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Presentation No. 2 3 Feb 2003. The World of Healthcare Architecture. Arch 372. The World of Healthcare Charrette 1 Healthcare and Architectural Practice Charrette 2 Current Issues, Trend & Theory Charrette 3 Major Problem. Arch 372. Cost of Construction - $/SF.
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Presentation No. 2 3 Feb 2003 The World of Healthcare Architecture Arch 372
The World of HealthcareCharrette 1 • Healthcare and Architectural PracticeCharrette 2 • Current Issues, Trend & TheoryCharrette 3 • Major Problem Arch 372
Cost of Construction - $/SF The World of Healthcare Architecture
Construction Contract Awards 2003 The World of Healthcare Architecture $B
Construction % change 2001-2003 attack!! The World of Healthcare Architecture
Healthcare Architects in the US AIA PIA (Professional Interest Area) – Academy of Architecture for Health largest and most organized PIA 3,000 Members 4 Annual conventions per year ASHE Planning and Design AIA AAH Healthcare Design Symposium The World of Healthcare Architecture
Academy of Architecture for Health The World of Healthcare Architecture • Mission StatementThe mission of the AIA Academy of Architecture for Health (AAH) is to improve the quality of the healthcare environment by promoting, through our members, excellence in healthcare architecture. We believe that: • Architects should have a significant role in affecting healthcare policy • Knowledge is power, and we should identify resources to advance, maintain, and disseminate knowledge • The quality of the built environment plays a major role in the quality of healthcare • We, as architects, are essential to the development of quality healthcare environments • It is essential to create links between all those involved in the building delivery system to achieve quality healthcare architecture
POP QUIZ – Take out a sheet of paper……… The World of Healthcare Architecture
BJC Center for Advanced Medicine The World of Healthcare Architecture
The World of Healthcare Architecture STATS: $175M Construction Cost 2 Architectural firms involved 2 Engineering firms involved 24 Month Design Process 30 Month Construction Process 750,000 sq ft 1 Million patients and visitors per year
The World of Healthcare Architecture Question #1: How many architects and engineers were involved in the planning and design of this building?
The World of Healthcare Architecture And now back to our story…………
Who do Healthcare Architects work for? Healthcare Architects The World of Healthcare Architecture Large Firms Small Firms Boutique Firms Client Hospital or Health System Contractors Program Managers State Review Agencies
Who does the work? Perkins & Will HRD HKS NBBJ Cannon Design Ellerbe Becket RTKL Gresham Smith The World of Healthcare Architecture 2002 Modern Healthcare Rankings
Who Designs the Projects? Spectrum of design Strategy Programming Planning Design Technical Construction The World of Healthcare Architecture Market Share Penetration SWOT Analysis Business Plans Proforma Competition Marketing Recruiting Mission Values Aspiration Efficiency Utilization Space Standards Net to Gross Programming Teams Trend Analysis Volume Forecasting Time and Motion Use Rates Contact Time Relationships Adjacencies Patient Flow Staff Flow Experience Staffing Efficiency Pathways Wayfinding Circulation Views Image Experience Aesthetics Expression Massing Volume Materials Light Nature Patterns Scale Constructability Codes Magnetic Shielding RF Shielding Radiation Shielding Smoke Compartments Exiting Fire Rating NFPA, BOCA, SBC, IBC… GMP RFI GC Sub Contractor Suppliers Venders General Conditions Payment Applications CM Or Equals
Who Designs the Projects? Spectrum of design Strategy Programming Planning Design Technical Construction Planners Designers Project Architects Construction Administrators The World of Healthcare Architecture
Who make up the project team? The World of Healthcare Architecture Principal In Charge Project Manager Project Planner- Organization Project Designer- Design Project Architect- Technical Staff Architects / Other Resources
How does the client fit into this? The World of Healthcare Architecture Client Project Principal Project Designer Project Manager Project Architect Project Planner Resources
POP QUIZ …………… The World of Healthcare Architecture
The World of Healthcare Architecture Question #2: How many meetings were held with the owner and user groups during the design process?
How do we interface with the client? Nurses Architect Docs Managers The World of Healthcare Architecture Board Administration Patient Admin
The World of Healthcare Architecture • Who is on the Owners side? Business Administration Registration Materials Management Social Work Respiratory Care PICU Fitness Pulmonary NICU Pharmacy Intensive Care Day Stay RT Behavioral Health Dietary Surgery FInance Physical Therapy Radiology Engineering Cardiology QA Radiation Oncology Med Surg Education IT Pediatrics Occupational Therapy Clinical Lab Cath Lab Laundry Volunteers Housekeeping
The World of Healthcare Architecture Time Tier 1 – Executive Leadership Tier 2 – Clinical Leadership Detail Tier 3 – Departmental Leadership Tier 4 – Focus Groups THE DESIGN JOURNEY
4 1 2 3 5 Planning & Programming Schematic Design Design Development Contract Documents Construction DEFINE SCOPE & OBJECTIVE EXPLORE & RESOLVE SOLUTION REFINE & DEVELOP DETAIL DOCUMENT PLANS & SPECS BUILD Land Use Space Function Relationships Access Flow Environment Infrastructure Budget Site Concept Orientation Parti Layout Massing Image Vocabulary Systems Budget Topography Rooms Equipment Materials Furniture Standards Technologies Quantities Estimate Space Function Relationships Access Flow Systems Budget Monitor Interpret Clarify Confirm Advise Approve The World of Healthcare Architecture THE PROCESS PHASES OF PROJECT DEVELOPMENT
4 1 2 3 5 Planning & Programming Schematic Design Design Development Contract Documents Construction PROGRAMMING PLANNING DESIGN PRODUCTION PROJECT MANAGEMENT & ADMINISTRATION The World of Healthcare Architecture THE PROCESS PHASES OF PROJECT DEVELOPMENT TALENT & RESOURCES
4 1 2 3 5 Planning & Programming Schematic Design Design Development Contract Documents Construction EXPERTISE… MANAGEMENT FORMATIVE PHASES Quality Cost Time IMAGINATION… LEADERSHIP The World of Healthcare Architecture THE PROCESS PHASES OF PROJECT DEVELOPMENT TALENT & RESOURCES
The World of Healthcare Architecture Question #3: How many drawings did the architects and engineers give to the contractors to build the building? Hints: Architecture Structural Landscape Mechanical Electrical Plumbing 30” x 42” sheets 1 floor = 4 zones (sheets) 15 floors