Facilities Staffing Requirements for the Veterans Health Administration–Operations and Maintenance of the Physical Plant and Equipment Proceedings of a Workshop–in Brief (2019) / Chapter Skim
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Facilities Staffing Requirements for the Veterans Health Administration - Operations and Maintenance of the Physical Plant and Equipment: Proceedings of a Workshop - in Brief
Facilities Staffing Requirements for the Veterans Health Administration - Operations and Maintenance of the Physical Plant and Equipment: Proceedings of a Workshop - in Brief
Pages 1-12
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From page 1... ...
He then explained more about the larger committee effort, which includes identifying key variables that must be factored into the resourcing methodology and making recommendations for staffing models and transitioning from current staffing strategies. He noted that the VHA has 18 regions and 172 sites, which vary in age (modern to historic)
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From page 2... ...
Another point Tomassoni touched on involved protests or lawsuits filed by many companies against government acquisition organizations because of inadequate workload data. If the VHA decides to outsource services, it will need much detailed historic workload data showing facilities, service orders, preventative maintenance events, minor repairs, and so on; that is a major takeaway.
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From page 3... ...
Every line item in the contract has risk associated with it." For risks like elevators, he relies on professionals. MANAGING FACILITY O&M AT THREE DIFFERENT VHA COMPLEXITY LEVELS Robert Anselmi next introduced chief engineers from VHA medical centers with complexity Levels 1 and 2.1 John Dodier spoke first.
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From page 4... ...
After showing some performance indicators for measuring success and identifying issues, Yoder discussed the AEMS/MERS; although still in use, he indicated that it is not well supported, training is nonexistent, the VA has already moved away from it, and something new is needed. Yoder offered thoughts on modeling, noting that differentiation between in-house staffing versus contracted services is challenging, and he stressing that utilized-maintained square footage is the most important variable (other potential variables include developed-maintained acreage, inventory of systems supported, and facility complexity)
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From page 5... ...
Some general improvements were suggested, such as ability to supplement staff by contractors when needed, complete most preventative maintenance, have a more comprehensive proactive maintenance program, exercise interior valves, and focus on operation of systems versus maintenance and repair. There was much discussion involving these three presentations.
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From page 6... ...
Both are treated here along with discussions from their panel. Stanley Larson, chair, Division of Facility Operations, Mayo Clinic, Rochester, Minnesota, first summarized Mayo's strategic plan, with its primary value: "the needs of the patient come first." After discussing the flow-down from Mayo's values-mission-vision statements to many responsibilities under facilities, Larson described his key organization elements -- two section heads for facilities operations (one for clinical and business, the other for hospitals)
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From page 7... ...
On Day 2, Mark Bricker, senior director, Facilities Service, Children's Hospital of Philadelphia, began by noting that his hospital first opened its doors in 1855; now there are two modern hospital buildings occupying approximately 1.8 million square feet, plus additional buildings for ambulatory patients, medical research, and business occupying about 5.1 million square feet. The main campus, which is packed densely in an urban area, consists of a main hospital, an ambulatory center, two research buildings, and two additional buildings.
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From page 8... ...
; and (4) inspection, testing, and maintenance requirements apply to both new and existing facilities.
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From page 9... ...
. The CUP data platform currently collects over 34 million data points per day, leading a paradigm shift that includes automatic fault detection, predictive maintenance, documented standard operating procedures for O&M, load forecasting, and optimization; the result is executive-level daily performance data accessible with one click.
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From page 10... ...
Theme 1: Both the VA and private-sector hospitals have dedicated and committed engineering workforces. Presentations and discussions offered ample evidence that both the VA and private-sector engineering staffs are dedicated and committed professionals who believe that they are an essential part of the total facility workforce aimed at guaranteeing quality health care.
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From page 11... ...
For shop-by-shop benchmarking, the metric of square footage per FTE is a starting point, but it is necessary to drill down to a more detailed look at descriptions of shops within individual engineering organizations. Beyond FTEs, one has to look at the total budget, at various costs, and so on and then build from there.
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From page 12... ...
2019. Facilities Staffing Requirements for the Veterans Health Administration -- Operations and Maintenance of the Physical Plant and Equipment: Proceedings of a Workshop -- in Brief.
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