design
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