In this three part blog series, we’ve been focusing on healthcare, BIM, and facilities management. In this post, we’ll explore how the information captured in a model can directly contribute to the bottom line for healthcare organizations.
Among facilities managers, a little known fact is that the reimbursements associated with Medicare and Medicaid Space Reporting can account for as much as 8% to 12% of a healthcare organization’s bottom line revenue. In a sector where operating margins are as low as 2%, it makes sense to take advantage of every possible reimbursement.
Recovery of facility costs, however, requires detailed spatial data. Gathering accurate space and allocation information can be a massive effort. Healthcare organizations must work with CMS auditors to defend spatial data and demonstrate current allocations, as well as show changes in space inventory and allocations since the previous report.
Here is a simplified version of the annual space reporting equation:
(Facility costs) x (% of Medicare/Medicaid allowable) x (% of space occupied by the department) = Facility Costs Allocated for that Department
Healthcare organizations that use information models inherently understand space boundaries which eliminates the traditional CAD-based polylining process. In addition, BIMs can use the space classification to understand boundary positions. The effects of penetrations on space calculations are automatic based on model geometry. Simple exports or a direct connection from the BIM to other systems extend the value proposition. Changes are made in one place that are automatically propagated through associated systems, as opposed to manually coordinating changes independently in multiple systems and locations.
As noted in prior blog posts, capturing relevant facilities information in models created during construction or renovation projects requires early engagement with stakeholders like reimbursement analysts and facilities management. Ideally, design and construction teams will reach out to facilities management as part of their projects. However, facilities management teams should also be proactive and inquire how to include data in BIMs which will support building operation and reimbursement processes after project handoff is complete.
Crossing the divide between BIM and facilities management isn’t always easy, because it’s not how business has usually been done in healthcare organizations or in other sectors, as well. IMAGINiT has worked with firms throughout the building lifecycle and has insight into how organizations have smoothed the transition from one phase to the next. If you’d like to discuss your environment or learn more about best practices used by others, feel free to contact us.
In this three part blog series, we’ll be focusing on healthcare, BIM, and facilities management. In this post, we’ll explore how integrating BIM and an FM system can simplify accreditation surveys and other compliance related activities.
Accreditation surveys and compliance reviews keep healthcare facilities management teams on their toes. The Joint Commission (TJC), which accredits and certifies more than 20,500 healthcare organizations and programs in the United States, recently implemented a new standard which places responsibility for the design, installation, and maintenance of utility systems squarely on hospitals and healthcare organizations.
Standard EC.02.05.01 states that hospitals must manage risk associated with their utility systems. These include systems that support the use and function of the physical environment, such as heating and cooling, water distribution systems, and more. Key elements of performance (EPs) state that hospitals must:
During an accreditation survey, facilities management teams must be prepared to provide documentation on different types of systems. For example, a typical request might be for two years of maintenance documentation for emergency diesel backup generators, as well as statement of condition documents.
Many facilities management teams still maintain information in a haphazard manner including paper or Excel files and disparate databases. With systems like these, responding to accreditor requests can take hours or longer. A better solution is to use a facilities management system. Populating facilities management software with data about utility systems doesn’t have to be difficult. As building information models are created for new construction or renovation projects, information about utility systems is usually captured in those models. That data can be easily integrated into facilities management systems where ongoing maintenance is tracked.
When surveyors ask questions about a system, the facilities team could quickly run a report out of the facilities management system. Not only does this help maintain accreditation, it also conveys to surveyors that the organization is efficient and well-run.
With technology and data management, it’s possible to streamline facilities management tasks and simplify mission-critical activities like compliance reviews. If you’d like to learn more about the intersection of facilities management, information models, and compliance, feel free to contact us. In the third and final post in this blog series, we’ll take a closer look at how using BIM to capture facilities data can improve healthcare organizations’ bottom line.
In this three part blog series, we’ll be focusing on healthcare, BIM, and facilities management. We’ll first explore the gap that exists between design/construction and building operations teams and how that makes it more difficult to use building information models throughout the building lifecycle.
Building Information Modeling (BIM) is commonly used in the design and construction phases of healthcare projects. A building information model contains a wealth of data, but all too often the information isn’t usable for facilities management and building operations. There are several reasons why:
AEC firms often view owner organizations as monolithic, but in reality they are fragmented and siloed. In healthcare, for example, facilities management teams often have no insight into how data they control could increase their organization’s reimbursements from the Centers for Medicare and Medicaid Services. For these reimbursements, square footage allocations are essential and could be easily retrieved from a BIM.
