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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.
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What’s the big deal about programming ?
Functional and Space Programming SHFCStrategic Health Facilities Consulting Tom Fannin [email protected]
“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 APPrincipal and Executive Consultant
(713) 628-2730 Sugar Land, Texas [email protected]
Taking the first steps towards a new project
SHFC
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
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 !
If you don’t know where you are going…..
it doesn’t matter which road you takeThe key to your project success• Understanding your Vision• Defining your goals• Developing concensus• Guiding participants with guard-rails• Controlling the direction
SHFC
Programmingis a
structured approach to
capturing your vision,
business strategy andoperational
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
Considering options for growth
SHFC
Parking
HospitalLimited HospitalGrowth
Parking
Parking
Parking
MedOffices
AmbulatoryGrowth
Parking
MedOffices
AmbulatoryGrowth
South Valley
Westpark
Expanded Main CampusGreen Valley
Medical District
MedOffices
AmbulatoryGrowth
Existing Ambulatory
CampusEntrance
Limited Ambulatory
Growth
ValleyAmbulatoryCenter
MedOffices
MedOffices
MedOffices
Satellite Ambulatory CentersIn Service Area
Medical Office Space By
Commercial Developers
It’s not just about “Numbers”but you’ve got to have them……
SHFC
Demographics& Pop Change
RegionalUtilization
Market Position
Your Utilization
YourHospital
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
StrategicPosition
Your Needs
Collaborating with stake-holders for new operational concepts
SHFC
Office A
Office B
Office C
Office D
ClinicA
Clinic B
ClinicC
Clinic D
Waiting A
Waiting B
Waiting C
Waiting D
Office A
Office B
Office C Office
D
ClinicA
Clinic B
ClinicC
Clinic D
Wait A
WaitB
Wait C
WaitD
Ck InA
Ck In B
Ck In C
Ck InD Ck In
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 82,105 102,050 126,400Emergency 26,147 32,500 40,000 6,833 10 17 11,050 22 14,300 27 17,550Rapid 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 1,500Peripheral 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
Building a common languagebetween owner, users and design team
SHFC
Urgent Care
9000 sf
AdvancedImaging 8600 sf
Rehab 8500 sf
SpecialtyCare
6800 sf
SportsMed
3600sf
Xray800 sf
Support
CorePublic Core
Waiting & Registration
FutureSpecialty
Care
FutureUrgent Care
Customer Parking
Service
AmbulanceTransport
GrowthGrowth
Growth
Growth
MainEntry
• Scope Control• Budgeting• Controlling wish lists• Resolving conflicts• Bringing care givers
and designers together• Dealing with strong
personalities
SHFC
Removing barriers to moving ahead
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
Where have we done this ?Academic Medical Centers The University of Texas Health Science Center, San Antonio, Medical Academic & Research Center program, schematic designTexas 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, designThe 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 HealthcareChildren’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 PlanChildren’s Mercy Health System, Kansas City, Mo, Multi-hospital Master plan and updates, ER/OR/CATH expansion, program, design
Cancer CentersThe 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 SystemsBaptist 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 programCHRISTUS 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, designSt. 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 programmingSinoBrain Hospital, Beijing, 200 bed Neurosciences private hospital , program and design
Mental HealthUniversity Psychiatric Hospital, Tyler, Tx – Program and DesignBelle Park Psychiatric Hospital, Houston, Tx – Program and designLaureate Psychiatric Hospital, Tulsa, Ok – Master Plan, program and functional planningThe Menninger Foundation, Topeka, Kansas, Masterplan and replacement program
Note: Projects were done by SHFC Leaders during previous employment
Strategic Health Facilities ConsultingTom Fannin [email protected] SHFC
How we can help you move ahead ?
