Workshop Descriptions
MPW01 Real estate quality management; hospital real estate in a changing context
Speakers: Johan van der Zwart Msc and Theo van der Voordt, Msc, PhD, Delft University of Technology, the Netherlands
MPW02 Private patient rooms – helping the patient heal within a staff efficient ward-design
Speakers: drs Liesbeth van Heel & ir Corina Schols, Erasmus MC Rotterdam, the Netherlands
MPW03 Sustainable healthcare infrastructure. More than just green.
Speakers: Michael Becker, director Siemens One Hospitals, Germany
MPW04 Critical Care Design: The Winners and Future Trends, An Investigative Study
Speakers: Charles Cadenhead FAIA, FACHA, WHR Architects, USA
MPW05 Diagnosis related strategies for hospital planning and operation
Speakers: Dr.-Ing Karin Diez & Prof. Dr.-Ing. Dipl. Wi.-Ing Kunibert Lennerts, Karlsruhe Institute of Technology, Germany
MPW07 Comparative Healthcare Sustainability, Northern America, the UK and Europe
Speakers: Paul Marmion P.Eng, LEED, AP & Ray Pradinuk B.A.; B. Arch; MSc Arch; MAIBC; LEED AP; GGHC Steering Committee, Canada
Speakers: Hennu Kjisik, architect Harris- Kjisik Architects, Finland
Tuesday 8th of June
TPW09 Financing and Development of Outpatient Facilities – Viable Future Strategy and Function in Today’s World
Speakers: Tom Reisenbichler, AIA, LEED® AP Managing Director, Perkins+Will Architects, Bryan Seely, RA, Director of Architecture and Design Services HCA & Donna Bowers JD, RHIA, CHP, Vice President Baylor Health Care System
TPW10 Patient flows, hospital bed planning and strategic procurement - key drivers of University Hospitals modernization in Serbia
Speakers: Ivan Jekic MD, MBA & Nicholas Koumpis Bsc, Msc Biomedical Engineer, Annette Katrava BA.(Econ.), Dipl.Mngt & George Boulton Hospital Manager & Andreja Djerasimovic, Hospital Architect.
TPW11 The drive for sustainability in the design and operation of healthcare facility
Speakers: Andrew Smith Ba(Hons) DipArch, RIBA & Richard Buckingham BA (Hons.), BDP Groupe6, England/France
TPW12 People centric healthcare experience design research & innovation
Speakers: Jos Stuyfzand, Director Ambient Experience Design,Philips Design,the Netherlands
SPW01 The end of icons, putting hospitals in their place /Why architects fail to understand-the importance of hospital subcultures and language
Speakers: Students from Management Center Innsbruck (Master students of International Health Care Management), Austria
TPW13 Health Flow Engineering: Towards a New Approach in Integrated Design of Healthcare Facilities
Speaker: René Rodrigues de Miranda,Deerns, the Netherlands
TPW14 Future health: sustainable places for health and wellbeing
Speakers: Susan Francis MS, Special Advisor for the Commission for Architecture and the Built Environment, United Kingdom
TPW15 Designing healthcare facilities through a sustainable model; new perspectives
Speakers: Phil Nedin, Healthcare Global Business Leader, United Kingdom
TPW16 Norwegian Healthcare Architecture; four examples
Speakers: Johannes Eggen Architect MNAL & Johan Arne Bjerknes Architect MNAL, Norway
SPW02 Hospitals Unzipped, a students view on the future of hospitals
Speakers: Bas Molenaar, Professor Architecture and Health Care Eindhoven University of Technology, Partner EGM Architects & Mark van der Poll, Tutor Architecture and Health Care University of Technology, Architect at Inbo Architects
Wednesday 9th of June
WPW17 Integrated Infrastructure Scenario Planning: a new approach to accessing and distributing services and estates
Speakers: Grant Mills, Loughborough University, & Phil Astley, MARU (Medical Architecture Research Unit), London South Bank University, United Kingdom
WPW18 Possibilities and problems related in regional planning of integrated health care
Speakers: Prof. Erkki Vauramo, Antti Autio, Aalto University, HEMA, Kati Myllymäki Health director Kouvala city and Ermo Haavisto Medical director of Kymenlaakso hospital district, Finland
WPW19 Different aspects of sustainability for health care buildings.
