With the accelerated growth of the health area in Brazil, institutions increasingly seek to optimize the operations by leveraging the results and becoming competitive in the market. Ensuring the high availability of infrastructure and assets provides that the organization is a strategic tool to achieve positive productivity results. However, it is necessary to structure the engineering department of the maintenance and correct administration of the flows that integrate the sector to meet the expected results. The use of computerized maintenance control tools helps in the management of environments and equipment, assuring the operational reliability of the health care establishment. This article presents the stages of implementation of management and maintenance in a health care establishment. The results demonstrate the evolution in the control of the maintenance department with greater efficiency, planning, increased availability of infrastructure and equipment as well as reduced costs for the operation of health sector processes in Brazil.