Identifying key performance indicators for healthcare facilities maintenance

Abstract

Hospitals and health centers use a lot of energy due to 24/7 al l-round year working hours and using different equipment. It has highlighted the importance of Facilities Management (FM) in hospitals, because the unexpected and dynamic nature of maintenance management not only increases energy usage but also decreases hospital functionality. Considering the significance of energy consumption in FM, particularly maintenance management and hospital functionality, the aim of this paper is to identify key performance indicators that lead to energy savings while improving functionality and reducing maintenance costs. In this regard, the relevant data are qualitatively examined through expert interviews and a literature review, accompanied by a questionnaire survey to produce quantitative performance data, which are analyzed with Partial Least Squares Structural Equation Modeling (PLS-SEM). The importance of individual indicators and their relationship to three categories of “energy savings,” “improving functionality,” and “reducing maintenance costs” are then investigated. The findings demonstrated the direct link between energy savings and improving functionality and reducing costs. It develops an appropriate framework for evaluating hospital performance based on FM in hospitals focused on maintenance and functionality and its impact on energy consumption. Moreover, a case study is conducted to investigate the impact of the identified indicators on saving energy in public hospitals in Iran and comparing electricity and gas bills in two consecutive years. The results show “gradual replacement of old electrical appliances and equipment concerning the age of the appliances”, “condition-based preventive maintenance”, “utilizing maintenance instructions and standards”, and “considering the impact of experienced and qualified managers” are the most important key performance indicators.