Speakers: Hans Eggen, architect, director of the UIA Public Health Group, Switzerland
WPW20 Dutch Healthcare Architecture; As seen by the architects
Speakers: Roelof Gortemaker architect De Jong Gortemaker Algra Architects and Engineers & Arnold Burger, SEED Architects & Taco Tuinhof RDH Architects and Urban Planners, the Netherlands
SPW03 Lead Market Initiative – Low Carbon Buildings in the Healthcare Service Sector
Speakers: Jonathan Erskine (EuHPN Executive Director) & Joram Nauta (researcher, Dutch Centre for Health Assets)
Monday 7th of June
MPW01 Real estate quality management, hospital real estate in a changing context
Speakers: Johan van der Zwart Msc and Theo van der Voordt, Msc, PhD, Delft University of Technology, the Netherlands
Real estate is an important business resource. So briefing, design and management of hospital buildings should not only take into account functional and social-psychological needs of patients, staff and visitors, but also organizational performance, economic added value and competitive advance, short-term and during the whole life cycle. Optimization of healthcare real estate in different phases of the building cycle requires a balanced match with the needs and wishes of different stakeholders and different perspectives. Current “quality models” can help to support complex decision making processes. In Dutch healthcare the “Model Nederlandse Kwaliteit” (INK-model) - based on the European Foundation Quality Management’s model (EFQM-model) - and the Balanced Score Card (BSC) are often used as a diagnostic tool and management tool to improve corporate performance. The discipline of Corporate Real Estate Management developed several other models to analyze and steer the contribution of real estate to the corporation’s overall performance. In this workshop models from these two different worlds will be explored on its applicability to health care real estate strategies and discussed with the workshop participants. A preliminary “integrated model” will be presented and illustrated by a case study of the relation between corporate strategy and real estate strategy of the Maasland hospital in Sittard. The workshop starts with discussions in small workgroups on several subjects. The output of these workgroups will be integrated in an interactive duo presentation in which the theoretical framework will be revealed and illustrated by the case of Maasland Hospital in Sittard and the input from the audience. Finally the research input and discussions will be used to reflect on the question how to improve the fit between changing needs and objectives of patients, employees and visitors, health organizations and society as a whole in a continuously changing context.
MPW02 Private patient rooms – helping the patient heal within a staff efficient ward-design
Speakers: drs Liesbeth van Heel & ir Corina Schols, Erasmus MC Rotterdam, the Netherlands
At the very start of the redevelopment project, Erasmus MC’s aim was to provide patient care in the university hospital of the 21st century in private patient rooms. For the Netherlands that was a wild idea at the time, but since the first general hospital with single bed rooms has come into use (Orbis Medical Center, 2009) and others have increased their percentage drastically. To substantiate Erasmus MC’s choice, research was done, both on the interior design of the private patient room in two mock-ups as well as on ward design and its effect on patients (e.g. communication between doctors and patients and prevention of hospital acquired infection) and staff efficiency, in a test-ward in the existing hospital. In this workshop we would like to share our thoughts and challenges on designing the ward that provides both privacy, autonomy, safety and space for patient and their families as well as allows nurses and support staff to take care of them in a professional, compassionate and efficient way. We will look at the positioning of the wards in the building complex (higher up, with great views, and access to roof gardens), their unit size and easy access to OR, Radiology etcetera, their layout and finally at the requirements of the room itself. As we will be fully engaged in the design process in June 2010, we will show you – and ask you opinion on – our latest design efforts and choices.
MPW03 Sustainable healthcare infrastructure. More than just green.
