NSW Health Infrastructure

Solutions Team

Josie Gabrielli

Process of Facility Planning NSW Health Process of

Facility Planning

NSW Infrastructure

Investor Assurance Framework

HI Delivery Standard

Stage 1 Services Procurement Plan

Stage 2 Project

Definition Plan

Stage 3 Project Implementation

Stage 4 Post Occupancy Evaluation (POE)

Part 0

Project Initiation

Part 1

Master Planning

Phase 1 Planning

Phase 2 Services Procurement Plan

Part 2

Feasibility Development

Part 3

Schematic Development

Part 4

Design Development

Part 5

Contract Development

Part 6

Tender, Evaluate and

Award

Part 7

Construction Administration

Part 8

Commissioning and Handover

Part 9

Post Completion Warranty Period

Part 10

Post Occupancy Evaluation

Phase 3 Post Occupancy Evaluation (POE)

Gat

e 0:

Pro

ject

Ju

stifi

catio

n

Gat

e 1:

Stra

tegi

c R

evie

w &

Bus

ines

s C

ase

with

ETC

<$5

0m

For

Gat

e 2:

Bus

ines

s C

ase

Gat

e 3:

Pre

-tend

er

Gat

e 4:

Ten

der e

valu

atio

n

Gat

e 5:

Pre

-Com

mis

sion

ing

Gat

e 6:

Pos

t Im

plem

enta

tion

Solutions

• Health Planning

• Clinical Advisory

• Change Management

• Specialist Advisory: ICU & Operating Theatre Groups

• Blacktown Stage 2 • Dubbo ¾ • Parkes • Forbes • Gosford • Hornsby • Kempsey • Lismore • Nepean • New Maitland • Prince of Wales

• Sutherland • Westmead /Sydney

Childrens Westmead • Tamworth • Wagga Wagga • Wyong

ED Projects - Planning and Delivery

St George

RNSH

Wollongong

Port Macquarie

Bega

PPP - Northern Beaches

ED Projects completed

Emergency Entrance

ED Waiting

ED Waiting

ED Waiting

ED Paediatric Waiting

Triage

Resus Bay

Fast Track Staff Station

Fast Track

Fast Track Bay

Acute Area Staff Station

Acute Bays

Acute Bays

EMU Bays

Safe Assessment Room

SSU Staff Station

Short Stay Unit

Do your Research before planning begins

Understand the MoC and its application

Understand your workload and the pinch points including before a patient reaches your service and after the patient leaves your service

Contribute actively to planning and utilize resources from HI.

Word of caution: A redevelopment will not fix process and staff issues

Preparation

Site Visits ? Concord Implementation of EMMS

Discourage visits to brand new, sparkling facilities

Advise caution, as no demonstrated success with design over period of time

Look at flow design success, not only new construction

Research departments who have successful management - these are typically older units

Opportunity is to understand how flows have been set up and not how the building was built

Challenges in ED

Increasing number of violent patients

Staff risk and safety management balanced against patient satisfaction

Meeting KPI’s

Changing volume and presentation type to ED’s

Regional ED v’s Metro Ed’s

How security services interact and support service

Challenges in ED

Recurring Issues PECC

Sexual/Forensic Medicine

Implementation of MoC

Ambulance management/ Block

Learning's to Date Paediatrics

Understanding Fast Track Models

Challenging current practice against contemporary care models

Increase in floor plate and impact on practices

Operationalization of new departments

Front of House – Reception/Triage

EMR

Consumer Engagement Hi advocates – consumer engagement in design and

development of new projects

This can be viewed as an unwelcome inclusion in the process

HI have had proven success with the contribution of consumers in designing great ED’s.

Please consider their inclusion

Summary Take homes;

– HI are here to work with you as a resources and as a guide

– You are the experts in the field of Emergency Medicine, HI provides the experts in the design and delivery of projects

– Working together with ECI, HI and you, the users, will deliver the best result for all.

QUESTIONS?