FacilityCare Magazine

May/June 2012

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Hospital Maintenance Strategies that "most buildings drift, often 'invisibly,' to lower performance over time, indicating a need for ongoing performance monitoring and fault detection and diagnosis during routine operation." Many hospitals find that it makes sense to work with a building service company that can provide a level of service tailored to the organization's specific needs, whether that means alerting the in-house facilities staff when problems occur, continuously monitoring building systems and respond- ing to trouble calls, or taking full responsi- bility for delivering a specified level of building performance. • Building performance – Technology advances and the availability of real-time building system data are reshaping the way that healthcare organizations think about maintaining their high-performance hospi- tal buildings. For decades, the focus has been on restoring or maintaining original design performance levels. With a building per- formance model, the structure is managed to deliver specific outcomes that are tied to the organization mission, rigorously defined, supported by predetermined per- formance standards and continuously meas- ured and evaluated. Using an intelligent services approach, a building is managed to perform within acceptable tolerances of an established set of performance standards. In a healthcare environment, these standards might include unit-specific air quality, temperature and humidity levels; HVAC reliability and uptime performance; or agreed-upon levels of energy and water consumption or envi- ronmental compliance. Among other advantages, the building performance approach to maintenance enables hospitals to make better-informed decisions, collect data over long periods of time to inform the decision-making process, track variables to enable better per- formance and document progress toward high-performance building status. In addition, recent research on the per- formance of federal buildings by the Federal Energy Management Program (FEMP) indicates that an outcome-based, building performance service approach is significantly more cost-effective than other options. The FEMP study found that the average cost to maintain a government building using an outcome-based strategy was about $6 per horsepower per year, com- pared to $13 for buildings using preventive maintenance techniques and $18 for build- ings operated in a run-to-fail mode. These are challenging times for health- care administrators and facilities teams as they strive to do more with less while creat- ing the best possible physical environment of care. Critical to achieving that mission is developing a maintenance strategy that makes sense for the organization and all its stakeholders. F Neil Maldeis PE, CEM, is energy solutions engineering leader for Trane, a leading global provider of indoor com- fort systems and services and a brand of Ingersoll Rand. He is responsible for the technical development, support and review of performance-based contracting solutions and activities on a national basis. He has nearly 30 years of experience as a mechanical/project engineer in the building construction and energy conservation fields. See Advertiser Index on Page 39 MAY/JUNE 2012 facilitycare.com FACILITYCARE | 31

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