ENHANCING FACILITY MANAGEMENT IN HEALTH CARE DELIVERY THROUGH BUILDING INFORMATION MODELING | PHD THESIS





(A STUDY OF FEDERAL TEACHING HOSPITAL ABAKALIKI) 

PG/Ph.D/2013/..........

BEING FIRST SEMINAR PAPER PRESENTED TO THE DEPARTMENT OF BUSINESS MANAGEMENT FACULTY OF MANAGEMENT SCIENCES,
EBONYI STATE UNIVERSITY ABAKALIKI

IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE AWARD OF DOCTOR OF PHILOSOPHY (Ph.D) DEGREE IN BUSINESS MANAGEMENT




ABSTRACT
Building information modeling (BIM) is transforming the roles of professional service firm and how people work together bringing remarkable new capabilities that can improve the speed and efficiency of  projects, creating new challenges and potential liabilities in Architectural engineering and construction. The paper attempts to define what BIM is an begin to analyze the need to implement BIM in healthcare facility management for better enhancement. The main objective of this study is to establish whether there is relationship between BIM adoption and facility management performance in healthcare delivery. The researcher reviewed some related publications from a number of project team and facility managers that have used BIM and shared their experiences with industry publications for this study to arive at conclusion and recommendation that organizations should embrace the adoption of BIM and invest in education and training for effective implementation.
TABLE OF CONTENT


Table of content page
ii

List of figure page
iii

Abstract page
iii

CHAPTER ONE: Introduction

1.1
Background of the study
1
1.2
Statement of the problem 
2
1.3
Objective of the study
2
1.4
Research questions
2
1.5
Statement of the hypothesis
3
1.6
Significance of the study
3
1.7
Limitation /Scope of the study
3
1.8
Delimitation of the study


CHAPTER TWO: Literature Review

2.1
Introduction
4
2.2
Empirical Review  
4
2.3
Theoretical Review
5
2.4
Theoretical framework of analysis 
5
2.5
Characteristics of BIM
6
2.6
BIM in Practice
7
2.7
BIM in Construction Management
8
2.8
BIM in facility management delivery
8
2.9
Anticipated Future Potential
8
2.10
BIM Scope
9
2.11
Benefit of BIM
10
2.12
Cost
11

CHAPTER THREE: Discussion  

3.1
Introduction
11
3.2
Discussion of strategies
11
3.3
Discussion of theoretical framework on strengths and weakness as it applies to the study  
11
3.4
Discussions of the reviewed literature, soundness of methodology results and identification of gap in knowledge  
12

References
13

CHAPTER ONE

INTRODUCTION
1.1       Background of the Study
            Today’s business environment is very dynamic and undergoes rapid changes as a result of technology innovation increase awareness and demands from customers. Business organizations especially the construction industry of the 21st century operates in a complex and competitive environment characterized by these  changing conditions and highly unpredictable economic climate. Building information modeling (BIM) is at the centre of this global change.
            Building information modeling (BIM) is a significant new technology that is revolutionizing the Architecture Engineering and Construction (AEC) industry BIM is transforming the roles of professional services, firms, and how people work together bringing remarkable new capabilities that can improve the speed and efficiency of projects, creating new challenges and potential liabilities. Ted Sive (2007)                         
            As production or project manager and strategists, it is our job to ensure understanding, to foster communication and to enable strategic thought and action both within our own discipline and in broader academics. To support this goal, the researcher attempts to define what BIM is from a high level stand point, discus how different disciplines view BIM technology and processes and beginning to analyze BIM as a tool for more efficient healthcare facility management in Nigeria using Federal Teaching Hospital Abakaliki as a focal point of study. As at November 2011, Federal Teaching Hospital Abakaliki was known as Ebonyi State University Teaching Hospital Abakaliki before it was taken over by the Federal Government in December 2011.
            The hospital is located in Abakaliki Local Government Area of Ebonyi State. The hospital is headed by the Chief Medical Director/Chief Executive Officer (CMD) and assisted by the Chairman Medical Advisory Committee. The hospital has many functional department and units for the purpose of this study-enhancing facility management in Healthcare Delivery though building information modeling. The researcher shall limit the studying area to the works department of the teaching hospital.               
            The purpose of health faculty management is to provide evidence for policy planning and management of health system development with particular focus in the area of physical assets within the health sector.
This provides information on
1.                  Availability and condition of physical infrastructure, health facility building, utility, communication and transportation.
2.                  Availability and condition of equipment
3.                  Availability of health services.

