Multicriteria Assessment and Prioritization of Hospital Renewal Needs
Publication: Journal of Performance of Constructed Facilities
Volume 28, Issue 3
Abstract
Accurate performance assessment of building systems and subsystems (e.g., roof, boiler, windows, etc.) is essential to properly prioritize the subsystems that compete for capital renewal funding. Typically, the performance assessment of buildings has been based on physical condition alone, which is not sufficient for specialized facilities such as hospitals. This paper introduces a practical multicriteria performance assessment framework for hospitals with four unique features: (1) it divides the hospital into three zones with different characteristics and importance: clinical, nursing, and support; (2) it assesses the performance of hospital subsystems, considering four key performance indicators: condition, level of service, sustainability, and risk; (3) it assesses the service quality (temperature, lighting, noise, etc.) within various indoor spaces and accordingly determines the level of service of related subsystems; and (4) it incorporates a simple all-on-site visual inspection application that automatically computes the subsystems’ overall priority indexes. A survey among hospital maintenance experts was used to collect data for the design and verification of the proposed framework. This paper discusses the framework design and its benefits in improving the performance assessments of hospitals.
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References
Brandt, E., and Rasmussen, M. H. (2002). “Assessment of building conditions.” Energy Build., 34(2), 121–125.
Charette, R., and Marshall, E. (1999). “UNIFORMAT II elemental classification for building specifications, cost estimating, and cost analysis.” NISTIR 6389, U.S. Dept. of Commerce 〈http://fire.nist.gov/bfrlpubs/build99/PDF/b99080.pdf〉 (Jul. 11, 2012).
Christodoulou, S., Deligianni, A., Aslani, P., and Agathokleous, A. (2009). “Risk-based asset management of water piping networks using neurofuzzy systems.” Comput. Environ. Urban Syst., 33(2), 138–149.
Enache-Pommer, E., and Horman, M. (2008). “Greening of healthcare facilities: Case studies of children’s hospitals.” Proc., Architectural Engineering Institute (AEI) 2008: Building Integration Solutions, ASCE, Reston, VA, 1–10.
Eweda, A., Zayed, T., and Alkass, S. (2010). “An integrated condition assessment model for buildings.” Proc., Construction Research Congress, ASCE, Reston, VA, 1386–1395.
Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century, National Academy Press, Washington, DC.
Lavy, S., and Shohet, I. M. (2009). “Integrated healthcare facilities maintenance management model: Case studies.” Facilities, 27(3/4), 107–119.
Lützkendorf, T., and Lorenz, D. (2005). “Sustainable property investment: Valuing sustainable buildings through property performance assessment.” Build. Res. Inform., 33(3), 212–234.
Ministry of Health and Long-Term Care (MHLTC). (2008). “Health infrastructure renewal fund guidelines: 2007-08.” Ministry of Health and Long-Term Care, Capital Planning and Strategies Branch, Service Ontario, Toronto.
Moubray, J. (1997). Reliability-centered maintenance, 2nd Ed., Butterworth-Heinemann, Oxford, U.K.
Moy, F., Jr. (1995). “Facility ‘wellness’: Health facilities management.” Facilities, 13(9/10), 45–48.
Nasser, K. (2007). “Level of service analysis of corridors in buildings using discrete event simulation.” Arch. Sci. Rev., 50(4), 313–322.
Shohet, I. (2006). “Key performance indicators for strategic healthcare facilities maintenance.” J. Constr. Eng. Manage., 345–352.
Shohet, I. M. (2003a). “Building evaluation methodology for setting maintenance priorities in hospital buildings.” Construct. Manag. Econ., 21(7), 681–692.
Shohet, I. M. (2003b). “Key performance indicators for maintenance of health-care facilities.” Facilities, 21(1/2), 5–12.
Shohet, I. M., and Lavy, S. (2004). “Healthcare facilities management: State of the art review.” Facilities, 22(7/8), 210–220.
Uzarski, D. R. (2002). Condition assessment manual for building components for use with BUILDER version 2.1, U.S. Army Engineering Research and Development Center-Construction Engineering Research Laboratory (ERDC-CERL), Champaign, IL.
VFA. (2012). “Capital planning and asset management solutions.” 〈http://www.vfa.com/〉 (Aug. 4, 2012).
Information & Authors
Information
Published In
Journal of Performance of Constructed Facilities
Volume 28 • Issue 3 • June 2014
Pages: 528 - 538
Copyright
© 2014 American Society of Civil Engineers.
History
Received: Aug 6, 2012
Accepted: Mar 8, 2013
Published online: Mar 11, 2013
Published in print: Jun 1, 2014
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