Author: Rory McGrath, Regional Manager UK & Ireland HT GROUP // Rambacher Str. 2 • 91180 Heideck • Germany • T + 49 (0) 9177 98 - 0 • [email protected] • www.htgroup.de INTRODUCTION CURRENT SITUATION Specialist hospital departments like operating theatres, intensivecaredepartments,cardiaccathlabs,decontamination departments and laboratories are constantly changing. The need for change is driven by many factors including: // New surgical and treatment techniques // New medical technology // Nosocomial infections and prevention // Health Technical Memoranda and Health Building Notes // Quality watchdog Conventional materials and building processes do not lend themselves well to change. The more complicated and the more expensive it is to make changes and to upgrade, the less likely it is that the change or upgrade will happen. As a result, many hospitals become outdated and unfit for purpose. This poster proposes the use of high tech modular room systems which have been in use in mainland Europe for more than 4 decades. The system future proofs hospitals and facilitates fast, easy and cost effective changes and upgrades. OTHER ADVANTAGES OF MODULAR ROOM SYSTEMS 1. Fast and easy design process – full architectural support from a company that builds 300 units per annum across the globe 2. Extensive choice of designs and finishes 3. Latest technology & fully compliant 4. Highest quality 5. Hygiene certificate from the Robert Koch-Institute Germany 6. Factory manufactured for perfect fit 7. Little or no waste and significantely less traffic on site 8. Less personnel on site (typically 5 per theatre department) 9. Sign off of drawings to commissioning, normally 50% shorter programme than conventional 10. Competitively priced and often less expensive than conventional SUMMARY // Hospitals structures need to be dynamic to accommodate changing technologies // The cost of closing down specialist rooms for upgrades or repairs is significant and should be avoided // Changes or upgrades to conventionally built rooms are so costly and disruptive that the upgrades often don’t happen, eventually rendering the room outdated and non compliant // Modular room systems with demountable wall panels and fully accessible ceilings help future proof specialist rooms // Upgrades can be carried out more easily, quickly and cost effectively THE PROPOSED SOLUTION THE ALTERNATIVE // A heavy gauge site specific stud system or frame is erected // M&E first fix is installed into the frame // Fully finished, demountable stainless steel or glass wall panels are screwed to the frame // Ceilings, windows and doors complete the system DESIGNING FOR CHANGE IN SPECIALIST HOSPITAL AREAS CONVENTIONALLY BUILT MODULAR ROOM SYSTEM Establish a multi-disciplinary project team Simple decision making process involving 3 or 4 people Hundreds of man hours spent in meetings Entire process takes a fraction of the time needed in a conventional build Shut down of essential hospital department during upgrade No shut down – upgrade can happen over- night or at a weekend Extremely complex and long drawn out process Process of upgrading is simple – swap out old panel with new Extremely costly in terms of personnel time and loss of income Costs significantly less than conventional KEY FINDINGS FROM A STUDY TO REPLACE AN ANALOGUE X-RAY VIEWER WITH A DIGITAL VIEWER IN A CONVENTIONALLY BUILT HOSPITAL VERSUS A MODULAR ROOM SYSTEM // Cost was £48000 versus £23000 in the modular room system // 298 hours of personnel time spent on conventional versus 42 for the modular system

DESIGNING FOR CHANGE IN SPECIALIST …...Sign off of drawings to commissioning, normally 50% shorter programme than conventional 10. Competitively priced and often less expensive than

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Page 1: DESIGNING FOR CHANGE IN SPECIALIST …...Sign off of drawings to commissioning, normally 50% shorter programme than conventional 10. Competitively priced and often less expensive than

A u t h o r : R o r y M c G r a t h , R e g i o n a l M a n a g e r U K & I re l a n d

H T G R O U P / / R a m b a c h e r S t r. 2 • 9 1 1 8 0 H e i d e c k • G e r m a n y • T + 4 9 ( 0 ) 9 1 7 7 9 8 - 0 • i n f o @ h t g ro u p . d e • w w w. h t g ro u p . d e

INTRODUCTIONCURRENT SITUATION

Specialist hospital departments like operating theatres, intensive care departments, cardiac cath labs, decontaminationdepartments and laboratories are constantly changing. The need for change is driven by many factors including:

// New surgical and treatment techniques// New medical technology// Nosocomial infections and prevention// Health Technical Memoranda and Health Building Notes// Quality watchdog

Conventional materials and building processes do not lend themselves well to change. The more complicated and the more expensive it is to make changes and to upgrade, the less likely it is that the change or upgrade will happen. As a result,many hospitals become outdated and unfit for purpose.This poster proposes the use of high tech modular room systemswhich have been in use in mainland Europe for more than 4 decades. The system future proofs hospitals and facilitatesfast, easy and cost effective changes and upgrades.

OTHER ADVANTAGES OF MODULAR ROOM SYSTEMS

1. Fast and easy design process – full architectural support from a company that builds 300 units per annum across the globe2. Extensive choice of designs and finishes3. Latest technology & fully compliant4. Highest quality 5. Hygiene certificate from the Robert Koch-Institute Germany6. Factory manufactured for perfect fit7. Little or no waste and significantely less traffic on site8. Less personnel on site (typically 5 per theatre department)9. Sign off of drawings to commissioning, normally 50% shorter programme than conventional10. Competitively priced and often less expensive than conventional

SUMMARY

// Hospitals structures need to be dynamic to accommodate changing technologies// The cost of closing down specialist rooms for upgrades or repairs is significant and should be avoided// Changes or upgrades to conventionally built rooms are so costly and disruptive that the upgrades often don’t happen, eventually rendering the room outdated and non compliant// Modular room systems with demountable wall panels and fully accessible ceilings help future proof specialist rooms// Upgrades can be carried out more easily, quickly and cost effectively

THE PROPOSED SOLUTIONTHE ALTERNATIVE

// A heavy gauge site specific stud system or frame is erected// M&E first fix is installed into the frame// Fully finished, demountable stainless steel or glass wall panels are screwed to the frame// Ceilings, windows and doors complete the system

DESIGNING FOR CHANGE IN SPECIALIST HOSPITAL AREAS

CONVENTIONALLY BUILT MODULAR ROOM SYSTEM

Establish a multi-disciplinary project teamSimple decision making process involving 3 or 4 people

Hundreds of man hours spent in meetingsEntire process takes a fraction of the time needed in a conventional build

Shut down of essential hospital department during upgrade

No shut down – upgrade can happen over-night or at a weekend

Extremely complex and long drawn out process

Process of upgrading is simple – swap out old panel with new

Extremely costly in terms of personnel time and loss of income

Costs significantly less than conventional

KEY FINDINGS FROM A STUDYTO REPLACE AN ANALOGUE X-RAY VIEWER WITH A DIGITAL VIEWER IN A CONVENTIONALLYBUILT HOSPITAL VERSUS A MODULAR ROOM SYSTEM

// Cost was £48000 versus £23000 in the modular room system// 298 hours of personnel time spent on conventional versus 42 for the modular system