optimizing preventative maintenance - hesni · 2018-05-16 · cmms inventory risk assessment ......

Copyright2018,FacilityHealthInc.

OptimizingPreventativeMaintenance

HOWtoDeployaCMScompliantAEMProgramforUtilityand/orClinicalAssets

PanelDiscussion

FacilityHealthInc.

May10,2018


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


MarkMochel,MBA,PMPVice-President,BusinessDevelopment




It’sAllAbouttheData…FacilityManagementIssues• AgingFacilities,CostPressures,StaffReductionsandSuccessionPlanningDifficulties

• HistoricalLackofCapitalInvestmentinFacilityInfrastructure.

• IncreasedCompliance,RegulationandOversight• RuntoFail/ReactiveMaintenanceStrategies FacilityManagementOpportunities

• ProcessImprovement,CommandandControl• AEMProgramDeploymentandPreventativeMaintenanceOptimization

• FullAutomationofComplianceandUseofTechnologytoMonitorFacilityPerformance

• ProactiveCapitalInvestmentandRe-InvestmentDoYouKnowWhereYouAreGoing?


TransformingFacilityManagementAEMProgramDeployment

People.Process.Technology.


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.


Low/NoRiskAssets

LifeSafety,Radiology,Lasers&MostCriticalAssets

HighRiskAssets

ModerateRiskAssets

PortfolioOfBuildingsAndAssets

CMMSastheFoundation

Whereareyoutodaywithyour

WorkOrderSystem?

• Inventory• PMPlan• PMPerformance• Optimize?• Replace?

Clinicaland/orUtilityAssetInventory


Low/NoRiskAssets


HighRiskAssets

ModerateRiskAssets



CMMSDataandProcessStandards

Howdoyouwanttomanageyour

facility?

• Inventory• Centralized• Decentralized• Naming,Tagging• CapitalThreshold• WhatisanAsset?


Low/NoRiskAssets


HighRiskAssets

ModerateRiskAssets



Doyouknowwhatassetsyouhaveand

howtheyareperforming?

• Inventory• FacilityCondition

Assessment(FCA)• Location• Make/Model/SN• InstallationDate• IndustryStandards

AssetInformationandEngineeringPerformanceBaseline


Low/NoRiskAssets


HighRiskAssets

ModerateRiskAssets



CMMSInventoryRiskAssessment

• Inventory• Utility• Risk• Maintenance• Redundancy• EnterpriseStandards• AEMTeam(Including

InfectionConrol)

Standardize

dRiskRankingScores

0

5

10

20

15

25

Haveyouappliedstandardizedriskrankingsforyour

assets?


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.


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


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


Low/NoRiskAssets


HighRiskAssets

ModerateRiskAssets



CMMSInventoryRiskAssessment

• Inventory• Utility• Risk• Maintenance• Redundancy• EnterpriseStandards• AEMTeam(Including

InfectionControl)

Standardize

dRiskRankingScores

0

5

10

20

15

25

Haveyouappliedstandardizedriskrankingsforyour

assets?


Low/NoRiskAssets


ModerateRiskAssets



Standardize

dRiskRankingScores

0

5

10

20

15

25


HighRiskAssets

ModerateRiskAssets

Low/NoRiskAssets

Mfr.Req.PMPerCode

Mfr.Req.PMByChoice/Risk

ModifiedPMByChoice/Risk

ModifiedorDeferredPMByChoice/Risk

AEMEligibleAssets

ApplicationofRiskRankings– PrioritizingManagementDecisions


Low/NoRiskAssets


ModerateRiskAssets



Standardize

dRiskRankingScores

0

5

10

20

15

25


HighRiskAssets

ModerateRiskAssets

Low/NoRiskAssets

Mfr.Req.PMPerCode




AEMEligibleAssets

PrioritizedCapitalInvestment

PredictedUsefulLife

TransformingFacilityManagement


Low/NoRiskAssets


ModerateRiskAssets



Standardize

dRiskRankingScores

0

5

10

20

15

25


HighRiskAssets

ModerateRiskAssets

Low/NoRiskAssets

Mfr.Req.PMPerCode




AEMEligibleAssets

PrioritizedCapitalInvestment

PredictedUsefulLife

TransformingFacilityManagement

BudgetingandForecastingPolicyDocumentation

AEMand

PMPolicyDo

cumen

tatio

n


ContinuousImprovement– TransformingFacilityManagementUtilityAssetPerformanceData,PrioritizedBasedonRisk

ValidateAssetInventory

MaketheCommitmenttoaProactiveMaintenanceStrategy

UnderstandAgeOfAssets

EnforceCMMSDiscipline

MonitorPMPerformance

MonitorWOPerformance

SupportsPDCProjects,MasterPlanning,EnergyPrograms,andSuccessionPlanning

AssessRisk

ImplementAEMProgram

FollowTheData

PrioritizeInvestments

SecureTheOperationsandCapitalBudgets

YouNeedModifyPM’s Re-Invest$$


ContactInformation

RobertVanRees,MBADirectorofFacilities,PlantOperations

AndClinicalEngineeringMunsonHealthcareTraverseCity,MI

Phone:(231)935-7370Email:[email protected]

ClaytonSmith,MBA,CHFMSr.DirectorofFacilities

H.LeeMoffittCancerCenter&ResearchInstitute

Tampa,FLPhone:(813)745-3553


BrianCrum,CHFMVice-President,ProfessionalServices



MarkMochel,MBA,PMPVice-President,BusinessDevelopment




ThankYou!


People

Analogvs.DigitalFacilityManagement

Technology

Processes

Q:WhereDoYouStart?

A:HowDoYouWanttoManageYourFacility?


PeopleAndCulture

Analogvs.DigitalFacilityManagement

TechnologyAndData

ProcessesAndStandards

Example:AEMProgramDeployment

PreventativeMaintenanceOptimization

optimizing preventative maintenance - hesni · 2018-05-16 · cmms inventory risk assessment ......

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