Centre forHealth Communication

Operating Theatre SuitePrince of Wales Hospital, Sydney

Centre forHealth Communication

Surgical Platform Memorial Sloan-Kettering Cancer Hospital, New York

Centre forHealth Communication

Wilhelm Schulthess Clinic, Zurich (Orthopaedic)

Barn Theatre

Centre forHealth Communication

Centre forHealth Communication

Centre forHealth Communication

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

Centre forHealth Communication

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

Centre forHealth Communication

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

Centre forHealth Communication

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

Centre forHealth Communication

Clarity of wayfinding - a simple strategy

Centre forHealth Communication

Clarity of wayfinding - a simple strategy

Centre forHealth Communication

Clarity of wayfinding - a simple strategy

Centre forHealth Communication

Clarity of wayfinding - a simple strategy

Centre forHealth Communication

Clarity of wayfinding - a simple strategy

Separation of public and patient/staff/service flows

Centre forHealth Communication

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

Centre forHealth Communication

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

Centre forHealth Communication

Process of Facility Planning