Abstract
The investment in the development of the existing portfolio of clinics, as well as in their maintenance and operation, constitutes 3–4% of the annual budgets of health maintenance organizations (HMOs) in Israel. These clinics are the primary facilities for the provision of health services. The research objective was the implementation of previously defined key performance indicators (KPIs) in a 42 clinic sample in order to: (1) assess the maintenance performance of the facilities, (2) intraand inter-benchmark the performance and efficiency, (3) establish a policy for the strategic and tactical maintenance management, and (4) set priorities in the maintenance plan. These actions should be part of a cycle for continuous improvement of the performance and maintenance of the facilities. This set of seven hybrid KPIs can be used for the leading and lagging analysis of the planning and control of facility maintenance. A case study is presented as an example of the applicability of the method.
Highlights
The facilities available to the community health system enable it to provide medical services to the population and to have a significant impact on the quality of the service provided
The key performance indicators (KPIs) developed by Shohet and Lavy (2004a) were used to build a maintenance model of the building in accordance with life cycle principles in order to predict the evolution of maintenance costs for the entire lifespan of the building
The analysis shows that the fire extinguishing system, information and communication technologies (ICT), elevators and peripheral infrastructures are in a good state; the performance of all the clinics participating in the sample was found to be above 90 points
Summary
The facilities available to the community health system enable it to provide medical services to the population and to have a significant impact on the quality of the service provided. The investment in the development of the existing portfolio of structures, as well as in their maintenance and operation, constitutes 3–4% of the annual budgets of the various health maintenance organizations (HMOs) in Israel The facilities and their maintenance have significant implications for the quality of service and for the asset efficiency of the HMOs (Reiling et al 2008; Ulrich, Quan 2004). Global and local trends have led to a shift in the concept of health service provision, away from the hospital as a principal provider of health services and towards the clinics (American Hospital Association 2010). Application of key performance indicators for maintenance management of clinics facilities
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