Facility Management (FM) services for an integrated health system

Project description 

The client requested an update of facility management services for over 10 hospitals and over 40 ambulatory healthcare centers.


Our services

The project has been divided into three phases


  1. In the first phase, ICME was requested to prepare standards to audit all healthcare facilities. Therefore, a concept for the costs and performance optimization for the audit has been prepared. The existing FM practices have been evaluated regarding contract management, stocktaking and inventory control, staffing, maintenance and inspection. Centralized controlling mechanisms for medical equipment, electromechanical, civil and IT have been implemented.
  3. The second phase included the development of a future business model for facility management for all health facilities of the integrated health system. A RfP has been developed including the tender documents for FM contractor services. Together with the client, the FM contractor selection has been conducted.
  5. The third phase encompassed the support in supervision, implementation and transition management of the first phases of this project. ICME performed FM site supervision during facilities construction and supported the CAFM implementation in all facilities.


Further, FM plant teams have been implemented and the transition management successfully executed. 


Innovation- and Investment management for the radiology department of an University hospital

Project description

The challenge for the 1,500 bed academic tertiary care hospital was the expansion of the radiology department. Due to the limitation of investment options and funds available, the initial situation questioned if additional radiology equipment is necessary or if increases in efficiency and utilization of the existing infrastructure are possible.



Our services

ICME consultants conducted a needs assessment within the scope of innovation- and investment management. The assessment was the basis for the decision-making for purchasing new additional equipment or replacement procurement of existing radiology equipment.

A current state analysis and evaluation has been conducted for the radiology, nuclear medicine, and radiation therapy/ tomography. A database model simulated and projected the future demand, considering all relevant impact factors. An Analysis and optimization of performance requirement processes, -planning and –provision lead to reserves within the organization, utilization of the equipment, process times and workforce requirements.

The project resulted in the quantification of capacity effects. Further, a concept for the optimization of organizational and investment management instrument has been developed. A detailed 5 year investment and procurement strategy has been derived in close alignment with the client. 


process management in an emergency department of an university hospital

Project descripton


The emergency department struggled with overcrowding and delays in patients required hospital admissions till the transport to a ward. The bottlenecks in the process should be investigated and the causes of delays.  

Long-term goal for the emergency department was to decrease the time between the decisions of admitting patients is made in the ED and the time of transportation resp. relocation of patients to inpatient care. 



Our services

ICME Healthcare conducted a detailed process analysis in the emergency department and identified key parameters e.g. average length of stay, waiting times for transportation after bed request, etc. 

Identified problems included

  • Missing standard reporting to track both bed request and reserved data
  • Insufficient data input for the hospital registration system and the bed request system
  • Lack of compatibility between the patient information system and other software used
  • Physicians’ decision to admit a patient was not documented in the hospital information system, but on a paper examination form


ICME recommended the following 


  • Increase use of information technologies
    • implementation of dashboards to track and coordinate patient flow and improve communication
    • Multi-accessible electronic patient records in order to prevent costly and unneccesary treatments and examinations
    • Documentation of physicians decisions e.g. admission in electronic patient record
    • Electronic bed board request and information system helps to communicate information rapidly across units
  • Standardize and develop reporting systems to improve data collection and reporting for analyses
  • Periodical and standardized analyses including processing types per patient category (triage level), cycle times, idle times, etc.


Medication automation assessment for seven public hospitals

Project description

Based on the strategic decision to implement automated medication distribution and dispensing systems in its existing and new facilities for medication management, state-of-the art medication automation systems shall be evaluated and assessed. The objectives of this project were to enhance patient and medication safety, optimize workflows within the hospital pharmacies and related areas such as transport to wards and efficient resource allocation


Our services

ICME consultants assessed the current pharmacy service model and medication process flows in all seven hospitals of the client’s health system (between 125 and 500 beds). A market analysis revealed latest trends and best-practice pharmacy automation systems. The purpose-build innovative tool identified non-value added tasks and their money value within the processes in the hospital pharmacies. A recommendation of an optimal system for inpatient medication distribution and dispensing, taking key regional implications into account has been given. The recommended model included an assessment of the implications of the recommended model on the existing hospitals and ongoing health facility development projects. 


Evaluation of hospital operator

Project description

A public authority constructed two hospitals and was looking for operators for each of these 150 and 200 bed healthcare facilities.


Our services

ICME assisted the client in identifying local, regional and international operations suitable for these hospitals. Within this project our consultants developed the eligibility and evaluation criteria for the bidder assessment. An agenda and format for the bidder evaluation has been developed and the bids themselves evaluated.

Based on our recommendation, the authority choose one operator for each hospital, which are currently successful operational.