1.2       Statement of the Problem  
Material waste in the construction industry has been studied by the construction industry institute and lean construction institute in 2008. They fund out that waste accounts for 57% of money lost in the construction industry and 26% in the manufacturing sector. This data also shows that there was a $400 billion aggregate loss resulting from such factors as miscommunication among project partners and informational inaccuracies which BIM can prevent.
            Many  researchers have tried to link BIM to firm performance. The big question here has remained why many construction organization  and facility management outfit in Nigeria have not made the adoption of BIM necessary in their organization to improve service delivery efficiency, waste reduction and save money? Does the cost of BIM adoption prudently justify the cost of acquisition? The research seeks to find out the truth about the acclaimed success of BIM in enhancing facility management in health care delivery.

1.3       Objective of the Study                
            The general objective of this study is to establish whether there is a relationship between BIM adoption and healthcare facility management’s performance in Nigeria. To achieve this general objective the researcher shall also be concerned with following specific objectives.
1.                  To determine if BIM adoption enhances the quality of service delivery in facility management health care industries.
2.                  Does BIM’s adoption justified the cost of acquisition?
3.                  To ascertain if and how BIM adoption enhances performance in health care delivery

1.4       Research Questions             
            The following research questions have been developed for the study:-
1.                  To what extent does the adoption of BIM enhances quality of service delivery in facility management in healthcare industry?
2.                  How does BIM’s adoption reduces the cost in healthcare  delivery facility management?
3.                  How does BIM’s adoption enhances performance in health care facility management?

1.5       Statement of Hypothesis        
            In this research, the following hypotheses have been formulated for validation.
H01:    There is no significant relationship between building information     modeling and quality of service delivery.
HA1:   There is a significant relationship between building information       modeling and quality of service delivery.
H02:    There is no significant relationship between BIM’s adoption and cost reduction in facility management.   
HA2:   There is a significant relationship between BIM and cost resolution in facility management. 
H03:    There is no significant relationship between BIM and performance enhancement.
HA3:   There is a significant relationship between BIM and performance enhancement.

1.6       Significance of the Study    
The findings, recommendations and conclusion drawn from this research work shall be beneficial to the following.
The research will be significant to business enterprise and other organizations as it will help in pointing to the appropriate techniques for use by management.
Finally, the studying is expected to contribute usefully to the existing body of knowledge on the subject of building information modeling especially as its conclusion will be based on empirical findings.

1.7       Limitation/scope of the Study     
            The researcher took time to organize collate, and explain data for this research. There is ample time and resources saved to carryout this research. Hence there is no limitation to the study.
           
1.8       Delimitation of the study  
The study will be delimited by the topic enhancing facility management in healthcare delivery through building information modeling. A study of Federal Teaching Hospital Abakaliki.

CHAPTER TWO
 LITERATURE REVIEW
2.1       Introduction
            Building information modeling (BIM) is a life cycle analysis tool. Bim focuses on a digital representation of a building physical and functional characteristics in order to calculate information about the facility. Such information can be used to help make a vital design and also operational building decisions. BIM make it easier to estimate qualities of materials needed for a project which reduces waste and save money.
            According to Lorenz (2006), BIM is a tool for more efficient facility management. In addition to Bim’s use for macro process, such as understanding and maintaining HVAC systems, it has proven useful for even fairly routine purposes. How many times does the square footage get measured in the life a building? Asked Deke Smith of National Institute of Building Sciences, “every time you renovate, every time you clean the carpet possibly”. An accurate BIM model provides the information updated to reflect additions and or modernization instantaneously.

2.2       Empirical Review
            A number of project teams and facility manager have used BIM and shared their experiences with industry publications following are some of the publication reviewed for this study.
(a)       Richard Dallam and Ted Buchanan (2006) conducted a study at Swedish hospital in Seattle on build a better building with 3D models. The study was prompted by the need to reduce interdisciplinary coordination errors and changes. Hundreds  of hours were saved during design using BIM. A collusion-detection programme was ran daily and often. The team essentially “prebuild the project” allowing problems to be resolved as they were found throughout the design.
            Jim, Bedrick (2005) conducted a study in Webcor on “Bim and process improvement” as publisher architecture, engineering and construction (AEC) bytes, December 13th 2005. He found out that BIM was a great advantage to a cost and a thermal performance analysis of exterior skin options by Anselem + Allen Lawrence Berkeley national laboratory (LBNL) and Webcor.
            According to Bedrick tradition energy analysis required 2D drawings and 14 days while also going through that process, LBNL used BIM model and a simulation programme to produce the save analysis in one day. After moving to another skin option, LDNL profound a fill energy consumption analysis in two days. Hence BIM is akin to further sustainability goals with a robust platform for analysis.

