EuHPN 2016 presentation benchmark building projects for mentally disabled persons
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The nCZB is a member of the European Health Property Network (EuHPN). The annual convention late November 2016 in Madrid was among others in the sign of the integrated care and the role of the various stakeholders in the construction industry. Presentations were also given by several healthcare projects in the countries participating in the EuHPN. The nCZB held a presentation on the benchmark survey conducted for a number of institutions for the disabled in the Netherlands. Due to the deregulation of the construction and as a result, increased risks, the lack of quality and lack of an institutionalized body for the mutual exchange of information and knowledge institutions increasingly rely on themselves. It is clear that these developments in the housing departments took place a clear professionalization. However, there appears a need for more information sharing. Hence the benchmark study. The benchmark was about three types of care buildings, buildings for the group standard mentally disabled people and people with non-congenital brain abnormality, both at the headquarters and in the district, buildings for clients with behavioural and buildings for the group with multiple complex disabilities. Benchmark in terms of content both to surface indicators as to costs. The benchmark showed that in addition to various agreements also considerable differences between the actual buildings for the different target groups exist both in terms of size and cost. This information can be used as a reference for future projects.
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EuHPN 2016 presentation benchmark building projects for mentally disabled persons
- 1. Developments in building for mentally disabled persons Fred Bisschop, Leo Mimpen, Theo Staats 24 November 2016 nCZB - EuHPN Workshop Madrid 1
- 2. Who we are • 35 years of experience in healthcare building design and construction • Backgrounds in economics and construction • Reviewed numerous healthcare projects and businesscases • We support large insurance companies and health care providers • We make publications of general interest, including guidelines and standards • We do our work independent • Therefore our valuation of healthcare projects is important for attracting loans from banks 24 November 2016 nCZB - EuHPN Workshop Madrid 2
- 3. Content • Developments in the care for mentally disabled • Benchmark project • Examples of recent projects • Concerns for the future 24 November 2016 nCZB - EuHPN Workshop Madrid 3
- 4. Developments concerning building projects until 2009 • Until 2009 institutions needed approval for their building plans • Investments were without financial risks • New projects needed to comply building guidelines and costs • For existing buildings there were more moderate criteria 24 November 2016 nCZB - EuHPN Workshop Madrid 4
- 5. The quality of housing used to be very bad • In 2003 we carried out a survey about the quality of the buildings for housing patients • Conclusions: over 50% of the buildings did not meet the standards set by the government itself • A lot of people were just being “put away” • Result: the government gave extra money for quality improvement 24 November 2016 nCZB - EuHPN Workshop Madrid 5
- 6. • Since 2009 institutions need no longer approval for projects • Building guidelines do no longer exist • Budget for housing costs however is derived from the former guidelines • Risk was introduced by making budget depending on number of clients • Institutions professionalized their real estate departments • Obsolete housing has been replaced in many cases • Patients with relatively few disabilities are no longer entitled to home care Developments concerning building projects since 2009 24 November 2016 nCZB - EuHPN Workshop Madrid 6
- 7. Consequences of deregulation • Government advocated in the past decentralisation and small groups. • Institutions are now forced to move clients back to the campus and increase the size of groups. • The exchange of information and knowledge between institutions stopped 24 November 2016 nCZB - EuHPN Workshop Madrid 7
- 8. Benchmark project • Institutions are starting to share information about their building activities again • Together with 3 large institutions we created a benchmarkgroup • They represent 7% of the total capacity in the Netherlands • Each institution gave extensive data of 3 or more recent projects • We analysed the projects on aspects like m², m² per patient, costs etc • This will result in reference data which may help optimizing future projects 24 November 2016 nCZB - EuHPN Workshop Madrid 8
- 9. Benchmark some results • We defined 4 different patient groups in relation to the building demands • For each group we analysed several projects • Most projects seem to fit in this approach • Output will be presented as a range of m2 and cost per patient • Although the number of projects is limited it seems that building on a campus is cheaper than in a residential neighbourhood 24 November 2016 nCZB - EuHPN Workshop Madrid 9
- 10. 4 examples of projects from the benchmark 1. Regular care for mentally handicapped and people with brain damage 2. Regular care for mentally handicapped on the campus 3. Care for clients with difficult behaviour on the campus 4. Care for ageing clients on the campus 24 November 2016 nCZB - EuHPN Workshop Madrid 10
- 11. Project 1:Project 1:Project 1:Project 1: 48 clients, regular care and care for people with brain damage 24 November 2016 nCZB - EuHPN Workshop Madrid 11
- 12. Project 1:Project 1:Project 1:Project 1: 48 clients, regular care and care for people with brain damage 24 November 2016 nCZB - EuHPN Workshop Madrid 12
- 13. Living room 24,3m² Bedroom 9,3m² Bathroom 6,8m² Project 1:Project 1:Project 1:Project 1: 48 clients, regular care and care for people with brain damage 24 November 2016 nCZB - EuHPN Workshop Madrid 13
- 14. Project 2Project 2Project 2Project 2: regular care for 62 mentally handicapped clients on the campus 24 November 2016 nCZB - EuHPN Workshop Madrid 14
- 15. Project 2Project 2Project 2Project 2: regular care for 62 mentally handicapped clients on the campus 24 November 2016 nCZB - EuHPN Workshop Madrid 15
- 16. Living room Bedroom 19,7m² Bathroom 4,5m² Project 2:Project 2:Project 2:Project 2: regular care for 62 mentally handicapped clients on the campus 24 November 2016 nCZB - EuHPN Workshop Madrid 16
- 17. Project 3Project 3Project 3Project 3: care for 20 clients with difficult behaviour on the campus 24 November 2016 nCZB - EuHPN Workshop Madrid 17
- 18. Project 3:Project 3:Project 3:Project 3: care for 20 clients with difficult behaviour on the campus 24 November 2016 nCZB - EuHPN Workshop Madrid 18
- 19. Project 3 :Project 3 :Project 3 :Project 3 : care for 20 clients with difficult behaviour on the campus Living room 15,4m² Bedroom 8,1m² Bathroom 5,2m² 24 November 2016 nCZB - EuHPN Workshop Madrid 19
- 20. Project 4:Project 4:Project 4:Project 4: care for 64 ageing clients on the campus 24 November 2016 nCZB - EuHPN Workshop Madrid 20
- 21. Project 4:Project 4:Project 4:Project 4:care for 64 ageing clients on the campus 24 November 2016 nCZB - EuHPN Workshop Madrid 21
- 22. Bedroom 20,9m² Bathroom 8,1m² Project 4:Project 4:Project 4:Project 4: care for 64 ageing clients on the campus 24 November 2016 nCZB - EuHPN Workshop Madrid 22
- 23. Concerns for the future • Due to the improving economy building projects become more expensive. • Reimbursement for housing costs will go down • The government no longer feel resonpsable for the quality of housing 24 November 2016 nCZB - EuHPN Workshop Madrid 23