DESIGNING FOR CHANGE IN SPECIALIST …...Sign off of drawings to commissioning, normally 50% shorter...
Transcript of DESIGNING FOR CHANGE IN SPECIALIST …...Sign off of drawings to commissioning, normally 50% shorter...
A u t h o r : R o r y M c G r a t h , R e g i o n a l M a n a g e r U K & I re l a n d
H T G R O U P / / R a m b a c h e r S t r. 2 • 9 1 1 8 0 H e i d e c k • G e r m a n y • T + 4 9 ( 0 ) 9 1 7 7 9 8 - 0 • i n f o @ h t g ro u p . d e • w w w. h t g ro u p . d e
INTRODUCTIONCURRENT SITUATION
Specialist hospital departments like operating theatres, intensive care departments, cardiac cath labs, decontaminationdepartments and laboratories are constantly changing. The need for change is driven by many factors including:
// New surgical and treatment techniques// New medical technology// Nosocomial infections and prevention// Health Technical Memoranda and Health Building Notes// Quality watchdog
Conventional materials and building processes do not lend themselves well to change. The more complicated and the more expensive it is to make changes and to upgrade, the less likely it is that the change or upgrade will happen. As a result,many hospitals become outdated and unfit for purpose.This poster proposes the use of high tech modular room systemswhich have been in use in mainland Europe for more than 4 decades. The system future proofs hospitals and facilitatesfast, easy and cost effective changes and upgrades.
OTHER ADVANTAGES OF MODULAR ROOM SYSTEMS
1. Fast and easy design process – full architectural support from a company that builds 300 units per annum across the globe2. Extensive choice of designs and finishes3. Latest technology & fully compliant4. Highest quality 5. Hygiene certificate from the Robert Koch-Institute Germany6. Factory manufactured for perfect fit7. Little or no waste and significantely less traffic on site8. Less personnel on site (typically 5 per theatre department)9. Sign off of drawings to commissioning, normally 50% shorter programme than conventional10. Competitively priced and often less expensive than conventional
SUMMARY
// Hospitals structures need to be dynamic to accommodate changing technologies// The cost of closing down specialist rooms for upgrades or repairs is significant and should be avoided// Changes or upgrades to conventionally built rooms are so costly and disruptive that the upgrades often don’t happen, eventually rendering the room outdated and non compliant// Modular room systems with demountable wall panels and fully accessible ceilings help future proof specialist rooms// Upgrades can be carried out more easily, quickly and cost effectively
THE PROPOSED SOLUTIONTHE ALTERNATIVE
// A heavy gauge site specific stud system or frame is erected// M&E first fix is installed into the frame// Fully finished, demountable stainless steel or glass wall panels are screwed to the frame// Ceilings, windows and doors complete the system
DESIGNING FOR CHANGE IN SPECIALIST HOSPITAL AREAS
CONVENTIONALLY BUILT MODULAR ROOM SYSTEM
Establish a multi-disciplinary project teamSimple decision making process involving 3 or 4 people
Hundreds of man hours spent in meetingsEntire process takes a fraction of the time needed in a conventional build
Shut down of essential hospital department during upgrade
No shut down – upgrade can happen over-night or at a weekend
Extremely complex and long drawn out process
Process of upgrading is simple – swap out old panel with new
Extremely costly in terms of personnel time and loss of income
Costs significantly less than conventional
KEY FINDINGS FROM A STUDYTO REPLACE AN ANALOGUE X-RAY VIEWER WITH A DIGITAL VIEWER IN A CONVENTIONALLYBUILT HOSPITAL VERSUS A MODULAR ROOM SYSTEM
// Cost was £48000 versus £23000 in the modular room system// 298 hours of personnel time spent on conventional versus 42 for the modular system