Compliance is a critical concern in every aspect of the healthcare industry, and in particular, in the maintenance of facilities. When accrediting organizations, like The Joint Commission, arrive onsite for surveys, they examine everything and anything that impacts patient care and that includes facilities-related elements such as cleanliness, clearly marked and accessible exits, the facility's ability to minimize the effects of smoke and heat, safety equipment maintenance and so much more. Every day of the year, healthcare facilities management teams must be proactive about these compliance concerns. Once an inspection or survey is underway, it’s already too late to address facilities-related deficiencies.
How can you remain prepared at all times for prickly inspectors from the Joint Commission while also completing your daily tasks? Here we discuss the top 5 areas of compliance to watch in order to stay compliant among the flurry of shifting priorities and regulations in the healthcare facilities management sector.
1. Be Prepared for an Emergency
With the increase of events such as natural disasters due to climate change, emergency preparedness procedures have become a top compliance concern. So much so that the Joint Commission recently rewrote its Emergency Management chapter.
Now more than ever, it is imperative that healthcare organizations take stronger steps to provide a safe and resilient space not only for patients, but also for staff and visitors. Rather than waiting for an extreme whether event to occur, it is better to take steps now to draft a climate resilience plan so that your health facility keeps its lights on regardless of the conditions outside.
Learn more about how we can help you to become a climate resilient healthcare facility >
What to Watch:
Being prepared for any emergency is the key to equipping your staff with the knowledge and skills necessary to act quickly and efficiently when needed.
Benefits of FM Software on Emergency Preparedness:
Instead of hoping that an emergency situation doesn’t occur, be proactive and develop a plan. Having a plan in place ensures others on your facilities team are confident in their role in the event of an emergency. Instead of relying on stacks of binders and papers, use mobile technology to make your compliance-required emergency protocols accessible and actionable.
2. Infection Control
Your entire maintenance and operations team play a role in infection control and disease prevention. According to an article in Health Facilities Management Magazine, “the health facility manager’s role in infection prevention and patient care has become increasingly more important as health care associated infections (HAIs) have become a growing concern.”
Effectively controlling the spread of infection in healthcare facilities requires optimal vigilance even when dealing with the smallest tasks. It is essential to ensure that you have the right protocols documented and a methodology in place in order to demonstrate that you are putting them through to action. Start by making sure that everyone on your team has access to the tools and training they need to track and manage compliance work so that you can mitigate risks.
A recent article in Health Facilities Management magazine identified the top four most common facility-related infection control risks that are critical because they present the highest risk to patients and have received an increased focus by regulatory agencies.
What to Watch:
Benefits of FM Software on Infection Control:
Ultimately, compliance in regards to infection control, is primarily about fulling your healthcare facility's mission to promote health and save lives. There is a clear correlation between facility management practices and patient health, so it is crucial to set standards and to ensure that your team has the right tools in place for maintaining detailed documentation.
Implementing an efficient infection control strategy backed by facility management software will empower your team with the necessary tools to ensure a safe and healthy environment so that you are prepared for every compliance inspection.
3. Fire and Life Safety
Fire and life safety compliance is mandatory for Centers for Medicare and Medicaid Services (CMS). According to a recent article by Facilities Maintenance Decisions, "more than 100,000 fires occur in non-residential buildings every year... costing organizations billions of dollars in damages." Violations in this area, and all areas of compliance, can equal fines, lack of reimbursements and even result in facilities being shut down in extreme cases.
Further new standards and regulations are constantly updated by the Joint Commission, CMS, and OSHA, and it can be challenging to remain up-to-date. Therefore, this area is a top priority for protecting both patients and staff. Following compliance codes and integrating them into your daily work orders and preventive maintenance plan will make inspections easier and keep you prepared for any issues.
Fire and life safety directly impacts the protection of patient health and safety as well as the health and safety of staff. Technology can help you stay in control of growing demands.
What to Watch:
Benefits of FM Software on Fire and Life Safety
4. Medical Gas and Vacuum Systems
Your medical gas and vacuum systems need constant supervision to ensure that they are functioning properly and not putting anyone in danger. The ongoing operation and maintenance of these systems for health facilities is vital to ensuring that they remain safe and dependable for patients who rely on them for survival. Training all members of staff to be aware of compliance with these volatile systems will result in improved compliance as well as better care and safety for patients.
