Slide show: Sarita Chand of BVN Architecture

1. Operating Theatre Suite
Prince of Wales Hospital, Sydney
Centre for
Health Communication

2. Surgical Platform
Memorial Sloan-Kettering Cancer Hospital, New York
Centre for
Health Communication

3. Barn Theatre
Wilhelm Schulthess Clinic, Zurich
(Orthopaedic)
Centre for
Health Communication

4. Centre for
Health Communication

5. Centre for
Health Communication

6. The New Workplace
Changing clinical practices
• Chronic diseases, increased acuity, multiple organs
• Systemic approach to treatment by a multi-disciplinary team,
cutting across organs – clinical pathways across disciplines
• A multi-disciplinary culture that cuts across departmental
boundaries and hierarchies
Centre for
Health Communication

7. The New Workplace
A collaborative workplace
• Increased requirement for professional networking
• More personal meetings – face to face communication; eye
contact with up to 70% of team members
• High physical proximity, connectedness
• ‘Bump’ spaces
• Patient-free spaces
• Interdependent relationships facilitated Many to Many
Source: DEGW
Centre for
Health Communication

8. The New Workplace
Interconnections
• Simultaneous, speedy input required from several disciplines
• Lesser demarcation between professional groups
• Interdependence between individuals
• Build up of ‘Relationship Capital’
• Development of social relations,
goodwill and trust
Centre for
Health Communication

9. The New Hospital
• Agile and flexible – changes shape to suit event
• De-departmentalised – blurring of departmental boundaries
• Meeting places - different environment for differing work practices
• Large footprint – 10,000 to 12,000sqm - courts for natural light
• Wayfinding – cognitive, intuitive
• Natural daylight – accelerated rate of healing; increased staff efficiency
• Transparency – 2-dimensionally linked spaces, open, visible
• Quality of Built Environment – affects quality of service delivery
improves perception of care
Centre for
Health Communication

10. Clarity of wayfinding - a simple strategy
Centre for
Health Communication

11. Clarity of wayfinding - a simple strategy
Centre for
Health Communication

12. Clarity of wayfinding - a simple strategy
Centre for
Health Communication

13. Clarity of wayfinding - a simple strategy
Centre for
Health Communication

14. Clarity of wayfinding - a simple strategy
Separation of public and patient/staff/service flows
Centre for
Health Communication

15. Brief Formulation – not in HFBGs
• Allowance for specific functional policies
• Allowance for new disabled and building codes, bariatric patients
• Allowance for meeting spaces - foyer, alcoves off corridors,
community places, ‘bump’ spaces
• Allowance for carer spaces – family resource area, case conferences
• Allowance for ‘loose fit’ layouts for future flexibility
• Demand for natural light – patient and staff spaces
Centre for
Health Communication

16. Process Re-think required
• More input before budget is fixed
– Models of Care
– Functional Policies
– Site Specific issues
– Strategic Design input ***
• Identify ‘Champions' in clinical organisation – staff acceptance of
changes proposed
• Greater understanding of clinical issues by the design team
• Realistic time schedules
Centre for
Health Communication

17. Process of Facility Planning
Centre for
Health Communication