Director of Facilities and Engineering
Under the general direction of the Chief Financial and Operating Officer (CFO/COO), the Director of Facilities and Engineering oversees the management and operation of hospital facilities to maintain a safe and efficient environment for patients, staff, and visitors. This role provides strategic leadership to the Maintenance Supervisor, Safety Officer, and the Administrative Assistant, ensuring continued compliance with regulatory and accreditation standards related to the Environment of Care, Emergency Management, and Life Safety. Responsibilities include developing, implementing, and supervising a comprehensive Environmental Health and Safety program, as well as establishing and administering robust environmental services and maintenance initiatives that address both routine and urgent facility needs. The Director also manages the maintenance budget, monitors adherence to safety regulations, fosters effective collaboration with other departments, and ensures ongoing compliance with applicable federal, state, and local laws and regulations, including Joint Commission and CMS accreditation standards.
Standards of Performance
- Supervising and managing facilities management personnel: Responsibilities encompass recruiting, training, scheduling, and overseeing the performance of the maintenance supervisor, safety officer, technicians, and related staff members.
- Developing and executing maintenance programs: Responsible for designing preventive maintenance schedules, overseeing work order management, and establishing standardized procedures to ensure operational efficiency.
- Ensuring compliance with safety protocols: Responsible for strict adherence to all applicable health, safety, and environmental regulations, including standards set forth by the Joint Commission, CMS, and OSHA.
- Life Safety Measures: Responsible for overseeing the Life Safety Plan and its evaluation. Ensure continuous compliance with fire safety regulations and applicable standards, including the NFPA Life Safety Code (NFPA 101), NFPA 72, and NFPA 99 (Health Care Facilities Code).
- Medical Equipment Management: Oversee and execute comprehensive strategies and protocols designed to ensure the safe, efficient, and reliable operation of medical equipment throughout its lifecycle. Responsibilities include upholding patient safety standards, ensuring ongoing regulatory compliance, and performing routine assessments to evaluate equipment performance and functionality.
- Maintenance budget management: Responsible for preparing and overseeing budget allocations related to departmental operations, including capital utility projects and preventive maintenance. Duties include monitoring expenditures, tracking financial performance, and ensuring departmental activities adhere to established budgetary guidelines.
- Coordinating with Other Departments: Charged with engaging in effective collaboration with various departments to resolve health system-wide concerns and support seamless hospital operations.
- Responding to emergency repair requests: Responsible for promptly attending to urgent maintenance needs to ensure the continuity of hospital operations. This includes following established procedures for managing spills or exposures, such as providing timely notification, thorough reporting, and the correct use of equipment.
- Utilities Management: Direct and coordinate a comprehensive strategy for the safe, dependable, and efficient operation of essential systems (including electrical, HVAC, medical gas, plumbing, and others), along with continuous evaluation to ensure effectiveness and regulatory compliance.
- Maintaining records and reports: Accountable for the thorough documentation of all maintenance activities, expenses, logs, and inspections, as well as the preparation of comprehensive reports for management review.
- Security Management Plan: Oversee and implement a comprehensive strategy designed to safeguard patients, staff, visitors, and assets from physical threats. This plan requires ongoing assessment and evaluation to maintain its effectiveness. Core elements include evaluating physical security measures, surveillance systems, access control protocols, alarm systems, emergency response procedures, and addressing specific risks such as workplace violence and elopements.
- Oversight of Outsourced Contracts: Accountable for managing partnerships with external vendors providing specialized maintenance services, ensuring both service quality and cost efficiency.
- Strategic Planning: Responsible for developing and implementing strategic plans for the Environment of Care to support the EHS mission and vision, including the creation of matrices to monitor performance improvement plans and activities.
- Joint Commission and CMS Survey Readiness: Responsible for assessing and preparing facilities for regulatory surveys by developing and implementing robust systems and processes to ensure full compliance with The Joint Commission, CMS, and state regulations. Oversight of the Life Safety chapter necessitates ongoing adherence to 270 specific performance elements. Compliance with the Environment of Care chapter requires fulfillment of 189 distinct performance elements. The Emergency Management chapter mandates satisfaction of 60 performance elements. Many of these standards require detailed documentation and systematic cross-referencing among related regulatory criteria.
- Safety and Disaster Education: Directs and manages the creation and implementation of safety and disaster education programs for both clinical and nonclinical staff, including the coordination of regular drills.
- Emergency Management: Ensure the EHS Emergency Management Program comprehensively addresses all critical aspects of emergency response and recovery, maintaining full compliance with regulatory requirements and guidelines set forth by FEMA, GEMA, The Joint Commission, and local authorities. This includes the development, implementation, and evaluation of the Emergency Management Plan.
- Construction and Renovations: Oversees new construction, renovation, and remodeling projects to ensure effectiveness, efficiency, safety, and compliance with relevant regulatory agencies, including the State of Georgia, FEMA, local county and city authorities, The Joint Commission, and CMS. Manages the selection process and supervises construction projects in collaboration with external architects, general contractors, and project leaders.
- Process Improvement: Enhances organizational processes and services that affect environmental health and safety, emergency preparedness, and compliance with relevant regulations.
- Purchasing: Reduces vendor expenses by conducting comprehensive analyses of procurement procedures and existing contractual agreements. Responsible for obtaining quotes and coordinating bids for maintenance and construction projects.
- Parking management: Oversees parking resources by evaluating current and future needs for patients, visitors, staff, and the community. Duties include planning, designing, operating, and maintaining parking facilities, as well as determining specific requirements.
- Move Management: Responsible for planning moving activities aimed at reducing disruptions, managing risks, and minimizing downtime. This includes developing strategies to identify potential challenges and opportunities before the scheduled move.
- Proactive Initiatives: Accountable for implementing proactive measures to ensure the safe and proper maintenance of the EHS campus and its facilities, encompassing buildings, grounds, and associated assets.
- Policy Review: Charged with conducting an annual assessment of all policies pertaining to Maintenance, Safety, and Emergency Management.
- Resource Allocation: Strategically plans and allocates resources to ensure optimal departmental staffing and the achievement of productivity and quality objectives.
- Employee ID Badge Access System: Oversees the administration and upkeep of the computerized system used to manage and regulate door access.
- Additional Responsibilities: Undertakes special projects and performs other duties and responsibilities as assigned.
Requirements
Minimum Level of Education: A high school diploma or equivalent, along with relevant experience in maintenance and management, is required. Vocational training or technical certification in a related discipline is preferred.
Formal Training: Possesses robust leadership and management skills demonstrated through comprehensive experience in planning, organizing, implementation, problem-solving, decision-making, facilitation, interviewing, interpersonal relations, and both verbal and written communication. A thorough understanding of compliance and regulatory standards pertaining to HVAC, electrical, plumbing, and other facility systems is essential.
Licensure, Certification, Registration: A valid Class C driver's license is required. Certification as a Certified Healthcare Facility Manager (CHFM) is highly preferred.
Work Experience: Ten years of supervisory experience managing programs and activities relevant to overseeing an Environment of Care/Facilities Department, including involvement in all aspects of facilities planning processes within a complex health care setting, which necessitates comprehensive knowledge of hospital operations and health care issues. Experience should also include leading a hospital through Joint Commission and/or CMS visits that focus on Environment of Care, Emergency Management, Life Safety, and Facilities Management.
Computer Skills: Demonstrated proficiency in Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook.