15th INTERNATIONAL OPERATIONS & MAINTENANCE CONFERENCE IN THE ARAB

COUNTRIESUNDER THE THEME: “SMART MAINTENANCE” CONICIDE WITH THE 15TH ARAB MAINTENANCE

EXHIBITION, October 25th, 2017, Beirut

Dr. Hashem O Al-FadelTemos International GmBH

QUALITY AND SAFETY IN FACILITY MANAGEMENT: ENVIRONMENT OF CARE IN HOSPITALS

Step 1: Plan

Step 2: Set Standards

Step 3: Communicate Standards

Step 4: Monitor

Step 5: Identify & PrioritizeOpportunities for

ImprovementStep 6: Define Improvement Op

Step 7: Identify Who Will Work on Improvement

Step 8: Analyze & Study Improv op

Step 9: Choose & Design Solution

Step 10: Implement Solution

QUALITY ASSURANCE

QUALITY IMPROVEMENT

QUALITY CONTROL

QUALITY MANAGEMENT

Health Care Quality

Incremental but continuous improvement

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Safety in hospitals

• Patient Safety – Errors in healthcare delivery

This includes Medication safety, adverse events, sentinel events and Technology Hazards

• Employee Safety; Occupational health/ Employee health

• General Safety: Safety and security, fire, hazards, Medical Equipment etc. Facility services quality etc.

How serious is Safety in hospitals?

• 1 in 10 hospital patients suffer harm from error

at least half could have been prevented!

• 1.4 million people are suffering from a HAI

at least 80% could have been prevented!

• $29 billion wasted each year in the US

• 1 in 300 chance of death in hospital

Facility management and safety practices

Prevention and planning are essential to create a safe and supportive patient care facility. The goal is to prevent accidents and injuries; to maintain safe and secure conditions for patients, families, staff, and visitors; and to reduce and to control hazards and risks. (Joint commission International Accreditation-5th Edition hospital

Standards)

Facility Mangement Safety and Quality Factors

1. Leadership and management2. Security and Confidentiality3. Hazardous monitoring and control4. Disaster Management5. Fire Safety6. Health Technology Management7. Utility systems8. Constructions and expansions9. ICT Management10. Monitoring and control

Leadership and Management

• Compiling with relevant laws and regulation

• Strategic plans for FM

• Committees

• Written programs to manage risks in thehospital

• Policies and procedures

• Qualified and continuous training to staff

Security and Confidentiality

• Planning and implementing a program

• Secure environment for patients, visitors and staff

• Security personal

• Security of patients

• Security in pediatrics

• Patient confidentiality

• Cameras ……

Hazardous monitoring and control

• A program for inventory, storage and handling

• Material safety data sheets availability (MSDS)

• Storage labeling and identifications

• Storage temperature and humidity control

• Disposal process

• Antimicrobial walls

• Audit procedures and drills

Disaster Management

Internal emergencies plans:

• Fire emergencies

• Bomb threats

• Codes

• Evacuations

External emergency plans:

• Earthquakes

• Extreme weather conditions

• Dust storms

Fire Safety

• Program implemented for prevention, early detection, suppression, abatement, and safe exit

• Fire and smoke safety program tested regularly

• Fire extinguishers and training …

• Signs and labels

• Drills

Health Technology Management

• Program established for inspection, testing, and maintenance, and results documented and with tagging

• Real time updating of Inventory of all medical systems

• Preventive maintenance program included

• Training and education

• Process for monitoring and acting on hazard notices, recalls, reportable incidents, problems, & failures

• Project support to clinical needs

Utility System

• Inventories of facility components and utility systems• All systems inspected, maintained, and improved

(documented) • Include potable water and electrical power systems

available 24 hrs, 7 days per week • Emergency generators and UPS systems • Renal dialysis water tested and documented at least

quarterly • Use a comprehensive BMS

Constructions and Expansions

• Infection control

• Hazards and risks, risk registry

• PPEs, warning signs, separations etc.

• As Build drawings

• AIA, NFPA, OSHA, NIOSH standards ….

• Education and orientations

Information and Communication System ( ICT)

• Inventories of components of systems• All systems inspected, maintained, and improved

(documented) • Include multiple backups available 24 hrs, 7 days per

week • Confidentiality and security • Internal and external audits• Support and connectivities

Facility Management Monitoring and Control

• Collection and analysis of data from each of the FMS programs

• Monitoring reports and recommendations provided to leadership on a quarterly basis

• Key Performance Indicators (KPIs)

• Yearly questionnaires

• Complaints

• Whistle Blowing

• Incident reports

• Education and Training

• Using RFID

• Using IoT …

• Using mart technology

• Dashboards

Conclusion

• Quality and safety are of prime concern for facility management and leadership

• Proper safety and quality practices reduces thr risk to patients visitors and staff

• All accreditation bodies emphasizes on FMS practices with standards, protocols and guidelines

• Encourage facilities for certification, accreditation and continuous auditing for sustainability

Conclusion continued

• “Reporting in itself does not improve safety. It is the response to reports that leads to change. The response system is more important than the reporting system.”

• “Using incident reports as a means to understanding the root causes of patient harm is the best way to use this data”

• “Number of reported incidents is unlikely to reflect the actual number of incidents occurring”

From: World Alliance for Patient Safety, 2005 WHO Draft Guidelines for Adverse Event Reporting and Learning Systems

Success in patient Satisfaction…

Excellence in Medical Tourism

Non-medicalServices

MedicalExpertise

„95 % of patient satisfaction is due to the

non-medical services offered“Emilio Williams-Lopez, Director Johns Hopkins Medicine

International, Baltimore

“In our patients’ best interest we must not only provide comprehensive

medical case management for them to feel safe but also collaborate with

a network of carefully selected, trustworthy service providers outside the

Medical care, such as facility services to be able to offer services that are

not part of a hospital’s core competence.” Juliane Hasselmann, International Office University Hospital Hamburg-Eppendorf, Germany

A Final Thought ….

Recommend OMAINTEC to have a a session and a workshop on Facility

Service Management in Hospitals for next years congress

Work in having certification for Facility management and Safety …

لحسن استماعكم" شكرا

Thank You

Dr. Hashem Odeh Al FadelHashem.alfadel@gmail.com

Chairman of Assessors Advisory board, Temos International, GermanyChairman of Quality Council and Board member, Istiklal Hospital, Jordan

Adviser and hospital Surveyor, QHA Trent Accreditation, UK

President, Jordanian Association for Special Needs and Rehab, Jordan

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