Hospital Infrastructure Development - A Practical Approach

Transcription

1

2 Health

3 OUR Health CAPABILITIES general Hospitals acute and specialist hospitals Community Health Centres Aged Care Centres Mental health facilities Teaching and Research Facilities scientific laboratories placing your needs first

4 Health

5 5 AUSTRALIA S HEALTHCARE LANDSCAPE IS UNDERGOING ACUTE CHANGE AND RAPID TRANSFORMATION The trend to provide services that are comprehensive and balanced to meet the changing needs of Australia s population is paramount, as governments and private owners look to holistic, practical and affordable outcomes. We understand the changing environment. In the past, hospitals were primarily concerned with providing treatment and care; today there is a global shift, moving beyond the provision of healthcare to health precincts. We offer a new best practice healthcare model that integrates modern facilities for patients, clinicians and researchers into a world class healthcare centre. A precinct that creates a supportive collegiate environment, enhancing the hospital campus and promoting collaboration, education and inspiring innovation is no longer just an idea around the corner. It is here now and we are delivering it today with care and with pride. Our Royal North Shore Hospital Redevelopment Project in Sydney is at the forefront of delivering customised dynamic health precincts, including: State-of-the art hospital facilities for patients and staff Enhanced social amenities including medi-accommodation for people and families requiring a city or regional base during treatment A master plan for value-add commercial and retail opportunities A whole-of-life approach, including facilities management.

6 6 On The Pulse Healthy buildings for healthy communities WE CREATE IMPROVED HEALTH OUTCOMES THAT ARE ACCESSIBLE TO A GREATER NUMBER OF PEOPLE. Thiess sees every healthcare project, no matter how large or small, as an exciting opportunity to make a difference. We deliver modern, efficient and integrated healthcare facilities that provide a therapeutic and healing environment. We understand the success of every healthcare facility depends on two complementary factors a primary focus on patient outcomes and the expertise and dedication of staff. Our projects are built around this premise, ensuring that every aspect is centred on achieving the right environment to enable world leading healthcare. These outcomes result in: Shorter hospital stays for patients Efficiency gains for governments and other private healthcare operators Functionally compact facilities that minimise travel distance within the hospital Attractive working environments for staff. Setting the beat We have developed a flexible and adaptable model for future care. Our design, construction and facilities management principles are based on service-centric models which have at their core the ability to satisfy the needs of patients, families, medical staff, governments and other healthcare providers. Drawing on the insight of our in-house health facility planner, we approach these projects with a deep understanding of how hospitals and health facilities fundamentally work during operation. We have embraced this specialist sector and built an experienced, professional team with capabilities in designing, constructing and maintaining the highest-quality complex medical facilities in technologically challenging environments, and within tight time frames and budget restrictions. Our cost-competitive and cutting edge solutions are enhanced through every project as we deliver clinical cost savings and leverage commercial development opportunities. Our master planning also allows for adaptability, flexibility and expansion to reflect the changing models of care over time. We develop healthcare infrastructure that supports improved patient outcomes and provides clinicians and staff with efficient and inviting workplaces.

7 7 Bright ideas We understand having a well-balanced, attractive and coherent visual strategy enhances the wellbeing of patients, staff and users alike. Importantly it avoids confusing patients who are vulnerable to becoming disoriented. The wayfinding system on the Royal North Shore Hospital Redevelopment Project is enlivened by the use of colour while the internal finishes also help people find their way. Evidence-based design The application of evidenced-based design utilises the findings of leading health experts to implement design initiatives directly linked to enhancing patient care and outcomes, and improving the productivity of nursing staff. Thiess approaches all healthcare projects from a patient-focused perspective. Healthy by design The King George Central office tower project in Brisbane includes the Heart Foundation s Healthy by Design features such as a cycle centre, a healthy choice café and user friendly stairwells running to all floors from the ground level. Thiess has put the health needs of the community at the forefront of the design and construction process.

8 8 Case Study Partnering with government to deliver health infrastructure

9 9 Thiess is partnering with Queensland Health to deliver the Townsville Hospital expansion. The redevelopment is part of a major network of hospital infrastructure projects meeting the future health care needs of North Queensland and improving patient outcomes. Stages 1 and 2 of the redevelopment involved designing and constructing the $94 million, four-storey North Block, relocating the Intensive Care Unit to the new building, and then expanding and refurbishing the neonatal intensive care unit in the existing Acute Care Block. Undertaking redevelopment works in an operating hospital environment brought its own set of challenges which were overcome with innovative thinking. To reduce vibrations to the adjoining hospital, concrete saws were used instead of jack hammers to maintain 24/7 operations for the emergency department and operating theatres. The project team also used a single tower crane with a 70-metre jib, enabling access to all parts of the building, and eliminating road closures and interruptions associated with mobile cranes on the roads. Now complete, the North Block houses the largest emergency department in Queensland, an expanded medical imaging area and intensive care unit, and a 34-bed maternity ward.

