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Plant Hospital Maintenance
Maintenance Alignment with Hospital
Mission
 1.   Improve the performance of Plant-Hospital Maintenance
      supporting the Environment of Care
 2.   Contain or reduce cost through improved efficiencies
 3.   Improve reporting capabilities and increased use of KPIs and
      metrics
 4.   Direct data from CMMS and to FCA for future asset
      management
 5.   Raise professional and technical knowledge and increase the
      safety of the workforce
 6.   Support and establish a Maintenance environment of
      continuous process improvement
Total Staff
1 FTE / ~50,350gsf
Support Groups for PHM


                         Facilities    Utilities &
                        Maintenance   Engineering

             Work                                    Buildings &
           Management                                 Grounds




 Construction                                                    Strategic
   Services                                                    Partner - HR




                                 Plant-
Academy                                                              Admin
Training                        Hospital                             Services
                               Maintenance
Current PHM Maintenance Profile




  PHM Trade Shops                                                      PHM Area Shops
Electrical - 9300                    Sterilizers & Doors - 9500            Area III – 9510
  I.E. - 9310                            ENWAH I - 9400                    Area I – 9520
           HVAC – 9100                  ENWAH II - 9410                    Area II – 9600
          Plumbing – 9200              Paint & Sign - 9400
                                                                           Area V– 9700
                                  Focused Service Groups (FSGs)
                                             Sterilizer Group
                                            Auto Door Group
                                               Paint Group
                                            Fire Pump Group
                                     Dietetics/Housekeeping Group
                                    Med Gas/Vacuum Support Group
                                  RO Systems & Water Treatment Group
                                         Patient Room PM Group
                                  ENWAH/General Maintenance Group
                                            Fire Alarm Group
                                         Pnueumatic Tube Group
                                     Security Systems/Devices Group
                                       Chill Water System Group
                                    Electrical Systems Testing Group
                                      Emergency Generator Group
                                       HVAC-Refrigeration Group
                                          HVAC Controls Group
                                        Steam Distribution Group
Next Steps for Plant Hospital Maintenance:
  Maintenance Planning and Scheduling
Next Steps – Planning and Scheduling

 Planning
   Describes WHAT and HOW
   It is the process of setting goals, developing strategies and
    outlining tasks and schedules to accomplish the goals
 Scheduling
   Describes WHO and WHEN
   It is the process of assigning an appropriate number of
    workers to the jobs during each day of the week.
   Determines when an activity should start or stop,
    depending on its duration, predecessor activity,
    predecessor relationships, resource availability and target
    completion date


                                                             Source: IDCON
PHM Priority Matrix


  Maintain                                            Strengths


                           • Co-workers & Depth of Talent
                                                                       • Task Significance/Work-plans
                                  • Resources/Environment
                           • Advancement            • Autonomy/Involvement/Technical Skills
• Upper Management
• Training & Development
 Concerns                                                   Priorities
                           • Workload and Growth
                           • Lack of Space
                           • Retirements
                           • Expanding Mission
Recommended Course of Actions

     • Analyze Maintenance Activity History
     • Establish Applicable Leading and Lagging KPIs
 1

     • Move to Reliability Centered Maintenance
       (RCM) through:
     • Planning and Scheduling
     • Proactive and Predictive Maintenance
2    • Process Mapping Modification
     • Increase Asset Management Adjustment with
       FCA Planning
PHM Key Performance Indicators Going Forward
           Lagging         Leading
            KPIs            KPIs
How Many Planners & Supervisors?
Experienced
 and skilled
tradespeople                   1 Planner to 10-20                                        1 Planner to 20-30
                                  tradespeople                                              tradespeople
 Level of Skills and




                                1 Supv. To 10-20                                           1 Supv. To 20-30
    Experience




                                  tradespeople                                               tradespeople


                                1 Planner to 5-10                                        1 Planner to 10-20
                                  tradespeople                                              tradespeople

                                 1 Supv. To 5-10                                            1 Supv. To 10-20
                                  tradespeople                                                tradespeople
 Skills and
 experience
  lacking

                       Poor Systems                                                                                    Great Systems
                                                             Work Systems
                                      (Planning, technical database, scheduling, stores, maintenance computer, etc.)                   Source: IDCON
Vision and Mission – Plant Hospital Maintenance
 Vision
   Achieve excellence and
    leadership in healthcare
    facilities maintenance
    management.
 Mission
   Provide customer
    acclaimed facility
    maintenance, exist as a
    fiscal steward of hospital
    assets, achieve lean
    processes, and cultivate a
    work environment based
    on trust and employee
    collaboration.
Alignment – Anticipated       Outcomes

