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.

José Manuel Torres Farinha has Habilitation in Electrical and Computer Engineering, a PhD in Mechanical Engineering and a degree in Electrical Engineering, option Energy. He is a National Defence Auditor. He is Full Professor in Polytechnic University of Coimbra (IPC) and its former President. He is the Coordinator of the Master's Degree in Engineering and Management of Physical Assets in IPC. He has completed more than on hundred of PhD and MSc supervisions. He has published four books, two in National edition and two in International edition. He has more than 250 publications - articles in indexed and non-indexed international journals, in national magazines and in proceedings of international and national congresses. He has several registered patents (National and International). He is a Specialist Member of Industrial Maintenance Specialization and a Counsellor Member of the Portuguese Association of Engineers. He was nominated for the shortlist of the McKeown Award for Individual Achievement in 2024 and was the Asset Management Individual Award runner- up in 2018 at the IAM Excellence Awards.

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