Matching Items (13)

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Process Improvement in Healthcare Facility Benchmarking Report Data Collection and Delivery Methods for Healthcare Facility Maintenance

Description

ABSTRACT
Academic literature and industry benchmarking reports were reviewed to determine the way facilities benchmarking reports were perceived in the healthcare industry. Interviews were conducted through

ABSTRACT
Academic literature and industry benchmarking reports were reviewed to determine the way facilities benchmarking reports were perceived in the healthcare industry. Interviews were conducted through a Delphi panel of industry professionals who met experience and other credential requirements. Two separate rounds of interviewing were conducted where each candidate was asked the same questions to determine the current views of benchmarking reports and associated data in the healthcare industry. The questions asked in the second round were developed from the answers to the first-round questions. The research showed the panel preferred changes in the data collection methods as well as changes in the way the data is presented. The need for these changes was unanimous among the members of the panel. The main recommendations among the group were:
1. An interactive method such as a member portal with the ability to customize, run scenarios, and save data is the preferred method.
2. Facilities Management (FM) teams are often not included in the data collection of the benchmark reports. Including FM groups would allow more accuracy and more detailed data resulting in more accurate and in-depth reports.
3. More consistency and “apples to apples” comparisons need to be provided in the reports. More categories and variables need to be added to the reports to offer more in depth comparisons and assessments between buildings. Identifiers to help the users compare the physical condition of their facility to others needs to be included. Suggestions are as follows:
a. Facility Condition Index (FCI)- easily available to all participants and allows an idea of the comparison of upkeep and maintenance of their facility to that of others.
b. An indicator on whether the comparison buildings are Centers for Medicare and Medicaid Services (CMS) accredited.
4. Gross Square Footage (GSF) is not an accurate assessment on its own. Too many variables are left unidentified to offer an accurate assessment with this method alone.

Contributors

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Created

Date Created
  • 2020

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Maintaining Performance: Evidence-Based Educational Facility Management Through A Decision-Support Tool Leveraging Prior Empirical Research

Description

Public institution facility operations and maintenance is a significant factor enabling an institution to achieve its stated objectives in the delivery of public service. To meet the societal need, Facility

Public institution facility operations and maintenance is a significant factor enabling an institution to achieve its stated objectives in the delivery of public service. To meet the societal need, Facility Directors must make increasingly complex decisions managing the demands of building infrastructure performance expectations with limited resources. The ability to effectively measure a return-on-investment, specific to facility maintenance indirect expenditures, has, therefore, become progressively more critical given the scale of public institutions, the collective age of existing facilities, and the role these institutions play in society.

This research centers on understanding the method of prioritizing routine work in support of indirect institutional facility maintenance expense through the lens of K-12 public education in the state of Arizona. The methodology documented herein utilizes a mixed method approach to understand current facility maintenance practices and assess the influence of human behavior when prioritizing routine work. An evidence-based decision support tool, leveraging prior academic research, was developed to coalesce previously disparate academic studies. The resulting process provides a decision framework for prioritizing decision factors most frequently correlated with academic outcomes.

A purposeful sample of K-12 unified districts, representing approximately one-third of the state’s student population and spend, resulted in a moderate to a strong negative correlation between facility operations and student outcomes. Correlation results highlight an opportunity to improve decision making, specific to the academic needs of the student. This research documents a methodology for constructing, validation, and testing of a decision support tool for prioritizing routine work orders. Findings from a repeated measures crossover study suggest the decision support tool significantly influenced decision making specific to certain work orders as well as the Plumbing and Mechanical functional areas. However, the decision support tool was less effective when prioritizing Electrical and General Maintenance work orders.

Moreover, as decision making transitioned away from subjective experience-based judgment, the prioritization of work orders became increasingly more consistent. The resulting prioritization, therefore, effectively leveraged prior empirical, evidence-based decision factors when utilizing the tool. The results provide a system for balancing the practical experience of the Facility Director with the objective guidance of the decision support tool.

