Maintenance Management System - Hospital

Description
This is presentation about computerized maintenance management system.

Computerized Maintenance Management System

Nanavati Hospital
BACKGROUND • Founded in 1950 by Dr. Balabhai Nanavati • Attention to maintaining a high standard of quality and hygiene

SERVICES OFFERED
• Outpatients • Inpatients • Alternative medicines • Support • Diagnostics • Specialized services

SCALE • 5 Buildings • Total number of beds – 400 • Critical Care - 74 beds • 10 Operation Theatres • 1200 Full time employees • 200 Eminent consultants

Paper based systems work but…
Difficult to organize information efficiently

Non-standardized nomenclature vendors and hospital staff. . .

Documents are easily lost or damaged

Search for the right documents takes time Very difficult to use data for subsequent analysis and HA compliance purposes

Services are provided by…

Third-Party Maintenance Companies

Equipment Manufacturers

Equipment Suppliers

Clinicians & In-House Engineers

Information is scattered ..
Stock Room Purchasing • Vendor name • Service contract • Consumables • Equipment Maintenance • In-house repair history • Spare parts

Clinical Departments • Equipment

vendors and hospital Accounting staff. . .
• Purchase date • Vendor name • Price

• Manuals
• PM procedures • Service contract • Repair records

Administration
• Hospital asset number • Warranty information

Therefore, a system is required that..
Ensures maximum utilisation of the equipment with minimum downtime

Covers preventive maintenance, breakdown maintenance and monitoring of system efficiency

Computerized Maintenance Management System (CMMS) is the appropriate Functional Information System.

Benefits Of CMMS
To Employees
• Organizes the maintenance personnel database • Strong reporting and Integrated Process flow • Support no. of computers without any changes at the end user

To Organization
• • • • Track assets related maintenance costs Collection and storage of information Coordination of repair activities Multilevel security

Benefits Of CMMS
To Customers
• Helps in managing the maintenance needs and solving the same

To Financers
• • • • Increased craft productivity Increased equipment uptime Reduction in store inventory Reduction in emergency and critical maintenance

Functionalities of CMMS
Work order creation and viewing

Preventive and Breakdown maintenance scheduling
Asset management Inventory Management and Control Maintenance of Administrative records Report Generation

Process for Developing CMMS

Project Planning and Initiation

Project Management and Quality Assurance

Go Requirement Analysis Solution Definition Design and Build Train and Test Transition Live

Purchase Software

Make Necessary Modifications

Functional Requirements of the CMMS
Preventive Maintenance • Create job /log vendors for asset and maintenance

Addition of • Asset • Hospital Department

Alerts for • AMC Expiring • Pending Maintenance jobs • Preventive maintenance jobs

Reports • Detailed asset information • Departmentwise asset list • Maintenance Job - Log report

hospital staff. . . • View/Update
the job log information

• Asset Manufacturer
• System User

System Network Architecture for Implementation
• N-Tier Distributed Network Architecture
• Software Requirements •Single User •Multi User • Hardware Requirements •Single User •Multi User
Browser Presentation Network Business Logic Data

N-Tier Distributed Network Architecture
Front End Middle Tier Back End

Clients Server Database

Integration of CMMS with other Information Systems
Basic Human Resource Information
Time collection system Equipment Safety Data Sheets Major Maintenance and Capital Planning

Input documents used in the CMMS
• Data that is pre-loaded into the system

•Existing departments in the hospital •Users authorized to use the system •Existing Asset information •Inventory information • Data fed into the system during normal course

•Asset/Equipment information •New Equipment Manufacturer information •Maintenance Job Details •Details of used spares

MIS Report

Equipment Status

Department wise

DSS Report
Department Asset No Equipment Name

Breakdown Cost

Cost of Machine Breakdown Repair ( based on average historical costs) in Rs. 2000

Preventive Maintenan ce Cost in Rs. 1000

Ambulatory Care Ambulatory Care

130

TRANSRECEIVER RT 41

191

BEDSIDE MONITOR L&T MINIMON

800

600

Ambulatory Care
Biomedical Eng. Biomedical Eng. Biomedical Eng. Oncology Oncology

142

VENTILATOR AMBULANCE

4000

4000

223

ECG SIMULATOR

Preventive Maintenance Cost

400

200

312 156 311 322

PHOTOTHERAPY RADIOMETER OSCILLOSCOPE 100MHZ TEKTRONIX INFUSION PUMP TERUFUSION LINEAR ACCELERATOR

5000 500 3000 7000

3000 200 1000 2000

EIS Report
Department Ambulatory Care Ambulatory Care Ambulatory Care Biomedical Eng. Biomedical Eng. Equipment Name

Avg. Breakdown Hours/Day

Supplier

Total Number Of Average Breakdown Breakdowns hours per day

TRANSRECEIVER RT 41

R&S Equipments

27
33 25 18 32 12 20 35

1.5
1 2.35 0.62 0.3 2.4 1.65 3.5

BEDSIDE MONITOR L&T Shriram Electronics MINIMON Ltd. VENTILATOR AMBULANCE ECG SIMULATOR HealthPlus Ltd. ABC Equipments R&S Equipments

PHOTOTHERAPY RADIOMETER OSCILLOSCOPE 100MHZ Biomedical Eng. TEKTRONIX INFUSION PUMP Oncology TERUFUSION Oncology LINEAR ACCELERATOR

Shriram Elctronics Ltd.
Singhal Enterprise. HealthPlus Ltd.

Supplier Information

Validation Checks

ERROR
Equipment name already exists

• Data type checks • Presence check

ERROR
Please enter a valid serial number

• Range check
• Control totals

ERROR
Purchase order no is incorrect

• Cross-system • Logic check • Uniqueness check

ERROR
Purchase order no is incorrect

Output Screens

Output Screens

Software Testing
AIM
• Evaluating an attribute or capability of a program or system and determining that it meets its required results.

PROBLEMS
• Detecting all of the different failure modes is generally infeasible • Dynamic nature of programs

CLASSIFICATION BY PURPOSE
• • • • Correctness testing Performance testing Reliability testing Security testing

Training
Setting a Budget

• Need to justify CMMS training costs by showing its return on investment • On Site , Off site and E- training

Selecting a Site

Setting Realistic Goals

• Follow-up training three to six months after initial training • Helpful when employees have questioned the need for a new system • Measure how much productivity has increased

Showing the Benefits

Measuring Effectiveness

Implementation Issues
Unrealistic expectations about how quickly implementation can occur

Lack of support within the organization

Bad data can affect the integrity of the new CMMS system

Individuals could be hesitant to switch to the new system from the old system Technicians might believe the CMMS is little more than a tool to monitor their performance

How To Address Implementation Challenges
Senior Management Commitment

Definition of Requirements

Planning appropriately
There is no “I” in Team Garbage in – Garbage out Go “Live”

Developing The Software
• Taking a bigger-picture, longer-term view of the situation • When it comes time to talk with CMMS developers, managers also should be ready to ask tough questions

• Breaking down the process into manageable pieces

• If you customize it too much, it can be difficult to upgrade later

Future Scope

Radio Frequency Identification (RFID) tags Predictive Maintenance

PDA (Personal Digital Assistants)

Questions…??



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