ABSTRACT

Significant changes which already have occurred or will be organized in health care processes increase the need for new actions in hospital facility planning and refurbishment strategies. New clinical methods and equipments accompanied by complex modern technology ask for a better flexibility in renovated hospital buildings. The quality of indoor air and hygiene in hospitals is associated with new hazards related to hospital infections
In order to better understand the needs of future hospitals we carried out a nationwide renovation program of hospital buildings in Finland. The aims of the project were 1) to develop tools for perform regional long term planning including space requirement estimation, 2) to produce criteria for the estimation of usability, operability, technical systems and the basis for physical condition surveys and refurbishment design, 3) to develop refurbishment processes for hospital facilities, 4) to develop new tools for property management and carry out piloting of the tools and 5) to find alternative solutions to own, finance and manage hospital properties.
The project consists of six "Task groups" which have been launched in four pilot hospitals. In Task group 1 regional visions, facility development programs and master plans have been performed Task group 2 focuses on health care processes and facility design and aims to develop a new method for process based architectural design. Task group 3 deals with guidelines and user requirements. The focus is in HVAC as well as in indoor air and environment technology. Task group 4 aims to assess and survey the quality of hospital environment. Assessment will focus on operational feasibility, accessibility and usability. In Task group 5 a new management method will be developed for hospital refurbishment processes. Task group 6 focuses on the management of health care property

ABSTRACT

PRIDAS an interactive Program on Healthcare Data

The public health system in the city of Buenos Aires has almost 700,000 m2 distributed in 200 km2 in nearly 33 hospitals and 40 health centres. As part of the planning in health physical resources of the Government of the Ciudad de Buenos Aires (GCBA) aroused the need to create and develop a tool to relieve, process, diagnose and propose alternatives.
The PRIDAS is a database processor that lets you view and assess each effecter individually or as part of the various networks. It incorporates, in addition to information on physical resource (surfaces, services, functional units, state, equipment, etc..) data on production and population. It is organized as an open system of databases (large packages of information) linked by overlapping fields. Components with potential for expansion of statistical capacity, quantitative analysis capability, and / or production results capacity. It allows viewing through a system of screens of simple operation (based on the concept of hypertext or interactive navigation) and which incorporates maps and graphics, without cumbersome tasks related to filtering data, programming or operation of complex commands.
The planning, as a strategy of intervention on multiple systems, complex and dynamic, contains implicit concentration of variables, constituting PRIDAS, in this regard, an area where we can exchange information in areas that usually are managed in an atomized and autonomous way, with diverse systems, difficult to coordinate from central control and / or government departments. It also developed 2 interfaces that allow the articulation of PRIDAS with other computer systems. On the one hand the absorption of information on facilities and equipment in digital format CAD documentation. On the other hand the computer system for processing data on the maintenance of hospitals and health centres

ABSTRACT

SOMASUS , an information system for Hospital Architecture and Engineering

In harmony with one of the institutional missions of the Ministry of Health of Brazil, which aims to "promote improvements in organizational processes, creating and using quality tools," the technical team of DPI (Diretoria de Investimentos e Projetos Strategicos) created the SOMASUS - System of Organizations for welfare models of SUS (Single Health System), an information and planning system that aims to support the development of investment projects and accelerate the process analysis of projects at Ministry of Health.
The SOMASUS's mission is helping the promoters of the investment projects of the Ministry, allowing for consultations on matters relating to the physical structure of health institutions, , To the effect of the organization and planning, SOMASUS was organized into two functional modules: the equipment and the works. The idea is that these modules will be integrated, facilitating the display of the interfaces between the physical space needed, equipment and furniture, beyond systems, facilities and infrastructure. Currently, SOMASUS offers in the site www.saude.gov.br/somasus the following information: types and quantities of equipment and materials by ambient; list of physical areas that are needed for the operation of buildings with minimum size of each ambient, with comments regarding the basic characteristics of space; flows of services (diagrams / layout); complementary areas, with their minimum dimensions; basic requirements of infrastructure in environments (special facilities, air conditioning etc.). interfaces and technical specifications of equipment and furniture.
The plan envisages the development of the system incorporating more functions, most related to the physical characteristics of services (module works).