 Planner & Scheduler Benefits
    1. Improve patient environment
         of care.
    2.   Sustain high customer
         satisfaction scores.
    3.   Reduce equipment downtime &
         Improve worker efficiency &
         safety.
    4.   Manage and execute
         maintenance by Planning and
         Scheduling & Eliminating
         Waste.
    5.   Integrates operating &
         maintenance activities and
         provides information for
         continuous improvement.
    6.   Promote a fully integrated
         Maintenance culture.
World Class Maintenance is a process –
Looking for ways to improve is a never ending process



                                                 Alignment




                                   Flexibility


                                                        Planning &
                                                        Scheduling

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PHM Phase 2 Strategy

  • 2. Maintenance Alignment with Hospital Mission 1. Improve the performance of Plant-Hospital Maintenance supporting the Environment of Care 2. Contain or reduce cost through improved efficiencies 3. Improve reporting capabilities and increased use of KPIs and metrics 4. Direct data from CMMS and to FCA for future asset management 5. Raise professional and technical knowledge and increase the safety of the workforce 6. Support and establish a Maintenance environment of continuous process improvement
  • 3. Total Staff 1 FTE / ~50,350gsf
  • 4. Support Groups for PHM Facilities Utilities & Maintenance Engineering Work Buildings & Management Grounds Construction Strategic Services Partner - HR Plant- Academy Admin Training Hospital Services Maintenance
  • 5. Current PHM Maintenance Profile PHM Trade Shops PHM Area Shops Electrical - 9300 Sterilizers & Doors - 9500 Area III – 9510 I.E. - 9310 ENWAH I - 9400 Area I – 9520 HVAC – 9100 ENWAH II - 9410 Area II – 9600 Plumbing – 9200 Paint & Sign - 9400 Area V– 9700 Focused Service Groups (FSGs) Sterilizer Group Auto Door Group Paint Group Fire Pump Group Dietetics/Housekeeping Group Med Gas/Vacuum Support Group RO Systems & Water Treatment Group Patient Room PM Group ENWAH/General Maintenance Group Fire Alarm Group Pnueumatic Tube Group Security Systems/Devices Group Chill Water System Group Electrical Systems Testing Group Emergency Generator Group HVAC-Refrigeration Group HVAC Controls Group Steam Distribution Group
  • 6. Next Steps for Plant Hospital Maintenance: Maintenance Planning and Scheduling
  • 7. Next Steps – Planning and Scheduling  Planning  Describes WHAT and HOW  It is the process of setting goals, developing strategies and outlining tasks and schedules to accomplish the goals  Scheduling  Describes WHO and WHEN  It is the process of assigning an appropriate number of workers to the jobs during each day of the week.  Determines when an activity should start or stop, depending on its duration, predecessor activity, predecessor relationships, resource availability and target completion date Source: IDCON
  • 8. PHM Priority Matrix Maintain Strengths • Co-workers & Depth of Talent • Task Significance/Work-plans • Resources/Environment • Advancement • Autonomy/Involvement/Technical Skills • Upper Management • Training & Development Concerns Priorities • Workload and Growth • Lack of Space • Retirements • Expanding Mission
  • 9. Recommended Course of Actions • Analyze Maintenance Activity History • Establish Applicable Leading and Lagging KPIs 1 • Move to Reliability Centered Maintenance (RCM) through: • Planning and Scheduling • Proactive and Predictive Maintenance 2 • Process Mapping Modification • Increase Asset Management Adjustment with FCA Planning
  • 10. PHM Key Performance Indicators Going Forward Lagging Leading KPIs KPIs
  • 11. How Many Planners & Supervisors? Experienced and skilled tradespeople 1 Planner to 10-20 1 Planner to 20-30 tradespeople tradespeople Level of Skills and 1 Supv. To 10-20 1 Supv. To 20-30 Experience tradespeople tradespeople 1 Planner to 5-10 1 Planner to 10-20 tradespeople tradespeople 1 Supv. To 5-10 1 Supv. To 10-20 tradespeople tradespeople Skills and experience lacking Poor Systems Great Systems Work Systems (Planning, technical database, scheduling, stores, maintenance computer, etc.) Source: IDCON
  • 12. Vision and Mission – Plant Hospital Maintenance  Vision  Achieve excellence and leadership in healthcare facilities maintenance management.  Mission  Provide customer acclaimed facility maintenance, exist as a fiscal steward of hospital assets, achieve lean processes, and cultivate a work environment based on trust and employee collaboration.
  • 13. Alignment – Anticipated Outcomes  Planner & Scheduler Benefits 1. Improve patient environment of care. 2. Sustain high customer satisfaction scores. 3. Reduce equipment downtime & Improve worker efficiency & safety. 4. Manage and execute maintenance by Planning and Scheduling & Eliminating Waste. 5. Integrates operating & maintenance activities and provides information for continuous improvement. 6. Promote a fully integrated Maintenance culture.
  • 14. World Class Maintenance is a process – Looking for ways to improve is a never ending process Alignment Flexibility Planning & Scheduling