مؤشرات الاداء الاساسية لصيانة مباني المستشفيات في قطاع غزة

The health sector in Gaza Strip means a big issue in Palestinian`s life for its specialty and instability of political status which makes it imperative for leaders and managers of health sector to improve and develop this important sector. Maintenance management of hospital buildings is one of the more complex subjects in the field of facilities management (FM). It involves, planning, directing, controlling and organizing maintenance activities. Performance management aims at offering managers and members of staff of all ranks the ability to develop the direction, traction and speed of their organization. The aim of this research is to study the maintenance performance indicators in order to control the operation of hospital building maintenance in the Gaza Strip. Several Key Performance Indicators (KPIs) were developed for hospital buildings, ten KPI’s for hospital facilities presented, but four KPIs were used in this study to be suitable to the Gaza Strip hospitals. Another objective of this research is to study the operational conditions and factors that carried out and affect the maintenance management and deriving a suitable framework for the minimum requirements. All the 13 governmental hospitals which are administrated by Ministry of Health was the targeted population of this research. This research has been conducted through literature reviews on the topic related to the maintenance management performance indicators, followed by a field survey and interviewed questionnaire for the thirteen hospital departments in all the Gaza Strip hospitals. The results showed that 83.3 % of the maintenance department that maintenance activities in hospitals buildings is getting better during the last 2 years. There is no significant association between the maintenance staff users and the poor maintenance management of public hospital buildings in Gaza Strip. The BPI was for total average performance 76.18 for the 13 hospitals which is marginal status and needs preventive maintenance. The annual maintenance expenditure (AME) for the maintenance for health facilities expenditure in Gaza Strip is lag far behind. It was $13.8 per sq m, which is under the standard level of expenditure. In average, the maintenance expendtiure indicator (MEI) for Gaza hospitals was 0.3 which indicated low budgetary investment. Urgent repair index (URI) percents considered in the average percents in the hospitals. The annual maintenance expenditure is lower 2.5 times than standard due to the poor financial status in the Palestinian hospitals. Case studies showed that all the large scale maintenance projects classified as corrective maintenance. Applying preventive maintenance PM can be considered as success factor for implementing the framework to meet the minimum requirements for the maintenance management. The study recommended developing a team vision for hospital maintenance department, changing the work style and culture towards maintenance, making certified periodic maintenance checklists, developing and implementing adequate KPIs for the Gaza strip hospital status

Assessment of Operational Maintenance in Public Hospitals Buildings in the Gaza Strip

The issue of public hospitals buildings’ maintenance in Palestine is regarded as a challenging issue. The lack of attention to maintenance management in hospitals has led to deterioration of buildings and reduced the health care services. The aim of this paper is to assess the current practice of maintenance process and management in public hospitals buildings in the Gaza Strip. A questionnaire survey that distributed to 13 public hospitals, which are administered by the Ministry of Health (MoH) in the Gaza Strip, was used to collect the primary data for this study. The results of this study present an overview of the current situation of the maintenance process in public hospitals buildings in the Gaza Strip. The findings indicated that while the corrective maintenance is implemented in all the 13 public hospitals, preventive maintenance is employed along with corrective maintenance, only in three hospitals. In addition, the findings indicated variances in responding to maintenance requests, while 50% of the maintenance departments took few hours to respond to maintenance requests, the rest took a few days to respond, this can be explained due to lack of spare parts and qualified staff. The study showed also that there is a shortage in training the hospital facility’s users on how to report maintenance problems. The results of this study indicated that most hospitals in the Gaza Strip have no maintenance plan for medical equipment; they do not have quality control system for repair and preventive maintenance. It is recommended to employ experience maintenance staff in order to prepare adequate maintenance plan and detailed check list, which is required for preventive maintenance. The MoH should organize specialized training courses in maintenance management for their staff in order to improve their effectiveness and efficiency. Hospitals in Gaza should make sure that all spare parts available in their storages for immediate action when required

Key performance indicators for the maintenance of public hospitals buildings in the Gaza Strip

Purpose – The purpose of this paper is to identify and assess the key performance indicators (KPIs) for the maintenance of public hospital buildings in the Gaza Strip. Design/methodology/approach – Four KPIs were identified and evaluated in this paper: building performance indicators (BPI), maintenance efficiency indicators (MEI), annual maintenance expenditure (AME) and urgent repair request indicator. Twenty-one buildings in 13 public hospitals in Gaza Strip Governorate were taken as the sample of this study. Findings – The results indicated that the European Gaza hospital has the highest BPI score (81.66) and the Dorra hospital has the lowest BPI score (68.26). The findings revealed that the average AME for all hospitals was $13.8/m2 which is considered to be below the standard level of expenditure. The MEI for Gaza public