super hospitals world class facility innovation focus pertinent approaches governance
TRANSCRIPT
noted directions in global health service deliveryconvenient service (patient focus)responsivenesstechnology useoutsourcing, co-sourcing, in-housegovernance consolidation & mergersglobalisationbeyond raw function
focus pertinent approaches governance
applying directions in global health service =
balanced planning x integral flexibility
but < world class
focus pertinent approaches governance
add
+ sharing a vision
+ urban planning
+ integral allied facility planning
+ appropriate atmosphere (amenity, accessibility, comfort, image)
+ integrated services design including redundancies
+ ESD principles
+ integrating maintenance planning and WOL
+ recruitment/ retention of staff
+ understanding and designing for risks
+ applying appropriate standards (aiming at objectives)
+ divergent benefits
+ understanding legislation
+ mapping, benchmarking
+ keeping updated on further global trends
+ publishing research and results
= world class
focus pertinent approaches governance
long-term
localised pockets for building replacement
other sites for replacement or additions
DevelopmentDevelopment
Replacement
infill
Replacement
infill
Replacement
zone
Replacement
zone
Allied Allied
focus pertinent approaches governance
potential to form separate parcels
energy & transport
energy unit
carpark
linked hospital components (with coordinated functions)
12
3
carp
ark
focus pertinent approaches governance
Microwave line of sight
Substation
Energex Sub-Station
Central Energy Plant
From Telstra fibre optic network
Dual feed 132 KV Transmission loop
Key Issues
Power Location of proposed Energex sub-station – adjacent Reliability - the sub-station has dual routes Capacity – considered adequate with two transformers On site distribution via Central Emergency Plant Existing 132 kv transmission line. Relocate to underground - helicopter flight paths, aesthetics
Communication Major Telstra fibre optic cable Line of sight for Microwave link
Design Director Director
Project Co-ordinator
Health PlanningCo-ordinator
focus pertinent approaches governance
©2007
Top Down Approach Bottom Up Approach
• unity of purpose• ‘central’ authority• limited opportunity to engage others in organisation – no ‘ownership’• reflects only management’s priorities
• recognises diversity of perspective• ‘local’ authority• difficult to implement• reflects only end users priorities• uncertainty about outcomes
• participative • dynamic coherence • collaborative learning/questioning• diversity of perspective• develops sense of common purpose• ‘ownership’ by whole organisation• shared priorities
Interactive Workshops –
Involving a Cross Section of the Client
Workshop Process
focus pertinent approaches governance
Agreement on what the project needs to do to support QH’s and the QCH’s mission and operational needs
Agreement on broad functional/space requirements. Agreed functional proximity relationships/blocking and stacking. Reconciliation to budget.
Agreement on preferred concept design option for the new QCH
Agreement on developed concept design and design briefs, reconciled with budget
Review of existing paediatric, activities. Outline functional, accommodation and design requirements (benchmarked and reconciled with earlier work
Developed functional, accommodation and design requirements (room by room schedules)
Developed functional, accommodation and design requirements, room by room area schedules
Finalisation and sign off of Design Brief by users/PCGs
How much area can we afford?
Indicative costings
Draft Cost Plan A
Scope reconciled to budget
WORKSHOP 1 – VISION
• Presentations from key stakeholder representatives
• Looking at the project from multiple perspectives
• Presentation of draft accommodation requirements
• Mapping proximity relationships
• Presentation of concept design options for the site (including indicative costings)
• Evaluation of options
WORKSHOP 4 - ENHANCEMENT
• Enhancing/adding value to agreed concept design
• Cost value management
WORKSHOPS (Stakeholders) Outputs USER GROUP MEETINGS Cost Reviews
WORKSHOP 2 – ACCOMMODATION NEEDS
WORKSHOP 3 – OPTIONS EVALUATION