What to Watch:
Benefits of FM Software on Medical Gas and Vacuum Systems
These systems can mean life or death for patients who rely on them. This is aspect of healthcare operations greatly depends upon the ongoing monitoring and regular maintenance of these of systems. With the implementation of innovative technology like facility management software, maintaining compliance will be easier, more efficient, and streamlined.
5. HVAC and Utilities Maintenance
The management of your HVAC systems is critical to your operations and to compliance. When you can better manage the condition of your heating and cooling systems and make data-driven decisions about how to maximize their performance, you'll be better prepared for compliance inspections.
What to Watch:
Ensuring that your HVAC systems are more compliant and efficient will reduce the numbers on costs, calls, and complaints. Using technology solutions gives you the power to increase your efforts in regards to HVAC and utility systems maintenance, making the work and reporting easier and more thorough.
Benefits of FM Software on HVAC Maintenance:
The maintenance, testing, and inspection of your HVAC and utility systems is critical, and there is no room for error in terms of meeting current health compliance codes and standards.
The Role of Technology in Healthcare Facilities Management
Technology and software solutions such as facilities management systems offer healthcare facility managers many opportunities to improve equipment uptime and increase levels of operational readiness. With tools like FOUNDATION, a facility management and capital planning system, you can let technology do the busy work and long-range planning for you such as monitoring compliance codes, documenting compliance-related tasks, developing renewal and replacement plans, and implementing mobile communication in order to increase efficiency across the board.
Mobile-enabled solutions, like FOUNDATION, are transforming healthcare facilities management. Traditionally when a facility issue occurred and was reported, the facilities manager was required to make a trip to the site where the issue occurred, review the issue, and schedule the maintenance work in order to resolve it. Today, mobile technologies, like tablets and smartphones, make it easy to simply take a photo of a problem such as a cracked ceiling tile. This technology saves time for the facilities team because personnel can easily view an image of the issue within their facilities management system and quickly evaluate the urgency of the issue without having to take extra time to visit the physical site.
Our FOUNDATION Solution is an innovative platform that employs cutting-edge data collection, analysis, evaluation, and planning to equip your team with the right data and insights that empower you to ensure compliance among the shifting healthcare facilities regulations and give you the right insights so you can improve your organization's patient safety score.
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Sources
Connors, Bryan, “Facility Managers’ Role in Infection Control,” Health Facilities Management Magazine, https://www.hfmmagazine.com/articles/2266-facilitymanagers-and-infection-control.
Chrisman, Mark, "Fire Protection: Inspection, Testing and Maintenance", Facilities Maintenance Decisions, https://www.facilitiesnet.com/firesafety/article.aspx?id=17959.
Hrickiewicz, Mike, "Emergency management tops October health care facility compliance news," Health Facilities Management Magazine, https://www.hfmmagazine.com/articles/2458-checklist.
National Fire Protection Association, List of NFPA Codes and Standards, https://www.nfpa.org/Codes-and-Standards/All-Codes-and-Standards/List-of-Codes-and-Standards.
SAI Global, "Healthcare Compliance Benchmark Study,” http://purl.manticoretechnology.com/ImgHost/511/14960/AMER_Marketing/2017_Benchmarks/Executive_Summary_web.pdf.
Stymiest, David, "A Look at CMS K-tag Requirements," Health Facilities Management Magazine, https://www.hfmmagazine.com/articles/3112-a-look-at-cms-k-tag-requirements.
The American Society for Health Care Engineering of the American Hospital Association, Air Filtration Compliance, http://www.ashe.org/compliance/ec_02_05_01/01/airfiltration.shtml.
The Joint Commission, Utility Systems EC.02.05.01, https://www.jointcommission.org/topics/ec020501.aspx.
Willard, Jonathan, "What Recent CMS Changes Mean for Medical and Gas System Regulations," Health Facilities Management Magazine, https://www.hfmmagazine.com/articles/2443-what-recent-cms-changes-mean-for-medical-gas-system-regulations.