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Copyright2018,FacilityHealthInc.
OptimizingPreventativeMaintenance
HOWtoDeployaCMScompliantAEMProgramforUtilityand/orClinicalAssets
PanelDiscussion
FacilityHealthInc.
May10,2018
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Copyright2018,FacilityHealthInc.
OurPanel
RobertVanRees,MBADirectorofFacilities,PlantOperations
AndClinicalEngineeringMunsonHealthcareTraverseCity,MI
Phone:(231)935-7370Email:[email protected]
ClaytonSmith,MBA,CHFMSr.DirectorofFacilities
H.LeeMoffittCancerCenter&ResearchInstitute
Tampa,FLPhone:(813)745-3553
Email:[email protected]
BrianCrum,CHFMVice-President,ProfessionalServices
FacilityHealthInc.Phone:(616)293-9789
Email:[email protected]
MarkMochel,MBA,PMPVice-President,BusinessDevelopment
FacilityHealthInc.Phone:(616)914-2246
Email:[email protected]
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Copyright2018,FacilityHealthInc.
It’sAllAbouttheData…FacilityManagementIssues• AgingFacilities,CostPressures,StaffReductionsandSuccessionPlanningDifficulties
• HistoricalLackofCapitalInvestmentinFacilityInfrastructure.
• IncreasedCompliance,RegulationandOversight• RuntoFail/ReactiveMaintenanceStrategies FacilityManagementOpportunities
• ProcessImprovement,CommandandControl• AEMProgramDeploymentandPreventativeMaintenanceOptimization
• FullAutomationofComplianceandUseofTechnologytoMonitorFacilityPerformance
• ProactiveCapitalInvestmentandRe-InvestmentDoYouKnowWhereYouAreGoing?
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Copyright2018,FacilityHealthInc.
TransformingFacilityManagementAEMProgramDeployment
People.Process.Technology.
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Copyright2018,FacilityHealthInc.
WhatIsAEM?• Compliance
• CMS:RequiresIdentificationofallEquipmentthatispartofanAEMProgram.• TJC:EC02.05.01– “The[organization]managesrisksassociatedwithitsutilitysystems.”
• EC02.05.05– “The[organization]inspects,tests,andmaintainsutilitysystems.”
• TJC:EC02.04.01– “The[organization]managesmedical[laboratory]equipmentrisks.”• EC02.04.03– “The[organization]inspects,tests,andmaintainsmedical[laboratory]equipment.”
• HFAP:PhysicalEnvironment11.06.09ME,11.05.01U,DNVNIAHORev.11.1
• Butitismorethan”just”acomplianceissue.• Theeasyansweris….”wearedoingmanufacturer’srecommendedmaintenance.”Butisthatreality?
• AEMrepresentsanopportunitytotakecontrolofyourfacility.Andtodosoinatransparent,and“compliant”manner.Dowhatyousay,saywhatyoudo.
• LeveragetheAEMProcesses,andData,forcontinuousimprovement.
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Copyright2018,FacilityHealthInc.
Low/NoRiskAssets
LifeSafety,Radiology,Lasers&MostCriticalAssets
HighRiskAssets
ModerateRiskAssets
PortfolioOfBuildingsAndAssets
CMMSastheFoundation
Whereareyoutodaywithyour
WorkOrderSystem?
• Inventory• PMPlan• PMPerformance• Optimize?• Replace?
Clinicaland/orUtilityAssetInventory
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Copyright2018,FacilityHealthInc.
Low/NoRiskAssets
LifeSafety,Radiology,Lasers&MostCriticalAssets
HighRiskAssets
ModerateRiskAssets
PortfolioOfBuildingsAndAssets
Clinicaland/orUtilityAssetInventory
CMMSDataandProcessStandards
Howdoyouwanttomanageyour
facility?
• Inventory• Centralized• Decentralized• Naming,Tagging• CapitalThreshold• WhatisanAsset?
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Copyright2018,FacilityHealthInc.
Low/NoRiskAssets
LifeSafety,Radiology,Lasers&MostCriticalAssets
HighRiskAssets
ModerateRiskAssets
PortfolioOfBuildingsAndAssets
Clinicaland/orUtilityAssetInventory
Doyouknowwhatassetsyouhaveand
howtheyareperforming?
• Inventory• FacilityCondition
Assessment(FCA)• Location• Make/Model/SN• InstallationDate• IndustryStandards
AssetInformationandEngineeringPerformanceBaseline
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Copyright2018,FacilityHealthInc.