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Created

Date Created
  • 2019

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Application of transaction cost economics within the facilities and construction industry to improve project outcomes: a case study approach

Description

This thesis draws on industry experience and academic literature to highlight several problems facing the construction and facility management industries. These problems include issues with product delivery performance and financial

This thesis draws on industry experience and academic literature to highlight several problems facing the construction and facility management industries. These problems include issues with product delivery performance and financial failures that often lead firms to spend much more than anticipated, while obtaining much less of a product. Transaction-cost economics theory and literature are presented as a model for understanding, predicting, and preventing these problems. Transaction-cost economics suggests that specificity and uncertainty, two key characteristics of industry transactions, are improperly aligned with governance structures, leading to preventable failures. This thesis highlights several case studies in which these failures occur and argues that the correct application of this theory can mitigate many of these problems. A final case study illustrates how this alignment can make a difference in outcome without a compromise of quality.

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Created

Date Created
  • 2019

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Meta-Analysis of the Healthcare Facility Management Workforce: A Learning Framework to Address the 2030 Succession Challenge

Description

This research seeks to better understand the current state of US healthcare FM industry hiring practices from colleges and universities to identify potential employment barriers into healthcare FM and interventions

This research seeks to better understand the current state of US healthcare FM industry hiring practices from colleges and universities to identify potential employment barriers into healthcare FM and interventions to help overcome them. Two national surveys were distributed to healthcare facility managers and directors to collect quantifiable information on healthcare organizations, hiring practices from FM academic programs, individual demographics, and opinions of FM college graduates. Designated survey respondents were also contacted for phone interviews. Additionally, a Delphi method was used for this research to draw upon the collective knowledge and experience of 13 experts over three iterative rounds of input.

Results indicate that the healthcare FM industry is hiring very few college interns and new college graduates for entry-level management jobs. Strong homogeneousness demographics, backgrounds, and paths of entry among existing healthcare FM professionals has created an industry bias against candidates attempting to enter healthcare FM from non-traditional sources. The healthcare FM industry’s principal source for new talent comes from building trade succession within healthcare organizations. However, continuing to rely on building tradespersons as the main path of entry into the healthcare FM industry may prove problematic. Most existing healthcare facility managers and directors will be retiring within 10 years, yet it is taking more than 17 years of full-time work experience to prepare building tradespersons to assume these roles.

New college graduates from FM academic programs are a viable recruitment source for new talent into healthcare FM as younger professionals are commonly entering the healthcare FM through the path of higher education. Although few new college graduates enter the healthcare FM industry, they are experiencing similar promotion timeframes compared to other candidate with many years of full-time work experience. Unfamiliarity with FM academic programs, work experience requirements, limited entry-level jobs within small organizations, low pay, and a limited exposure to healthcare industry topics present challenges for new FM college graduates attempting to enter the healthcare FM industry. This study shows that gaps indeed exist in student learning outcomes for a comprehensive healthcare FM education; key technical topics specific to the healthcare industry are not being addressed by organizations accrediting construction and facility management academic programs. A framework is proposed for a comprehensive healthcare FM education including accreditation, regulatory and code compliance, infection control, systems in healthcare facilities, healthcare construction project management and methods, and clinical operations and medical equipment. Interestingly, academics in the field of FM generally disagree with industry professionals that these technical topics are important student learning outcomes. Consequently, FM academics prefer to teach students general FM principles with the expectation that specific technical knowledge will be gained in the workplace after graduation from college. Nevertheless, candidates attempting to enter healthcare FM without industry specific knowledge are disadvantaged due to industry perceptions and expectations. University-industry linkage must be improved to successfully attract students into the field of healthcare FM and establish colleges and universities as a sustainable recruitment source in helping address FM attrition.

This paper is valuable in establishing the current state of the US healthcare industry’s hiring practices from FM academic programs and identifying major barriers of entering the healthcare FM industry for new FM college graduates. Findings facilitate development of interventions by healthcare organizations and universities to further open FM academic programs as a sustainable source of new talent to help address healthcare FM attrition, including a healthcare FM education framework to elucidate college student learning outcomes for successful employment in healthcare FM. These student learning outcomes provide a framework for both the healthcare industry and academia in preparing future facility managers.