Speaker: Michael Becker, director SiemensOne Hospitals, Germany
Like CEOs of other industries, healthcare CEOs need to cope with various challenges in order to be sustainably profitable and thus fulfill economic as well as ecological requirements. However, two megatrends make it increasingly difficult to separate economic growth from energy use: demographic change and increasing urbanization. Both have resulted in skyrocketing energy costs, shortages of natural resources, including water and myriad other challenges. The Green+ Hospitals approach supports you in meeting these challenging demands and prepares you for the future. This approach not only focuses on the obvious “green” aspects, but also on a broad variety of levers required to address all levers. Understanding these elements results in what we consider to be a sustainable solution for healthcare infrastructure. E.g. innovative technologies support a facility’s clinical and financial success with savings of up to 25 percent on installation costs, power requirements, and construction. With refurbished systems we realize a reduction of 20,000 tons of CO2 every year. A holistic view on efficiency as well as processes is essential, including planning, equipment, system integration, IT, and operation. Optimized medical and support processes are required to leverage the full potential of efficiency and environmental care. Optimized workflows contribute to maximize hospital efficiency by increasing utilization of human resources and medical equipment, and by reducing required floor space.
MPW04 Critical Care Design: TheWinners and Future Trends, An Investigative Study
Speaker: Charles Cadenhead FAIA, FACHA, WHR Architects, USA
The Society of Critical Care Medicine (SCCM) is the leading international organization dedicated to ensuring excellence and consistancy in the practice of critical care. The annual design competition, held yearly since established in 1992, has
received and judged numerous design entries. These entries are judged by panels of physicians, nurses and architects against a common outline and ranking of criteria. The design competition entry data, additional information collected through post-occupancy tours, and architectural plan analysis have yielded interesting comparisons of past SCCM ICU winning designs. The findings compare and contrast planning approach and concept, space program components and areas, social organization of the unit, architectural layout, configurations and circulation patterns. They reflect changing attitudes to patient and family centered care and accommodations, and attitudes toward facilities for staff in the ICU. ICUs rely on the most advanced nursing care, staff and technology most hospitals can provide and strategies of improving the work environment and positively improving patient outcomes are exemplified in many of these winning entries. By studying best practice health facilities for critical care medicine and utilizing valuable comparable data collected from these facilities, those who will invest in the future of healthcare design and environments can maximize health outcomes and benefit from the lessons learned by others.
MPW05 Diagnosis related strategies for hospital planning and operation
Speakers: Dr.-Ing Karin Diez & Prof. Dr.-Ing. Dipl. Wi.-Ing Kunibert Lennerts, Karlsruhe Institute of Technology,Germany
As in most European nations, Germany has to face the challenges from demographic changes of society. Aging population has a great impact on the health care system, and especially on hospital care. German federal statistic agency predicts growing numbers of in patient treatment of 25% for the year 2030, based on the data of 2002. For departments with a surgical profile, as for example cardiology, the number of cases is assumed to grow by 47%. At the same time, the individual length of a patient’s stay is decreasing. Through the implementation of the German Diagnosis Related Grouping System a powerful database has become available. The documentation of diseases in combination with demographic data and costs on medical but also on infrastructural level gives the basis for strategic planning. In reference to a certain region, prediction of number of cases by diagnosis, but also the need for infrastructures can be estimated. The session will give an example for hospital planning on different strategy levels. First, on the level of strategic hospital management a scenario will be described. This will be followed up by tactical implementations and discussed down to operative issues and consequences for one of the key functional areas in hospitals, the operation unit.
MPW07 Comparative Healthcare Sustainability, Northern America, the UK and Europe
Speakers: Paul Marmion P.Eng, LEED, AP & Ray Pradinuk B.A.; B. Arch; MSc Arch; MAIBC; LEED AP; GGHC Steering Committee, Canada
The acute care hospital has been transformed from lagger to leader in international efforts to reduce greenhouse gas emissions. Having made considerable progress in reducing the energy appetite of this most ravenous building type, North merican healthcare designers are dumfounded by the per square meter energy consumption claimed for hospitals in Europe, and by the incredulously ambitious deadlines set in Europe and the UK for carbon neutrality of all non-residential buildings. There is an urgent need to confirm that the cross-continental comparisons being made are indeed ‘apples to apples’ and assuming that they are, an equally urgent need to exchange ideas and strategies that will lessen the environmental impact of the type internationally. This session will be conducted in two parts. In Part 1, the lead architects and engineers will present four current and exemplary healthcare projects, one each from North America, the UK, the Netherlands and Scandinavia. Presenters will introduce the projects and identify the comprehensive sustainability strategies incorporated before focusing on GHG reduction strategies specifically. Part 2 will briefly summarize size, program, design parameter, daylighting, (perimeter wall and glazing area per unit of floor area) and energy use and GHG emissions data on the four projects with any significant differences between projects highlighted, allowing meaningful comparison and discussion in an open forum. Panellists will be challenged to develop shared goals and a consensus best path forward.
