The Expansive Hospital Game


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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.

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The Expansive Hospital Game

  1. 1. The Expansive Hospital Game Frederick van Amstel, PhD Researcher Construction Management & Engineering Dept. BIM Werkplaats 1
  2. 2. This is not how healthcare construction projects do organize Top-down hierarchy 2
  3. 3. Healthcare construction projects emerge amidst the boundaries of many organizations Sub-contractor Contractor Structural engineering counseling Building Engineering company Construction management Engineering company Architecture studio Architectural design Structural engineering Model management Engineering company Electrical engineering Engineering company Hydraulic engineering Information technology company Elderly care Facility management Elderly housing Elderly housing project studied in Enschede 3
  4. 4. Collaboration across organizations is not easy Architecture studio Engineering company Structural engineering Contractor Northwestern Hospital Architectural design Dialysis Concurrent engineering Facility management Engineering company Electrical engineering Engineering company Advisory Hydraulic engineering Client’s consultant Pathology Microbiology Medical device development Technology manufacturer Hospital lab project studied in Hengelo 4
  5. 5. How to learn collaboration in multi-organization projects? 5
  6. 6. Welcome to the Expansive Hospital Board Game! • Fun and safe way to try • Simulate long processes (25 years in 2 hours) • Highlight the consequences of player’s actions Second workshop for a new Medical Imaging Center. 6
  7. 7. Game plot: constant hospital expansion Ziekenhuis Ziekenzorg Enschede, 1955 7
  8. 8. Game plot: constant hospital expansion Medisch Spectrum Twente, 2013 8
  9. 9. Game components 9
  10. 10. Game roles The Architect The Director The Engineer The Facility Manager The Builder The Nurse 10
  11. 11. Succesfully treated patient Money flow Players must balance between competing and collaborating for money. Insurance bank Hospital Account Player’s accounts 11
  12. 12. Building rules Building block Requirements Service layer Clashes 12
  13. 13. Operating rules Patient card Patient pawn Income 13
  14. 14. Information strategies Players must keep information, since it gets easily lost. 14
  15. 15. Contract types Moderating the construction guys. Traditional Fast-track Integrated 15
  16. 16. Playtesting results 16
  17. 17. Organization performance Builder Nurse Director Builder Engineer Director Engineer Facility manager Architect Architect Facility manager $ 1784 Nurse $ 9905 Builder Director Nurse Engineer Architect Facility manager $ 1860 Experiment with Civil Engineering Students, 2013 17
  18. 18. 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
  19. 19. The fun test 19
  20. 20. My Research Interests  Participatory Design  Activity Theory  Cultural Studies  Frederick van Amstel  Twitter @fredvanamstel  20