Formation of organizational and technological solutions for major repairs of healthcare facilities

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Major repairs of healthcare facilities can repurpose a building, increase its capacity, improve in-frastructure needed to accommodate advanced medical equipment and to ensure compliance with updated regulations and modern standards. The capital renovation of healthcare facilities constitutes a complex engineering and organiza-tional system characterized by: the multifactorial nature of technological processes, the necessity for adaptive management under regulatory constraints, stringent coordination requirements among project stakeholders. Such projects are characterized by the involvement of a large number of stakeholders pursuing versatile goals and having dif-ferent levels of knowledge in the field of construction. These factors disrupt coordination and project management. The purpose of the study is to analyze process control and engineering so-lutions made in the course of major repairs of healthcare facilities, to assess factors affecting their effectiveness, and to develop recommendations to improve these solutions. This study has developed an innovative systematic planning methodology for capital renovation of healthcare facilities, grounded in principles of preventive risk management. Implementation of this approach demonstrated statistically significant improvements across key performance indicators: a 10-15% reduction in project timelines, enhanced compliance with quality standards, and an 15-18% increase in labor productivity.

Sobre autores

A. Lapidus

Moscow State University of Civil Engineering (National Research University)

ORCID ID: 0000-0001-7846-5770

T. Kuzmina

Moscow State University of Civil Engineering (National Research University)

ORCID ID: 0000-0002-8454-1765

P. Bolshakova

Moscow State University of Civil Engineering (National Research University)

