Abstract
The salient phases in a facility’s service life that are most decisive for the effectiveness of its facilities management (FM) are the preliminary design, construction, and maintenance. The effectiveness of facilities is vastly affected by decisions pertaining to the strategy of the organization that owns or uses the facilities. The goal of this study was to develop key performance indicators (KPIs) for strategic FM that will provide a conclusive approach towards the facility’s service life conditions. Parameters were developed by means of field surveys and statistical analyses, and were validated by means of case studies. The research resulted in a series of 11 KPIs for strategic healthcare FM, which can be classified into four categories: development, organization and management, performance, and maintenance efficiency parameters. The study proposes age and occupancy coefficients as essential parameters for the assessment of large healthcare facilities needs, as an effective measure for long term facility maintenance planning, and for measuring FM effectiveness. The paper stresses that strategic healthcare facilities management must integrate quantitative performance, manpower, and maintenance indicators.

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