INTRODUCTION OF SPACE MANAGEMENT IN A HOSPITAL

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1 INTRODUCTION OF PACE ANAGEENT IN A HOPITAL DANIEL BLÖCHLE i d KUNIBERT LENNERT TB/DEPARTENT OF FACILITY ANAGEENT, KARLRUHE INTITUTE OF TECHNOLOGY (KIT), KARLRUHE, GERANY Hositls r o of th most omlx oristios whih rslts from mros itrfs btw my drtmts. If thos itrfs r kow, thr is lot of oorditd d ot oloritd work whih ss ssry d hih ortiol osts. Th ittio of th r is to fid ot how mdil d omdil rosss i hositl b sortd i th bst ossibl wy to rd th ortiol osts by imlmti s mmt tool. Th rsrh thrfor ilds dtild lysis of th mi drtmts of 13 hositls xmii thir rosss by xrt itrviw, i ordr to fid ot thir ds d to dvlo s mmt tool tht mts ths ds. Bsd o this, withi th frmwork of rsrh rojt i oortio with th Kliikm Rio Hovr, th dt ssry for th mmt of s wr dfid for ll rlvt rosss d ilot dt olltio ws rrid ot. As rslt, w rosss, lik s bhmrki or mit otrolli, old b stblishd i th drtmt of rl stt mmt. I dditio, xisti rosss lik th oti of th srvi hrs for rtd s old b siifitly otimizd. D to ths imrovmts it ws ossibl to strmli xisti rosss d to stblish w rosss withot irsi th totl osts. O th otrry, th totl ortiol osts old v b rdd. Kywords: dt olltio, fility mmt, hositl, mit otrolli, s mmt INTRODUCTION I s of th ost rssr i th hlth r stor i Grmy, th ortor of hositls hv to sv mor d mor moy. Th objtiv of th stdy ws to fid ot, how moy svd i th sodry rosss withot rdi th lity of th rimry rosss. Th osts for th s ows th bist rt of th sodry osts i hositls. Bs of tht, th r dsribs how th mmt of th s old b imrovd. FUNDAENTAL Th ol of th mmt of s is to ollt xt dt bot th xisti s d to mk dt ori bildi ssibl to ll srs of th hositl. Bs th sodry osts i hositl r lrly d to osts for s, it is rtilr imortt to hv dtild iformtio bot thm. Costs of th sodry ross 50,00% Kosttil dr Prodkt d skdär Kost 100,00% 40,00% 80,00% 30,00% 60,00% 20,00% 40,00% mm Kmmlirt 10,00% 20,00% 0,00% "Kltmit" isvrsor ri t C Rii i l C IH Gbäd s i ild B t i IH dizithik i d.-e t i IH Thish Al i T h. -E t i Wärmvrsor ti H Wäshvrsor d ry L DV -Di st tromvrsor Hsmistrdist Bttfbrit Tlfodist Wssrvrsor Büromtril Abfltsor Trsortdist Btrib Aßl Post triltvr sor Fhrrk Koir- d Dr kridist Hyibrt Rdfk d Frsh ihrhit sdist Kält vrsor Umzsdist hädlisbkämf 0,00% Prof. Dr. -I. Dil.-Wi.-I. Kibrt Lrts // Dil. -I. Dil Blöhl Istitt für Tholoi d mt im Bbtrib // Fility mt Fir 1: Costs of rodts i hositls (OPIK 1, Joh Abl, 2008) i. JOINT CIB W070, W092 & TG72 INTERNATIONAL CONFERENCE: DELIVERING VALUE TO THE COUNITY 704

2 If thr is o bsi iformtio lik s or room dt vilbl, ths hv to b ird. Th hll i doi so is, tht th riht dt is olltd, tht ll ftr srs r ildd, tht itrfs r rdd d rddt dt mmt is voidd. To omlish this, th rojt hs b dividd i 3 hss. DIVIION OF THE PROJECT IN 3 PHAE Th itrodtio is bi dividd i 3 hss by si modl. I hs 1, s-is-lysis is md d trt stt is dfid. For this ros, bsiss rosss r lysd itrdisilirily d th trt stt is dfid. I hs 2, th rird dt is ird d i hs 3, th s mmt