2.3       Theoretical Review
Perhaps the best way to define BIM as opened by Ted Sive (2007) is to go back in history, designers and builders (the second oldest professional) have long worked in two main phases. First the designer imagines the project and design the details, completing work with a drawing and written road map (the contract documents and specification).
            This process changed incrementally over the century until over two decades ago when CAD (computer aided drafting) generally entered the main stream. (CAD software has grown into a robust tool for Achitecture engineering construction AEC firm with an impressive amount of coordination, efficiency and work flow improvement, but CAD is still an enhancement of what is been done for century: drawn lines to represent object in buildings. The lines themselves doubt have further meaning.
            BIM is much more of a change for the industry than CAD. It reorganize the sequence, timing and duration of the design process, ushers in a new model of constant, detailed, communication, put a geometrically larger amount of information into one place. At its highest level according to Ted Sive, a BIM model is an intelligent digital representation of physical and fundamental characteristics about a capital facility”.
            To implement BIM, data is entered into a model so that it can be analyzed and the facility can be modified as necessary. BIM help building stakeholders make decision while taking into account important life cycle cost determinations. The basic principle of BIM  is to create and enhance interoperability since BIM is a flexible and adaptive system, changes to the input model can be made so that project managers can  asses the possible effect on the output.
            BIM technology enable developer to use 3D computers model of a facility to help with the deigns, construction, maintenance and operation of a building, combing graphical information such as plans and elevations and non graphical information, such as cost specification schedules and maintenance requirements into a BIM model result in a single source of information. A model should access all graphic and non graphic information about a facility and help eliminate, re-gathering or reformatting of facility information.

2.4       Theoretical Framework                                                                          
            Most complex projects in the architecture, engineering and construction (AEC) industries involve multidisciplinary collaboration and the exchange of large building data set. Traditionally, the collaboration effort across the discipline have been based on the frequent exchange of 2D drawings and documents. However during the past decade, the wide spread adoption of object- oriented computer –aided design CAD tools have generated more interest in BIM. A number of BIM –compliant applications such as analysis tools, model checkers and facility management application have been developed.

2.5       Characteristics of BIM          
            Building information modeling has the following characteristics:
1.         A BIM model is a parametric, relational database that ties together multiple layers of information about specify objects-every objects in the building.
            “Clicking” on a door in a BIM model reveals not only on doors material, color fire rating cost and manufacture.  The model also provide parallel detailed information about every items it touches such as the door frame and hardware. The model can also stone information far beyond design and construction details and become the owners central building operations and maintenance data source. For example it can indicate maintenance and replacement information for these door or any piece of the building. Clicking on a door in BIM model and you are not clicking on a line that delineates the edges you are clicking on a graphic representation of a living three dimensional object with access to a rich supporting date base of specifics about the object.

2.         A BIM Models is “Smart”   A change to a component is reflected in all the component it relates to for example, an interior wall might be lightened so too will the structure behind that wall and the quantity of studs, sheet reek and so on. Though you might see only the longer wall in the view you are taking, all views and analysis that use that object will change (or flagged for change by their owner) as well. By making the change, not only the new changes but also the information n the database which drives the model, and those views and analysis all use the some database.

3.         A BIM Model Offers a Constant 3D Representation             of the building 
            Because all the information in a BIM model is three dimensional, a 3D view of the building, from any angle, at any section (or slice through the building) can be generated at any time during the design process and in the said programme the designers and express and already working in data dies not need to see exported to a rendering programme and colored up.

4.         A BIM model is an Intelligent tool that can be used   for      Study and Analysis Across Multiple Disciples.                                        
            Because these elements are smart, the walls and glazing contain information about thermal conductivity, the mechanical equipment relating to energy use etc the BIM model can be used to simulate a buildings behaviour and be the bases of numerous analysis, such as energy calculation for another example, an acoustical engineer, with information about geometry and surface materials can use BIM to model acoustic performance.

5.         A BIM Model is a Permanent lining Documents                 
            Before BIM, the owner of a new building would receive a set of as-built drawings and a shelf of operation binders, all of which would often gather dust until needed. With Bim, all the information is not only in one place, but can be an active management tool and adopt with the building. The model com contain the same information about a new data cabling system installed in 2027 (and all of its relationship) as it does for the data cabling originally installed in 2007.

