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FacilityPlanningSlidesHCS-446.pptx

Facility Planning

Healthcare Facilities Challenges

Fluctuating demand and use

Capacity constraints

Staffing shortages

Focus on patient safety

Increased importance of information management

Capacity

How do we know a resource is full?

Typical Resources

Hospital Rooms

Instruments

Staff

What do we do to add resources?

Healthcare Facilities Challenges

Rapid changes in development of new technology

Rapidly rising costs

Aging facilities

Limited access to capital

Planning Stages

Predesign planning

Schematic design

Design development

Contract document development

Construction

Occupancy or move in

Space Planning Principles

Separate key types of campus traffic

Clearly define the front door

Coordinate customer intake and access services

Optimize the use of prime real estate (near the front door)

Minimize the total number of outpatient destinations; group-related clinical services near an intake area

Space Planning Principles

Position diagnostic and treatment services for changing technology and future operational flexibility by collocating services with similar facility needs

Minimize inpatient transfers

Unbundle high-volume, recurring outpatient services to an off-site location

Move building support services to less expensive buildings

Provide flexible, generic administrative office space

Renovate or Replace?

Renovate

Good campus condition

Space to grow and adapt

Great existing location

Limited alternative sites

Urgent needs and timeline

Limited capital

Replace

Aging facility and infrastructure

No space for expansion

Adjacencies and zoning are failing

Opportunity to sell the campus

Great site available

Beneficial financing

Supportive donor

(Meade, 2010)

References

Meade, W. (2010, August). Renovate or replace? Advice on making the billion-dollar decision. Health Facilities Management, (912). Retrieved from http://www.hfmmagazine.com/articles/912-renovate-or-replace