Low/NoRiskAssets
LifeSafety,Radiology,Lasers&MostCriticalAssets
HighRiskAssets
ModerateRiskAssets
PortfolioOfBuildingsAndAssets
Clinicaland/orUtilityAssetInventory
CMMSInventoryRiskAssessment
• Inventory• Utility• Risk• Maintenance• Redundancy• EnterpriseStandards• AEMTeam(Including
InfectionConrol)
Standardize
dRiskRankingScores
0
5
10
20
15
25
Haveyouappliedstandardizedriskrankingsforyour
assets?
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Copyright2018,FacilityHealthInc.
UtilityRiskClassificationExamples• UtilityClassification(UC)
1. NonClinical Other2. ClinicalOther3. Transport4. Diagnostic5. EquipmentSupport6. EnvironmentalSupport7. InfectionControl8. LifeSafety
• RiskApplication(RA)1. NoRisk(NFPA994.1.4)2. LossofRedundancy3. DisruptionofComfort(NFPA99
4.1.3)4. DisruptionofService5. LossofRevenue6. Misdiagnosis7. Injury(NFPA994.1.2)8. Death(NFPA994.1.1)
• MaintenanceRequirement(MR)1. None2. Minimal3. Average4. Extensive
TotalRiskValueEqualsUC+RA+MR+EI
• AssetRedundancy1. RedundancyAvailable<1Hour2. RedundancyAvailable<24Hours3. RedundancyAvailable<1Week4. RedundancyUnavailableWithoutSignificant
Effort/Capital>1Week
ConsistencyinRiskClassificationsAcrossMultipleFacilitiesisKey!
Documented.Defensible.
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Copyright2018,FacilityHealthInc.
A change in NFPA 99 (2012) is the requirement to risk rank assets based upon impact of failure. The requirements are as follows:
NFPA 99 4.1 Building System Categories. Building systems in health care facilities shall be designed to meet system Categories 1 through 4 requirements as detailed in this code.4.1.1 Category 1 Facility systems in which failure of such equipment or system is likely to cause major injury or death of patients or caregivers…4.1.2 Category 2 Facility systems in which failure of such equipment is likely to cause minor injury to patients or caregivers…4.1.3 Category 3 Facility systems in which failure of such equipment is not likely to cause injury to patients or caregivers, but can cause patient discomfort…4.1.4 Category 4 Facility systems in which failure of such equipment would have no impact on patient care…
NFPA 99 4.2 Risk Assessment. Categories shall be determined by following and documenting a defined risk assessment procedure.
RiskRankingMappingofNFPARequirements– Part1
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Copyright2018,FacilityHealthInc.
While we agree that these are viable categories, FHI feels that there is room for expansion to add other categories in the same Risk Application, as part of our standard risk ranking application (Required by NFPA 99 4.2):
Score 1: No Risk (NFPA 99 4.1.4)Score 2: Loss of RedundancyScore 3: Disruption of Comfort (NFPA 99 4.1.3)Score 4: Disruption of ServiceScore 5: Loss of RevenueScore 6: LiabilityScore 7: Injury (NFPA 99 4.1.2)Score 8: Death (NFPA 99 4.1.1)
We also include in our asset risk ranking impact based upon other classifications, including Utility Classification (score 1-8), Maintenance Requirement (score 1-4), and Asset Redundancy (score 1-4). This provides a comprehensive review of each asset.
RiskRankingMappingofNFPARequirements– Part2
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Copyright2018,FacilityHealthInc.
Low/NoRiskAssets
LifeSafety,Radiology,Lasers&MostCriticalAssets
HighRiskAssets
ModerateRiskAssets
PortfolioOfBuildingsAndAssets
Clinicaland/orUtilityAssetInventory
CMMSInventoryRiskAssessment
• Inventory• Utility• Risk• Maintenance• Redundancy• EnterpriseStandards• AEMTeam(Including
InfectionControl)
Standardize
dRiskRankingScores
0
5
10
20
15
25
Haveyouappliedstandardizedriskrankingsforyour
assets?
![Page 14: Optimizing Preventative Maintenance - HESNI · 2018-05-16 · CMMS Inventory Risk Assessment ... Make the Commitment to a Proactive Maintenance Strategy Understand Age Of Assets Enforce](https://reader034.vdocument.in/reader034/viewer/2022042219/5ec579a96f458307fe416c81/html5/thumbnails/14.jpg)
Copyright2018,FacilityHealthInc.