Panelists:
|
Netherlands |
Arnold Burger |
SEED Architects |
|
|
Alex Jansen |
Deerns BV |
|
Norway |
John Arne Bjerknes |
NSW Arkitekter & Planleggere AS |
|
|
Seemi Lintorp |
COWI |
|
UK |
Neil Cadenhead, |
BDP |
|
|
|
|
|
Canada |
Ray Pradinuk, Architect |
Stantec |
|
|
Paul Marmion, Engineer |
Stantec |
Speakers: Hennu Kjisik, architect Harris- Kjisik Architects, Finland
The City of Espoo, part of the Metropolitan Area of Helsinki, organised in 2008 a twostage open international architectural competition for the new Espoo Hospital Campus. The task consisted of the design of a new 40 000 m2 rehabilitation hospital and the conversion of an existing 1970s hospital into a “Life and Living” Senior Citizens’ Centre, including housing and auxiliary services. The aim was to procure an architecturally and functionally innovative and unique solution of the highest international standard where health-care related activities co-exist with residential areas thus creating an active and functional entity that promotes health and well-being and at the same time provides a range of services for nearby residents and other citizens. The first stage, an ideas competition to find a general plan for the campus area, attracted 48 entries about one third being from outside Finland. The six best entries were invited to take part in the second stage during which the buildings and the external areas had to be designed in detail. The standard was generally considered to have been extremely high and the level of innovation exceptional. The winners were K2S Architects (Kimmo Lintula, Niko Sirola and Mikko Summanen) from Helsinki. Among the laureates were many well-known architectural firms, among them total newcomers to health-care design but also some that are previously internationally well-known in the field. The winners are of course working on the project at full speed now. By the time of this workshop their work will be close to completion, results will be shown in this workshop.
Tuesday 8th of June
TPW09 Financing and Development of Outpatient Facilities – Viable Future Strategy and Function in Today’s World
Speakers: Tom Reisenbichler, AIA, LEED® AP Managing Director, Perkins+Will Architects, Bryan Seely, RA, Director of Architecture and Design Services HCA & Donna Bowers JD, RHIA, CHP, Vice President Baylor Health Care System
As healthcare providers across the globe struggle with increasing expenses, patient access and quality of care, they are seeking to use their capital for new technologies and programs that help them compete in the marketplace, while relying upon third parties to finance the physical environment. This session will compare and contrast the development of two outpatient medical facilities being built simultaneously in Europe and Unites States. Comparisons between market strategies, financing arrangements, operational strategies and sustainable design approaches will be considered. Focus will be provided by the healthcare providers and project directors on operational strategies, value placed on sustainable design and design of healing environments. Presenters will outline what has worked successfully and what could be improved. Best practices for healthcare delivery, sustainable building design and architectural project delivery will be shared with the audience. The audience will gain valuable insights into the challenges and opportunities surrounding third party financed projects, and gain exposure to financial arrangements which are common in the US and how they may or may not be appropriate in Europe.
Speakers: Ivan Jekic MD, MBA & Nicholas Koumpis Bsc, Msc Biomedical Engineer, Annette Katrava BA.(Econ.), Dipl.Mngt & George Boulton Hospital Manager & Andreja Djerasimovic, Hospital Architect.
