets.........144
9.1.2 Term of Reference for Acquisition of
Maintenance Services................................................148
9.1.3 Term of Reference for Leasing and Renting.............152
Chapter 10 Lean Management.............................................................................157
10.1 Lean Thinking.......................................................................157
10.2 A3 Method............................................................................169
10.3 GUT Matrix..........................................................................169
10.4 6 Sigma.................................................................................171
10.5 PDCA...................................................................................172
10.6 Ishikawa Diagram.................................................................173
10.7 Brainstorming.......................................................................174
10.8 SCRUM................................................................................177
10.9 SWOT Analysis....................................................................178
10.10 Hoshin Kanri........................................................................180
Chapter 11 Hospital Logistics..............................................................................183
11.1 Framework..............................................................................183
11.2 Algorithms for Logistics.........................................................187
11.3 Just- In- Time............................................................................193
11.4 Robots in Logistics.................................................................196
11.5 Other Approaches....................................................................197
Chapter 12 Hospital of the Future........................................................................199
12.1 Holistic Medicine....................................................................199
12.2 Naturopathy.............................................................................202
12.3 Acupuncture............................................................................202
12.4 Homeopathy............................................................................203
12.5 Osteopathy..............................................................................205
12.6 Ayurveda.................................................................................205
12.7 A Vision of the Hospital of the Future....................................206
Index.......................................................................................................................209