1. SHOPS is funded by the U.S. Agency for International Development. Abt Associates leads the project in collaboration with Banyan Global Jhpiego Marie Stopes International Monitor Group O’Hanlon Health Consulting Business for Health Business Skills for Private Medical Practices Module 9: Manage Your Facility

2. A Quick Start Welcome! While you are waiting for the class to begin, please take the Pre-Test and make sure your name is on it before you hand it to the facilitator. While you are waiting for the class to begin, please take the Pre-Test and make sure your name is on it before you hand it to the facilitator. Thank you!. 2Business Skills for Private Medical Practices

3. Agenda Welcome Facility Management Awareness Housekeeping Building and Equipment Maintenance Safety and Security Waste Management Facility Management Summary and Evaluation Close 3Business Skills for Private Medical Practices

4. Learning Objectives During this session, you will: 1.discuss what your facility can do to have a positive first impression on your patients and visitors; 2.identify four areas of concern in facility management; 3.rate the cleanliness of your facility; 4Business Skills for Private Medical Practices

5. Learning Objectives 4.explain basic clinical equipment maintenance procedures; 5.review a building maintenance checklist; 6.discuss facility safety issues and procedures; 7.explain your security measures. 5Business Skills for Private Medical Practices

6. Learning Objectives 8.share waste management methods; 9.propose how to handle issues related to facility management; 10.explain the next step; and 11.state your key take- away from this session. 6Business Skills for Private Medical Practices

7. Introduction You will have 1 minute to introduce yourself: 1.Your name 2.Your position 3.Your business 4. How long you have been in business 7Business Skills for Private Medical Practices

8. Facility Management Awareness Business Skills for Private Medical Practices 8

9. Discussion Question How is managing a health practice facility similar to managing a hotel? Business Skills for Private Medical Practices9

10. Four Areas of Facility Management 1. Housekeeping Business Skills for Private Medical Practices10

11. Four Areas of Facility Management 2. Building and Equipment Maintenance Maintenance Business Skills for Private Medical Practices11

12. Four Areas of Facility Management 3. Security and Safety Business Skills for Private Medical Practices12

13. Four Areas of Facility Management 4. Waste Management Business Skills for Private Medical Practices13

14. Good Facility Maintenance and Management 1.Decrease equipment replacement costs 2.Decrease renovation costs 3.Decrease overhead costs 4.Contribute to effectiveness and financial well-being Business Skills for Private Medical Practices14

15. Good Facility Maintenance and Management 5.Improve cleanliness, orderliness and safety 6.Reduce operational costs and life cycle cost 7.Extend the useful life of buildings 8.Increase energy efficiency and help the environment Business Skills for Private Medical Practices15

16. Housekeeping Business Skills for Private Medical Practices 16

17. What Are Your Cleaning Expectations? Business Skills for Private Medical Practices17

18. Facility Cleanliness Standards Patient Equipment:  Direct Contact  Close Contact  Fixed Assets  Hard Floors Business Skills for Private Medical Practices18

19. Facility Cleanliness Standards Fixtures:  Electrical Fixtures and Appliances  Furnishings and Fixtures  Kitchen Fixtures and Appliances  Sinks, Consumables and Soap Business Skills for Private Medical Practices19

20. Hospital and Clinic Cleaning Guidelines  Neutral Cleaner  Low Level Disinfectant  Low Level Disinfectant or Removal  Low to Intermediate Level Disinfectant Business Skills for Private Medical Practices20

21. Building and Equipment Maintenance Business Skills for Private Medical Practices 21

22. The Equipment Maintenance Cycle Business Skills for Private Medical Practices22

23. Two Types of Maintenance 1. Corrective Maintenance (or Repair) 2. Planned (or Scheduled) Preventive Maintenance Maintenance Business Skills for Private Medical Practices23

24. Sample Preventive Maintenance Checklist: Clinical Equipment Business Skills for Private Medical Practices24 CleaningVisual Checks Function Checks Daily ✔✔✔ Weekly ✔✔✔ Every 6 Months Biomedical Technician Check

25. Sample Clinical Equipment Maintenance Information Sheet 1.Do we have a schedule? 2.Who is responsible? 3.Does the person know what to look for? 4.Do we have a back up plan? Business Skills for Private Medical Practices25

26. The Consequences of Equipment Breakdown Business Skills for Private Medical Practices26

27. Let’s Conduct a Building Self-Inspection Business Skills for Private Medical Practices27

28. Safety and Security Business Skills for Private Medical Practices 28

29. Safe Behaviors Checklist Business Skills for Private Medical Practices29

30. Blood borne Pathogens 1.Blood borne pathogens can enter the skin from a needle stick, through a cut, or by improperly handling ______________ Business Skills for Private Medical Practices30

