Abstract
Abstract The intensive use of community clinics in recent years has emphasized the importance of non-core activities in facilities supporting patient care. This study poses the following hypotheses: The maintenance and performance of clinics can be monitored with accuracy and reliability by following key performance indicators (KPIs) based on criteria for performance and life cycle costs, and implementation of such principles can contribute both to cost savings and improved performance. A performance-based model was developed for clinic facilities by integrating eight KPIs into an enterprise resource planning (ERP) system for the maintenance of public clinic facilities. The ERP system has an inference engine designed to establish maintenance policy by deductive inference of the clinic's profile and inductive reasoning generated by the KPIs. Implementation of the model in a sample of 42 clinics resulted in increased efficiency (+ 25%).
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