super hospitals

world class facility innovation

focus pertinent approaches governance

= ho hum

focus pertinent approaches governance

noted directions in global health service deliveryconvenient service (patient focus)responsivenesstechnology useoutsourcing, co-sourcing, in-housegovernance consolidation & mergersglobalisationbeyond raw function

focus pertinent approaches governance

applying directions in global health service =

balanced planning x integral flexibility

but < world class

focus pertinent approaches governance

add

+ sharing a vision

+ urban planning

+ integral allied facility planning

+ appropriate atmosphere (amenity, accessibility, comfort, image)

+ integrated services design including redundancies

+ ESD principles

+ integrating maintenance planning and WOL

+ recruitment/ retention of staff

+ understanding and designing for risks

+ applying appropriate standards (aiming at objectives)

+ divergent benefits

+ understanding legislation

+ mapping, benchmarking

+ keeping updated on further global trends

+ publishing research and results

= world class

focus pertinent approaches governance

integral flexibility

focus pertinent approaches governance

long-term

localised pockets for building replacement

other sites for replacement or additions

DevelopmentDevelopment

Replacement

infill

Replacement

infill

Replacement

zone

Replacement

zone

Allied Allied

focus pertinent approaches governance

potential to form separate parcels

energy & transport

energy unit

carpark

linked hospital components (with coordinated functions)

12

3

carp

ark

focus pertinent approaches governance

focus pertinent approaches governance

focus pertinent approaches governance

focus pertinent approaches governance

reuse and adjoining existing

BCA

floor to floor

depth of plan

focus pertinent approaches governance

focus pertinent approaches governance

focus pertinent approaches governance

focus pertinent approaches governance

focus pertinent approaches governance

AA

BB

Dept. 1

Dept. 2Dept. 3

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Dept. 3Dept. 2Dept. 1

Dept. 5Dept. 4 Dept. 6

focus pertinent approaches governance

focus pertinent approaches governance

focus pertinent approaches governance

mechanical

electrical

focus pertinent approaches governance

Microwave line of sight

Substation

Energex Sub-Station

Central Energy Plant

From Telstra fibre optic network

Dual feed 132 KV Transmission loop

Key Issues

Power Location of proposed Energex sub-station – adjacent Reliability - the sub-station has dual routes Capacity – considered adequate with two transformers On site distribution via Central Emergency Plant Existing 132 kv transmission line. Relocate to underground - helicopter flight paths, aesthetics

Communication Major Telstra fibre optic cable Line of sight for Microwave link

communications

hydraulic

fire

focus pertinent approaches governance

Design Director Director

Project Co-ordinator

Health PlanningCo-ordinator

focus pertinent approaches governance

©2007

Top Down Approach Bottom Up Approach

• unity of purpose• ‘central’ authority• limited opportunity to engage others in organisation – no ‘ownership’• reflects only management’s priorities

• recognises diversity of perspective• ‘local’ authority• difficult to implement• reflects only end users priorities• uncertainty about outcomes

• participative • dynamic coherence • collaborative learning/questioning• diversity of perspective• develops sense of common purpose• ‘ownership’ by whole organisation• shared priorities

Interactive Workshops –

Involving a Cross Section of the Client

Workshop Process

focus pertinent approaches governance

Agreement on what the project needs to do to support QH’s and the QCH’s mission and operational needs

Agreement on broad functional/space requirements. Agreed functional proximity relationships/blocking and stacking. Reconciliation to budget.

Agreement on preferred concept design option for the new QCH

Agreement on developed concept design and design briefs, reconciled with budget

Review of existing paediatric, activities. Outline functional, accommodation and design requirements (benchmarked and reconciled with earlier work

Developed functional, accommodation and design requirements (room by room schedules)

Developed functional, accommodation and design requirements, room by room area schedules

Finalisation and sign off of Design Brief by users/PCGs

How much area can we afford?

Indicative costings

Draft Cost Plan A

Scope reconciled to budget

WORKSHOP 1 – VISION

• Presentations from key stakeholder representatives

• Looking at the project from multiple perspectives

• Presentation of draft accommodation requirements

• Mapping proximity relationships

• Presentation of concept design options for the site (including indicative costings)

• Evaluation of options

WORKSHOP 4 - ENHANCEMENT

• Enhancing/adding value to agreed concept design

• Cost value management

WORKSHOPS (Stakeholders) Outputs USER GROUP MEETINGS Cost Reviews

WORKSHOP 2 – ACCOMMODATION NEEDS

WORKSHOP 3 – OPTIONS EVALUATION

focus pertinent approaches governance

Presentation of Options

focus pertinent approaches governance

Design Director Director

Project Co-ordinator

TechnicalCo-ordinator

DesignCo-ordinator

Health PlanningCo-ordinator

focus pertinent approaches governance