This workshops shows the potentials and challenges of integrated approach to planning and implementation of (1)patient flows concept, (2)activity based forecasting of future hospital’s bed capacity and (3) strategic procurement as key drivers of university hospital modernization in four large tertiary care institutions (Clinical Centres-CC’s) of the Republic of Serbia. The four biggest University Hospitals in Serbia - Clinical Centers (CC) treat with over 2 million outpatients, 220.000 patients and perform 120.000 surgeries per annum. All four have complete or partial pavilion structure (10 to 40 buildings), fragmented patient flows resulting in inefficiencies in process of diagnostic and care, workflows of medical professionals, their staff and medical supplies as well as problems with efficient use of working time. They all have overcapacity (total of over 7000 hospital beds in 2006) based on both underdeveloped contemporary models of care and traditional input based planning. Furthermore, strategic purchasing policies are in early stage. A main project goal is to centralize facilities, integrate joint functions and to separate patient flows into four major patient groups (outpatients, day-patients, emergency patients and inpatients) and patients for OR/ ICU areas, resulting in substantial decrease in number of hospital beds. Project supports two parallel and interrelated processes: health service delivery changes and largescale capital infrastructure investment ofphysical facilities (total space of hospital facilities in 4 CC’s approx. 450.000 m2 - round 200.000 m2 to be reconstructed or newly built in the 1st phase), to finally ensure truly “patient centred” hospitals that are at the same time long-term functionally and financially sustainable. This workshop will highlight some of the key elements of this project.
TPW11 The drive for sustainability in the design and operation of healthcare facility
Speakers: Andrew Smith Ba(Hons) DipArch, RIBA & Richard Buckingham BA (Hons.), BDP Groupe6, England/France
The development and growth of European building regulation standards, design practices and codes has occurred over a 70 year period which has also involved cheap, freely available, energy, and disregard to the effect of our consumption on the environment, CO2 emissions, scarcity of resource and indeed resource inequality. Developing the design of sustainable hospitals is only partly possible within the context of the current regulatory framework for hospitals but the regulations and other codes or design working practices themselves limit what can be achieved in terms of making hospitals sustainable. We will use specific examples from different countries’ codes e.g.; German DIN Standards, UK building regulations, HBNs nd HTM’s and French, Etablissement Recevant la Publique standerds(ERP) (with some references to the USA AIA Guidelines for hospitals, and SNIP and other codes still being applied in Eastern Europe as applied to a number of recent projects e.g. Tbilisi Hospital (DIN Standards) Brighton Hospital in the UK (HTM’s) Pol Francillian hospital in France (ERP’s), to illustrate how our codes have energy profligacy embedded in their requirements and how the same issues could be addressed with more sustainable thinking.
TPW12 People centric healthcare experience design research & innovation
Speakers: Jos Stuyfzand, Director Ambient Experience Design,Philips Design, the Netherlands
From the point of view of design and business context, the focus for healthcare environments increasingly moves from singular solutions and functional workflow efficiency towards a holistic care and workflow experience that addresses both the functional en emotional needs of patients, family and clinical teams. Ambient experience for healthcare extends far beyond the design of a product or interior architecture: it is the creation of an entire environment that is sensitive to patient experience and clinical workflow needs and personalized to their requirements. It merges technology (like dynamic lighting, video projection and smart-cards) with architectural qualities and people’s senses into an ambient experience with one goal –to deliver better healthcare. In this workshop the creation of an People centric healthcare experience will be featured.
Speakers (1): Anna Pallfy , Henrik Wargenau, Martin Nigsch
Hospitals have come to assume iconic status in most western societies. Is the era coming to an end? Five compelling and well evidenced factors are coming together to challenge conventional thinking about the future need, configuration and design of hospitals. First is the somewhat surprising fact that we do really understand, in population terms, the full nature and scale of healthgain that hospitals deliver; how can we go on justifying large scale investment without answers. Second is the growing evidence that much greater emphasis on care in the community and illness avoidance will over time prove much more effective in contributing to better health, in particular chronic illness, Next is that we in Europe are an ageing population, our conventional thinking about hospitals is almost wholly unsuited to the future needs of the elderly. The financial crash and its impact, the credit crisis and economic recession, means that healthcare financing is fast becoming a zero sum game, instead of debt fuelled cumulative growth we face a decade or more of learning how to disinvest to reinvest. Whilst the European 15 States grapple with the disinvestment model, the new 12 have a unique opportunity to by-pass these problems and become the new vanguards of progressive change, they at least will have the boost of EU Commission Structural Funds to invest. They will also benefit from the fifth dimension – ICT is transforming healthcare, it is facilitating profound changes in the locus and focus of care. Life for the general acute hospital may never be the same again.
