the expansive hospital game
DESCRIPTION
The Expansive Hospital is a board game that helps to understand the challenges of collaboration among construction and healthcare experts. The elements of the game are based on a set of interviews conducted with construction and healthcare professionals in the Region of Twente, Netherlands.TRANSCRIPT
1
The Expansive Hospital GameFrederick van Amstel, PhD Researcher
Construction Management & Engineering Dept.
BIM Werkplaats
This is not how healthcare construction projects do organize
2
Top-down hierarchy
Healthcare construction projects emerge amidst the boundaries of many organizations
3Elderly housing project studied in Enschede
Architecture studio
Hydraulic engineering
Electrical engineering Facility
management
Contractor
Engineering company
Engineering company
Structural engineering
Engineering company
Elderly care
Construction management
BuildingSub-contractor
Architectural design
Model management
Information technology company Elderly housing
Structural engineering counseling
Engineering company
Collaboration across organizations is not easy
4Hospital lab project studied in Hengelo
Architectural design
PathologyDialysis
Northwestern Hospital
Microbiology
Architecture studio
Hydraulic engineering
Electrical engineering
Advisory
Contractor
Engineering company
Engineering company
Client’s consultant
Structural engineering
Engineering company
Medical device development
Technology manufacturer
Facility managementConcurrent
engineering
How to learn collaboration in multi-organization projects?
5
Welcome to the Expansive Hospital Board Game!
6Second workshop for a new Medical Imaging Center.
• Fun and safe way to try
• Simulate long processes
(25 years in 2 hours)
• Highlight the
consequences of
player’s actions
Game plot: constant hospital expansion
7Ziekenhuis Ziekenzorg Enschede, 1955
Game plot: constant hospital expansion
8Medisch Spectrum Twente, 2013
Game components
9
Game roles
10
The Architect The Engineer The Builder
The NurseThe Facility ManagerThe Director
Money flow
11
Succesfully treated patient
Player’s accounts
Players must balance between competing and collaborating for money.
Insurance bank
Hospital Account
Building rules
12
Building block
Service layer
Requirements
Clashes
Operating rules
13
Patient card Patient pawn Income
Information strategies
14
Players must keep information, since it gets easily lost.
Contract types
15
Traditional Fast-track Integrated
Moderating the construction guys.
Playtesting results
16
Organization performance
17
Engineer
Architect
Builder
Facility manager
Nurse
Director
EngineerArchitect
Builder
Facility manager
Nurse
Director
Facility manager
Nurse
DirectorEngineer
Architect
Builder
Experiment with Civil Engineering Students, 2013
$ 1784
$ 1860
$ 9905
Learning outcomes
Contracts have a great impact on collaboration Collaboration is a free choice Tendency to egoisthic behavior when the stakes are high Players begin to collaborate when they realize the big picture Information models help seeing the big picture
18
The fun test
19
20
My Research Interests
Participatory Design
Activity Theory
Cultural Studies
Frederick van Amstel [email protected]
Twitter @fredvanamstel
http://fredvanamstel.com