Simon Bourke, director of healthcare at Buro Happol presents on hospital design

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2. COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVEDEvidence based design and effective operations to save costs.
Dublin Airport, Ireland
PROCESS DRIVEN ENVIRONMENTS
Operationally efficient hospitals

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How will this space work in operation?

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We don’t design urban realms, sports stadia
and airports without a virtual modelling and
validation of people’s experience.
Why not design every hospital this way?

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WHAT WENT WRONG HERE?
Can we predict and mitigate this?

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PEOPLE CENTRE DESIGN
People
Place
Process Effectiveness
Experience
Efficiency

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Build more or operate better?
ROYA L UNITE D HO S P ITA L
Evidence based design and effective operations to save costs.

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We’re too
busy!
Need more
space!!
Opthalmalogy
Gastro Pain
Diabetes
Outpatients department
Royal United Hospital, Bath
Build more or operate better?

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EVIDENCE NOT GUESSWORK
• Average 34% observed utilisation during peak
• Average 16% observed utilisation during off peak

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INFORM DESIGN BRIEF
Operational planning and virtual testing

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BENEFITS
Facilitate closure
Enhance space
utilisation
Reduce need for
new build
Saved >£3mn through optimised strategies and operations.
Howard Jones
RUH Bath

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Savings achieved:
£2.5m build cost
£200k per annum opex

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Optimising Process Efficiency
Emergency Department
Queen’s Hospital, Romford

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PROCESS OPTIONEERING
Register Doctor Tests
Waiting
Rapid Assess & Treat process
Beds
Register Triage Tests Doctor Tests
Waiting
Triage process
Beds
Queens Hospital A&E (ED)

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PROCESS OPTIONEERING
Register Triage Tests Doctor Tests
Register Doctor Tests
Waiting
Waiting
Triage process
RAT process
Beds
Beds

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Existing Patient #’s
+ Triage Nurse
25% Increase in Patient #’s
+ Triage Nurse
25% Increase in Patient #’s
+ RAT doctor
BENEFITS
Confidence in
business case
Test alternative
processes
Address over-
crowded waiting
area

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