Contributors

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Created

Date Created
  • 2019

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Application of lean six sigma to improve service in healthcare facilities management: a case study

Description

The purpose of this paper is to present a case study on the application of the Lean Six Sigma (LSS) quality improvement methodology and tools to study the analysis and

The purpose of this paper is to present a case study on the application of the Lean Six Sigma (LSS) quality improvement methodology and tools to study the analysis and improvement of facilities management (FM) services at a healthcare organization. Research literature was reviewed concerning whether or not LSS has been applied in healthcare-based FM, but no such studies have been published. This paper aims to address the lack of an applicable methodology for LSS intervention within the context of healthcare-based FM. The Define, Measure, Analyze, Improve, and Control (DMAIC) framework was followed to test the hypothesis that LSS can improve the service provided by an FM department responsible for the maintenance and repair of furniture and finishes at a large healthcare organization in the southwest United States of America. Quality improvement curricula and resources offered by the case study organization equipped the FM department to apply LSS over the course of a five-month period. Qualitative data were gathered from pre- and post-intervention surveys while quantitative data were gathered with the Organization’s computerized maintenance management system (CMMS) software. Overall, LSS application proved to be useful for the intended purpose. The author proposes that application of LSS by other FM departments to improve their services could also be successful, which is noteworthy and deserving of continued research.

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Created

Date Created
  • 2017

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Cost-effectiveness in roofing: Alpha SPF roofs

Description

The performance of the Alpha Sprayed Polyurethane Foam (SPF) roofing system is perceived as not an economical option when compared to a 20-year modified bitumen roofing system. Today, the majority

The performance of the Alpha Sprayed Polyurethane Foam (SPF) roofing system is perceived as not an economical option when compared to a 20-year modified bitumen roofing system. Today, the majority of roofs are being replaced, rather than newly installed. The coating manufacturer, Neogard, implemented the Alpha roofing program to identify the best contractors in the industry and to measure their roof performance. The Alpha roof system has shown consistent high performance on over 230 million square feet of surveyed roof. The author proposes to identify if the Alpha roof system is renewable, has proven performance that competes with the traditional modified roofing system, and is a more economical option by evaluating an Alpha roof system installation and the performance of a 29-year-old Alpha roof system. The Dallas Independent School District utilized the Alpha program for William Lipscomb Elementary School in 2016. Dallas Fort Worth Urethane installed the Alpha SPF roof system with high customer satisfaction ratings. This roofing installation showed the value of the Alpha roof system by saving over 20% on costs for the installation and will save approximately 69% of costs on the recoating of the roof in 20 years. The Casa View Elementary School roof system was installed with a Neogard Permathane roof system in 1987. This roof was hail tested with ten drops from 17 feet 9 inches of 1-3/4-inch steel ball (9 out of 10 passed) and four drops from 17 feet 9 inches with a 3-inch diameter steel ball (2 out of 4 passed). The analysis of the passing and failing core samples show that the thickness of the top and base Alpha SPF coating is one of the major differences in a roof passing or failing the FM-SH hail test. Over the 40-year service life, the main difference of purchasing a 61,000 square feet Alpha SPF roof versus modified bitumen roof are savings of approximately $1,067,500. Past hail tests on Alpha SPF roof systems show its cost effectiveness with high customer satisfaction (9.8 out of 10), an over 40-year service life after a $6.00/SF recoat and savings of over $1M for DISD.

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Created

Date Created
  • 2017

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Implementing Load Shifting Using Thermal Energy Ice Storage

Description

For decades, load shifting control, one of the most effective peak demand management methods, has attracted attention from both researchers and engineers. Various load shifting controls have been developed

For decades, load shifting control, one of the most effective peak demand management methods, has attracted attention from both researchers and engineers. Various load shifting controls have been developed and introduced in mainly commercial buildings. Utility companies typically penalize consumers with “demand rates”. This along with increased population and increased customer energy demand will only increase the need for load shifting. There have been many white papers, thesis papers and case studies written on the different types of Thermal Energy Storage and their uses. Previous papers have been written by Engineers, Manufacturers and Researchers. This thesis paper is unique because it will be presented from the application and applied perspective of the Facilities Manager. There is a need in the field of Facilities Management for relevant applications. This paper will present and discuss the methodology, process applications and challenges of load shifting using (TES) Thermal Energy Storage, mainly ice storage.

