090312 Sc Uts Presentation Part 2of2

Centre forHealth Communication

Operating Theatre SuitePrince of Wales Hospital, Sydney


Surgical Platform Memorial Sloan-Kettering Cancer Hospital, New York


Wilhelm Schulthess Clinic, Zurich (Orthopaedic)

Barn Theatre




The New WorkplaceChanging clinical practices• Chronic diseases, increased acuity, multiple organs

• Systemic approach to treatment by a multi-disciplinary team, cutting across organs – clinical pathways across disciplines

• A multi-disciplinary culture that cuts across departmental boundaries and hierarchies


Source: DEGWMany to Many

The New Workplace

A collaborative workplace• Increased requirement for professional networking

• More personal meetings – face to face communication; eye contact with up to 70% of team members

• High physical proximity, connectedness

• ‘Bump’ spaces

• Patient-free spaces

• Interdependent relationships facilitated


Interconnections• Simultaneous, speedy input required from several disciplines

• Lesser demarcation between professional groups

• Interdependence between individuals

• Build up of ‘Relationship Capital’

• Development of social relations, goodwill and trust

The New Workplace


The New Hospital• Agile and flexible – changes shape to suit event

• De-departmentalised – blurring of departmental boundaries

• Meeting places - different environment for differing work practices

• Large footprint – 10,000 to 12,000sqm - courts for natural light

• Wayfinding – cognitive, intuitive

• Natural daylight – accelerated rate of healing; increased staff efficiency

• Transparency – 2-dimensionally linked spaces, open, visible

• Quality of Built Environment – affects quality of service deliveryimproves perception of care


Clarity of wayfinding - a simple strategy









Separation of public and patient/staff/service flows


Brief Formulation – not in HFBGs

• Allowance for specific functional policies

• Allowance for new disabled and building codes, bariatric patients

• Allowance for meeting spaces - foyer, alcoves off corridors, community places, ‘bump’ spaces

• Allowance for carer spaces – family resource area, case conferences

• Allowance for ‘loose fit’ layouts for future flexibility

• Demand for natural light – patient and staff spaces


Process Re-think required

• More input before budget is fixed– Models of Care– Functional Policies– Site Specific issues– Strategic Design input ***

• Identify ‘Champions' in clinical organisation – staff acceptance of changes proposed

• Greater understanding of clinical issues by the design team

• Realistic time schedules


Process of Facility Planning

090312 Sc Uts Presentation Part 2of2

Design

simple strategy centre

hierarchies centre

degw centre

face communication eye

clarity of wayfinding

bump spaces allowance

linked spaces

new disabled