One of the fundamental issues that must be addressed is connecting the silos that exist within healthcare. If this can be accomplished, information models will be more useful during the building operations phase.
Bridging the gap between the design/construction and building operations teams is more a process issue than a technology issue. Here are three recommendations for moving forward in a productive way:
IMAGINiT understands the entire building lifecycle from design and construction through facilities management. If you have questions about BIM best practices and how to build a better information model to serve all stakeholders, feel free to contact us. In our next post, we’ll take a closer look at how integrating BIM and FM applications can simplify accreditation surveys and other compliance activities.
A great deal of the information captured in construction models is helpful for ongoing facilities management work. However, identifying the data that is most valuable for FM and then getting that into the appropriate facilities management system is not always easy.
During the design and construction process, architects and contractors often use a Level of Development (LOD) Specification. This standard helps teams specify information in Building Information Models (BIMs) with a higher level of clarity and reliability. The specification referenced above uses and expands on LOD definitions that were developed by the American Institute of Architects (AIA).
There are six levels of development – LOD 100, LOD 200, LOD 300, LOD 350, LOD 400, and LOD 500. These define how much detail is included in a model element. To derive the information needed from BIMs, facilities management teams should create their own standards that refer to the LOD specification framework. Here are three tips that can help your team with this effort:
Has your team created an organization-specific standard that defines what information facilities management needs from BIMs and what LOD is appropriate? If not, what’s been holding you back? IMAGINiT’s facilities management team understands how to guide teams through standards development, as well as how to integrate BIM source data with facilities management systems. We’d love to hear what challenges you are facing.
We've been busy this month and last with the 2016 releases. We have webcasts on the Autodesk products next week (psst - see the webcasts and sign up here), we'll be on several panels at CanBIM the week after that as well as out at the Hexagon Conference talking about reality capture and BIM.
Then, we can take a quick break. Until the Revit Technology Conference in DC. Then we have more sessions and you can swing by our booth to see how our team can help your save time and effort.
See all the conferences we'll be at in June and July. Want us to come and speak to your group or association? Just drop us a line.
By Nicholas Bowley, IMAGINiT Applications Expert
I always get excited about the next software release to find out what is new and improved. To get you excited about the new release, below is a list of things you'll get to use in Revit 2016. This list is not a complete list of everything that's new, just some of the highlights I've noted.
General platform enhancements include:
Check out the video here for a few of these new features.
Architects will see a few more improvements to the energy analysis tools such as combine building element and mass mode analysis at the same time. Features from Vasari being incorporate into Revit natively or by additional plugins which concludes Project Vasari as of May 15th.
Structural engineers will see another round of improvements related to reinforcing.
MEP engineers may have felt left out in the past release but some engineers will be seeing an entirely new workflow with the incorporate of Fabrication modeling inside of Revit using the same configurations as Fab CADMEP. Related to this will be a new set of schedules, filters, splits, hangers, and show disconnect options. Check out the video here for a quick preview.
What are you looking forward to most? Tell us in the comments!
Connecting facilities management to BIM (and vice versa) is a hot topic these days. Just go to any big conference and you'll see several presentations for owners on the importance of BIM or on the AEC side, how to provide information that an owner would or could use.
Many times, it is hard for owners to understand the value of BIM outside of the construction and design cost savings because they are unfamiliar with the ability that BIM provides to bring data directly into a facilities management system.
At IMAGINiT, we see both sides of this coin. As we help owners with facilities management needs, we understand what information is useful to them after project hand-off. Helping design and construction firms, we understand the importance of not including too much information to avoid model bloat.
To help both AEC firms and owners, we have created the FM and BIM Connection Service. This is the first service offered from the newly created Building Lifecycle Management team - a combination of the (formerly) Rand Facilities Management group and the IMAGINiT Building Solutions experts. We're excited about our ability to bridge the gap between BIM and FM.
A few months back we invited DesignIntelligence to talk about how leading firms keep an eye to trends. During the presentation we talked about the five forces affecting building design projects and the ways managers can proactively change their processes to address them.
That presentation is available for on-demand viewing in the ProductivityNOW Portal, and we've created a whitepaper that reviews the information as well.
2015 is here, where do you want to take you and your team this year?