ABSTRACT

The increasing healthcare market competitiveness, the evolution in medical sciences, the constant necessities of new technology incorporation and of improvement in infrastructure have lead hospitals to search for ways of organizing and guiding their actions and investments. However, situations of obsolescence, improvisations and difficulties in updates are found in most of these buildings, especially in Brazil, caused, among other things, by the lack of area planning. From this master plan comes an important instrument of guiding the actions, once it links the strategic planning and the architecture of the establishment. Thus, the objective of this research work is to gather information and concepts about hospital master plans, through a methodological approach due to the high complexity involved. The first part of the work refers to the bibliographical review which describes the importance of hospital area planning and the role of the architect in this process, which is influenced by complexity, an intrinsic characteristic of hospitals. In the second part of the work, principles and methods on master planning used by three Brazilian architects are analyzed, relating them to the bibliographical review. It also analyzed the résumé of each architect in order to characterize part of the production of plans in the country. In this sense, it is expected to achieve the main objective of the research, besides contributing to the work of architects, engineers and consultants of the health system, and bringing knowledge to managers, owners, public institutions and others, about the importance of a hospital master plan.

ABSTRACT
Diagnosis and Proposals for Hospital Architecture in the Province of Buenos Aires

We are in a society highly connected through information networks. Now more than ever we must reflect on our role within the extensive knowledge, integrated and disseminated through new information technologies.
We must optimize the design process through the "experience". Recognize each stage of the evolution of Physical Health Resources , allow us to visualize the need for:
• Assess the actual need and feasibility of projects
• Deepen on trends regarding modalities of care.
• Experience the spaces for health.
For then, based on a methodology, design and project a Strategic Plan.
Three dynamic axes act coordinated among themselves and with permanent linkage with other areas
• Human Resources: training on site for actors in the system, through internships at hospitals and health centres, conducting courses, workshops and group activities.
• Infrastructure: formulating an action plan on the construction, renovation, expansion, maintenance and resource conservation in physical healthcare with the participation of different actors.
• Team: allocation and maintenance of the elements necessary for the proper functioning of the care network.
The methodology will help us to find ways of viability in order to be able to implement the goals
-Diagnosis of situation of Public and Private Health care network. Interdisciplinary work.
-Strengthening and optimization in the allocation and use of physical infrastructures.
-Training. Planning for Works, Maintenance and Safety &Hygiene

CREATING PREMISES FOR INDIGENOUS AUSTRALIANS

Authors : Dough Kingham , Rob Isaacs- Arup. Australia

ABSTRACT

Since the beginning of the 20th Century , life expectancy has increased markedly for Australians overall, reflecting improvements in areas such as public health and medical interventions. However, as we approach the second decade of the 21st Century, indigenous Australians have on average, the same life expectancy as the total Australian population 100 years ago. In the design of indigenous health infrastructures there is a need to consider local variations and characteristics that are particular to individual health services and client populations

EXPLORING THE 3E + 3S APPROACH TO PLANING

Author : Yasushi Nagasawa , Dr Engineer, Dip HFP – Japan

ABSTRACT

To meet future greater demands, healthcare buildings will be expected to comply with three Es and three Ss. These are Effectiveness, Equity, Ecology ,Sustainability, Security, and Self-reliance. The aim of this article is to consider the key issues related to the healthcare environment which have been discussed in the GUPHA activities since2000, aiming at fostering international and interdisciplinary competition and exchange to promote the education programs on health facility design

MEETING NEEDS OF TODAY AND TOMORROW

Authors : Silvana Codina, Mario Corea, Francisco Quijano, Architects – Argentina

ABSTRACT

Public buildings reflect political principles, and public hospitals conceptually reflect the relationship between healthcare, patients, and physical structure. The Clemente Alvarez Emergency Hospital in Rosario, Argentina, is the final result of such reflections and is also a figurative synthesis of a social/ architectural construction project and of public policies that support a public health system. At the same time this building is a model in terms of new hospital management

STREAMLINING INFORMATION FOR FACILITY PLANNING

Author : Marcio Nascimento de Oliveira, Architect - Brasil

ABSTRACT

The Ministry of Health of Brasil has the task of promoting improvements in the processes of Organization and Quality of the public healthcare network, creating and making available to users some tools for qualification of projects. In this context the SOMASUS - System of Support for Elaboration of Investment Projects in the Healthcare Infrastructure and the Thematic Area of Healthcare Architecture and Engineering- was created , aiming to offer through an easy interface a wide range of information useful to any technician or researcher interested in planning and design healthcare infrastructures