Asset Management Framework for Hospitals A, B, and C

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Table of Contents
Framework of asset management................................................................................................................3
Environmental factors and sustainability.................................................................................................3
Hospital B............................................................................................................................................3
Hospitals A, B, and C..........................................................................................................................3
Building fabric condition.........................................................................................................................4
Hospital A, Hospital B.........................................................................................................................4
Hospital C............................................................................................................................................4
Financial management techniques...........................................................................................................5
Hospital B and Hospital C...................................................................................................................5
Hospital A...........................................................................................................................................5
Proper Procurement strategies.................................................................................................................5
Hospitals A and B................................................................................................................................6
Hospital C............................................................................................................................................6
Hospital A, B, and C............................................................................................................................6
Hospital B and C.................................................................................................................................7
Extensive Project appraisal......................................................................................................................7
Hospitals A, B, and C..........................................................................................................................7
The stakeholders......................................................................................................................................7
Hospitals A, B, and C..........................................................................................................................7
Provision of medical services..................................................................................................................8
Hospitals A, B, and C..........................................................................................................................8
Development control plans......................................................................................................................8
Hospital A...........................................................................................................................................9
Hospitals B and C................................................................................................................................9
Responsive nature of the asset management framework..............................................................................9
References.................................................................................................................................................11

Framework of asset management
Environmental factors and sustainability
Hospital B
There is an increased emphasis on the goals of sustainable development, especially in the
construction sector. The increased emissions and waste production of the construction sector is
something that has been brought to the forefront in many building conventions (Matthew, Ma, &
Tan, 2012). As in this case study, the waste reduction should be highly emphasized in hospital B.
Hospital B deals with the demolition of the training building but the disposal techniques are yet
to be defined. Therefore, prior to the actual demolition, waste disposal techniques should be
identified and a proper framework for their disposal identified. Some of the techniques that may
be used in the minimization of waste include recycling and reuse. The construction materials to
be disposed of may be used in the refurbishment in the other sectors and as such, will minimize
the impact of the development on the environment.
Funding
Hospitals A, B, and C
The internal stakeholders may be considered as the decision makers while the external ones may
be considered as the consultants (lowe & Leiringer, 2008). Involving other independent external
stakeholders, through communication and company reports, such as the World Bank may
furthermore result in very desirable outcomes. External stakeholder such as the World Bank
usually lends money that may be used for development purposes. This may be useful in the
development of hospital B as it is capital intensive, having recorded the highest NPC per point
score.

However, considering that the project is highly beneficial to the community, the major funding
will come from government, the stakeholders and investors. In looking for funds from all these
sources, the financial structure of the company should be well pronounced with the long-term as
well as the long-term benefits identified (Liu & Wang, 2008).
Building fabric condition
Hospital A, Hospital B
The refurbishment and/or reconstruction of the three hospitals needs to consider the project
initiation as well as the current state (Olander, 2007).It will specifically apply to hospitals A and
B which require extensive refurbishment. Therefore, the University trust should consider all the
stages of the project initiation and ensure that there is a proper framework that mitigates all the
risks possible. Hospital A has significant refurbishment challenges due to constrain in the
departmental footprint while hospital B requires the refurbishment of the single floor that is
bridging the entrance, emergency assess and maternity. The state of the building will, therefore,
be used to measure the types of works required.
Hospital C
To begin with, the government and the councils should provide standards for the plans
(Aaltonen, 2011). However, the standards should meet the University’s trust approval and
requirements for the hospital. Other groups involved in the analysis of the state of the building
include the project manager, the contractors, and other stakeholders. Some of the risks to be
considered include lack of proper refurbishment measures, wrong measure, and risks that
pertains the cost of the new building.