tool with ll rird dt is imlmtd. Hr, bsiss rosss r imrovd i by i i thir ortio or w bsiss rosss r itrodd. mmt i hositl As-is-lysis Trt stt dfiitio Air dt Imlmttio Prrtio of th rojt Dt isitio Commissioi Trt dfiitio Bsis s ros ss Dfi t tribt s IT viromt CAD Domt stor Dt olltio lt CAF systm Rvisio CAD ls tdrdiz room mbrs tor domts Ll frmwork oditios Itrl ost llotio it mmt Tdri mmt KHH w bildi ls Prform bhmrki rvi hr sttmt Ivstmt disios Flfill ll oditios Prsol shdli Prof. Dr. -I. Dil.-Wi.-I. Kibrt Lrts // Dil. -I. Dil Blöhl Istitt für Tholoi d mt im Bbtrib // Fility mt Fir 2: mmt i hositl ANALYI OF THE BUINE UNIT Oly by holisti lysis of th most imortt bsiss its d th orrsodi rosss, it is ossibl to omlish th rviosly mtiod trts. Th mmt of th s is trditiolly ld i th domi ostrtio d tholoy. Howvr, my filds i hositl r holdi dt whih b ovrd by trl mmt of th s. Th srvi omy, whih is rsosibl for li d rri th food, rirs dt to shdl th stff rirmts. For xml, th s d floori mtrils to b ld r imortt. Th mdii- d tit mmt rir room mbrs i ordr to ssi th tits ildi th mbr of bds to th ror rooms. Th mdil imt mmt domts th lotio of mdil imt i room book. Th lotio of omtrs, oirs d othr IT imt r domtd by th IT-drtmt. I th dmiistrtio, sifilly th sst oti, ll dribl imt ildi thir lotio is domtd. Oly if ll bsiss rosss r ristrd d r vilbl trsrtly, ll itrfs b xmid d rddt dt mmt b voidd. For this ros, oortio of th drtmts is vry imortt. If drtmts withhold iformtio i itrviws, this lds to flts whih fft ll frthr sts d ot b orrtd. Thrfor th dsird otimiztio ot b omlishd thorohly. Grhilly, this is lrifid i Fir 2 Holisti viw of ll bsiss its. JOINT CIB W070, W092 & TG72 INTERNATIONAL CONFERENCE: DELIVERING VALUE TO THE COUNITY 705

3 Prrtio of th Projt Trt dfiitio Holistiviw of ll bsiss rosss i hositl Bildi d tholoy Admiist rtio dii d tits rvi omy IT Prof. Dr. -I. Dil.-Wi.-I. Kibrt Lrts // Dil. -I. Dil Blöhl Istitt für Tholoi d mt im Bbtrib // Fility mt Fir 3: Holisti viw of ll bsiss its ANALYI OF BUINE PROCEE Usi th xml of th drtmt ostrtio d tholoy, th rliztio of lysis of tyil bsiss rosss is xlid. Firstly, thr ols of th h of bsiss ross r dfid: Th imrovmt i lity, th itrodtio of w bsiss rosss d th ost rdtio of rti rosss. To bi with th imrovmt i lity, this ims t imrovi th lity of bsiss rosss ott. Th s bhmrki rovids xml of this. Th bhmrki dt r to hv rtr dr of dtil d thrfor bttr lity d siifi th th rrtly sd mthod. Aothr oit whih hs to b xmid rior to dt isitio is th itrodtio of w bsiss rosss. For tht ros, srs wr skd for rosss whih r mdtory or rthr r imortt for dy-to-dy ortios. Th third oit is th ost rdtio of xisti bsiss rosss. If bsiss rosss xist d r ssry, bt th rrt ortio ivolvs rt mot of work, thy fll ito th oit of ost rdtio. bhmrki is tk s xml: If s dt is ot fild ordrly d rovidd ovr lor trm, th dt s r oly vilbl for short tim ftr th isitio. Costly, for vry w omriso of s, whih blo to rti drtmts or ost its, w isitio of s is ssry. This rslts i hih osts, whih b rdd by rvisio of th bsiss ross s bhmrki. Aothr ossibility is ombitio of svrl ols. For xml, imrovmt of lity b ombid with ost rdtio, so tht dditiol bfits r hivd. Prrtio of th rojt Bsiss rosss Whih bsiss rosss shold b hd d how? Bildi d tholoy Ery mmt it mmt Commril fility mmt Comsmtio bhmrk i Ivstmt disios bhmrki rvi hr sttmt Qlity imrovmt Nw bsiss rosss Cost rdtio Prof. Dr. -I. Dil.