The Future for Strategic Planning of Healthcare...
Transcript of The Future for Strategic Planning of Healthcare...
Dr Michael Phiri, The Sheffield University, UK
The Future for Strategic Planning of Healthcare
Infrastructure
22-24 October 2012, København Denmark
Dr Michael Phiri The University of Sheffield, UK
Dr Michael Phiri, The Sheffield University, UK
Design Strategies + Approaches ~ Evidence-Based Design.
~ Design for Sustainability.
~ Lean Healthcare and Lean-led Design.
~ Learning from Completed Construction Projects
(Post-Project Evaluations - PPEs including Post-
Occupancy Evaluations - POEs) + Feedback.
~ Six Sigma.
~ Simulation Studies + Modelling.
~ Varying combinations of all these.
Dr Michael Phiri, The Sheffield University, UK
Importance of Design
Strategies
Approaches Can Aid
Organisations Determine:
~ What to produce and do?
(Products or Outcomes)
~ How and when to do it?
(Process)
~ How consistently innovative
the products are and over
time perform responding to
changing contexts to
deliver on Return on
Investment?.(Performance)
Strategy, Tactics + Operations
Interrelationships
Dr Michael Phiri, The Sheffield University, UK
Importance of Design
Strategies Clarity of:
1. The Care Model.
2. The Estates Strategy
Model
3. The Physical Model.
TO ACHIEVE SUCCESS AND DELIVER
POSITIVE HEALTH OUTCOMES REQUIRES
ADDRESSING THESE IN TANDEM
Dr Michael Phiri, The Sheffield University, UK
To successfully implement
evidence-based design
principles, healthcare
design teams must
continually adopt
approaches that create
an environment of care
that incorporates
streamlined processes,
new technologies, and
nurtures innovative
design elements.
Importance of Design Strategies
Dr Michael Phiri, The Sheffield University, UK
Aim of Design Approaches in Health Identify proven evidence-based strategies and
corresponding interventions that:
~ Improve patient safety and health outcomes.
~ Enhance staff efficiency and effectiveness.
~ Increase patient, family, and staff satisfaction.
~ Accommodate today’s best practices, with flexibility to
adapt to the future.
Dr Michael Phiri, The Sheffield University, UK
Design for Sustainability
From Green Buildings to Sustainable Building
Building Assessment Methods which rate + rank buildings
and groups of buildings, based on their environmental
performance.
Need for Systems to Evolve with a Holistic Sustainability
Emphasis or Focus integrating Environmental, Economic
and Social issues (Hill & Bowen 1997, Cooper 1999, Cole
2005, Lutzendorf & Lorenz 2006, Kaatz et al. 2006 and
Turner 2006),
Dr Michael Phiri, The Sheffield University, UK
Dr Michael Phiri, The Sheffield University, UK
Dr Michael Phiri, The Sheffield University, UK
Key Drivers & Underlying Concepts
~ Design Matters: A basis for creativity, innovation &
continuous improvement. A means to
make ideas tangible and human-centred.
~ Evidence-Base: A source of authority.
~ The Role of Standards: A threshold + minimum
criteria to be achieved, for example, a
guarantee of safety + quality.
~ Design & Evaluation Tools: To aid the design
process and delivery of (health)
outcomes.
Dr Michael Phiri, The Sheffield University, UK
Case Studies Showcase:
America + EU Projects: ~ Houghton Le Spring Health Centre, UK.
~ New Aarhus University Hospital, Århus Bygning
Jylland, Denmark.
~ New Parkland Hospital, Dallas, USA.
Australasia + China Projects: ~ First People’s Hospital of Shunde, Foshan
District, People’s Republic of China.
~ Glenside Campus Re-development Adelaide,
Australia.
~ National Heart Centre, Singapore.
Dr Michael Phiri, The Sheffield University, UK
Context – New Hospital Building Programmes UK – ‘1960 Hospital Plan’, ‘1980s’, ‘2000s PFI
Hospital Building Programme - 187’
China – 2000 County-Level Hospitals + 29000
Township Hospitals in the 3-Year Plan in 2007
(China spent $38 per capita on health compared with
$3076 US – Source WHO 2006)
20000 New Hospitals – China’s 12th 5-Year Plan
Quality, Fit-4-Purpose, Affordable + Manageable
Denmark – 16 “Quality Fund Construction Projects” + 22
Hospitals
Dr Michael Phiri, The Sheffield University, UK
Context – New Hospital Building Programmes - Problem of ‘Rate of Replenishment’ with New Build (BMJ
1960)
- Issue of Proportion of ‘Existing Accommodation’ to New
Build (Vision + Aspirations vs. Actual Outcome + Reality!)
