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COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
AfH 2015
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Approach
RUH Pharmacy
RUH OPD Utilisation
AG ENDA
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
SMART H E ALTH C ARE
BENEF ITS/AP P ROAC H TH RO U G H
...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
SMART H E ALTH C ARE
EVIDENC E BASED MO DELLING
Experie...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Gather
data
Journey
analysis
Activity
analysis
Identify...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Case Study 1:
OPD Utilisation
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
GETTING MORE FOR LESS
Royal United Hospital, Bath
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
We’re too
busy!
Need more
space!!
Opthalmalogy
Gastro P...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
U NDERSTANDING F LO WS AND DEMAND
DATA G ATH ERING
Hist...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
• Average 34% observed utilisation during peak
• Averag...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Waiting room usage – Max. no. people
Outpatient departm...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
TESTING F U TU RE O P TIO NS AG AINST KP IS
DY NAMIC MO...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Case Study 2:
Pharmacy
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
P H AR M AC Y
People Movement Study
• Tracking of staff...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Gather
data
Journey
analysis
Activity
analysis
Identify...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Gather
data
Identify
scenarios
Test
options
Journey
ana...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Gather
data
Identify
scenarios
Test
options
Journey
ana...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Gather
data
Identify
scenarios
Test
options
Journey
ana...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
09:48:20
Camera 1
09:49:04
Camera 1
09:49:08
Camera 2
0...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Back of
Robot
Robot
Terminal Ward Boxes
Pull out
shelve...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
This analysis shows, stores staff spend:
• In total 307...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
CO M PAR IN G P E R F O R M AN C E
Original proposed la...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
DY N AM IC M O DE L L IN G O F P E R F O R M AN C E
Fin...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Benefit of Evidence
• Enables informed conversations wi...
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
smart.burohappold.com
Shrikant.Sharma@burohappold.com
B...
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AfH Presentation - RUH Buro Happold

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To complement these architectural initiatives, Andy Parker and Becky Hayward of Buro Happold outlined how they have developed computer modelling software to analyse the utilisation and efficiency of circulation and waiting spaces on the RUH and other hospital sites with a view to informing the briefing and design processes.

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AfH Presentation - RUH Buro Happold

  1. 1. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED AfH 2015
  2. 2. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED Approach RUH Pharmacy RUH OPD Utilisation AG ENDA
  3. 3. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED SMART H E ALTH C ARE BENEF ITS/AP P ROAC H TH RO U G H P ROJ EC T/BU ILDING LIF E C YC LE
  4. 4. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED SMART H E ALTH C ARE EVIDENC E BASED MO DELLING Experience Costs Key outcomes Registry Triage 00 Facility Design Operational Management Patient Pathways/Demand
  5. 5. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED Gather data Journey analysis Activity analysis Identify scenarios Test options O U R AP P ROAC H
  6. 6. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED Case Study 1: OPD Utilisation
  7. 7. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED GETTING MORE FOR LESS Royal United Hospital, Bath
  8. 8. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED We’re too busy! Need more space!! Opthalmalogy Gastro Pain Diabetes
  9. 9. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED U NDERSTANDING F LO WS AND DEMAND DATA G ATH ERING Historical data Automated technologies for capturing data Site visits, staff interviews and surveys
  10. 10. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED • Average 34% observed utilisation during peak • Average 16% observed utilisation during off peak Waiting room usage – Max. no. people Outpatient departments
  11. 11. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED Waiting room usage – Max. no. people Outpatient departments
  12. 12. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED TESTING F U TU RE O P TIO NS AG AINST KP IS DY NAMIC MO DELLING
  13. 13. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED Case Study 2: Pharmacy
  14. 14. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED P H AR M AC Y People Movement Study • Tracking of staff movements and behaviour • Assess current performance • Layout optimisation to enhance efficiency
  15. 15. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED Gather data Journey analysis Activity analysis Identify scenarios Test options Deliveries Robot area Corridor Unpacking area Stores area Key scenarios Mon – bulk deliveries Weds – deliveries throughout the day O BJ EC TIVES AND KEY SC ENARIO S Key areas Key metrics Walking distances Time spent walking between locations
  16. 16. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED Gather data Identify scenarios Test options Journey analysis Activity analysis DATA G ATH ERING AND KE Y ME TRIC S Stores areaRobot & Dispensary
  17. 17. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED Gather data Identify scenarios Test options Journey analysis Activity analysis Ward boxes Main Dispensary Robot Shelves Terminals Fridge Unpacking area Deliveries To aseptic suite IV store Pigeon holes Pull-out shelves Origin of incoming deliveries Flow of staff Processing point of incoming drugs Storage point of incoming drugs J O U RNEY ANALYSIS – P RIMARY F LO WS – STO RES STAF F
  18. 18. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED Gather data Identify scenarios Test options Journey analysis Activity analysis Deliveries Staff movements Deliveries Staff movements Monday Wednesday AC TIVIT Y ANALYSIS – F REQ U ENC Y O F AC TIVITIE S
  19. 19. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED 09:48:20 Camera 1 09:49:04 Camera 1 09:49:08 Camera 2 09:51:27 Camera 3 AC TIVIT Y ANALYSIS – TRAC KING STAF F MO VEME NTS Frequencies Dwell times Order of movements
  20. 20. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED Back of Robot Robot Terminal Ward Boxes Pull out shelves Main Dispensary Pigeon holes Store shelves Store terminals (1) Fridge Store terminals (2) Unpacking area Out of bounds Back of Robot 7 10 14 1 4 12 7 6 2 6 7 3 Robot Terminal 25 12 28 6 3 3 3 1 3 4 1 3 Ward Boxes 8 30 11 2 1 4 6 2 0 0 2 5 Pull out shelves 0 5 2 1 21 0 4 0 0 0 1 0 Main Dispensary 2 6 2 18 7 19 6 7 5 9 5 13 Pigeon holes 7 4 5 3 18 6 11 23 0 1 1 4 Store shelves 5 5 5 0 4 19 54 24 2 7 18 10 Store terminals (1) 8 8 2 0 5 12 30 43 2 5 7 17 Fridge 2 1 1 0 2 1 2 2 21 23 18 9 Store terminals (2) 7 5 0 1 10 0 8 6 19 40 48 18 Unpacking area 2 1 0 0 7 0 17 9 19 51 55 37 Out of bounds 6 3 3 1 18 7 3 17 9 17 37 187 From To Many movements between : Store shelves ↔ pigeon holes Stores terminals ↔ pigeon holes A high number of trips between any stores area and: • Back of robot • Dispensary area • Pigeon holes F REQ U ENC Y O F TRIP S BE T WEEN ARE AS Stores staff MON
  21. 21. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED This analysis shows, stores staff spend: • In total 307 minutes • On average 26 minutes (per staff member) each day walking between functions Stores staff MON TIME SP ENT WALKING BE T WEEN AC TIVITIE S
  22. 22. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED CO M PAR IN G P E R F O R M AN C E Original proposed layoutExisting layout Original proposed layout offers good access to the robot but No significant improvement in walking distances and times 0 10 40m 0 10 40m
  23. 23. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED DY N AM IC M O DE L L IN G O F P E R F O R M AN C E Final proposed layoutExisting layout Proposed layout offers a compact and efficient footprint for the majority of movements
  24. 24. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED Benefit of Evidence • Enables informed conversations with consultants and staff • Enables designs to be optimised with measurable efficiencies CO NC LU SIO N
  25. 25. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED smart.burohappold.com Shrikant.Sharma@burohappold.com Becky.Hayward@burohappold.com

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