-Wi.-I. Kibrt Lrts // Dil. -I. Dil Blöhl Istitt für Tholoi d mt im Bbtrib // Fility mt Fir 4: Th thr tys of bsiss ross hs JOINT CIB W070, W092 & TG72 INTERNATIONAL CONFERENCE: DELIVERING VALUE TO THE COUNITY 706

4 IDENTIFICATION AND OPTIIZATION OF INTERFACE BETWEEN BUINE UNIT Th ol is to idtify xisti bsiss rosss whih b ssistd by s mmt tool. For this ros, thos rosss whih d bildi dt r ivstitd, for xml s bhmrki, bd oy d th ostittio of lri rs. Ths rosss r olltd throh xrt itrviws d r rstd rhilly. For th rhil rsttio, th systm of vt-driv ross his is bi sd. This shows tht both r-r d ost-r of ll thr bsiss rosss r l. At first, th vilbility of ll dt mst b vrifid. If o dt is vilbl, it hs to b ird. Othrwis, dt lity d whthr it is to dt mst b vrifid. If ll rrisits hv b stblishd, th tl bsiss ross b rformd. Th ross itslf will ot b rstd rhilly dtild, si it is irrlvt for th otimiztio. I th ost-r, ll olltd, vrifid d ossibly hd dt hs to b svd. Th lst oit of th ortio is th otios dti of dt. This is xsiv d lborios ross, whih shold oly b rformd o. Costrtio d tholoy bhmr k i Ptit dmiistrtio Bd o y rvi o my hdli li rs Is dt v il bl? Ys Is dt vilbl? Ys Is dt vi lbl? Ys Coll t dt Ass dt Collt dt Ass dt Col lt dt Ass dt Vrify l ity d whthr dt is - todt Vrify lity d whthr dt is -todt Vrify lity d whthr dt i s - todt Editi ross with th dt: Room mbr of th room Ty of room Fl oori mtril Amot of bds r room Frishi of th ro om Assoitd ost it... Edit i r oss wi th th dt: Room mbr of th r oom Ty o f roo m Floori mtri l Amot of bds r room Frishi of th room Assoitd ost it... Editi r o s s w ith th dt : Room mbr of th room Ty of room Floori mtril Amot of bds r room Frishi o f th room Assoitd ost it... tor of th dt i ow s yst m tor of th dt i ow systm t or of t h dt i ow s ys tm Coti os dti of t h dt Cotios dti of th dt Cot ios dti of th dt Fir 5: Prsttio of rvios bsiss rosss If bsiss rosss r dividd, lik show i th Fir 5, this ms tht vry domi itslf is rsosibl for dt lity d whthr dt is to dt, d if ssry for th olltio of dt. This lds to rddt dt mmt i my rs d rsors for rttio, dts d olltio of dt r ths sd svrl tims for idtil dt. Th im of s mmt tool is to rr dt o d mk it vilbl i ordr to llow ll domis to s d ss ssry dt. Otimiztio of bsiss rosss throh s mmt tool With s mmt tool, dt b dmiistrtd trlly. Ussry work b voidd by mki th rird dt ssibl to ll srs lik th domi of ostrtio d tholoy, th tit dmiistrtio or th srvi trris. I th followi xml, th bsiss rosss s bhmrki, bd oy d li of li rs r ot hd. Oly th bsis for th bsiss rosss, th dt, is rrd trlly. This ms th sts vrifyi dt vilbility d vrifyi whthr dt is -to-dt b voidd. JOINT CIB W070, W092 & TG72 INTERNATIONAL CONFERENCE: DELIVERING VALUE TO THE COUNITY 707

