 focus
 pertinent approaches
 governance
super hospitals
world class facility
innovation
 focus
 pertinent approaches
 governance
= ho hum
 focus
 pertinent approaches
 governance
noted directions in global health service delivery
convenient service (patient focus)
responsiveness
technology use
outsourcing, co-sourcing, in-house
governance
consolidation & mergers
globalisation
beyond raw function
 focus
 pertinent approaches
 governance
applying directions in global health service =
balanced planning x integral flexibility
but < world class
 focus
 pertinent approaches
 governance
add
+ sharing a vision
+ urban planning
+ integral allied facility planning
+ appropriate atmosphere (amenity, accessibility, comfort, image)
+ integrated services design including redundancies
+ ESD principles
+ integrating maintenance planning and WOL
+ recruitment/ retention of staff
+ understanding and designing for risks
+ applying appropriate standards (aiming at objectives)
+ divergent benefits
+ understanding legislation
+ mapping, benchmarking
+ keeping updated on further global trends
+ publishing research and results
= world class
 focus
 pertinent approaches
 governance
integral flexibility
 focus
 pertinent approaches
 governance
Allied
Replacement
infill
Development
Replacement
zone
long-term
localised pockets for building replacement
other sites for replacement or additions
 focus
 pertinent approaches
 governance
1
2
3
potential to form separate parcels
energy & transport
energy unit
carpark
linked hospital components (with coordinated functions)
 focus
 pertinent approaches
 governance
 focus
 pertinent approaches
 governance
 focus
 pertinent approaches
 governance
reuse and adjoining existing
BCA
floor to floor
depth of plan
 focus
 pertinent approaches
 governance
 focus
 pertinent approaches
 governance
 focus
 pertinent approaches
 governance
 focus
 pertinent approaches
 governance
 focus
 pertinent approaches
 governance
 focus
 pertinent approaches
 governance
A
Dept. 1
B
Dept. 2
Dept. 3
 focus
 pertinent approaches
 governance
Dept. 1
Dept. 2
Dept. 3
Dept. 4
Dept. 5
Dept. 6
 focus
 pertinent approaches
 governance
 focus
 pertinent approaches
 governance
 focus
 pertinent approaches
 governance
mechanical
electrical
Energex SubStation
Microwave line
of sight
Substation
Central Energy
Plant
Dual feed 132
KV
Transmission
loop
From Telstra
fibre optic
network
Key Issues
Power
 Location of proposed Energex sub-station – adjacent
 Reliability - the sub-station has dual routes
 Capacity – considered adequate with two transformers
 On site distribution via Central Emergency Plant
 Existing 132 kv transmission line. Relocate to underground - helicopter flight paths, aesthetics
 Communication
 Major Telstra fibre optic cable
 Line of sight for Microwave link
 focus
 pertinent approaches
 governance
communications
hydraulic
fire
Interactive Workshops –
 focus
 pertinent approaches
 governance
Involving a Cross Section of the Client
Top Down Approach
Bottom Up Approach
Design Director
Workshop Process
Director
Project
Co-ordinator
Health Planning
Co-ordinator
• unity of purpose
• ‘central’ authority
• limited opportunity to engage
others in organisation
– no ‘ownership’
• reflects only management’s
priorities
•
•
•
•
•
recognises diversity of perspective
‘local’ authority
difficult to implement
reflects only end users priorities
uncertainty about outcomes
•
•
•
•
•
•
•
participative
dynamic coherence
collaborative learning/questioning
diversity of perspective
develops sense of common purpose
‘ownership’ by whole organisation
shared priorities
©2007
WORKSHOPS (Stakeholders)
Outputs
WORKSHOP 1 – VISION
• Presentations from key stakeholder
representatives
• Looking at the project from multiple
perspectives
 focus
USER GROUP MEETINGS
Cost Reviews
 pertinent
approaches
 governance
Review of existing paediatric,
activities. Outline functional,
accommodation and design
requirements (benchmarked
and reconciled with earlier
work
How much area can
we afford?
Developed functional,
accommodation and design
requirements (room by room
schedules)
Indicative costings
Agreement on preferred
concept design option for the
new QCH
Developed functional,
accommodation and design
requirements, room by room
area schedules
Draft Cost Plan A
Agreement on developed
concept design and design
briefs, reconciled with budget
Finalisation and sign off of
Design Brief by users/PCGs
Scope reconciled to
budget
Agreement on what the project
needs to do to support QH’s
and the QCH’s mission and
operational needs
WORKSHOP 2 – ACCOMMODATION NEEDS
Agreement on broad
• Presentation of draft accommodation functional/space requirements.
requirements
Agreed functional proximity
relationships/blocking and
• Mapping proximity relationships
stacking. Reconciliation to
budget.
WORKSHOP 3 – OPTIONS EVALUATION
• Presentation of concept design
options for the site (including
indicative costings)
• Evaluation of options
WORKSHOP 4 - ENHANCEMENT
• Enhancing/adding value to agreed
concept design
• Cost value management
 focus
 pertinent approaches
 governance
Presentation of Options
 focus
 pertinent approaches
 governance
 focus
 pertinent approaches
 governance
Design Director
Director
Project
Co-ordinator
Design
Co-ordinator
Technical
Co-ordinator
Health Planning
Co-ordinator