2.6       BIM in Practice           
            According to Ted Sive (2007) strategic understanding and application of BIM requires understanding the differing ways in which the technology is viewed, utilized, feared and enjoyed. This is because the BIM model is shared and dependent upon by all participants in the continuum of building planning, design, construction management and so on.
            This is unlike CAD in which documents are intricately coordinated but data remain singularly owned.   
            The shared ownership of BIM data is a core reason for the recent development of the first universal standard from BIM. Version 1.0 of the National building information modeling standard (NBIMS) was released on March 13th, 2007 by the National Institute of building sciences (NIST). Ted Sive (2007).
            Acknowledging the prove of BIM to speak across the entire life cycle of a building from conception of project to decade of use the NBIMS address the need to create standards so that technology can be applied horizontally across the facility life cycle and not just separately with vertically integrated business functions -BBIM standard.

2.7       BIM in Construction Management                  
            Participants in building process and constantly challenged to deliver successful projects despite tight budget, limited man power accelerated schedules, and limited or conflicting information the BIM concept envisages virtual construction of a facility prior to its actual physical construction in order to reduce uncertainly improve safety, work out problems, and simulate and analyze potential impacts. Sub-contractors from every trade can impute critical information into the model before beginning construction, with opportunities to pre-fabricate or pre assemble some systems off-site. Waste can be minimized on-site and product delivered an a just in time basis rather than being stock flied on-site.

2.8       BIM in Facility Management Delivery                   
            BIM can bridge the information loss associated with handing a project from design team to construction team and to building owner/operator, allowing each group to add to and reference back to all information they acquire during their period of contribution to the BIM model. This can yield benefit to the facility owner or operator.
            For example, a building owner may find evidence of a leak in his building. Rather than exploring the physical l building he may turn to the model and see that a water valve is located in the suspect  location. He could also have in the model the specific valve size, manufacturer part number and any other information ever researched in the past, pending adequate computing power. Such problems were initially addressed by Leite et al (2009) when developing a vulnerability representation of a facility constraint and threats for supporting the identification of vulnerability in building emergencies.

2.9       Anticipated Future Potential          
BIM is a relatively new technology in an industry, typically show to adopt change yet may early adopters are confident that BIM will grow to play an even more crucial role in building documentations.
Proponents claim that BIM offers:-
1.                  Improved visualization
2.                  Improved productivity due to easy retrieval of information
3.                  Increase coordination of construction documents
4.                  Embedding and linking of vital information such as vendors for specific materials, location of details and quantities required for estimation and tendering
5.                  Increase speed of delivery
6.                  Reduced costs           

2.10    BIM Scope    
BIM overall scope is board and can be described within the relationship of three categorization of BIM viz:
1.      BIM as product or intelligent digital representation of data about a capital facility BIM authorizing tools are used to create and aggregate information, which before BIM, had been developed as separate tasks with non machine interpretable information in a paper centre process.
2.      BIM as a collaborative process which covers business drivers, automated process capabilities and open information standard used for information  sustainability and fidelity.
BIM as a facility life cycle management tool a well understood information exchanges, workflows and procedures which team use as a repeatable, veritable, transparent and sustainable information based  environment used throughout the building life cycle.




            Source NBIM standard definition (product, process supporting collaboration nationals institute of building sciences (2007) .

Note:         IFC = Industry foundation classes
                   IDM = information delivery manual
                   MBIMS = North America part of BIM standard

2.11    Benefit of BIM      
·     Increase speed of project delivery improved coordination decreased cost greater productivity higher quality work on-line collaboration
·     New Revenue and business opportunities in operations and functions
·     Rapid iteration of simulations of building performance and construction sequencing
·     Reduction of field problem and material waste during construction
·     Reduction of on-site material staying, creating a less crowded and safer site.  
Facilitation of off site fabrication for some building component and assemblies increasing their quality and longevity.

2.12    Costs 
The cost implementing BIM for a project varies widely, depending on the knowledge of the professional undertaking the BIM, the complexity of the project being modeled and other design process.  
            According to Stanford University Center for integrated facility engineering (2007) the cost of BIM might be expected to be between three hundred of one percent to one half of one percent of total project cost.  Cost are dependent on labour hours invested in BIM essentially what it cost to hirer the building cost estimator, scheduler   etc and carryout the modeling process.

CHAPTER THREE
DISCUSSION
3.1       Introduction
            This section is concerned with the strategies, if taken could result in the accomplishment of the stated specific objectives and discussion of views against theoretical framework and findings from the review of literature.

3.2       Discussion of Strategies     
            For the purpose of accomplishment of establishing the relationship between BIM adoption and enhancement of facility management performance in health care delivery, the following strategies should be taken. Ensure better coordination between design, construction and operations. Determine cost savings derived by implementing BIM. Invest in education and training or hiring outside help. Accept available standard such as CAD standard, Ominclass e.t.c Building data is entered into a model so threat it can be analyzed and the facility can be modified as necessary. BIM whom properly used help stakeholders make decision and allows or takes into account impotent life cycle cost determination.

