9781444319682

From the Foreword by Rob Smith, Director of Estates and Facilities (NHS England), Department of Healthls"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.rs" 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 ls"meeting spacers" 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.

Note on Editors
Contributors Biographies
Forward
Introduction: Improving healthcare through built environment infrastructure
Practitioner contributions
Planning healthcare environments
Introduction
Background and history
The Hospital Plan of the 1960's
The Economic Crisis of the 1970's
Change in the 1980's
Further change in the 1990's
The Planning Landscape
Policy Developments since 1997
The NHS Plan, 2000
Delivering the NHS Plan, 2002
The NHS Improvement Plan, 2004
Our health, our care, our say: a new direction for community services, 2006
Our health, our care, our community, 2006
Healthcare for London, 2007
High Quality Care for All, 2008
Capital Procurement Methodologies and NHS Organisations
Overall Capital Investment in the NHS
The Private Finance Initiative (PFI)
NHS LIFT
ProCure 21
NHS Foundation Trusts
NHS Trusts
PCTs
Settings for Healthcare
The Home
General Practitioner (GP) Surgery
Larger Health Centres
One stop shops/polyclinics
Community Hospitals
District General Hospitals (DGHs)
Supply-Side Considerations
Beds
A & E
Outpatients
Imaging
Other Factors
Demand side
Design and The Physical Environment
Conclusion
References
Plan for uncertainty: design for change
Introduction
Context
Impact on the built environment
Optimising design
Futureproofing design
Design Matters
Measuring Design Quality
Final remarks: Making places
References
Designed with care? The role of design in creating excellent community healthcare buildings
Introduction
Why does design matter?
Building healthy neighbourhoods
Access to health
Surprise and delight
Designed with care
Open all hours
Better isn't good enough
Must try harder
What makes a good healthcare building?
Good integrated design
Public open space
A clear accessible plan with one main reception
An environmentally sensitive approach to building design, materials, construction and management
Circulation and waiting areas
Materials, finishes and furnishings
Natural light and ventilation
Storage
Adapting to future changes
Out of hours community use
Final remarks
References
The stages of LIFT - Local Finance Improvement Trust - for the development and delivery of primary healthcare facilities
Introduction
The LIFT Process
Project Inception
Project Set up
Feasibility
Stage 1 Approval
Outline Design
Final Scheme Design
Financial Close
Construction Management Set Up
Facilities Maintenance (FM)
Cultural Differences
Conclusions
References
The Integrated Agreement for Lean Project Delivery
Introduction to Sutter Health
Integrated form of agreement
Traditional Responses to Owner Dissatisfaction with the Status Quo
What is Lean?
The Application of TPS Principles to Design and Construction
Sutter Health's Formulation of a Lean Project Delivery Strategy
Development of the Integrated Agreement for Lean Project Delivery
Relationship of the Parties
Creating a Collaborative Design and Construction Environment
Articulating and Activating the Network of Commitments
Optimizing the Project, not the Pieces
Tightly Couple Learning With Action
Conclusion
References
The Sutter Health Prototype Hospital Initiative
Getting Started
Goals and Metrics
Design
Results and conclusion
References
Academic contributions
The Strategic Service Development Plan: An Integrated Tool for Planning Built Environment Solutions for Primary Health Care Services
Introduction
Background
The Development of Primary Care
The Role of the built environment in delivering primary health care
The Origins of the Strategic Service Development Plan
A Comparative Case Study of the MAST LIFT SSDP
Partnership Working
Planning Process
Benefits Realisation
What was learnt?
Common Themes of the Document Analysis
Partnership Working
Planning Process
Benefits Realisation
Common Themes from the Interviews
Partnership Working
Planning Process
Benefits Realisation
Discussion
Partnership Working
Planning Process
Benefits Realisation
Conclusion
Recommendations
References
From care closer to home to care in the home. The potential impact of telecare
Introduction
Key trends
What is telecare?
The impact of telecare on care services
Implications for the healthcare built infrastructure
Conclusion
Acknowledgments
References
Risk Management and Procurement
Introduction
General Principles of Risk Management in Infrastructure Procurement
Risk Planning
Risk Identification
Risk Assessment
Risk Response
Risk and Procurement routes
Risk in NHS Procurement
Multi-project procurement
Sustainable NHS procurement options
References
Supporting evidence-based design
Definitions
the built environment and health Outcomes: considerations about evidence-based Design
Searching for Evidence
Healthcare environments and impacts on health
Organising information
Framework 1: Patient groups framework
Framework 2: Route cause and effects
Framework 3: Specific built environment characteristic framework - Colour
Framework 4: Built Environment and Health Outcomes - Overview
Organising Inforamtion
Conclusions
References
Benefits Realisation: Planning and evaluating healthcare infrastructures and services
Introduction
Benefits realisation
Benefits taxonomies
Research methodology
BeReal model overview
BeReal Usability and Controlling Structure
Investment Appraisal Approaches: General, Healthcare Specific and BeReal Mode
Case Studies
Brighton & Sussex University Hospitals (BSUH) Tertiary, Trauma and Teaching (3Ts), Case Study
Manchester, Salford and Trafford (MaST) Local Improvement Finance Trust (LIFT) Case study characterisation and discussion
Conclusions
References
Towards the achievement of Continuous Improvement in the UK Local Improvement Finance Trust (LIFT) initiative
Introduction
Continuous Improvement Concept
Research Method
Results and Discussions
CI concept
Essential Requirements of Continuous Improvement in LIFT
Preconditions and success factors for CI
CI driving values
CI enabling values
CI infusing values
Barriers to achieving CI in LIFT projects
The Development Of A Generic Continuous Improvement Framework (CIF) for Lift
Application of Cif Within Lift Procurement
Contextual analysis
CI strategy formation
CI implementation
Conclusions
References
Performance Management in the Context of Healthcare Infrastructure
Abstract
Introduction
Organisational Performance Measurement Systems
Building Performance Assessment
Performance of Healthcare Facilities
Assessing Performance at the Design Stage
Assessing Performance at Operational Stage
Contribution of Infrastructure to Performance of Healthcare Organisation
Conclusions
References
Hard FM and performance management in hospitals
Components of Healthcare Facilities Management
Maintenance Management
Performance Management
Risk Management
Supply Services Management
Development
Information and Communications Technology (ICT)
Summary
Key Performance Indicators in Hospital Facilities
Asset Development
Performance management
Maintenance
Organization and Management
Research Methods
Structured Field Survey
Statistical Analysis
Model Development and Computing
Validation
Analysis of a Hospital Using the Indicators Developed - A Case Study
Profile of the Hospital
Data Analysis
Conclusions
Discussion
Toward a Maintenance Performance Toolkit
References
Community Clinics - Hard Facilities management and performance management
Synopsis
Introduction
Healthcare Facilities Management
Alternative Architectures of Healthcare Service Provision
Clinic Facilities
Key Performance Indicators in Clinic Facilities
PROFiLE OF CLINIC FACILITIES
Case Study
Hospital Facilities vs. Clinic Facilities - Comparative Perspective
Concluding Remarks
References
Index
Table of Contents provided by Publisher. All Rights Reserved.

Amazon no longer offers textbook rentals. We do!

Amazon no longer offers textbook rentals. We do!

We're the #1 textbook rental company. Let us show you why.

Improving Healthcare through Built Environment Infrastructure

144431968X

Summary

Table of Contents

Supplemental Materials

Rewards Program