Hw d you get your health facilities project off to a strong start ? The key is the preparation of a detailed Space and Functional Program which bridges between the vision and needs of the hospital leadership to the design team. Tom Fannin of Strategic Health Facilities Consulting reveals key concepts and tasks for programming.

1. What’s the big deal about
programming ?
Functional and Space Programming SHFC
Strategic Health Facilities Consulting Tom Fannin Tfannin.SHFC@gmail.com

2. “you cannot set out on a journey
without knowing where you want to
go and how to get there ….. That is
what programming is all about ”
Functional and Space Programming
The smooth progress and ultimate success of a major facility project depends upon the
initial steps in the planning process which we refer to as “Programming”. This task follows
directly and builds upon strategic and business plans and overall master plans. Generally, it
consists of defined steps in which we help your organization outline what it is that you need,
how it interfaces with your operations and what important. concepts are to be embodied in
the physical design of a campus or building. With health facilities, it is critical that the
program also describes and documents important functional aspects of the departments so
that the designers can properly respond. Without laying this firm foundation of research,
decision-making and direction, you run the risk of budget creep, frustrated stake-holders
and poorly conceived designs.
Strategic Health Facilities Consulting was created to allow me to work
directly with you or supplement other consultants and planners to fully address your
functional and space programming needs.
For more information and to discuss how we could work together,
give me a call !
Tom Fannin, AIA, ACHA, LEED AP
Principal and Executive Consultant
(713) 628-2730 Sugar Land, Texas TFannin.SHFC@gmail.com
Taking the first steps
towards a new project
SHFC

3. What do you need ?
Levels of programming
• Gross scoping for master planning
• Programming as part of Business Plan
• Fast response for feasibility study
• Guidance for Design Team
• Deep dive when process change is
foremost
• Seeking new approaches or concepts
• Benchmarking performance
• Evidence-based analysis
SHFC

4. Top Down
verses
Bottom Up
Programming Process
• Why do one or the other
• When to use it
• Who to involve
• What about
a “Blended” approach ?
SHFC
Direction &
Approval
Concensus
Ideas and Input
We have done them all with success !

5. If you don’t know where
you are going…..
it doesn’t matter which
road you take
The key to your project
success
• Understanding your Vision
• Defining your goals
• Developing concensus
• Guiding participants with guard-rails
• Controlling the direction
SHFC

6. Programming
is a
structured
approach to
capturing
your vision,
business
strategy and
operational
essence
SHFC
STRATEGIESSTRATEGIES PROGRAMSPROGRAMS RESOURCESRESOURCES DESIGNSDESIGNS
SituationsSituations
AssumptionsAssumptions
VisionVision
InquiriesInquiries
NeedsNeeds
DefinitionDefinition
InvestigationsInvestigations
PotentialsPotentials
DirectionsDirections
ApproachesApproaches
OptionsOptions
SolutionsSolutions
STRATEGIES PROGRAMS RESOURCES DESIGNS
Situations
Assumptions
Vision
Inquiries
Needs
Definition
Investigations
Potentials
Directions
Approaches
Options
Solutions

7. Considering options for growth
SHFC
Parking
Hospital
Limited
Hospital
Growth
Parking
Parking
Parking
Med
Offices
Ambulatory
Growth
Parking
Med
Offices
Ambulatory
Growth
South Valley
Westpark
Expanded
Main Campus
Green Valley
Medical
District
Med
Offices
Ambulatory
Growth
Existing
Ambulatory
Campus
Entrance
Limited
Ambulatory
Growth
Valley
Ambulatory
Center
Med
Offices
Med
Offices
Med
Offices
Satellite Ambulatory Centers
In Service Area
Medical Office
Space By
Commercial
Developers

8. It’s not just about “Numbers”
but you’ve got to have them……
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Demographics
& Pop Change
Regional
Utilization
Market Position
Your Utilization
Your
Hospital
Dept of
Health
State &
Local
Govern-
ment
Strategy
Statistics
Services &
Utilization
Operating
Approach
Operating
Concepts
Space and
FacilitiesYour Space and
Facilities
Industry Trends
Policy
Regional Statistics
Strategic
Position
Your Needs