3.3       Discussion of Theoretical Framework on Strength and Weakness as it Applies to the Study
            BIM involves representing a design as combination of objects–vague and undefined, generic or product specifics, solid shapes or void-space oriented (like the shape of a room) that carry their geometry, relation and attributes. BIM design tools allow for extracting different views from a building model for drawing, production and other uses. These different views are automatically consistent being based on a single definition of each object instance. BIM’s software also defines objects parametrically, that is the object are defined as parameters and relation to other object, so that if a related object is amended, dependent ones will automatically also change. Each model element can carry attributes for selecting and ordering them automatically, providing cost estimate and as well as material tracking and ordering.
            For the professionals involved in a project, BIM enables a virtual information model to be handed from the design team (architects, surveyors, civil, structural and building service engineers) to the main contactors, and subcontractors and then an to the owner/operator. Each professional add discipline –specific knowledge to the single shared model. This reduces information losses that traditionally occurred when a new team takes ownership of the project and provides more extensive information to owners of complex structure Liu,xuesong and Akinci, Bincu (2009).
            The weakness as it applies to this studying is the difficulty in hiring trained staff and training hours required. In view of this most engineers, contractors and owners are not using BIM software yet in Nigeria.

3.4       Discussion of the Reviewed Literature, Soundness of Methodology, Result and Identification of gap in Knowledge                                             
            With the resent economic down turn, many firm have been hesitant to change their business structure and strategies and spend time and resources to transition to BIM. The learning curve can be relatively steep when this transaction is made, but the effort may result in producing higher quality deliverable, extending the services offering of the business and increasing business opportunities. A host of global organization are championing the development of interoperability standards and the advancement of BIM on both public and private projects. The adoption of Industry Foundation Classes (IFC) and other studies such as Cobie are greatly enhancing the capabilities of BIM and its inherent collaborative process.
            BIM software and processes have involve to allow new way of collaboration, work sharing, and virtual design capabilities owners and add visibility to the overall design and construction process. With this added visibility and up front understanding of a projects detained characteristics building owners and operators are realizing that the life cycle cost of a building can be significantly reduced.
            It is recommend that organization in building industries and facility management should invest in education and training for effective man power development in the area of building information modeling.        
              
REFERENCES
1.         Azhar, Salman; Michael, Hein; and Blake Sketo, “BIM, Benefits, Risk and Challenges” hittp/ascpro.ascweb.org/archives/cd/ 2008paper/CPGT 182002008 pdf (assessed December. 2010).

2.         Brandon, Lorenz (2006) “The case for Data inter Operability” Building Operating Management Magazine May 2006.

3.         Brain and Kunz, John (2007) Significant Value, Dramatic Growth and apparent Business Opportunity Stanford University Centre for Integrated Facility Engineering hittp//cifestanford.edu/online Publication/ TR 17/.pdf

4.         Garrison, Paul, Jeffery, Galmore, and Joe Steele (2009) The   Impact of Design Build and BIM on Sustainable Design and       Construction Journal of Building green no.6 May 2009.

5.         Graham Condit of Sellem “Complex Project Calls for virtual Construction” Seattle Daily Journal of Commerce November 16 2006.

6.         Jim, Bedirc AIA of Webcor “BIM and Process Improvement” AEC bytes, Dec. 13, 2005.       

7.         John, Kunz, and Brain Gilligen “CIFE/CURT Survey of BDC/BIM use” Stanford University centre for Integrated Facility Engineering, 2006.

8.         Leita, Ternanda; Akinci, Buncu. Garretta, James, Akin, Omar. (2009) “Representation of Facility contents and threats for supporting identification of vulnerabilities in building emergencies” computing in civil engineering pp 58 ISBN.

9.         Liu, Xuesong, Akinci, Boncu 2009, Requirement and Evaluation of standards for Integration of sensor Data with Building Information    Models Journal of Computing in Civil Engineering pp 10

10.       National Institute of Building Sciences –WBDG http//www.wdbg.org/bim/bimphp.2010 

11.       National Institution of Building Sciences (2007) NBIM Standard Definition (Product, Process, Computing Collaboration.
12.       Richard Dalam and Ted Buchanau of (NBBB) “Model a Better Building with 3D Modeling” Seattle Daily Journal of Commerce November 16, 2006.

13.       Smith, Deke (2007) “An Introduction to building information Modeling (BIM)” Journal of Building Information Modeling.

14.       Tom Sawyer; “Digital Modeling, early adoption find the best Models are digital Vertuesos ENR Magazine October 2, 2006. 


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