Agenda

Provided is an important perspective of the latest major hospital project in Australia. Delivered by a Public Private Partnership, the hospital design includes healing environments, advanced technology and high quality medical care. The focus on patient centred care is embedded in the overall planning and design throughout the precinct.

The possibility of multiple generations of hospital staff using a health facility in different ways can be captured through:

• Strategic briefing that responds to the space needs of users at every level
• Appraising particular workplace designs to understand how they will perform over time
• Workplace change management
• Workplace review that evaluates the fit between standard space categories and users

A review of progressive MOCs around Australia (and internationally), the facilities that implement those, or facilities that may be designed to support them; and their dependency on contemporary ICT

• Examining the changes in policy and impact on facilities
• Pre and post hospital care
• New approaches to rehabilitation and palliative care
• Specialty units and their design
• Providing for ageing patients in hospitals

• The impact of the workplace environment and how its design and integration with the latest ICT affects attraction and retention as well as productivity.
• Recommendations and examples from health and other industries on how to achieve this.

• Bridging the traditional communications gap with clinicians
• Streamlining stakeholder interaction and information exchange
• Unleashing significant design efficiencies
• Validation of the design coordination process
• Value-added proposition for the design & construct team
• Mitigating design & construct pricing uncertainty
• Streamlining the Facility Management documentation handover
• Prefabrication Overview

• What actually is ICT and how does it work?
• Manpower and budget changes
• Cultural and environment changes
• Will we ever reach our end game with ICT or is it a never ending and ever changing rainbow?

• What are the issues for clinicians?
• Practical obstacles to implementing clinical IT
• Change management issues
• How to engender high levels of clinical engagement
• Opportunities to innovate
• How to find the right technology, test the solution and evaluate options in a live clinical setting

• The impact of design on patient care
• How design can minimise long-term operating costs
• How to measure design value for healthcare facilities

• Key issues for hospital operators
• Regulatory issues, including hospital licensing
• Default, termination & translational provisions, including step in rights
• Outsourced hospital services – key issues

The HDR project team determined the interdisciplinary design approach that will ensure that the CCAD facility successfully extends the Cleveland Clinic healthcare brand on a global basis. An integral part of that brand is a patient-centred care philosophy. Design is being used at CCAD to improve healthcare operations, minimize lengths of stay and promote the healing process by focusing on seven primary elements of the patient-centered care philosophy.

• Project health - Getting the plan right
  • Is the problem definition correct?
  • Is the Clinical demand planning correct. Has the epidemiology adjusted for clinical trends and technology?
  • Is the facility demand profile right sized? Why averages are wrong.
  • Can the workforce deliver it and what are the barriers to change?
• The back door - Is the facility’s project financially feasible?
  • Are the projected improvements realistic?
  • Are the funding lines possible and capital capacities manageable?
  • Can the balance sheet accommodate and can the cash flow be phased affordably?
  • Is the asset realisation programme possible?
  • Can the rental stream be achieved?

Case study on Flinders Medical Centre - New South Wing, Australia’s first Green Star - Healthcare Certification

How are health system operators using “bed-less hospitals” and “super clinics” and what are their goals for reducing the cost of care:

• What are the operational objectives behind the rise of “bedless hospitals”?
• What are some of the metrics that underlie service planning and space programming?
• How do operators integrate these “super clinics” into their overall patient care approach?

Group Health Cooperative, Seattle, Washington; Kaiser Permanente Super Clinic, Washington, DC; Kaiser Permanente San Leandro Integrated Campus, California

• Understanding the parameters
• Variables influencing the design outcome
• Review of an operational GP Super Clinic and an assessment to ascertain if the original objectives were achieved

• Providing staff with a menu of spaces to deal with different clinical concerns
• The spectrum of acuity
• The therapeutic relationship of landscape
• The importance of POE; The courtyard model

• The implications of patient centred care for mental health units
• The impact of an integrated service model on the function of an acute care facility
• What evidence do we have for the architect?

• Challenging the brief
• Workshopping functional and aspiring concepts with the Stakeholders
• Integrating The Model of Care and the courtyard design concept
• Interfacing with the existing hospital operations and site conditions

• Measurement of ten design principles by using an Environmental Audit Tool
• The relationship between the design principles and the quality of life of people with dementia in residential care.