Improving Healthcare through Built Environment Infrastructure
1. Edition April 2010
296 Pages, Hardcover
Wiley & Sons Ltd
Short Description
This book helps academic researchers - as well as practitioners - understand how the healthcare 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.
From the Foreword by Rob Smith, Director of Estates and Facilities (NHS England), Department of Health
'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.
Contributors Biographies
Forward (Rob Smith)
Chapter 1: Introduction: Improving healthcare through built environment infrastructure (Mike Kagioglou and Patricia Tzortzopoulos)
Session 1: Practitioner contributions
Chapter 2: Planning healthcare environments (Duane Passman, Brighton & Sussex University Hospitals NHS Trust Brighton, UK)
2.1. Introduction
2.2. Background and history
2.3. The Planning Landscape
2.4. Policy Developments since 1997
2.5. Capital Procurement Methodologies and NHS Organisations
2.6. Settings for Healthcare
2.7. Supply-Side Considerations
2.8. Demand side
2.9. Design and The Physical Environment
2.10. Conclusion
2.11. References
Chapter 3: Plan for uncertainty: design for change (Sue Francis, CABE - Commission for Architecture and the Built Environment London, UK)
3.1. Introduction
3.2. Context
3.3. Impact on the built environment
3.4. Optimising design
3.5. Futureproofing design
3.6. Design Matters
3.7. Measuring Design Quality
3.8. Final remarks: Making places
3.9. References
Chapter 4: Designed with care? The role of design in creating excellent community healthcare buildings (Kate Trant)
CABE - Commission for Architecture and the Built Environment London, UK
4.1. Introduction
4.2. Why does design matter?
4.3. Building healthy neighbourhoods
4.4. Access to health
4.5. Surprise and delight
4.6. Designed with care
4.7. Open all hours
4.8. Better isn't good enough
4.9. Must try harder
4.10. What makes a good healthcare building?
4.11. Final remarks
4.12 References
Chapter 5: The stages of LIFT - Local Finance Improvement Trust - for the development and delivery of primary healthcare facilities (Richard Groome)
John Laing plc Manchester, UK
5.1. Introduction
5.2. The LIFT Process
2.1. Project Inception
2.2. Project Set up
2.3. Feasibility
2.4. Stage 1 Approval
2.5. Outline Design
2.6. Final Scheme Design
2.7. Financial Close
2.8. Construction Management Set Up
2.9. Facilities Maintenance (FM)
5.3. Cultural Differences
5.4. Conclusions
5.5. References
Chapter 6: The Integrated Agreement for Lean Project Delivery (William A. Lichtig, McDonough, Holland & Allen California, USA)
6.1. Introduction to Sutter Health
6.2. Integrated form of agreement
6.3. Traditional Responses to Owner Dissatisfaction with the Status Quo
6.4. What is Lean?
6.5. The Application of TPS Principles to Design and Construction
6.6. Sutter Health's Formulation of a Lean Project Delivery Strategy
6.7. Development of the Integrated Agreement for Lean Project Delivery
6.9. References
Chapter 7: The Sutter Health Prototype Hospital Initiative (Dave Chambers, Sutter Health California, USA)
7.1. Getting Started
7.2. Goals and Metrics
7.3. Design
7.4. Results and conclusion
7.5. References
Session 2: Academic contributions
Chapter 8: The Strategic Service Development Plan: An Integrated Tool for Planning Built Environment Solutions for Primary Health Care Services (Ged Deveraux Manchester Joint Health Unit Manchester City Council, UK)
