1. Making Health Facility Safe Through Facility Management
Making Health Facility Safe Through Facility Management. AMEK 2013: Theme; Strengthening Health Facility and Health Care Technology management in Kenya
By;
Anyango P. Amoko RTEngr. (ERB),
Biomedical Engineer
Kakamega County Health Office.
13-15/11/2013
AMEK NAKURU

2. HEALTHCARE FACILITY MANAGER
The healthcare facility manager‟s primary job responsibilities include the following general areas:
Maintenance and Operations
Code Compliance
Planning, Design and Construction
Finance Management
Administration
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AMEK NAKURU

3. AS A FACILITY MANAGER You are expected to:- Constructors
Environmental Services
Materials and Resource Management
Risk Management
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AMEK NAKURU

4. RESPONSIBILITIES OF HCFM
Must have understanding of the operation and maintenance of building systems including but not limited to the following:
HVAC
Electrical distribution
Medical equipment
Refrigeration
• Emergency power
• Safety and security
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AMEK NAKURU

5. SPECIFICS FOR HEALTHCARE FACILITY MANAGER
Steam and hot water
Fire protection
Elevators and pneumatic tube
Medical gas
Plumbing
Grounds keeping
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AMEK NAKURU

6. AS A FACILITY MANAGER You are expected to:
Ensure that the facility is well planned, Design, Constructed and well maintained.
Statutory regulations are ensured to.
Carry out maintenanc e
PPM
RCM Etc.
Perform annual audit on performance of facilities
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AMEK NAKURU

7. AS A FACILITY MANAGER
Your responsibities may include the following:-
Planning, design and direction of activities related to construction and renovation projects. These activities include but are not limited to solicitation and evaluation of bids and consulting with architects, engineers and various contractors.
Facility conformance to all applicable codes and standards including county and National regulatoty authorities as well as private certification organizations. .
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AMEK NAKURU

8. AS A FACILITY MANAGER
Development and management of capital and operational budgets and negotiation of service agreements.
Development and administration of policies and procedures to manage the human resources of the facilities management department
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AMEK NAKURU

9. Facility Quality Assurance
The technical department does not have the manpower to effect the checks and inspections needed to ensure that the facility meets the patient’s expectations
Autonomous maintenance is needed. Ownership of each individual workplace is a must for this initiative to succeed
Technical or engineering does not have the resources to check the complete facility we must involve the total workforce
13-15/11/2013
AMEK NAKURU

10. Facility Quality Assurance
Look at the facility from the patient’s perspective
Follow the route of the patient through your facility
Identify the needs of the patient from a facilities point of view
Do not make assumptions
How did we implement this. We looked at …..
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AMEK NAKURU

11. Environmental Management
Assists legal and statutory compliance
Looks after the environment
Conserves natural resources – water and energy
Encourages good business practices
Our success with ISO can be attributed to integrating the system into the existing hospital infrastructure. It must not be seen as stand alone. It contributes to and assists….
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AMEK NAKURU

12. STANDARD
Part of the application and success of any system is achieved by a generous sprinkling of SPICE. We start with the standard, specification or desired end result
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14. STANDARD Planning We then plan to meet the requirements 13-15/11/2013
AMEK NAKURU

15. STANDARD Planning Identify the Aspects By identifying the aspects or
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AMEK NAKURU

16. Ensure Legal Compliance
Identify the Aspects
Planning
Ensure Legal Compliance
STANDARD
The statuary or legal requirements
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AMEK NAKURU

17. Ensure Legal Compliance
Identify the Aspects
Planning
Ensure Legal Compliance
STANDARD
Implementation
We then move on to implementation
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AMEK NAKURU

18. STANDARD Planning Identify the Aspects Ensure Legal Compliance
Implementation
Where we assign roles and responsibilities and authority. Often overlooked, then we turn around and say “but I gave him the responsibility”. Making someone responsible but with no authority is the same as telling somebody to drive to Johannesburg with no petrol in the car
Assign Roles and Responsibilities
and Authority
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AMEK NAKURU

19. STANDARD Planning Identify the Aspects Ensure Legal Compliance
Implementation
Part the implementation process is training. This could be both awareness training on the system or competency training to meet the job requirements
Assign Roles and Responsibilities
and Authority
Conduct Training
13-15/11/2013
AMEK NAKURU

20. STANDARD Planning Identify the Aspects Ensure Legal Compliance
Implementation
Having implemented the system we now need to check and monitor. This allows you to apply fixes before we wander to far off the main objective
Assign Roles and Responsibilities
and Authority
Conduct Training
Checking and Monitoring
13-15/11/2013
AMEK NAKURU

21. STANDARD Planning Identify the Aspects Ensure Legal Compliance
Corrective and Preventive Action
Implementation
How do we do this? By Corrective and preventive actions
Assign Roles and Responsibilities
and Authority
Conduct Training
Checking and Monitoring
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AMEK NAKURU

22. STANDARD Planning Identify the Aspects Ensure Legal Compliance
Corrective and Preventive Action
Implementation
With internal audits
Assign Roles and Responsibilities
and Authority
Conduct Training
Checking and Monitoring
Internal Audits
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AMEK NAKURU

23. STANDARD Planning Identify the Aspects Ensure Legal Compliance
Corrective and Preventive Action
External Audits
Implementation
And external audits. I will expand on planned maintenance audits later in the presentation
Assign Roles and Responsibilities
and Authority
Conduct Training
Checking and Monitoring
Internal Audits
13-15/11/2013
AMEK NAKURU

24. STANDARD Planning Evaluation Identify the Aspects
Ensure Legal Compliance
STANDARD
Corrective and Preventive Action
External Audits
Implementation
After we have done all this we need to look back and measure hoe we performed
Assign Roles and Responsibilities
and Authority
Conduct Training
Checking and Monitoring
Internal Audits
13-15/11/2013
AMEK NAKURU

25. STANDARD Planning Evaluation Management Review Identify the Aspects
Ensure Legal Compliance
STANDARD
Corrective and Preventive Action
External Audits
Implementation
And we do this with a management review. The management review looks at the audit results, corrective and preventive actions, feedback from the client of any other tool to evaluate how we did
Assign Roles and Responsibilities
and Authority
Conduct Training
Checking and Monitoring
Internal Audits
13-15/11/2013
AMEK NAKURU

26. STANDARD Planning Evaluation Management Review Identify the Aspects
Ensure Effectiveness
Ensure Legal Compliance
STANDARD
Corrective and Preventive Action
External Audits
Implementation
The management team then sets up an action plan to ensure effectiveness of the system
Assign Roles and Responsibilities
and Authority
Conduct Training
Checking and Monitoring
Internal Audits
13-15/11/2013
AMEK NAKURU

27. SPICE STANDARD Planning Evaluation Management Review
Identify the Aspects
Planning
Evaluation
Ensure Effectiveness
Ensure Legal Compliance
STANDARD
Corrective and Preventive Action
External Audits
Implementation
That is how we apply SPICE to your systems in a process of continuous improvement, world class management
Assign Roles and Responsibilities
and Authority
Conduct Training
Checking and Monitoring
Internal Audits
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AMEK NAKURU

28. THANK YOU FOR YOUR ATTENSION
THE END
THANK YOU FOR YOUR ATTENSION
GOD BLESS
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AMEK NAKURU

29. ANY QUESTIONS OR OBSERVATIONS
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AMEK NAKURU