Developing Cost-effective, High-quality Healthcare Design · 2015-06-04 · Developing...

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Developing Cost-effective, High-quality Healthcare Design

Marc Levinson

Partner, Murphy Philipps Architects

MURPHYPHILIPPSHK

Relative costs

Whole life value User salaries

Life cycle cost Operating costs

Capital cost Construction cost

200

5

1

Source: Halliday, S (2007) ‘Sustainable Construction’

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What do we need in a hospital environment?

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Infection control

Privacy and dignity

Access to outside

Access control

Easy to maintain

Patient observation

Wide circulation spaces

Wayfinding

Wall protection

What do we need in a hospital environment?

IT infrastructure

Views from beds

Fully accessible

Sufficient storage

Service runs

Nurse call

Acoustics

Natural daylight

Fire safety

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Activity Guidance Design Vision

The brief

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Elegant design solution

Functional

Easy to manufacture

Precisely engineered

Beautiful

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Finchley Memorial Hospital

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Finchley Memorial Hospital

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Generic Rooms

Generic clinical rooms

Specialist clinical rooms

Support space

OPD

A

B

C

D

E

F

G

H

I

J

K

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Generic Rooms Flexibility

Walk-in centre

Phlebotomy

General Practice

Imaging

Outpatients

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Generic Rooms Flexibility Patient Journey

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Generic Rooms Flexibility Patient Journey Staff efficiencies

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Generic Rooms Flexibility Patient Journey Staff efficiencies Future expansion

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Generic Rooms Flexibility Patient Journey Staff efficiencies Future expansion Lessons learned

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Research - efficiency

Building K

59.5%

0.6%

6.1%

4.7%

1.3%

12.3%

5.2%

10.3%Departmental circulation(Horizontal)

Departmental circulation(Vertical)

Communication space(Horizontal)

Communication space(Vertical)

Engineering

Wall thickness

IPS

Net Area

……

Building K

59.5%

0.6%

6.1%

4.7%

1.3%

12.3%

5.2%

10.3%Departmental circulation(Horizontal)

Departmental circulation(Vertical)

Communication space(Horizontal)

Communication space(Vertical)

Engineering

Wall thickness

IPS

Net Area

Building K

59.5%

0.6%

6.1%

4.7%

1.3%

12.3%

5.2%

10.3%Departmental circulation(Horizontal)

Departmental circulation(Vertical)

Communication space(Horizontal)

Communication space(Vertical)

Engineering

Wall thickness

IPS

Net Area

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……

1995

23.8%

2003

25.9%

2010

27.0%

2011

29.6%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Building A

Building B

Building C

Building D

Building E

Building F

Building G

Building H

Building J

Building K

Building L

Building M

Building N

Building P

Departmental circulation (Horizontal)

Departmental circulation (Vertical)

Communication space (Horizontal)

Communication space (Vertical)

Engineering

Wall thickness

IPS

Net Area

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Building A

Building B

Building C

Building D

Building E

Building F

Building G

Building H

Building J

Building K

Building L

Building M

Building N

Building P

Departmental circulation (Horizontal)

Departmental circulation (Vertical)

Communication space (Horizontal)

Communication space (Vertical)

Engineering

Wall thickness

IPS

Net Area

Results

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……

First Floor

Ground Floor

Clinical adjacencies

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……

Source: James and Tatton-Brown (1986)

Models of care

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11.3% 13.4% 23.7%

room

c o

r r

i d

o r

c o

r r

i d

o r

c o

r r

i d

o r

room

room

Natural light

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……

0.0%

1.0%

2.0%

3.0%

4.0%

5.0%

6.0%

7.0%

8.0%

9.0%

Building A

Building B

Building C

Building D

Building E

Building F

Building G

Building H

Building J

Building K

Building L

Building M

Building N

Building P

Wall thickness

Wall thickness

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Thank you