Low/NoRiskAssets
LifeSafety,Radiology,Lasers&MostCriticalAssets
ModerateRiskAssets
PortfolioOfBuildingsAndAssets
Clinicaland/orUtilityAssetInventory
Standardize
dRiskRankingScores
0
5
10
20
15
25
LifeSafety,Radiology,Lasers&MostCriticalAssets
HighRiskAssets
ModerateRiskAssets
Low/NoRiskAssets
Mfr.Req.PMPerCode
Mfr.Req.PMByChoice/Risk
ModifiedPMByChoice/Risk
ModifiedorDeferredPMByChoice/Risk
AEMEligibleAssets
ApplicationofRiskRankings– PrioritizingManagementDecisions
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Copyright2018,FacilityHealthInc.
Low/NoRiskAssets
LifeSafety,Radiology,Lasers&MostCriticalAssets
ModerateRiskAssets
PortfolioOfBuildingsAndAssets
Clinicaland/orUtilityAssetInventory
Standardize
dRiskRankingScores
0
5
10
20
15
25
LifeSafety,Radiology,Lasers&MostCriticalAssets
HighRiskAssets
ModerateRiskAssets
Low/NoRiskAssets
Mfr.Req.PMPerCode
Mfr.Req.PMByChoice/Risk
ModifiedPMByChoice/Risk
ModifiedorDeferredPMByChoice/Risk
AEMEligibleAssets
PrioritizedCapitalInvestment
PredictedUsefulLife
TransformingFacilityManagement
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Copyright2018,FacilityHealthInc.
Low/NoRiskAssets
LifeSafety,Radiology,Lasers&MostCriticalAssets
ModerateRiskAssets
PortfolioOfBuildingsAndAssets
Clinicaland/orUtilityAssetInventory
Standardize
dRiskRankingScores
0
5
10
20
15
25
LifeSafety,Radiology,Lasers&MostCriticalAssets
HighRiskAssets
ModerateRiskAssets
Low/NoRiskAssets
Mfr.Req.PMPerCode
Mfr.Req.PMByChoice/Risk
ModifiedPMByChoice/Risk
ModifiedorDeferredPMByChoice/Risk
AEMEligibleAssets
PrioritizedCapitalInvestment
PredictedUsefulLife
TransformingFacilityManagement
BudgetingandForecastingPolicyDocumentation
AEMand
PMPolicyDo
cumen
tatio
n
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Copyright2018,FacilityHealthInc.
ContinuousImprovement– TransformingFacilityManagementUtilityAssetPerformanceData,PrioritizedBasedonRisk
ValidateAssetInventory
MaketheCommitmenttoaProactiveMaintenanceStrategy
UnderstandAgeOfAssets
EnforceCMMSDiscipline
MonitorPMPerformance
MonitorWOPerformance
SupportsPDCProjects,MasterPlanning,EnergyPrograms,andSuccessionPlanning
AssessRisk
ImplementAEMProgram
FollowTheData
PrioritizeInvestments
SecureTheOperationsandCapitalBudgets
YouNeedModifyPM’s Re-Invest$$
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Copyright2018,FacilityHealthInc.
ContactInformation
RobertVanRees,MBADirectorofFacilities,PlantOperations
AndClinicalEngineeringMunsonHealthcareTraverseCity,MI
Phone:(231)935-7370Email:[email protected]
ClaytonSmith,MBA,CHFMSr.DirectorofFacilities
H.LeeMoffittCancerCenter&ResearchInstitute
Tampa,FLPhone:(813)745-3553
Email:[email protected]
BrianCrum,CHFMVice-President,ProfessionalServices
FacilityHealthInc.Phone:(616)293-9789
Email:[email protected]
MarkMochel,MBA,PMPVice-President,BusinessDevelopment
FacilityHealthInc.Phone:(616)914-2246
Email:[email protected]
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Copyright2018,FacilityHealthInc.
ThankYou!
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Copyright2018,FacilityHealthInc.
People
Analogvs.DigitalFacilityManagement
Technology
Processes
Q:WhereDoYouStart?
A:HowDoYouWanttoManageYourFacility?
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Copyright2018,FacilityHealthInc.
PeopleAndCulture
Analogvs.DigitalFacilityManagement
TechnologyAndData
ProcessesAndStandards
Example:AEMProgramDeployment
PreventativeMaintenanceOptimization