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Created

Date Created
  • 2016

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Nauvoo Illinois Historic Site: a facilities management perspective

Description

ABSTRACT

As the execution of facilities management becomes ever more sophisticated, specialized skill in managing specific types of buildings has become necessary. The sector of maintaining historic structures

ABSTRACT

As the execution of facilities management becomes ever more sophisticated, specialized skill in managing specific types of buildings has become necessary. The sector of maintaining historic structures and sites readily falls into this type of specialized classification. This paper is a case study review of the unique “best practices” at the Nauvoo Historic Site located in Nauvoo, Illinois. It outlines a facilities management model of common core practices that was developed by the author following an assessment of various similar historic preservation campuses and their responsibilities to accurately display historic culture while observing modern-day facilities management techniques. Although these best practices are of great value in Nauvoo, they are proposed to be valuable to other sites as well because of their effectiveness. As a part of the description of best practices, an overview of the unique history of Nauvoo that generated the modern-day interest in the site will be reviewed. Additionally, the Nauvoo Facilities Management (NFM) organization will be detailed and will focus on the unique challenges associated with historic restored and reconstructed structures. Finally, the paper will also examine the use of specific facilities management techniques, management of large-scale visitor events, livestock supervision, workforce dynamics, finance and capital improvements, managing NFM within the corporate structure of a worldwide religious organization, and the part that NFM plays in community relations.

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Created

Date Created
  • 2017

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A longitudinal study of the post-occupancy energy performance of K-12 school buildings in Arizona

Description

Energy performance and efficiency plays of major role in the operations of K-12 schools, as it is a significant expense and a source of budgetary pressure upon schools. Energy performance

Energy performance and efficiency plays of major role in the operations of K-12 schools, as it is a significant expense and a source of budgetary pressure upon schools. Energy performance is tied to the physical infrastructure of schools, as well as the operational and behavioral patterns they accommodate. Little documentation exists within the existing literature on the measured post-occupancy performance of schools once they have begun measuring and tracking their energy performance. Further, little is known about the patterns of change over time in regard to energy performance and whether there is differentiation in these patterns between school districts.

This paper examines the annual Energy Use Intensity (EUI) of 28 different K-12 schools within the Phoenix Metropolitan Region of Arizona over the span of five years and presents an analysis of changes in energy performance resulting from the measurement of energy use in K-12 schools. This paper also analyzes the patterns of change in energy use over time and provides a comparison of these patterns by school district.

An analysis of the energy performance data for the selected schools revealed a significant positive impact on the ability for schools to improve their energy performance through ongoing performance measurement. However, while schools tend to be able to make energy improvements through the implementation of energy measurement and performance tracking, deviation may exist in their ability to maintain ongoing energy performance over time. The results suggest that implementation of ongoing measurement is likely to produce positive impacts on the energy performance of schools, however further research is recommended to enhance and refine these results.

Contributors

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Created

Date Created
  • 2015

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Management of facility commodity contracts: a model for the furniture services industry

Description

Commodity contracts are often awarded on the basis of price. A price-based methodology for making such awards fails to consider the suppliers' ability to minimize the risk of non-performance in

Commodity contracts are often awarded on the basis of price. A price-based methodology for making such awards fails to consider the suppliers' ability to minimize the risk of non-performance in terms of cost, schedule, or customer satisfaction. Literature suggests that nearly all risk in the delivery of commodities is in the interfacing of nodes within a supply chain. Therefore, commodity suppliers should be selected on the basis of their past performance, ability to identify and minimize risk, and capacity to preplan the delivery of services. Organizations that select commodity suppliers primarily on the basis of price may experience customer dissatisfaction, delayed services, low product quality, or some combination thereof. One area that is often considered a "commodity" is the delivery of furniture services. Arizona State University, on behalf of the Arizona Tri-University Furniture Consortium, approached the researcher and identified concerns with their current furnishing services contract. These concerns included misaligned customer expectations, minimal furniture supplier upfront involvement on large capital construction projects, and manufacturer design expertise was not being utilized during project preplanning. The Universities implemented a best value selection process and risk management structure. The system has resulted in a 9.3 / 10 customer satisfaction rating (24 percent increase over the previous system), for over 1,100 furniture projects totaling $19.3M.

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Created

Date Created
  • 2012