9. Collaborating with stake-holders
for new operational concepts
SHFC
Office
A
Office
B
Office
C
Office
D
Clinic
A
Clinic
B
Clinic
C
Clinic
D
Waiting
A
Waiting
B
Waiting
C
Waiting
D
Office
A
Office
B
Office
C Office
D
Clinic
A
Clinic
B
Clinic
C
Clinic
D
Wait
A
Wait
B
Wait
C
Wait
D
Ck In
A
Ck In
B
Ck In
C
Ck In
D Ck In

10. Driving space needs with realistic
clinical projections
Key Volumes Existing
Space
Existing
Rooms
Current 2012 2020 2030
Department Existing
2012
2020 2030 DGSF Rooms # of
Rooms
DGSF # of
Rooms
DGSF # of
Rooms
DGSF
Total 48,018 82,105 102,050 126,400
Emergency 26,147 32,500 40,000 6,833 10 17 11,050 22 14,300 27 17,550
Rapid Care 0 10,000 20,000 0 0 0 0 5 2,500 10 5,000
GI Lab 2,100 2,900 3,100 270 2 3 5,400 3 5,400 4 7,200
Cardiology Cath lab 300 600 900 0 1 1 2,700 1 2,700 2 5,400
Cardiology Echo 800 1,200 1,600 295 1 2 1,500 2 1,500 2 1,500
Peripheral Vascular Lab 2,340 3,280 3,510 425 1 2 1,500 4 3,000 4 3,000
Clinical Lab 382,300 489,350 533,000 4,635 5,000 6,000 6,000
Blood Draw Lab Aspen 5,500 7,700 8,200 220 750 900 1,000
Neurophysiology EEG 440 530 620 incl 1 1 850 1 850 1 850
Main Operating Room 2,605 3,335 4,440 7,545 3 4 17,600 4 17,600 5 22,000
ASC 1,500 3,000 4,000 8,200 3 3 8,200 3 9,000 4 12,000
SHFC

11. Building a common language
between owner, users and design team
SHFC
Urgent
Care
9000 sf
Advanced
Imaging
8600 sf
Rehab
8500 sf
Specialty
Care
6800 sf
Sports
Med
3600sf
Xray
800 sf
Suppor
t
CorePublic
Core
Waiting & Registration
Future
Specialty
Care
Future
Urgent Care
Customer Parking
Service
Ambulance
Transport
Growth
Growth
Growth
Growth
Main
Entry

12. • Scope Control
• Budgeting
• Controlling wish lists
• Resolving conflicts
• Bringing care givers
and designers together
• Dealing with strong
personalities
SHFC
Removing barriers to moving ahead

13. SHFC Tool Kit
• Fast programming models
• Electronic user surveys
• Performance/Space database
• Simulation Modeling
• Lean Process Design for Programming
• Benchmark processes and tours
• Survey of new and evolving concepts
• Design Feedback – reality tests
• Programming interface with Codes, standards, licensing
requirements
• Continued accountability – Design audit, Post-occupancy
evaluation
• Inventorying and managing your facility assets
SHFC