ORCID ID: 0000-0002-5386-5388

Bibliografia

  1. Fomochkina O.I. Assessment of the state of social infrastructure of health care institutions in the Rostov region. Engineering Bulletin of Don. 2012. 4-1 (22). URL: cyberleninka.ru/article/n/otsenka-sostoyaniya-sotsialnoy-infrastruktury-uchrezhdeniy-zdravoohraneniya-rostovskoy-oblasti
  2. Balakina A.E., Lemple Yu.E., Lemple Y.I. Analysis of requirements for modern finishing materials in the solutions of interiors of "clean rooms" of medical institutions. Innovations and Investments. 2021. 5. P. 197 – 202. URL: cyberleninka.ru/article/n/analiz-trebovaniy-k-sovremennym-otdelochnym-materialam-v-resheniyah-interierov-chistyh-pomescheniy-meditsinskih-uchrezhdeniy
  3. Girya L.V., Rozhina M.A., Ivancha Ya.V., Korobenko O.G., Gondusova A.V. Problems of technical operation and reconstruction of health care facilities in Rostov-on-Don. Engineering Bulletin of Don. 2021. 2 (74). URL: cyberleninka.ru/article/n/problemy-tehnicheskoy-ekspluatatsii-i-i-rekonstruktsiya-obektov-zdravoohraneniya-na-primere-g-rostova-na-donu
  4. A beginner's guide to hospital renovation. URL: korteco.com/construction-industry-articles/beginners-guide-hospital-renovation
  5. Kagazhezhev A.Yu.S., Khubaev A.O., Shesterikova A.O. Analysis of the main problems of planning capital repair programs. Prospects of Science. 2022. 12 (159). P. 81 – 86.
  6. Yudina M.A. Industry 4.0: competition for relevance. Public Administration. Electronic bulletin. 2020. 80. URL: cyberleninka.ru/article/n/industriya-4-0-konkurentsiya-za-aktualnost
  7. Designing medical buildings: methodological manual. TsNIIOMTP Publ. MGSU Publ. 2018. URL: pdf.standartgost.ru/catalog/Data2/1/4293730/4293730182.pdf
  8. Motawa I., Almarshad A.A. Knowledge-Based BIM system for building maintenance. Automation in Construction. 2013. 29. P. 173 – 182.
  9. Wu L. Improving efficiency and reliability of building systems using machine learning and automated online evaluation. Systems, Applications and Technology Conference (LISAT). 2012. IEEE Long Island.
  10. Ktrina A.A., Abakumov R.G. Justification of the need to reconstruct social security facilities. Innovative Science. 2017. 3-1. P. 167 – 169. URL: cyberleninka.ru/article/n/obosnovanie-neobhodimosti-rekonstruktsii-obektov-sotsialnogo-naznacheniya
  11. Kuzmina T.K., Tarkhanyan T.A., Babushkina D.D., Mezentsev A.С. Factors affecting the efficiency of major repair of healthcare facilities. Engineering Bulletin of Don. 2024. 1 (109). URL: ivdon.ru/en/,magazine/archive/n1y2024/8932
  12. Hua G.C., Sher W., Pheng L.S. Factors affecting effective communication between building clients and maintenance contractors. Corporate Communications: An International Journal. 2005. 10 (3). P. 240 – 251.
  13. Volkov A., Chulkov V., Kazaryan R., Fachratov M., Kyzina O., Gazaryan R. Components and guidance for constructional rearrangement of buildings and structures within reorganization cycles. Applied Mechanics and Materials. 2014. 580-583. P. 2281 – 2284. doi: 10.4028/ href='www.scientific.net/AMM.580-583.2281' target='_blank'>www.scientific.net/AMM.580-583.2281
  14. Assaf S., Hassanain M.A., Al-Hammad A.M., Al-Nehmi A. Factors affecting outsourcing decisions of maintenance services in Saudi Arabian universities. Property Management. 2011. 29(2), P. 195 – 212.
  15. Rezvani A., Khosravi P. Identification of failure factors in large-scale complex projects: an integrative framework and review of emerging themes. International Journal of Project Organization and Management. 2019. 11(1): 1. P. 1 – 21. doi: 10.1504/IJPOM.2019.10019953
  16. Topchiy D., Shatrova A., Yurgaytis A. Integrated construction supervision as a tool to reduce the developer's risks when implementing new and redevelopment projects. MATEC Web of Conferences. 2018. 193. doi: 10.1051/matecconf/201819305032
  17. Lapidus A.A., Topchiy D. V., Kuzmina T.K., Bolshakova P.V., Ganzen E.V.Development of a method to identify the need for capital repairs and renovation of administrative buildings. Construction Materials and Products. 2024. 7 (6). 9. doi: 10.58224/2618-7183-2024-7-6-9
  18. Murthy D.N.P., Atrens A., Eccleston J.A. Strategic maintenance management. Journal of Quality in Maintenance Engineering. 2002. 8(4). P. 1355 – 2511.
  19. Gladysz B., Skorupka D., Kuchta D., Duchaczek A. Project risk time management - a proposed model and a case study in the construction industry. Procedia Computer Science. 2015. 64. P. 24 – 31.
  20. Lapidus A. A., Kuzmina T.K., Bolshakova P.V. Developing administrative and process-related solutions for the benefit of residential construction projects. Construction Materials and Products. 2024. 7 (6). 2. doi: 10.58224/2618-7183-2024-7-6-2
  21. Semyonov S.S. Differences between organizational and technical measures in the performance of works on reconstruction and major repair of capital construction facilities. GLOBUS: Technical Sciences. 2022. 2 (43). P. 25 – 29. URL: elibrary.ru/item.asp?id=49893806
  22. Health care modernization in 2021. URL: deloitte.com/us/en/pages/life-sciences-and-health-care/articles/health-care-modernization.html
  23. Mitropoulos P., Howell G.A. Renovation Projects: design process problems and improvement mechanisms. ASCE Journal of Management in Engineering. 2002. 18 (4). P. 179 – 185.
  24. Mubarak S. Construction project scheduling and control. New Jersey. Hoboken: John Wiley & Sons, Ins. 2010. 478 p.
  25. Topchiy D.V., Shatrova A.I. Formation of a basic management strategy for a construction organization in the implementation of projects of redevelopment of major urban areas. International Journal of Mechanical Engineering and Technology. 2018. 9 (4). P. 539 – 547.
  26. Waheed Z., Fernie S. Knowledge based facilities management. Facilities. 2009. 27 (7/8) P. 258 – 266.
  27. Jato-Espino D., Castillo-Lopez E., Rodriguez-Hernandez J., Canteras-Jordana J.C. A review of the application of multi-criteria decision-making methods in construction. Automation in Construction. 2014. 45. P. 151 – 162.
  28. Froese T.M. The impact of emerging information technology on project management for construction. Automation in Construction. 2010. 19(5). P. 531 – 538.
  29. Jones K., Sharp M. A new performance-based process model for built asset maintenance. Facilities. 2007. 25 (13/14). P. 525 – 535.
  30. Ekba S.I. Selection of parameters of organizational and technological solutions of stages of the life cycle of housing construction facilities. Construction Process. 2021. 4. P. 79 – 84. doi: 10.54950/26585340_2021_4_12_79
  31. Shirshikov B.F., Fatullaev R.S. Problems of selection of contracting organizations for capital repair of apartment buildings. Industrial and Civil Engineering. 2014. 7. P. 59 – 61.
  32. Ekba S.I., Borovkova A.E., Nikolenko D.M., Koblyuk D. A systematic approach to technical inspection of construction projects. E3S Web of Conferences: International Scientific Siberian Transport Forum. TransSiberia. Novosibirsk, Russia. 2023. P. 07003. doi: 10.1051/e3sconf/202340207003
  33. Lapidus A.A., Bilonda-Tregubova E., Komarov V.A. Analysis of shortcomings of regulatory and legislative base of design of capital repair of residential buildings. News Bulletin of TulSU. Technical Sciences. 2022. 7. P. 218 – 224.
  34. Dale E.S. Relevance of functional-technological schemes in the normative documentation for the design of medical institutions. Science, Education and Experimental Design. 2022. 1. P. 203 – 205. URL: cyberleninka.ru/article/n/aktualnost-funktsionalno-tehnologicheskih-shem-v-normativnoy-dokumentatsii-po-proektirovaniyu-meditsinskih-uchrezhdeniy
  35. Kuzmina T.K., Tarkhanyan T.A., Babushkina D.D., Telkov F.S., Levikov M.A. Flowchart of major repairs of radial diagnostics premises. Engineering bulletin of Don. 2024. 6 (115). P. 524 – 539. URL:http://ivdon.ru/uploads/article/pdf/IVD_35__6y24_Kuzmina_Tarkhanyan.pdf_4dd05598ea.pdf
  36. Yang C.C. Evaluation of impact of factors affecting CT radiation dose for optimizing patient dose levels. Diagnostics (Basel). 2020. 10 (10). P. 787. doi: 10.3390/diagnostics10100787
  37. Keep hospital operations moving while upgrading the building's systems. URL: medcitynews.com/2022/04/keep-hospital-operations-moving-while-upgrading-the-buildings-systems/

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