Service Design, Management and Control System for Hospital Complex. eFM Health services integrated solutions

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Health Integrated Facility
Management Solutions
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2. Indice del documento
1. Context
2. eFM Processes and
Solutions
3.Collaboration Forms
1

3. Investment, cost and quality of no core hospital services are
the focus of the facility management (FM)…
Facility Management is the discipline that combines managerial and technical skills to
ensure investments, costs, hotel and technical services, and users quality management
Hospital investments are equally distributed in information technology (networks,
Technological systems and infrastructure), electro-medical technologies and buildings and
and Real Estate technological plants. Substantial redevelopment of the hospital network
Investments investments in the implementation phase require strong managerial and technical
Management competencies in order to be implemented on time, on costs, and especially in
achieving the original goals of redevelopment.
Hotel and Hospital Facility Management services costs are evolving both for the growth of
technical services outsourcing both for the utilities liberalization both for the evolution of technology.
and users The facilities management costs represent about 40% of external costs of the hospital
management network and represent the highest cost item after personnel costs.
Hospital hotel services are evolving both for the growth of outsourcing both for
Hotel and
growth of the hotel comfort needs.. The main services (cleaning, catering and
technical
laundry) represent a significant cost and ensure compliance with the environmental
performance
hygiene of the hospital. The process of outsourcing of services requires a strong
services quality
executive and commodity powers to ensure compliance with benefits and costs
management
quality.
2

4. … FM spending is the 2° cost item in a hospital and represents
40% of external costs: therefore cost control is a primary goal
Facility management public spending in a hospital is the second cost item
of the total spending (6,7%) after personnel cost, and represents 40% of
external costs.
personale
83,0%
altro
1,8%
11%
radiodignostica
3%
0,4%
8%
chimica clinica
18% 1,4%
farmaci
3,0%
22%
presidi medico chirurgici
3,7%
40% facility
management
6,7%
Font: Facility Management Observatory 3

5. … Facility services are equally distributed in technical services
(35%), hotel services (41%) and users (24%)…
Every service category has different criticality and management opportunities:
• technical services (35%): the obsolescence and technologies growth implies a
continued increase in spending and management complexity
• users (24%): market liberalization and consumption growth relative to
technologies request a more particular design and contractual attention
• hotel services (41%): outsourcing implies a significative growth of services costs
and needs a sistemic and automated monitoring.
Technical
services Hotel services
35%
41%
Users
24%
Font: Facility Management Observatory 4

6. … technical services grant hospital real estate functioning
Public spending in technical services is divided in:
• information technology (26%): for evolving infrastructures and networks to
support technological innovation, is primary the plants and equipment
documentation
• buildings and plants (37%): compliance with security and both environmental
both energetic impact in connection to continuous re-layout need a particular
planning and maintenance
• electro-medicals (37%): security regulatory, property technologies, full risk
contracts, financial leasings, implies a management complexity that has to be
managed as well.
INFORMATION
26% TECHNOLOGY
Users
24%
Technical BUILDINGS
37% AND PLANTS
services
35%
Hotel
services 37% ELECTRO-MEDICALS
41%
Font: Facility Management Observatory 5

7. …hotel services grant comfort and environmental health and are
correlated to hospital performance quality…
Public spending in hotel services is divided in:
• cleaning (38%): is the highest spending item; service has a direct impact on
environmental health and has scientifically proven link with hospital infections
• catering (29%): has a direct impact on hotel service quality
• laundry (16%): outsourcing provides a full complexity service reduction
• transports (10%): opportunity for monitoring hospital material dynamics
• waste (7%): continuous monitoring imposed by regulatories
7% WASTE
10% TRANSPORTS
16% LAUNDRY
Technical services
Hotel
35% services 29% CATERING
41%
38% CLEANING
Users
24%
Font: Facility Management Observatory 6

8. … users are an evolving spending for technological growth and
a saving opportunity for liberalization…
Public spending for users is divided in:
• water service (14%): water dispersions in an hospital are significant. Tariff
profiles are different and savings are possible according to planning capacity
• thermic service (50%): energetic consumptions are significant with co-
generation consumption profiles. Conduction optimization provides important
savings
• driving force (36%): hospital lighting and driving force have peculiar features
according to service continuity and consumption relevance
THERMIC ENERGY
50%
Hotel services
41%
Users
24% 36% DRIVING FORCE
Technical services
14% WATER RESOURCES
35%
Font: Facility Management Observatory 7