31. Blood borne Pathogens 1.Blood borne pathogens can enter the skin from a needle stick, through a cut, or by improperly handling equipment. Business Skills for Private Medical Practices31

32. Blood borne Pathogens 2.Blood borne pathogens are a hazard for employees and ___________________. Business Skills for Private Medical Practices32

33. Blood borne Pathogens 2.Blood borne pathogens are a hazard for employees and patients. Business Skills for Private Medical Practices33

34. Blood borne Pathogens 3.It is important to have a _______________________ plan. Business Skills for Private Medical Practices34

35. Blood borne Pathogens 3.It is important to have a exposure plan. Business Skills for Private Medical Practices35

36. Blood borne Pathogens 4.The plan should include training, _____________, treatment and ________________ procedures. Business Skills for Private Medical Practices36

37. Blood borne Pathogens 4.The plan should include training, prevention, treatment and reporting procedures. Business Skills for Private Medical Practices37

38. Blood borne Pathogens 5.Training should cover how employees might be exposed, what _____________ equipment to wear, how to dispose of this equipment and any ___________________, how to identify biohazard waste containers, and what to do ________________ if they are ____________________. how to identify biohazard waste containers, and what to do ________________ if they are ____________________. Business Skills for Private Medical Practices38

39. Blood borne Pathogens 5.Training should cover how employees might be exposed, what personal protective equipment to wear, how to dispose of this equipment and any infected items, how to identify biohazard waste containers, and what to do immediately if they are contaminated. how to identify biohazard waste containers, and what to do immediately if they are contaminated. Business Skills for Private Medical Practices39

40. Blood borne Pathogens 6.Designated areas or _______________ should be provided for equipment storage, washing, __________________ or disposal. Business Skills for Private Medical Practices40

41. Blood borne Pathogens 6.Designated areas or containers should be provided for equipment storage, washing, decontamination or disposal. Business Skills for Private Medical Practices41

42. Blood borne Pathogens 7.Staff members should be trained in and use _________________________. Business Skills for Private Medical Practices42

43. Blood borne Pathogens 7.Staff members should be trained in and use universal precautions. Business Skills for Private Medical Practices43

44. Safety Hazards Business Skills for Private Medical Practices44 Are there any of concern in your facility?

45. A Sample Monthly Safety Hazard Checklist 1.Are there any other hazards that should be on the list? 2.Does someone check safety hazards on a monthly basis? 3.Do you have a safety hazard checklist? Business Skills for Private Medical Practices45

46. Security Procedures 1.What are your major security issues? 2.What security measures have you taken? 3.What type of security training do you provide to the staff? Business Skills for Private Medical Practices46

47. Possible Security Measures Business Skills for Private Medical Practices47

48. Waste Management Business Skills for Private Medical Practices 48

49. Waste Management Non-Medical Waste 1.Garden rubbish 2.Cardboard cartons 3.Ordinary rubbish 4.Human waste Business Skills for Private Medical Practices49 Health Care Waste 1.Sharps waste 2.Other hazardous medical waste 3.Pharmaceuticals

50. Waste Management 1.Do you emphasize safe waste management procedures? If so, how? 2.What are your procedures for disposing of sharps waste, other hazardous medical waste and pharmaceuticals? 3.Do you monitor your waste disposal practices on a regular and frequent basis? If so, what is your procedure? Business Skills for Private Medical Practices50

51. Business Skills for Private Medical Practices51

52. Facility Management Business Skills for Private Medical Practices 52

53. Case: Northlands Health Center What facility maintenance and management actions should Dr. Viraj Shah take to improve the financial well-being of the hospital and to ensure that NHC is recertified? Please consider the four areas of facility management: housekeeping, building and equipment maintenance, safety and security, and waste management. 53Business Skills for Private Medical Practices

54. Case: Northlands Health Center Please address the following areas of concern:  Housekeeping  Building and Equipment Maintenance  Safety and Security  Waste Management  Administration  Financial Management  Clinical Management 54Business Skills for Private Medical Practices

55. Summary and Evaluation Business Skills for Private Medical Practices 55

56. Evaluation Sheet 56Business Skills for Private Medical Practices

57. The Next Step 1.Discuss facility cleanliness standards with all staff and give them the training and resources necessary to meet standards. 2.Walk through your building and complete the self-inspection checklist, then address any issues. 3.Conduct a monthly safety hazard audit. 57Business Skills for Private Medical Practices

58. Let’s See How Much You’ve Learned Please take the Post-Test. We will compare it to your Pre-Test to see how much you’ve learned in this session. Thank you. Business Skills for Private Medical Practices58

59. My Key Take-Away 59Business Skills for Private Medical Practices