8. Introduction
9. Background
10. The Development of Primary Care
11. The Role of the built environment in delivering primary health care
12. The Origins of the Strategic Service Development Plan
13. A Comparative Case Study of the MAST LIFT SSDP
13.1. Partnership Working
13.2. Planning Process
13.3. Benefits Realisation
13.4. What was learnt?
13.5. Common Themes of the Document Analysis
13.6. Common Themes from the Interviews
13.7. Discussion
14. Conclusion
15. Recommendations
16. References
Chapter 9: From care closer to home to care in the home. The potential impact of telecare (James Barlow, Steffen Bayer, Richard Curry, Jane Hendy and Laurie McMahon Imperial College London and Loop2 London, UK)
9.1. Introduction
9.2. Key trends
9.3. What is telecare?
9.4. The impact of telecare on care services
9.5. Implications for the healthcare built infrastructure
9.6. Conclusion
9.7. Acknowledgments
9.8. References
Chapter 10: Risk Management and Procurement (Nigel Smith, Denise Bower, Bernard Aritua School of Civil Engineering, University of Leeds Leeds, UK)
10.1. Introduction
10.2. General Principles of Risk Management in Infrastructure Procurement
10.3. Risk and Procurement routes
10.4. Risk in NHS Procurement
10.5. Multi-project procurement
10.6. Sustainable NHS procurement options
10.7. References
Chapter 11: Supporting evidence-based design (Ricardo Codinhoto, Bronwyn Platten, Patricia Tzortzopoulos, Mike Kagioglou University of Salford Salford, UK)
11.1. Definitions
11.2. the built environment and health Outcomes: considerations about evidence-based Design
11.3. Searching for Evidence
11.4. healthcare environments and impacts on health
11.5. Organising information
11.5. Organising Inforamtion
11.6. Conclusions
11.7. References
Chapter 12: Benefits Realisation: Planning and evaluating healthcare infrastructures and services (Stylianos Sapountzis, Kathryn Yates, Jose Barreiro Lima, Mike Kagioglou Uiversity of Salford Salford, UK)
12.1. Introduction
12.2. Benefits realisation
12.3. Research methodology
12.4. BeReal model overview
12.5. Case Studies
12.6. Conclusions
12.7. References
Chapter 13: Towards the achievement of Continuous Improvement in the UK Local Improvement Finance Trust (LIFT) initiative (A.D. Ibrahim, A.D.F. Price and A.R.J. Dainty Dpartment of Quantity Surveying, Ahmadu Bello University, Zaria, Nigeria Department of Civil and Building Engineering, University of Loughborough, UK)
13.1. INTRODUCTION
13.2. CONTINUOUS IMPROVEMENT CONCEPT
13.3. RESEARCH METHOD
13.4. RESULTS AND DISCUSSIONS
13.5. THE DEVELOPMENT OF A GENERIC CONTINUOUS IMPROVEMENT FRAMEWORK (CIF) FOR LIFT
13.5. APPLICATION OF CIF WITHIN LIFT PROCUREMENT
13.6. CONCLUSIONS
13.7. REFERENCES
Chapter 14:Performance Management in the Context of Healthcare Infrastructure (Therese Lawlor-Wright and Mike Kagioglou www.mace.manchester.ac.uk School of Mechanical, Aerospace and Civil Engineering, The University of Manchester, UK School of the Built Environment, University of Salford, UK)
Abstract
14.1. Introduction
14. Organisational Performance Measurement Systems
14.3. Building Performance Assessment
14.4. Contribution of Infrastructure to Performance of Healthcare Organisation
14.5. Conclusions
14.6. References
Chapter 15: Hard FM and performance management in hospitals (Igal Sohet and Sarel Lavy Ben-Gurion University of the Negev, Israel College of Architecture, Texas A&M University, USA)
15.1. Components of Healthcare Facilities Management
15.2. Key Performance Indicators in Hospital Facilities
15.3. Research Methods
15.4. Analysis of a Hospital Using the Indicators Developed - A Case Study
15.5. Discussion
15.6. Toward a Maintenance Performance Toolkit
15.7. References
Chapter 16: Community Clinics - Hard Facilities management and performance management (Igal Sohet Ben-Gurion University of the Negev, Israel)
Synopsis
16.1. Introduction
16.2. Clinic Facilities
16.3. PROFiLE OF CLINIC FACILITIES
16.4. Hospital Facilities vs. Clinic Facilities - Comparative Perspective
16.5. Concluding Remarks
16.6. References
Index