Speakers (2): Veronique Bos, Elvira Häusler, Daniel Poll
Are we really sure we know who shapes the design of hospitals. Almost without exception advice, protocols and process promote the notion of inclusiveness in designing hospitals – from initial brief to final design selection. The ideas and resumed benefits about consultation, focus groups, quality circles and the like are well known and seem to meet the needs for user participation. Far less well known is the evidence about deeply embedded sub-cultures with hospitals that may impact with some force on outcome. There is equally little awareness of the problems of language. Further evidence from sub-culture studies suggest considerable selectivity – the phrase economical with the truth comes to mind – in the translation and acceptance of what should be a common language; the bedrock that should cement ideas and understanding. Furthermore the penetration of awareness about an increasingly proven vehicle - and new universal language – is proving slow and fitful. We talk here about hospital care pathways and the benefits they offer, but equally the challenges they present. The presentation will draw on new thinking about the importance of sub-cultures and the potential unifying effect of a more comprehensive understanding of care pathways as a new design template.
TPW13 Health Flow Engineering: Towards a New Approach in Integrated Design of Healthcare Facilities
Speaker: René Rodrigues de Miranda, Deerns, the Netherlands
Without doubt, a modern healthcare facility is considered to be one of the most complex design challenges. At the end of the day, it is not a purely technical exercise but an approach to facilitate all human key moments in life: birth, illness, recovery, farewell, death and even the conception of life itself, into a coherent building configuration.
This workshop introduces the relationship between Medical flow functionality and the Health Flow engineering as the integrated tool to establish a design organisation similar to the open source software community. Focal point in this concept is the describtion of the medical processes resulting in the Health Flow Program that will be used as a dynamic communication tool between the community of caregivers, technicians and other stakeholders of the hospital and the group of professionals who claims to be responsible for the design development. The aim of procedures, technology, equipment and space allocation is to support these health flows. The database engine with a webbased communication platform and a 3D BIM (building Information Modeling) environment are the main features in this design methodology.
Health Flow engineering is also an approach to alternate the traditional way of breaking the design effort into subquestions to be handled by several separately working engineers, architects and designers one after the other. Concurrent Engineering is the best answer to generate new insights in the complexity of modern healthcare facility.
TPW14 Future health: sustainable places for health and wellbeing
Speakers: Susan Francis MS, Special Advisor for the Commission for Architecture and the Built Environment, United Kingdom
A new healthcare landscape is emerging that emphasises a holistic social model of health and wellbeing. Greater responsibility is being placed on lifestyle and personal responsibility to encourage healthier lifestyle choices. The delivery of care itself is also changing: with rising patient expectations, an ageing population, the increasing use of IT, alongside a drive to improve quality and effectiveness by organising care around patient pathways. Living within environmental limits has become a key issue for our future health and wellbeing. The physical environment is responsible for 50% of UK carbon emissions and the strategic location of buildings and their environmental performance can help to mitigate some of the adverse effects of climate change on the environment. Design of the physical environment can be a catalyst for change and has great potential to synthesis complex requirements. It can help to create sustainable places that enhance people’s health and wellbeing, reduce adverse impact on climate change as well as improve service delivery. The benefits of a more holistic approach to healthcare, wellbeing and sustainability are clear with examples of projects to demonstrate it can be done. But to achieve widespread practice requires more joined-up thinking in policy making, strategic planning, and practice. This paper will showcase good practice and explore what steps are needed to bring health into a wider planning arena, create more care effective delivery and deliver more sustainable places.
TPW15 Designing healthcare facilities through a sustainable model; new perspectives
Speakers: Phil Nedin, Healthcare Global Business Leader, United Kingdom
Sustainability is now a common strategic direction required in the design brief of almost all healthcare facilities around the world. It does, however, have many meanings depending on the context within which it is used and hence can often create a lack of clarity particularly with the large stakeholder group involved in the planning and operation of a healthcare facility. It is therefore important that the designers of these facilities adopt a consistent and wide view of sustainability. This presentation considers a sustainable approach for the design of healthcare facilities in an efficient and effective manner over the life of the estate. It is after all about creating a sustainable healthcare business through a number of imperatives. These include developing a whole life costing approach, flexible estate planning, creating therapeutic environments and reducing carbon emissions. It becomes clear that individual imperatives are mutually dependent and together create best value
when innovative solutions are considered. This presentation deals with these issues and offers new examples in order to give the concept of a sustainable design approach clarity.