9. eFM ensures your business facility with professionalism and competencies
based on experience, method and advanced technologies
eFM ensures a global facility management policy:
• connecting his performance payment to objective result
• helping his customers from the idea to the realization
• providing technological tools for the re-engineering of the processes
• guiding the customer in a learning process that grants him autonomy
• combining his experiences on technical and management processes
Management processes: to grant the correct
management of resources in the planning phase
• Investments Management
Energy • Costs Management
Services • Quality Insurance
Investments
Technical processes: to grant efficient
management
operativity for facility management services in
Costs planning, coordinating and operative monitoring
Management phases
• Energy services
• Technical services
• Hotel services
Quality
Insurance
8

10. eFM ensures the implementation of investment plans ,
according to costs and time of realization…
Investments Management:
• Planning and implementation of plans with project financing or contracts
• Objectives, time and costs respect in the investments realization
• Efficacy of the investments with costs-benefits analysis
• Regulatory plants planning and energy saving
Safety and
Investments Technical Works
Conservative
Planning Planning Accounting
State
Workplace safety evaluation and Investments planning has to Planning requests legal, Work directions must be
investment goals must be be done according to financial technical, administrative, coordinated by a high survey
started from a risk fonts, resources. So it is necessary financial and managerial that monitors time respect,
conservative state and to give a priority to the competencies to properly anticipates bottlenecks and
regulatory compliance punctual intervenctions according to evaluate the feasibility. Project plans works progress according
analysis. This evaluation must the evaluations about real financing operations adoption to the appropriations. This
be dynamic and must contain estate consistency, feasibility also requests a strong activity needs dedicated
proposal solutions and costs. and disponibility of competence to realize economic financial tools.
appropriations. and financial plan.
9

11. eFM ensures service costs, transparency on planning and
contracts management…
Cost Management:
• Spending planning on the basis of a “design to cost” specific planning
• Competitive tenders planning with specific strategies per service
• e-procurement: tenders, auctions and catalog purchases
• Contracts management with budget and economical progress evaluation
• Service full monitoring with costs and quality balanced scorecard
Monitoring
Planning and Tender Contract
and
Budget Management Management
Reporting
Spending planning must be Work and service tenders Contract management is critical Decisions about contract
done on zero basis according request Community and already in the planning phase implementation must be
to cost objectives and service Nationalregulatory, competition and are requested integrated supported by reporting tools able
quality. This planning is levels of local and National legal and technical to give a synthetic view of
possible thanks to markets knowledge. Punctual competencies to provide process performances, suppliers,
professional competence on suppliers knowledge grants the significant events and rule the quality and cost service.
single service with unit costs adoption of the best competitive responsibilities. The correct Balanced scorecard are the
linked to expected service tenders strategy and management derives from a solutions of this problem.
levels. procedures. careful and qualified contract
planning.
10

12. eFM ensures service quality with technologies and customer staff
formation, either as independent third part…
Quality Insurance:
• Work orders planning and documentation
• Work requests management and call center/service desk
• Service levels monitor planning
• Customer satisfaction monitoring
• Service Certification
Operative Operative Operative Service
Planning Coordination Monitoring Certification
To grant service quality Response times to intervenction Monitoring of service levels Technical or hotel service
monitoring is necessary a request, scheduled or not, must provide an effective certification represent a
detailed operative activities represent an evaluation criteria control on the basis of business strategic goal to
planning to create the basis for for FM. The adoption of call feedback information and effectively grant service
“on site” monitoring activities. center/help desk able to customer satisfaction. quality and to give to the final
Documentation must be coordinate and distribute all the user the warranty of quality
automated and made available requests allows the monitoring insurance certified by third
at building level. of this critical variable. parts.
.
11

