2019 CSCE Annual Conference - Laval (Greater Montreal) Conference
Dr. Tarek Zayed, Concordia University
Healthcare facilities are one of the most important assets in a country as their number and quality is a common measure of the society’s prosperity and quality of life. Healthcare facilities include a wide range of types including: medical clinics, dental offices, nursing homes, birthing centers, hospitals and out-patient surgery centers.
Hospitals are the biggest facilities compared to other facility types and are the most complex to operate and maintain as they should work 24/7 with maximum performance and any mistake could cost the lives of many humans at a time. Hospitals also employ a wide variety of trades from medical staff, to maintenance staff, housekeeping, food service and administrative staff which makes it even harder to coordinate and facilitate the operation and maintenance of the facility.
Although Canada is one of the highest countries all over the globe in the health spending, the Canadian healthcare system and facilities are one of the lowest performers among developed countries. The status of the Canadian hospitals was described in many reports and statistics as a crumbling status as their overall condition received a “POOR” grade based on their deferred maintenance and current replacement values. This can be associated with the maintenance strategies implemented inside the facilities which are preventive (scheduled) and reactive maintenance (run-to-fail).
As a result, this paper recognizes the need to implement a predictive maintenance strategy instead of the currently implemented approaches to increase the performance of hospital buildings and efficiently make use of the funds assigned for healthcare facilities.
This paper assesses the criticality of the various hospital systems and creates a prioritized framework to help optimize the allocation of available funds. Experts were interviewed regarding this matter and their opinions were analyzed using multi-criteria decision-making tools and techniques to evaluate the weight and importance of all hospital systems using pair-wise comparison methods, representing the relative effect of the various systems on the total hospital performance.
The interdependence of the hospital systems was not employed before in the literature which is considered a novelty of this research. The proposed framework can be used by facility and maintenance managers to facilitate the decision-making process regarding maintenance, repair, replacement and renovation activities of hospital buildings and healthcare facilities.