TPW16 Norwegian Healthcare Architecture; four examples
Speakers: Johannes Eggen Architect MNAL & Johan Arne Bjerknes Architect MNAL, Norway
This session will highlight four recentScandinavian hospital projects, varying in size from 50,000-square-meters to 350,000-square-meters, but with shared ambition on patient-focused design, sustainability, and flexibility. Their differing sites (rural versus urban) and sizes resulted in very different design concepts. Participants will obtain an overview of the Scandinavian model for hospitals, identify different qualities in each four hospital concepts, and hear specific highlights. In this workshop there will also be a presentation about a research project for innovative design in operating theatres, “the future operation room”.
SPW02 Hospitals Unzipped, a students view on the future of hospitals
Speakers: Bas Molenaar, Professor Architecture and Health Care Eindhoven University of Technology, Partner EGM Architects & Mark van der Poll, Tutor Architecture and Health Care University of Technology , Architect at Inbo Architects
A skyscraper with free-range floors for people with dementia, a panopticum as an ideal concept for a nursery home; tertiary care as highway drive-by; new concepts for ‘core hospitals’; a diagnostic centre shaped like a spaceship… Bas Molenaar, Mark van der Poll and students will present future concepts for hospitals and nursery homes. The somewhat provoking concepts will put the discussion on sharp and are the start of a vivid debate. For or against decentralization, privacy versus collectivity, scale and dimension, demography and district. In short: what is the status quo of architecture and health care?
Wednesday 9th of June
Speakers: Grant Mills, Loughborough University, & Phil Astley, MARU (Medical Architecture Research Unit), London South Bank University, United Kingdom
Population increase, the economy and global warming are likely to put a sharp focus on how we organise ourselves to: make better use of our resources; decrease carbon emissions; and re-think how we can act in a more sustainable way. Within the UK NHS, taking care closer to home and outside of hospitals is one of a number of DH initiatives to improve healthcare and respond to the need for sustainable, accessible, efficient and effective services. This workshop will trial a new approach to scenario planning that will help to determine which services to put in what type of building according to care model design, estates and transport planning. This workshop will be designed around a live case study example with the aim of determining the barriers, opportunities and benefits of using a multidisciplinary and integrated approach to infrastructure planning. This approach is supported by a robust academic literature, various rigorous tools and models and a case study example will be based on actual data captured from action research to include 660,000 patient activity and patient travel and service re-configuration attitudinal data. The aim of this workshop will be to present a new best practice approach within the context of a live case study, as a means of validating and revising this new approach. This work will build on research completed with DH Estates and Facilities and The Prince’s Foundation.
WPW18 Possibilities and problems related in regional planning of integrated health care
Speakers: Prof. Erkki Vauramo & Antti Autio, Aalto University, HEMA, Helsinki & Kati Myllymäki Health director Kouvala city & Ermo Haavisto Medical director of Kymenlaakso hospital district, Finland
In Finland municipalities produce primary care and social services for their inhabitants. Special health care is provided by 20 regional leagues of municipalities. The Region of Kymenlaakso, located in South East Finland has 180 000 inhabitants and an ageing population structure. The health facilities of the area were planned 40 to 50 years ago and are in urgent need of refurbishment and modernisation.
The region has two urban centres of comparable size within a distance of 60 km; the city of Kouvola in the north (87 000 inhabitants) and the city of Kotka in south, surrounded by a number of small municipalities (90 000 inhabitants). The Regional Central Hospital of 380 beds is located in Kotka, the District Hospital of 120 special care beds as well as the regional Psychiatric hospital of 110 beds are located in Kouvola. Additionally there are health centres with beds, outpatient clinics, sheltered homes, private nursing and elderly care services – a total of more than 350 service providers, the majority of which are small enterprises with 1 to 3 employees.