5 Costrtio d tholoy b hmr ki Ptit dmi istrtio Bd o y rvi omy hdli li r s Is dt v i lbl? Y s Collt dt Ass dt Vrify lity d wht hr dt is - todt Editi r o s s wi th t h dt: Roo m mbr of th room Ty of room Floori mtril Amot of bds r room Frishi of th room Assoitd ost it... Edi ti r o s s w ith th dt : Room mbr of t h r oom Ty of room Floor i mt r il Amot of bds r room F r ishi of th room Assoitd ost it... Edit i r oss w ith th dt: Room mbr of th ro om Ty of room Floori mtril Amot of bds r room F r ishi of th room Assoitd ost it... tor of th dt i ow s ys tm C oti os dti of th dt Fir 6: Prsttio of otimizd bsiss rosss EXAINATION OF EXITING DATA AND IT YTE Aisitio d vltio of xisti IT systms is rird to vlt d, if ssry, mirt xisti dt. For this ros, ll kow IT systms, whih wr sosd to oti rird dt, hv b olltd d lyzd. t oly th lr IT systms d CAF systms ly rol, bt dt i Exl, Word or PowrPoit fils, i writt form, HTL dtbss or s wll i CAD fils b rst. Aftr th isitio of ll xisti systms i omy, th dt whih is vilbl i ths systms is vltd. Hr, th ty d lity of dt d whthr it is -to-dt r iv sil tttio. By si this systmti roh, it old b workd ot, whih dt ws rst d i whih formt d whthr it old b mirtd. Th rslt of this st is olltio of dt, whih, idlly, sit th rlity. Howvr, this is ot ssrily th s; if o of this dt ws kt to dt, otdtd dt is rst i vry systm. Ths, o systm sits th rlity. I this s, th dt hs to b r-ird with th id of dt isitio. This oly h by lol istio d isitio. Dt mirtio si th xml bildi d tholoy Exl fils: Room Nmbrs Floori mtrils Bildi dt Ass fils: Room mbrs Floori mtrils Bildi dt CAD fils: Room mbrs Floori mtrils Bildi dt CAF systms: Room Nmbrs Floori mtrils Bildi dt Ctrl dt bs HTL rhiv: Room mbrs Floori mtrils Bildi dt Prof. Dr. -I. Dil.-Wi.-I. Kibrt Lrts // Dil. -I. Dil Blöhl Istitt für Tholoi d mt im Bbtrib // Fility mt Fir 7: Dt mirtio i trl dt bs DEFINING ATTRIBUTE If th bsiss rosss r trsrt d th orrsodi ols from th rdi stio r dtrmid, th dt for th isitio is dfid. To dfi this dt, vry bsiss ross is xmid d lyzd srtly to fir ot ssry dt to hiv th dtrmid ols. This is ot rstritd to room book. Th dt ilds, i rtilr, CAD drwis (floor ls d rstiv viws), ll frmwork oditios (xmitio riods, fir sfty) s wll s owrshis of bildis. JOINT CIB W070, W092 & TG72 INTERNATIONAL CONFERENCE: DELIVERING VALUE TO THE COUNITY 708

6 Th bsiss ross s bhmrki is imortt bsiss ross of hositl. bhmrks r ssry for rli of drtmts or bildis s wll s tsti s osmtio of rtilr drtmts. I ordr for ths ky firs to b omrd to lr bhmrki ool, thy wr losly modlld to th ky firs of bi bhmrki ool. Tbl 1: bhmrki ATTRIBUTE VARIABLE DETAIL Room mbr Thil room mbr B + T ordi to DIN 277 m² DIN 277 tlo, 2d lyr ordi to DIN m² DIN 13080, 2d lyr As-is-s of th room Fr txt Alo to s rordi of rojt offi w bildis Amot of bds Qtity Pr room Amot of offi worksttios Qtity Pr room Th s of tir hositls ths b vltd rohly. or dtild lysis b vltd si kid of i-hos bhmrki btw th drtmts or ftiol stios. I fir 8, 9 d 10 diffrt vltios