- Delivery of the New Build Programme, Impact +
Anticipated Benefits.
- Problem of ‘Replacement or Renewal’ at the End of the
Life of the New Build (60 years time!)
- How Research can Inform the New Hospital Building
Programme?
Dr Michael Phiri, The Sheffield University, UK
Houghton Le Spring Health
Centre, UK:
.
Implement a number of integrated and
innovative low-energy features in
one building targeting BREEAM
Healthcare 2008 ‘Outstanding’
Rating.
Promote Sustainability through
provision of a Quality Health & Social
Environment which addresses
micro-energy generation , energy
use, impact of transport + travel and
engages the local community in the
debate on sustainable lifestyles and
healthy behaviours to impact on
outcomes (e.g. obesity, diabetes).
Dr Michael Phiri, The Sheffield University, UK
Houghton Le Spring Health
Centre, UK:
.
Dr Michael Phiri, The Sheffield University, UK
Aarhus University Hospital Århus
Bygning Jylland Denmark:
Evidence-based Design: DNU
consultant group developed a
concept of a “Healing Wheel
of the Environment” as a basis
and generator for planning the
entire hospital project.
Design for Sustainability:
Learning from the idea of a
traditional ‘walkable’ town
which has evolved over a
period of time focusing on
flexibility, generality,
adaptability + standardisation ,
Dr Michael Phiri, The Sheffield University, UK
Aarhus University Hospital Århus
Bygning Jylland Denmark:
Dr Michael Phiri, The Sheffield University, UK
Parkland Hospital Dallas
USA
implement proven Evidence-based
Strategies + corresponding interventions
that improve patient safety & outcomes,
staff efficiency & effectiveness, increase
patient, family, and staff satisfaction
while accommodating today’s best
practices, with flexibility to adapt to the
future. Sustainability goal of LEEDTM
Silver Certification, Low-Emitting
Materials, Public Transportation Access,
User-friendly and navigable facility.
Dr Michael Phiri, The Sheffield University, UK
Parkland Hospital Dallas
USA
Dr Michael Phiri, The Sheffield University, UK
First People’s Hospital of
Shunde, Foshan District,
People’s Republic of China
Integrating Western + Chinese Cultures
2000 bed General Hospital
that improves patient safety
& outcomes, staff efficiency
& effectiveness, increase
patient, family, & staff
satisfaction, accommodates
Chinese practices & local
traditions, and provides
ability & capacity to adapt to
the future. Green Hospital
Building Evaluation Criteria
: 2 ★★ to 3 ★★★
Dr Michael Phiri, The Sheffield University, UK
Dr Michael Phiri, The Sheffield University, UK
Glenside Campus
Redevelopment Adelaide
Australia:
Mental Health: A Place of Refuge,
Safety, Security + Healing to
Achieve Demystification +
Destigmatisation of Existing.
‘Village Common or Green’: A
common shared green space +
an external area for social
activities which help nurture and
foster the community spirit while
increasing up-take of physical
activity.
Alternative Approach to
Greenstar or BREEAM
Dr Michael Phiri, The Sheffield University, UK
Glenside Campus
Redevelopment Adelaide
Australia:
Dr Michael Phiri, The Sheffield University, UK
National Heart Centre,
Singapore
.
Centre of Excellence with a design
philosophy of “Placing People
First” providing a structure that is
flexible & adaptable to change
both internally + externally
Recognising + responding to the
often swift advances in medical
and healthcare technologies.
Healing properties of natural light
and planting - as ‘a carbon
sponge, noxious pollutants filter
and heat reducer ‘ in Sky +
Ground Healing Gardens
Dr Michael Phiri, The Sheffield University, UK
Dr Michael Phiri, The Sheffield University, UK
National Heart Centre,
Singapore
.
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Environm
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Public
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PART 1 PART 2 PART 3 PART 4 PART 5
Target Credits Points Available
Achieved Credits Points
Dr Michael Phiri, The Sheffield University, UK
Emerging Issues:
~ A Definition of ‘Evidence’ and ‘Sustainability’.
~ Cautionary Note: Dangers of Ignoring the Past.
~ Centralisation vs. Decentralisation.
~ National vs. International Guidance + Standards +
Tools.
~ Prescription vs. Performance Guidance +
Standards.
~ Public vs. Private Sector Involvement.
~ Self-assessment vs. Independent or Third Party
Verification.
Dr Michael Phiri, The Sheffield University, UK
National
Centralisation
Public Sector
Prescription
Self-Assessment
International
Decentralisation
Private Sector
Performance
Independent Verification