Outsourcing of facilities management (FM) services in public hospitals

Abstract

If you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -The purpose of this paper is to extend the body of knowledge on health care facilities management (FM) by investigating the extent to which public hospitals in Nigeria have fared in terms of outsourced FM services. Design/methodology/approach -The paper relied on two strands of methodology common with pragmatic research. Questionnaire survey (QS) used data from 74 respondents representing 74 hospitals, while 3 of the 74 hospitals involved in the QS were selected based on their willingness to enter the case study interview. Data collected were analysed using descriptive statistics (QS) and using narrative techniques by discussing themes, sub-themes and interconnecting themes through a chronology of events, as in grounded theory. Findings -Findings revealed that most public hospitals do not have a policy framework for outsourcing in general and FM services in particular, giving room for duplication of functions and non-establishment of functional FM units to handle FM activities, while six FM services are outsourced in all the hospitals. Cleaning, security and catering services received the highest satisfaction ratings, while plant maintenance services, however, received the least satisfaction rating. Originality/value -The paper provides the first ever survey based on empirical evidence about the state of FM services outsourced in Nigeria's public hospitals. The survey suggests a relatively low level of usage of outsourcing for its services, as only a handful of FM services are outsourced in most of the hospitals.

Facilities management practices in the Nigerian public universities

“…Onifade (2003) report that overcrowding has also led to the deterioration of the facilities installed, while Adenuga and Iyagba (2005) equally affirm that public buildings are in poor and deplorable structural and decorative conditions because they are left as soon as commissioned to face premature but steady and rapid 11 Facilities management practices deterioration, decay and dilapidation without formal arrangements for management. Furthermore, factors identified by Ikediashi et al (2012) that influence FM in South-South Nigeria include lack of awareness, proper regulation and quality control. Others include process of procurement, dearth of skill/manpower, mistrust between managers and service providers, type of employer, political barrier/government intervention and personal and labour issues.…”

“…The practice of management of buildings to secure optimum returns has been dominant (Adewunmi et al, 2009), andAdewunmi et al (2009) further confirm that the practice in general has been focussed on management of buildings for their own sake and as investment to secure optimum returns. The FM practice in the Nigerian 7 Facilities management practices universities are often facilitated by the management units in the universities, although they are, in some cases, merged with the directorate of works or the physical planning units (Ikediashi et al, 2012). NUC (2006) reveals that both academic and physical facilities at the Nigerian universities were in deplorable states.…”

Insight into healthcare design: lessons learned in two university hospitals

“…The outcome may turn out to be exponential renovation project costs. In public HC, outsourcing is often unorganized (Ikediashi and Ekanem, 2015) and questionable criteria, e.g. a cheap price tag may affect outsourcing decisions.…”

Review of Facilities Management Functions in Value Management Practices

“…There is a difference between the "weightages" of the facilities performance evaluations supported by outsourced and in-house FM service provisions. Hence, it is important to acknowledge service inputs in the SLA at the earliest design stage (Koleoso et al, 2013;Yasin, 2013;Ikediashi, 2014).…”

“…Ensure building design was carried out to the expectations of facility users (Tladi, 2012) ClientS5 Finalize the brief for client signoff (Enoma, 2005;Jawdeh et al, 2010;Tladi, 2012;Jawdeh, 2013) ClientS6 Provide POE outcomes to optimize building performance (Tladi, 2012) ClientS7 Provide inputs on SLAs (Koleoso et al, 2013;Yasin, 2013;Ikediashi, 2014) …”