Due to ageing society and decline of local industry the available funding for health and social services will be diminished. Therefore, a new service model has been developed. The new care model will be based on integration of primary care and special care services. In Kouvola, the district hospital will be integrated to the Health Centre. The basic special care will be produced locally and a new hospital in Kouvola is being planned for this purpose. In Kotka, the city’s primary care and social services will be moved to the site of the Central Hospital, which will be radically refurbished. A new division of departments is considered. The area will be developed as a Wellness Park which incorporates the education of health professionals as well as services and housing for the elderly. The new facilities should be operational by 2015.
This presentation discusses the planning figures and describes the future outlines of facility planning for Kymenlaakso. The planning approach taken stresses the importance of balancing the resources on a regional level, aiming to create a network of services instead of stand-alone hospitals.
WPW19 Different aspects of sustainability for health care buildings.
Speakers: Hans Eggen, architect, director of the UIA Public Health Group, Switzerland
There are many aspects of sustainability. For a hospital which requires large investments over a very long time these multiple criteria are very difficult to fulfil. The workshop will contrast two different type of life cycles: The ‘old cycle’ where new equirements require new departments even new annex building. The result of such transformation over 50 or 100 years is a complex of buildings added on, without concept, with a high density which also creates an unhealthy feeling. All available rest of land has been used, buildings are getting older and finally, cannot be used as a hospital any more. This will be in contrast with the ‘new cycle’ in which long term masterplanning for sustainability will be a prominent feature. But how do we in practice develop enough scare capacity in planning, land use and architectural identity over a full life cycle? This workshops will explore this, using various examples of hospitals sites in Europe.
WPW20 Dutch Healthcare Architecture; As seen by the architects
Speakers: Roelof Gortemaker architect De Jong Gortemaker Algra Architects and Engineers &, Arnold Burger, SEED Architects & Taco Tuinhof RDH Architects and Urban Planners, the Netherlands
STAGG (Dutch foundation for architectural research on healthcare buildings), a study group of the BNA (Royal Institute of Dutch Architects), hosts a country workshop to provide an idea of how healthcare architecture came into existence in the
Netherlands. The workshop will focus on the circumstances in which architects and clients work in the Netherlands and how those circumstances contribute to the creation of special and innovative projects. The design climate in the Netherlands invites modernisation and innovation. Clients dare to experiment. It also relates to the interface between the private and public funding used to finance healthcare architecture. This consequently reduces the risks for the client vis-à-vis using only private funding. Dutch architects are internationally renowned innovators. There are various reasons for this. The standard of architectural education in the Netherlands is high. Several institutes conduct research, disseminate knowledge and provide educational study programmes. This means there is scope for paying attention to architecture, as provisions for basic healthcare requirements have long been in place. Affordable healthcare is available to everyone who needs it. A good insurance system for the entire population provides a broad base for care institutions. These facts can also be compared with the situation in other countries. The parameters that require attention to improve the situation in a given country can herefore bereadily established. We shall include various examples in this workshop.
SPW03 Lead Market Initiative – Low Carbon Buildings in the Healthcare Service Sector
Speakers: Jonathan Erskine (EuHPN Executive Director) & Joram Nauta (researcher, Dutch Centre for Health Assets)
The LCB-HeathCare project will create the initial platform for a European Lead Market network of public procurement stakeholders that wish to be proactive in stimulating innovative Low Carbon Building solutions for the healthcare sector. Buildings account for some 40% of CO2 emissions in the EU and the healthcare sector has a particularly intense demand for energy, through heating, lighting, ventilation and equipment use, due to its nature, scale and 24/7 operation. The healthcare sector is ideally placed as a lead market; not only are the drivers to reduce carbon and energy costs considerable, the sector also provides a highly managed professional environment that facilitates innovative solutions to be specified and tested and provides routes to a wider market of a significant scale, facilitating rapid replication and scale up of demand. This workshop will build on a UK initiative to support innovation through procurement and involve health care service organisations from four European countries. The situation in the four participating countries is quite different, as is their current experience and national systems, thus offering a wide range of lessons for other stakeholders across Europe.
