Hospital Asset Maintenance Engineering for the Next Century

José Manuel Torres Farinha has Habilitation in Electrical and Computer Engineering, a PhD in Mechanical Engineering and a degree in Electrical Engineering, option Energy. He is a National Defence Auditor. He is Full Professor in Polytechnic University of Coimbra (IPC) and its former President. He is the Coordinator of the Master’s Degree in Engineering and Management of Physical Assets in IPC. He has completed more than on hundred of PhD and MSc supervisions. He has published four books, two in National edition and two in International edition. He has more than 250 publications – articles in indexed and non-indexed international journals, in national magazines and in proceedings of international and national congresses. He has several registered patents (National and International). He is a Specialist Member of Industrial Maintenance Specialization and a Counsellor Member of the Portuguese Association of Engineers. He was nominated for the shortlist of the McKeown Award for Individual Achievement in 2024 and was the Asset Management Individual Award runner- up in 2018 at the IAM Excellence Awards.

• ContentsAbout the Author........................................................................................................ixChapter 1 Global Framework.................................................................................11.1 Framework..................................................................................11.2 Physical Assets KPI’s..................................................................31.3 Physical Assets Around the World..............................................61.4 Political Options.......................................................................10Chapter 2 Physical Assets....................................................................................142.1 Buildings...................................................................................142.2 Technical Facilities...................................................................162.3 Equipment.................................................................................17Chapter 3 Physical Assets Maintenance..............................................................263.1 Framework................................................................................263.1.1 Transversal Concepts...................................................263.1.2 Maintenance Algorithms.............................................283.1.3 Metrology....................................................................303.1.4 Key Performance Indicators........................................363.2 Building Maintenance...............................................................403.3 Technical Facilities Maintenance..............................................423.4 Equipment Maintenance...........................................................463.5 New Maintenance Planning Approaches..................................533.5.1 Maintenance of Buildings...........................................543.5.2 Maintenance of Technical Facilities............................563.5.3 Maintenance of Medical Equipment...........................59Chapter 4 Physical Assets Life Cycle Management............................................664.1 General Concepts......................................................................664.2 Public Private Partnerships.......................................................684.3 Main Life Cycle Models...........................................................714.3.1 Linear Depreciation Method.......................................714.3.2 Sum of the Digits Method...........................................724.3.3 Exponential Method....................................................734.4 A Holistic Model for the Physical Assets Life Cycle...............754.5 Life Cycle Investment Considering Maintenanceand Non- Production..................................................................754.6 Life Cycle of Physical Assets with Recovery...........................774.6.1 Basic Concepts to Support Math Models....................774.6.2 Behaviour of the Physical Asset Value Over Time......794.6.3 Production Economic Movements..............................794.6.4 Functioning Economic Movements.............................814.6.5 Global Movements Analysis.......................................814.6.6 Return On Investment..................................................824.6.7 Example of Lice Cycle of Physical Assets withRecovery......................................................................824.7 Reserve Set................................................................................834.7.1 Reserve Set Example...................................................85Chapter 5 Cross Infection....................................................................................895.1 Cross Infection Framework.......................................................895.2 Cross Infection and Hospital Design........................................925.3 Cross Infection and Logistics....................................................97Chapter 6 Vertical Standards..............................................................................1036.1 Standards for Buildings...........................................................1036.2 Standards for Technical Facilities...........................................1036.3 Standards for Medical Equipment..........................................104Chapter 7 Horizontal Standards.........................................................................1137.1 Physical Asset Management Standards...................................1137.2 Maintenance Standards...........................................................1187.3 Risk Standards........................................................................1187.4 Energy Standards....................................................................1207.5 Environmental Standards........................................................1237.5.1 Circular Economy Standards.....................................125Chapter 8 Stocks Management..........................................................................1298.1 Spare Parts..............................................................................1298.2 Pareto Analysis........................................................................1308.3 Main Approaches....................................................................1318.3.1 Supply Program.........................................................1328.3.2 Order Point................................................................1368.3.3 Procurement Plan......................................................1388.3.4 Security Parts.............................................................139Chapter 9 Acquisition Models...........................................................................1429.1 Terms of Reference.................................................................1429.1.1 Term of Reference to Purchase Physical assets.........1449.1.2 Term of Reference for Acquisition ofMaintenance Services................................................1489.1.3 Term of Reference for Leasing and Renting.............152Chapter 10 Lean Management.............................................................................15710.1 Lean Thinking.......................................................................15710.2 A3 Method............................................................................16910.3 GUT Matrix..........................................................................16910.4 6 Sigma.................................................................................17110.5 PDCA...................................................................................17210.6 Ishikawa Diagram.................................................................17310.7 Brainstorming.......................................................................17410.8 SCRUM................................................................................17710.9 SWOT Analysis....................................................................17810.10 Hoshin Kanri........................................................................180Chapter 11 Hospital Logistics..............................................................................18311.1 Framework..............................................................................18311.2 Algorithms for Logistics.........................................................18711.3 Just- In- Time............................................................................19311.4 Robots in Logistics.................................................................19611.5 Other Approaches....................................................................197Chapter 12 Hospital of the Future........................................................................19912.1 Holistic Medicine....................................................................19912.2 Naturopathy.............................................................................20212.3 Acupuncture............................................................................20212.4 Homeopathy............................................................................20312.5 Osteopathy..............................................................................20512.6 Ayurveda.................................................................................20512.7 A Vision of the Hospital of the Future....................................206Index.......................................................................................................................209