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Standardized processes for training and accountability, for an Environmental Services department within a healthcare system, were implemented to see the impact they would have on key performance indicators (KPIs). The KPIs involved infection rate for hospital acquired Clostridium Difficile (CDI), cleaning verification compliance, patient satisfaction, concerning the cleaning of their

Standardized processes for training and accountability, for an Environmental Services department within a healthcare system, were implemented to see the impact they would have on key performance indicators (KPIs). The KPIs involved infection rate for hospital acquired Clostridium Difficile (CDI), cleaning verification compliance, patient satisfaction, concerning the cleaning of their environment, and employee turnover. The results show that standardizing training and an accountability measure can have a significant impact on turnover, contribute to the reduction in CDI cases, ensure cleaning is performed at a high level and that the patient perception requires additional tools to meet their expectations on a consistent basis.
ContributorsZiffer, Steven (Author) / Sullivan, Kenneth (Thesis advisor) / Smithwick, Jake (Committee member) / Lines, Brian (Committee member) / Arizona State University (Publisher)
Created2017
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ABSTRACT Upon joining Arizona State University in July 2017, the author, a registered architect, inherited the oversight of the University Project Design Guidelines. During the following four years, revisions were made to the Project Design Guidelines and implemented for ongoing and future new construction and renovation work at

ABSTRACT Upon joining Arizona State University in July 2017, the author, a registered architect, inherited the oversight of the University Project Design Guidelines. During the following four years, revisions were made to the Project Design Guidelines and implemented for ongoing and future new construction and renovation work at all five Arizona State University campuses. During this time, it became evident that many projects were not following guidelines resulting in costly rework, or hastily submitted variance requests to avoid or replace the design guidelines, typically during, versus prior to, construction. Tracking of these variance requests began in Summer 2020 identifying some commonly requested variance items for discussion by the Project Guidelines Steering Committee. In June 2021, a progressive design-build solicitation was held for a new campus building. During the interview process it was evident that not all parties on the design-build team (owner, architect and general contractor) had the same understanding of the role, importance, or reasoning for project design guidelines. The confusion demonstrated during the variance and interview process made the author curious as to the overall sentiment of design standards in the industry. What areas of project guidelines are emphasized by universities? Is there a correlation between guideline information and the greatest/least amount of construction costs? Can universities be better served by focusing on a comprehensive understanding and implementation of project design guidelines that impact the greatest construction cost of the project?
ContributorsLisiewski II, Joseph Vincent (Author) / Sullivan, Kenneth (Thesis advisor) / Hurtato, Kristen (Committee member) / Standage, Richard (Committee member) / Arizona State University (Publisher)
Created2022
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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 to help overcome them. Two national surveys were distributed to healthcare facility managers and directors to collect quantifiable information

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.
ContributorsCall, Steven Alan (Author) / Sullivan, Kenneth (Thesis advisor) / Hurtado, Kristen (Committee member) / Standage, Richard (Committee member) / Arizona State University (Publisher)
Created2019