13. eFM ensures a rationale energy use with huge savings and
continuity service warranty…
Energy Services:
• Energy planning, project financing and cogeneration
• Hospital lighting planning and energy saving
• Remote control systems conduction and implementation plans
• Energy Audit and energy management compliance
• Energy saving fundings
Energy Plant Consumption Regulatory
Audit Conduction Management Compliance
Energy and water need of an Plant conduction must be based The accounting for The legal documentation to be
hospital is linked to those on rationale energy use. Must be consumption time periods and produced in compliance with
factors: fuel dispersions, energy planned and documented: types of energy source is laws, is a burden usually
production etc. Correct analysis measures automation, switching essential for negotiating prices delegated to the role of third
is a project basis for spending on and off, remote control and selection of optimal party suppliers frequently left out
rationalization as well as a systems, monitoring system ranges of cost. The of control. The consequences are
regulatory compliance. integration, conduction liberalization of markets offers the loss of effective control of
operations. great opportunities for expenditure and system
savings. performance.
12

14. eFM ensures a rationale maintenance and real estate use, maximizing
the value for the hospital…
Technical Services:
• Asset management regularization and asset book reconciliation
• Plant riqualification cost reduction and relayout
• Asset legal documentation and security compliance
• Maintenance efficacy and plant disponibility increase
• Real Estate usage regulamentation and cost assignment
Asset Technical Maintenance Use
Management Inventory Management Management
The company has a significant The documentation of Maintenance requires an analysis The tilting of the operating
heritage in terms of value and technologies allows to set of the conservative state and costs of maintenance and
quantity. Manner of acquisition: maintenance plans, adjusted standards, which are based on depreciation or operating
acquisition. leasing, project depending on the nature of maintenance plans and leases of equipment must be
financing, donation. free loan. possession, identifying the life specifications for action to be divided on the cost centers
etc.. have complexity that must cycle depending on use and assigned to internal or external based on the actual use and
be handled on time for both the technological developments. The operators. The estimate should be registered with
asset value and depreciation for documentation grants regulatory coordination and control of the documented requests.
the maintenance compliance and investment interventions is required to
plans. complete the integrated cycle.
13

15. eFM ensures cost restraint, quality control of hotel comfort and
regulatory compliance
Hotel Services:
• Service levels planning and response time monitoring
• Space management and room booking
• Planning and movement control: materials, catering, waste
• Special waste disposal monitoring
• Security management, robbery surveillance
Space Internal Waste Access
Management Moving Management Security
The use of space within the The internal handling of The cataloging of the types of Survey is an increasingly
hospital is increasingly materials, wardrobe, waste, waste and the definition of important within the hospital
dynamic, the shared areas food, in addition to a design disposal procedures, complex, to this end the design
grow as a result of evolution problem of paths must also documentation of the disposal of access routes to the
of the concept of static provide for the proper use of of special waste landfill assessment of surveillance,
department and with the operational resources and dell'ottemperamento monitoring cameras represents a
adoption of plates centralized ensuring the execution of the monitoring, measurement of point of qualifying for the safety
services and the growth of service, ensuring respect of the the packages entrusted shall of hospitalized patients.
ambulatory activity, routes and times and costs of be documented and collected
diagnostic and day hospital. implementation. in a control system.
14

16. eFM can offer a partnership tailored to customer needs, from
consulting to systems technical services
The working arrangements with eFM are varied, depending on the
strategic objectives of the client infact, eFM can completely perform
facility management services or may assist clients to build its
organization and its management information systems. The theme of
collaboration is the focus and professionalism of staff.
4. Consulting:
1. Reengineering and 3. Technical Services:
strategic, technical,
Facility Management 2. Application due diligence,
organizational,
System Service Provider (ASP) security, planning,
commercial, legal and
Implementation work management,..
merchandise
IT & process assesment: hosting Facility Management Due Diligence: architectural
survey and plant, inventory, financialization of
analysis of existing solutions investment: project finance,
organizational processes and hoteling solutions ad hoc for the labeling, population
space planning: Employment operating lease, sell and lease
systems and applicative cllient back
architecture proposition training: documentation, surveys, standard definition,
relayout coordinating investments:
process & system design: applicative maintenance: system economic and technical
update energy management: energy
BPR, planning processes and feasibility, design verification,
data processing: data update and audit, legislative compliance
information systems and high surveillance
graphic elements Design: Preliminary and
technical documentation processes reengineering and
executive, specifications,
system implementation: facility management
procurement
development, information system outsourcing: global services, e-
supervision: safety coordination
integration and test and release procurement, spin off services
494
system
Safety and environment: risk
training: documentation,
assessment documents, fire
training users and system
protection, waste
managers
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