Integrated maintenance monitoring of hospital buildings

The performance of hospital buildings depends to a large degree on the efficiency of maintenance execution. The research objectives were to examine the efficiency of maintenance under alternative maintenance policies and alternative sources of labour (outsourcing vs. in-house). The research focused on main-tenance of hospital buildings as a model for multi-system buildings operating in dynamic environments. The research used a systematic field survey followed by an in-depth statistical analysis. Four key performance indicators (KPIs) were developed. The first, the building performance indicator (BPI), indicates the physical-functional condition of buildings. The second, the manpower sources diagram (MSD), reflects the efficiency of using in-house labour vs. the outsourcing of labour. The third, the maintenance efficiency indicator (MEI), is based on the annual costs of maintenance, the building age coefficient and the building occupancy coefficient. This indicator reflects the efficiency of usage of the resources (labour, outsourcing, materials and spare parts) in maintenance. The fourth indicator deals with the organizational structure of the maintenance division. The proposed KPIs integrate four aspects of hospital facilities management: performance management, composition of labour, efficiency of main-tenance operations and organizational effectiveness. Efficient execution of maintenance management of hospital buildings may be obtained by the simultaneous implementation of the aforementioned KPIs. The proposed indicators may be adapted to other types of facilities, such as office buildings, industrial plants and infrastructure.