# Touchless upgrades scale only when hospitals can name assets and connect IWMS and BAS

By MarketScale Newsroom · Published 2026-09-07 · Building Management on MarketScale
Canonical: https://www.marketscale.com/industries/building-management/touchless-upgrades-scale-only-when-hospitals-can-name-assets-and-connect-iwms-and-bas

> FMLink and an April 2026 review in Advanced Engineering Informatics describe rising use of automated facility assets and digital technologies, and note ongoing

## Key points

- FMLink says it is essential to maintain an accurate inventory of existing assets and points of contact as automated facility assets expand.
- The hard part of “smart hospital” programs is interoperability between IWMS, BAS, BIM models, digital twins and security systems, plus the organizational adoption that goes with it.
- If facilities is being pulled into safety and emergency response duties, training budgets need to move with the work, not follow it a year later.

Hospitals can buy touchless devices and sensors, but scaling them means naming, integrating and maintaining a growing inventory of networked assets. According to FMLink, Kylash Ramesh says automated facility assets such as doors, faucets and soap dispensers are expected to rise, and that it will be essential for facility professionals to maintain an accurate inventory of existing assets and points of contact so transitions to new equipment or maintenance on old equipment remain safe and efficient.

FMLink, citing National Institutes of Health management analyst Kylash Ramesh, predicts a rise in automated facility assets such as doors, faucets, and soap dispensers, and says it will be essential to maintain an accurate inventory of existing assets and points of contact. FMLink also anticipates broader adoption of organization-wide Integrated Workplace Management Systems (IWMS) and Building Automation Systems (BAS). A systematic review published in April 2026 in Advanced Engineering Informatics on ScienceDirect examines Building Information Modeling (BIM), Internet of Things (IoT), Artificial Intelligence (AI), and Digital Twin in healthcare facility management and identifies persistent challenges including interoperability and scalability beyond pilots, along with cybersecurity and data privacy and organizational adoption.

## The near-term buying list is touchless, but the real requirement is asset truth

Ramesh’s first prediction, as published by FMLink, is a rise in automated facility assets, including doors, faucets and soap dispensers, to reduce points of physical contact and help prevent illness spread. For operations teams, that’s not just an infection-control narrative. It’s a change in what “a building asset” means.

A manual door closer can live in a room schedule and a preventive maintenance checklist. An automated door with sensors, controllers and access control ties into multiple trades and multiple systems. The maintenance playbook changes, and the inventory burden spikes. Ramesh explicitly flags that facility professionals need to keep a precise record of current assets and points of contact so swaps to new equipment, or upkeep on older equipment, stays safe and efficient, according to FMLink.

The April 2026 Advanced Engineering Informatics review on ScienceDirect describes digital technologies as enablers for transforming healthcare facility management toward proactive, data-driven paradigms. It identifies persistent challenges including interoperability between systems, scalability beyond pilots, cybersecurity and data privacy, and organizational adoption.

A touchless retrofit is no longer “hardware plus install.” It is hardware, integration, cybersecurity review, and a commitment to lifecycle data quality. Without clean asset identity and location data, the hospital ends up with a building full of devices that work, but do not belong to any accountable system of record.

## IWMS and BAS are becoming the coordination layer, beyond a dashboard

Ramesh’s second prediction in the FMLink article is broader adoption of organization-wide IWMS and BAS, positioned as the way facility managers coordinate more efficiently with functions like HR and healthcare providers. The specific promise is data access and maintenance: visibility into building and healthcare assets, plus the IoT sensors tied to those assets across the workplace environment, as summarized by FMLink.

This matters because healthcare facilities often run separate systems for different jobs, including building automation, access control, video management, and IWMS for space and work orders. According to FMLink, Kylash Ramesh expects more automated assets and says it will be essential for facility professionals to maintain an accurate inventory of existing assets and points of contact. He also expects wider adoption of organization-wide IWMS and BAS to help facility managers coordinate with other disciplines and access and maintain building data.

According to an Elsevier review in Advanced Engineering Informatics on ScienceDirect, the literature maps four major digital technologies in healthcare facility management: Building Information Modeling (BIM), Internet of Things (IoT), Artificial Intelligence (AI), and Digital Twin. The same review says persistent challenges include interoperability between systems and scalability beyond pilots.

## Facilities is being asked to carry “safety” work, and the skills gap shows up fast

Ramesh’s third prediction, per FMLink, is that facility managers in some organizations may be asked to take on a larger “safety” role alongside existing duties. FMLink describes examples including coronavirus testing, contact tracing, and broader virus tracking, and notes that facilities’ existing ties to housekeeping, space management and emergency management can pull that responsibility toward the facilities department.

The constraint is training. FMLink reports Ramesh’s view that many facility managers typically do not have access to appropriate training needed to combat a novel virus, even as responsibilities expand. He points to training areas like risk management, environmental health and safety, emergency management, and compliance and standards, with ProFMI’s ProFM credential program highlighted by FMLink as one training option.

The April 2026 Advanced Engineering Informatics review includes organizational adoption among the persistent challenges for digital healthcare facility management. It also identifies cybersecurity and data privacy as persistent challenges.

For hospital operators, that combination suggests a planning sequence worth formalizing: define which team owns device identity and configuration, which team owns the network and security posture, and which team owns workflows when a sensor alert turns into a work order. Buying the technology is often the easiest part.

## The quiet tension: publications are growing, but scale is still the gate

The ScienceDirect paper is explicit that the publication base has grown since 2018 and that its authors synthesized 74 peer-reviewed articles in a systematic literature review and bibliometric analysis. In other words, there is no shortage of ideas, architectures, and case examples. Yet the same review lists “scalability beyond pilots” as a persistent challenge.

ScienceDirect’s April 2026 systematic review in Advanced Engineering Informatics identifies persistent challenges for digital technologies in healthcare facility management, including interoperability between systems, scalability beyond pilots, cybersecurity and data privacy, and organizational adoption.

## What to put in the next RFP for “smart” healthcare facilities

- Asset identity and inventory: Require vendors to deliver an install-level asset register for automated doors, faucets and dispensers, including location, model/serial, spare parts list, and the data fields that will populate IWMS and BAS.
- Integration scope and ownership: Make bidders name the system of record for each asset class, and spell out how data flows between IWMS, BAS and any BIM or digital twin environment.
- Pilot-to-scale plan: Treat “scalability beyond pilots” as a contractual deliverable, with a documented approach for expanding beyond the initial installation, including cybersecurity review steps and workflow impacts.
- Training line items: Specify training requirements and budget categories up front, including risk management, EHS, emergency management, and compliance and standards training needs.

## Sources

- [The Changing Landscape: The Future of Facility Management & Healthcare Post-Pandemic](https://www.fmlink.com/the-changing-landscape-the-future-of-facility-management-healthcare-post-pandemic/) (FMLink)
- [Facilities Management News for Building Management ... (Planning / A&D archive page)](https://www.fmlink.com/news-category/planning-ad/page/124/) (FMLink)
- [Transforming healthcare facility management with digital technologies: A systematic review and future roadmap](https://www.sciencedirect.com/science/article/abs/pii/S1474034626000960) (ScienceDirect (Advanced Engineering Informatics / Elsevier))

Tags: healthcare facilities, facility management, IWMS, building automation systems, BIM, IoT, digital twin, AI in facilities, asset management, smart buildings, hospital operations, compliance and risk management, environmental health and safety, workplace technology, procurement

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