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Improving Healthcare through Built Environment Infrastructure
Michail Kagioglou (Edited by), Patricia Tzortzopoulos (Edited by)
9781405158657, Wiley
Hardback, published 9 April 2010
296 pages
25.4 x 18.3 x 2.1 cm, 0.798 kg
"This book has a wide attraction across a range of interests in the delivery of better supporting infrastructure to the health sector. From a property management perspective it addresses the entire lifecycle of asset provision and draws the important link between good design, operation and the health outcomes that the facility underpins. The book has a good balance between industry and academic contributions and I recommend it to anyone with an interest in this specialised area of infrastructure provision and management." (Emerald Journal: Property Management, 2011)
"The built environment for the delivery of Healthcare will continue to change as it responds to new technologies and modalities of care, different expectations and requirements of providers and consumers of care. It is vital that built environment students and practitioners alike avail themselves of the best possible information to guide them in their studies, continuing professional development and the delivery of their tasks. The range is enormous from the assessment of need, planning the service delivery to design, construction, commissioning, maintenance and operation of the healthcare environment. The book that follows addresses these areas from a blend of contributions of experienced practitioners to the descriptions of the output from recent research that moves forward the frontiers of knowledge and practice in the many areas of the healthcare built environment. I happily commend this book to all engaged in the exciting fields of planning, delivering, maintaining and operating healthcare environments. When we get it right, we are able to do immeasurable good." This book helps academic researchers as well as practitioners to understand how the healthcare infrastructure sector works by addressing the crucial issue of healthcare delivery from a built environment perspective. It explains the trends in healthcare, models of healthcare delivery; healthcare planning; the NHS building and investment programmes; the procurement process; and facilities management; financial models – including PFI and LIFT; risk allocation and partnering. Past investigations in the area of healthcare delivery have concentrated on either the medical aspects or the design issues of buildings but Improving Healthcare through Built Environment Infrastructure is unique in considering the 'meeting space' of built environment technologies and modern methods of procurement with the medical and operational needs of healthcare settings. The authors have brought together key industrialists and academics, all heavily involved in the formulation and delivery of new practices. Case studies illustrate how policies and healthcare models are implemented in practice and help identify the key challenges for the future.
—From the Foreword by Rob Smith, Director of Estates and Facilities (NHS England), Department of Health
About the Editors x 1 Introduction: Improving Healthcare through Built Environment Infrastructure 1 1.1. Part 1: Practitioner contributions 2 Part 1 Practitioner Contributions 7 2 Planning Healthcare Environments 9 2.1. Introduction 9 3 Plan for Uncertainty: Design for Change 40 3.1. Introduction 40 4 Designed with Care? The Role of Design in Creating Excellent Community Healthcare Buildings 53 4.1. Introduction 53 5 The Stages of LIFT – Local Improvement Finance Trust and Delivery of Primary Healthcare Facilities 71 5.1. Introduction 71 6 The Integrated Agreement for Lean Project Delivery 85 6.1. Introduction to Sutter Health 85 7 The Sutter Health Prototype Hospital Initiative 102 7.1. Getting started 103 8 The Strategic Service Development Plan: An Integrated Tool for Planning Built Environment Solutions for Primary HealthCare Services 109 8.1. Introduction 109 Part 2 Academic Contributions 129 9 From Care Closer to Home to Care in the Home: The Potential Impact of Telecare on the Healthcare Built Environment 131 9.1. Introduction 131 10 Risk Management and Procurement 139 10.1. Introduction 139 11 Supporting Evidence-Based Design 151 11.1. Definitions 152 12 Benefits Realisation: Planning and Evaluating Healthcare Infrastructures and Services 166 12.1. Introduction 166 13 Achieving Continuous Improvement in the UK Local Improvement Finance Trust (LIFT) Initiative 196 13.1. Introduction 196 14 Performance Management in the Context of Healthcare Infrastructure 216 14.1. Introduction 217 15 Hard Facilities and Performance Management in Hospitals 229 15.1. Components of healthcare facilities management 229 16 Community Clinics: Hard Facilities Management and Performance Management 249 16.1. Introduction 250 References 265
