Audit assessment of the facilities maintenance management in a public hospital in Malaysia

Abstract

PurposeThe purpose of this paper is to assess the existing facilities maintenance management practices and processes in public hospitals, in accordance with the concession agreement (CA), in order to identify the current performance status.Design/methodology/approachA case study is conducted in one district hospital in Malaysia to assess five key elements: leadership; policies, plans and procedures; training and orientation; monitoring and supervision; and service performance. Data are collected through questionnaires, guided interviews, documentation review and retrieval, archival records review, and direct observations.FindingsThe status of facilities maintenance management in the hospital is categorised as “maturing”, which implies that there has been a good planning and management with all essential requirements and compliance with regulations. Nevertheless, analyses of findings indicate that the maintenance organisations in the hospital still do not realise the importance and benefits of effective facilities maintenance management.Research limitations/implicationsFindings reveal that continuous involvement of all organisations is rudimentary to provide guidance and direction to the maintenance function.Practical implicationsThis research has gained an insight into the management practices and processes exhibited by a maintenance organisation in executing contractual and regulatory requirements of privatised facilities maintenance services in a public hospital. It has also gained an insight into the practice of a maintenance management audit, which was conducted with a view to identifying areas of weakness such that recommendations can be derived to improve the maintenance performance.Originality/valueThis research has introduced a set of key ingredients and effectiveness measures for successful facilities maintenance management. It also explores opportunities for improving facilities maintenance management in public hospitals.

Performance evaluation for hospital facility management: literature review and a research methodology

“…In Malaysia, Ali and Mohamad (2009) assessed the performance of a district hospital under five elements: leadership; policies, plans and procedures; training and orientation; monitoring and supervision; and service performance. In Canada, Steinke et al (2010) developed a 10-step process based on a conceptual model called Building Performance Evaluation Scorecard, which covers four performance dimensions: service, functional, physical and financial.…”

Application of key performance indicators for maintenance management of clinics facilities

“…However none of these considered the specific case of clinics. Ali and Mohamad (2009) analyzed the existing facility maintenance management in hospital through a Malaysian hospital case study. The authors assessed five key elements namely: leadership; policies, plans and procedures; training and orientation; monitoring and supervision; and service performance.…”

Análisis de la Eficiencia de Mantenimiento en un Hospital en Madrid (España) = Analysis of Maintenance Efficiency at a Hospital in Madrid (Spain)

“…La atención médica tiene diferentes partes interesadas, como pacientes, público o visitantes, personal administrativo y médico. De acuerdo con Loosemore y Hsin (Ali, M., Mohamad, & Wan, W. M. N. Bin., 2009), forma una red complicada que necesita ser analizada lo que supone un desafío en la gestión de instalaciones hospitalarias.…”