Adapting ISO 55000 Principles for Healthcare: A Case Study on CT Scanner Life Cycle Management in a Quebec Public Hospital

Healthcare organizations are under growing pressure to optimize resources, extend the useful life of critical medical assets, and maintain uncompromised levels of patient safety. Biomedical assets such as CT scanners are central to diagnosis and treatment, yet their management often lacks strategic alignment with organizational objectives. This study explores the contextual application of ISO 55000 asset management principles in hospital settings. An intrinsic case study was conducted in a Quebec public hospital, focusing on the life cycle of a 128-slice CT scanner. Using qualitative content analysis of procurement, service, and quality documentation, the study identified three paradigmatic modulators—organizational, clinical, and financial—that mediate the translation of ISO 55000 principles into healthcare contexts. Results indicate that while ISO 55000 is highly relevant, its concepts must be adapted to account for collaborative governance structures, the primacy of patient safety, and mission-driven financing. The findings contribute to bridging the gap between industrial asset management theory and healthcare practice, offering a hybrid framework for hospitals seeking sustainable biomedical equipment management.