About the Contributors xi
Foreword by Rob Smith, Director of Estates and Facilities (NHS England), Department of Health xxi
Acknowledgements xxiii
Mike Kagioglou and Patricia Tzortzopoulos
1.2. Part 2: Academic contributions 3
Duane Passman
2.2. Background and history 9
2.3. The planning landscape 13
2.4. Policy developments since 1997 14
2.5. Capital procurement methodologies and NHS organisations 20
2.6. Settings for healthcare 26
2.7. Supply-side considerations 30
2.8. Demand side 35
2.9. Design and the physical environment 37
2.10. Conclusion 38
Susan Francis
3.2. Context 40
3.3. Impact on the built environment 41
3.4. Optimising design 45
3.5. Future proofing design 47
3.6. Design matters 49
3.7. Measuring design quality 50
3.8. Final remarks: making places 51
Kate Trant
4.2. Why does design matter? 54
4.3. What makes a good healthcare building? 61
4.4. Final remarks 70
Richard L. Groome
5.2. The LIFT process 72
5.3. Cultural differences 82
5.4. Conclusions 83
William A. Lichtig
6.2. Integrated form of agreement 86
6.3. Traditional responses to owner dissatisfaction with the status quo 86
6.4. What is lean? 87
6.5. The application of TPS principles to design and construction 88
6.6. Sutter Health's formulation of a lean project delivery strategy 90Contents vii
6.7. Development of the integrated agreement for lean project delivery 92
6.8. Conclusion 100
Dave Chambers
7.2. Goals and metrics 106
7.3. Design 107
7.4. Results and conclusion 108
Ged Devereux
8.2. Background 109
8.3. The development of primary care 111
8.4. The role of the built environment in delivering primary healthcare 114
8.5. The origins of the strategic service development plan 117
8.6. A comparative case study of the MaST LIFT SSDP 119
8.7. Conclusion 126
8.8. Recommendations 126
James Barlow, Steffen Bayer, Richard Curry, Jane Hendy and Laurie McMahon
9.2. Key trends 132
9.3. What is telecare? 133
9.4. The impact of telecare on care services 134
9.5. Implications for the healthcare built infrastructure 135
9.6. Conclusion 137
9.7. Acknowledgements 138
Nigel Smith, Denise Bower and Bernard Aritua
10.2. General principles of risk management in infrastructure procurement 140
10.3. Risk and procurement routes 144
10.4. Risk in NHS procurement 146
10.5. Multi-project procurement 147
10.6. Sustainable NHS procurement options 148
Ricardo Codinhoto, Bronwyn Platten, Patricia Tzortzopoulos and Mike Kagioglou
11.2. The built environment and health outcomes: considerations about evidence-based design 153
11.3. Searching for evidence 154
11.4. Healthcare environments and impacts on health 157
11.5. Organising information 159
11.6. Conclusion 163
11.7. Acknowledgements 164
Stelios Sapountzis, Kathryn Yates, Jose Barreiro Lima and Mike Kagioglou
12.2. Benefits realisation 167
12.3. Research methodology 169
12.4. BeReal model overview 172
12.5. Case studies 178
12.6. Conclusions 192
12.7. Acknowledgements 193
A.D. Ibrahim, A.D.F. Price and A.R.J. Dainty
13.2. Continuous improvement concept 199Contents ix
13.3. Research method 202
13.4. Results and discussions 203
13.5. The development of a generic continuous improvement framework for LIFT 206
13.6. Application of CIF within LIFT procurement 207
13.7. Conclusions 211
Therese Lawlor-Wright and Mike Kagioglou
14.2. Organisational performance measurement systems 217
14.3. Building performance assessment 218
14.4. Contribution of infrastructure to performance of healthcare organisation 222
14.5. Conclusions 225
14.6. Acknowledgements 226
Igal M. Shohet and Sarel Lavy
15.2. Key performance indicators in hospital facilities 232
15.3. Research methods 236
15.4. Analysis of a hospital using the indicators developed – a case study 238
15.5. Discussion 246
15.6. Towards a maintenance performance toolkit 246
Igal M. Shohet
16.2. Clinic facilities 253
16.3. Profile of clinic facilities 260
16.4. Hospital facilities versus clinic facilities – comparative perspective 263
16.5. Concluding remarks 264
Index 267
Subject Areas: Civil engineering, surveying & building [TN]