14. Where have we done this ?
Academic Medical Centers
The University of Texas Health Science Center, San Antonio,
Medical Academic & Research Center program, schematic
design
Texas Tech University Health Science Center, Lubbock, Clinical
Research & Teaching Tower program, schematic design,
Medical School program, Schematic design
University of Kentucky Health Sciences Center, Lexington, Ky,
Allied Health Sciences Building program, schematic design, Gill
Heart Institute and Center for Special Surgery program,
schematic design
University of Louisville Health Sciences Center, Louisville, Ky,
University Hospital, owner’s representative, program, design,
Ambulatory Care Center, owner’s representative, program,
design, Shared Support Center, owner’s representative,
program, design
The University of Texas Medical Branch, Galveston, Tx,
Ambulatory Master Plan and remodeling, Women’s Services
Masterplan and program (FKP), Ambulatory Care Center,
design modifications , Jennie Sealy Hospital remodeling,
program, design, management, John Sealy Hospital
redevelopment, program, design, management
University of New Mexico Health Sciences Center,
Albuquerque, NM, Carrie Tingly Children’s Ambulatory Care
Center Schematic Design
Wright State School of Medicine, Oh, Ambulatory Care and
Teaching Center, program
SHFC
Children’s Healthcare
Children’s Healthcare of Atlanta, Atlanta , Ambulatory Service
Deployment Plan, Ambulatory Destination Center Planning
Template (FKP)
Spectrum Health System, Grand Rapids, Mi, DeVos Children’s
Hospital Ambulatory Care Center, Operational LEAN process
design,Program, Schematic and Design Development
The King’s Daughters Children’s Hospital, Norfolk, Va., Master
Plan for main hospital and ambulatory centers
LeBonheur Methodist Children’s Hospital, Memphis, Tn, Master
Plan, Replacement Hospital programming and schematic design
Our Lady of the Lake Children’s Hospital, Baton Rouge, La,
Preliminary program and design (
Cook Children’s Hospital, Fort Worth, Tx, Multiple Master plan
cycles , Four major hospital expansions, program, schematic
design, Two Medical Office Buildings, Ambulatory Hospital,
program, schematic design
The Children’s Hospital of Denver, Co, Replacement Hospital,
program, schematic design
The University of Kentucky Medical Center, Lexington, Ky,
Children’s Hospital expansion and remodeling, program,
schematic design
Phoenix Children’s Hospital, Phoenix, Az, Master Plan ,
Ambulatory Care Master Plan
Children’s Mercy Health System, Kansas City, Mo, Multi-hospital
Master plan and updates, ER/OR/CATH expansion, program,
design
Cancer Centers
The University of Texas M. D. Anderson Cancer Center, Houston,
Tx, Campus Master Plan, Backfill Remodeling, program, planning,
Ambulatory Care Building program, schematic design
Georgia Cancer Care Coalition, Atlanta, Ga, Cancer Center at
Grady, program, schematic design
Alberta Cancer Care, Calgary, Al, Calgary Cancer Center
Preliminary Study
University of California at Irvine Health Science Center, Orange,
Ca, Chao Family Cancer Center remodeling, program, schematic
design
Community Health Systems
Baptist Health System, San Antonio, Tx, System-wide
master plan, Northeast Baptist expansion , Southeast Baptist
expansion and MOB , Northcentral Baptist Womens Program
University Health System, San Antonio, Tx, Rehab Hospital,
& Physical Rehabilitation Department, program, design
St. Vincent Health System, Jacksonville, Fl, Master plan for
multi-hospital system program
CHRISTUS St, Bernadine Medical Center, San Bernadino, Ca,
Master Plan program
CHRISTUS Schumpert Health System, Shreveport, La,
Master Plan, Highland Campus , Orthopedic Center, program
Rideout Hospital, St. Mary, Ca, ER/OR/ICU expansion,
program, design
CHRISTUS St. Joseph Hospital, Houston, Cancer Ctr, ICU, ER,
Cath Addition program, design
St. Joseph Hospital, Orange, Ca, Ambulatory Care Center,
program, schematic design
Adventist Simi Valley Hospital, Simi Valley, Ca,
Cath/Endo/Lab Buildout, program, schematic design
Methodist Hospital of Dallas, Dallas, Remodeling and
redevelopment program and plan,
Riverside General Hospital, Seacacus, NJ Greenfield
Hospital, program, schematic design
McAllister Health System, McAllister, Ok, Master Plan
programming
SinoBrain Hospital, Beijing, 200 bed Neurosciences private
hospital , program and design
Mental Health
University Psychiatric Hospital, Tyler, Tx – Program and
Design
Belle Park Psychiatric Hospital, Houston, Tx – Program and
design
Laureate Psychiatric Hospital, Tulsa, Ok – Master Plan,
program and functional planning
The Menninger Foundation, Topeka, Kansas, Masterplan and
replacement program
Note: Projects were done by SHFC
Leaders during previous employment

15. Strategic Health Facilities Consulting
Tom Fannin Tfannin.SHFC@gmail.com SHFC
How we can help you move ahead ?