Healthcare facilities management series最新文献

The planning, design and construction process of a health care facility is constantly in motion. Contracts are involved in all phases, whether they be short and simple or detailed and comprehensive. This document examines the various contract forms available, and when their use is appropriate.

This document is the beginning of a two-part series that will help the reader understand and prepare for a world of electrical peculiarities. Part I offers an introduction to the problematic world of harmonics and their effects on medical equipment. Part II will take the subject a step further to cover the practical issues involving the handling and mitigation of harmonic distortion.

As hospital engineering departments are being asked to do more with less, they examine their current structure to see how they can become more cost-effective and efficient. This document examines one such department and the steps it took to reengineer and to evaluate both before and after the process.

This special report provides an overview of the ASHE Hospital Maintenance Staffing Study, which was conducted by the society in 1994-95 through the efforts of the ASHE Facilities Management Committee. The intent of the study was to develop a standard staffing equation to assist hospitals in determining appropriate maintenance staffing levels based on current practices of American Hospital Association member hospitals. Throughout the study, extensive survey data were collected and over 200 variables were considered. Statistical analyses were performed to determine which factors were most closely related to variations in staffing patterns, and whether staffing could be reliably predicted by a standard staffing equation. As with any benchmarking or other similar efforts, the results of this study should be approached with caution. There is variability in the data and the variability may change over time. However, the study has shown that high-quality predictability is possible Health care facilities will be able to use the resulting model to determine whether their staffing levels are significantly out of line and may help point to contributing factors.

In the rapidly changing health care delivery system, architects, engineers and health professionals must change their thinking of the design and construction of health care facilities. There are many influences affecting the health care environment design process. This technical document examines those influences and the key role that those involved in design and construction have in changing the way people view the health care environment.

This document provides an overview of professional real estate management techniques that can be applied to the operations of a health care organization's ancillary outpatient facilities, including medical office buildings. These techniques consolidate and focus real estate operations into a cohesive management structure, permitting the organization to identify areas of cost savings and cost control, identify opportunities for revenue enhancement and providing a higher level of service to physicians and other tenants. The concepts, principles, and techniques presented here can be applied to small, stand-alone hospitals, hospitals that are merging, as well as large multihospital organizations and integrated systems.

This document provides clinical engineers, facility managers and hospital administrators a how-to guide for establishing a medical equipment replacement program based on the equipment's projected useful life after procurement and installation. This will allow managers a benchmark for establishing realistic budgets and plans for the phase-in of replacement medical equipment.

Workplace violence is on the rise. The spillover effect includes psychological threats and a plethora of lingering mental health problems. The violent workplace mirrors an increasingly violent society. The increase in violence at work is directly proportional to the increase in violent crimes in our general population. This document examines the growing problem of workplace violence nd ways that can curtail potential incidences.

The Clean Air Act, enacted in 1970, failed to provide for an enforceable regulatory scheme at any level of government. In late 1990, Congress passed the Clean Air Act Amendments, of which Title V is the focal point. This amendment includes the Operating Permit Program, which states that all "major sources" are required to obtain Title V operating permits on or before November 15, 1995. Under Title V, the burden of demonstrating compliance will now fall directly to the facility itself. This document both summarizes and highlights the requirements of the Operating Permit Program and presents guidelines for preparing to file a Title V Operator Permit application.

With the marked increase in the awareness of indoor air quality (IAQ) issues, facility managers are under more pressure than ever to recognize and resolve IAQ problems. They must understand both the sources of these problems as well as the various methods for handling them. This document has been developed to help facility managers improve their understanding of IAQ issues and provide guidance for solving the problem of poor indoor air quality.