r show Bildirts Gbäd h DIN m i s i h F lä Erbis Btt Wrdräm mit llmir A ssttt Büroräm Offi Lr tor rä m Räm Ortio für ortiv Eiriff Räm Rdioloy für Diostis trhldiostik Räm rml mit mdil llmir rooms mdiziishr A ssttt Räm il mit mdil bsod rooms rr diziishr Assttt Vrkhrsfläh orridor Fir 8: Alys of omlt hositl DIN Bildirts Gbäd h DIN m 2000 i m s h i lä 1500 F Allmifl rmlwrd Fktiosdiostik Diostis Itsivmdizi Itsiv Cr Lbortorimsmdizi Lbortory Lit Admiistrtio d Vrwlt Ortio Rdioloish Rdioloy Diostik 0 RsltErbis Fir 9: Alys of omlt hositl DIN JOINT CIB W070, W092 & TG72 INTERNATIONAL CONFERENCE: DELIVERING VALUE TO THE COUNITY 709

7 2000 DIN vs DIN m1200 m i s 1000 i h F lä Btträm Wrd mit llmir Assttt Büroräm Offi Lrräm tor 400 Räm Ortio für ortiv Eiriff rmlwrd Diostis Itsiv Cr Lbortory Admiistrtio Ortio Rdioloy Räm Rdioloy für Diostis trhldiostik rml mdil rooms Räm mit llmir mdiziishr Assttt Räm il mdil mit bsodrr rooms diziishr Assttt Fir 10: Alys of omlt hositl DIN vs. DIN 277 CONCLUION D to th irsi ost rssr i th bli hlth stor, it boms mor d mor imortt to xmi th omy s whol d to rt slim d fftiv bsiss rosss. Th mmt of th s is th trl mmt tool for ll bsiss rosss i d rod bildis. By itrodi s mmt tool, dlit rosss b voidd d rsors b svd d shiftd to othr bsiss its. Ths, irs of lity b hivd by imrovi d itrodi w bsiss rosss withot si dditiol osts. Dlit bsiss rosss r voidd, w rosss r itrodd. To mk dt vilbl to th srs s mmt is, idlly, bild o IT ltform whih is ssibl to ll srs. Th thr bsiss rosss whih wr rstd oly hv miiml rt i ll rosss rod bildis. Oly if bildis r drstood s rsor d rosss r otimizd, th hlls of th ftr b flfilld. Th itrodtio of s mmt is imortt st o th rod ito th ftr. REFERENCE DIN 277-1; Grdfläh d Rmihlt vo Bwrk im Hohb, Til 1: Briff, Ermittlsrdl, 2005 DIN277-2; Grdfläh d Rmihlt vo Bwrk im Hohb, Til 2: Glidr dr Ntto Grdfläh (Ntzfläh, Thish Fktiosfläh d Vrkhrsfläh) 2005 DIN277-3; Grdfläh d Rmihlt vo Bwrk im Hohb, Til 3: d Bzsihit, 2005 DIN ; Glidr ds Krkhss i Fktiosbrih d Fktiosstll, 2003 Prozßmmt im Krkhs / Adrs Grlih ; Gütr Thil ; oik Thix-Kry. Utr itrb. vo Tobis Bdr... - Hidlbr : v. Dkr, X, 324 : rh. Drst.; (dt.) (hriftrih zm mthdbh Krkhs ;8) IBN GEFA-Rihtlii 400: Comtr Aidd Fility mt CAF GEFA-Rihtlii 410: hittstll zr IT-Itrtio vo CAF-oftwr GEFA-Rihtlii 420: Eiführ is CAF-ystms GEFA-Rihtlii 430: Dtbsis d Dtmmt i CAF-ystm Diz, K. (2009). Ei rozssoritirts odll zr Vrrh vo Fility mt Kost m Bisil dr Fktiosstll Ortiosbrih im Krkhs, Dissrttio, Krlsrhr Rih Bwirtshft, Immobili d Fility mt / Istitt für Tholoi d mt im Bbtrib, Uivrsität Krlsrh (TH), Bd 3, Uivrsitätsvrl Krlsrh, Krlsrh, 2009 OPIK 1: Abl, J. (2008). Ei Prodktoritirts Vrrhssystm für List ds Fility mt im Krkhs, Dissrttio, Krlsrhr Rih Bwirtshft, Immobili d Fility mt, Bd 1, Uivrsität Krlsrh (TH), Istitt für Tholoi d mt im Bbtrib, Uivrsitätsvrl Krlsrh, Krlsrh, 2008 JOINT CIB W070, W092 & TG72 INTERNATIONAL CONFERENCE: DELIVERING VALUE TO THE COUNITY 710

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