10 10 Health

11 HEALTH 11 OUR WHOLE-OF-PROJECT CAPABILITIES ALLOW US TO DESIGN, CONSTRUCT AND MAINTAIN Multi-disciplined healthcare projects are delivered with single point accountability. The advantages of our whole-of-life approach include the smooth transfer of knowledge and innovation across the project and a reduction in the number of project interfaces and the overall project cost. From smart planning, to integrated design, to our single step construction and seamless transition, and ultimately operation and maintenance, every aspect of our delivery is focused on achieving first class outcomes.

12 12 Delivery Smart planning Forward thinking designs and precision planning enable flexible fit-for-purpose environments. Our experienced team is one of our key points of difference and is adept at providing expertise and management from the earliest stages of project definition. We work closely with clinical staff to schedule decanting activities, recognising that the hospital environment is fluid and patient care takes priority. Our planning services include: Health services planning Urban and master planning Feasibility and planning briefs Cost planning and value management studies Consultation, engagement and needs analysis with stakeholders Business case preparation. courtesy of griffith university GH1: Designed for fast-track delivery Our ability to implement fast-track delivery has been proven on projects such as Griffith University s Centre for Medicine and Oral Health at the Gold Coast. We were not only able to brief, design, contract and commence construction of the Master Builders Association Awardwinning building within a 12-week period, but we completed the project six months ahead of schedule. Royal Prince Alfred Hospital Redevelopment 52,000m 2 of new construction 50,000m 2 of refurbishment Minimal disruption to hospital services Seamlessly coordinated the relocation of health services.

13 13 Integrated design Delivery of world-class health facilities is underpinned by an integrated design, construction and facilities management approach. Our collaboration model captures, in detail, the needs of stakeholders and medical practitioners, while building flexibility for the future. This is achieved via our integrated design, construction and facilities management capabilities and partnering approach. We also have significant capabilities in managing the incorporation of environmentally sustainable design (ESD) and life cycle costing initiatives. We ensure that everyone works together safely to achieve the best-for-project solution. We understand the greatest value can be achieved during the early stages of design, harnessing and maximising: Buildability Efficiency Sustainability Life cycle costings. We deliver the next generation healthcare solution that places people first westmead: Built on the principles of partnership For Westmead, we developed a new form of contract, which remains a unique model for the delivery of health facilities within a fully functioning hospital. The Western Integrated Network Partner concept allowed us to manage the project, develop the design and documentation, and construct the works in various stages. It was built on the principles of partnership, early warning of issues and the resolution of financial matters by agreement. The contract also required Thiess to warrant the project cost for each milestone when the developed design was at a stage where it could be effectively priced.

14 14 Delivery Single step construction We offer state-of-the-art, service-centric infrastructure that is completed with as little disruption as possible to current services. As one of Australia s largest construction and services providers, we deliver quality assured healthcare facilities on time and on budget. On brownfield projects we employ a single step construction process where disruption for patients, medical staff and services is minimised. The close proximity of people to work sites requires special precautions to safeguard staff, patients, visitors, the general public and our workforce. Over and above noise and vibration controls, air quality and the transmission of dust are key risks when working in a live operating environment. Thiess meticulous methods and work practices are specifically developed to mitigate these challenges. We don t just construct and service, we think ahead: Maintaining a clear focus on safety Being flexible in our approach Working in partnership with all stakeholders Offering certainty of delivery. greenfield brownfield Smart staging Meticulous methodology Logistics management Efficient construction Risk management Facilities management integration Zero defects Close collaboration and coordination Patient and staff safety Transition of service provision Just-in-time delivery Logistics Quality assured healthcare infrastructure

15 15 Seamless Transition our construction and services capabilities enable us to manage every aspect of a project. Multi-disciplined healthcare projects are delivered seamlessly. This approach enables us to deliver a value-for-money solution that reduces any risks for our clients. We work closely with clinical staff to schedule planned maintenance and handover activities, recognising that the hospital environment is fluid and patient care takes priority. Transferring to a fully operational hospital is achieved by: Identifying essential utility services prior to construction and carefully planning to mitigate the effects of any necessary service disruption Ensuring spare plant capacity and back-up power supplies Actively managing the implementation of service provision. The advantages of a one-team approach include: Smooth transfer of knowledge and innovation across projects Integrated design, construction and operation An intense commissioning phase, allowing all systems to be reliability tested before full operation Reduced number of project interfaces. THE EXTRA STEP Careful cost planning and design management at the Westmead Hospital Upgrade delivered $10 million of savings, which were reinvested back into the project. Westmead was completed two months ahead of schedule and under budget. The Clinical Services Building of the Royal Prince Alfred Hospital features a hot floor solution developed by Thiess to bring together a nucleus of critical care services in one centralised location.

16 16 Delivery Operation and maintenance a single provider model that delivers enhanced whole-of-life solutions Many contractors will offer whole-of-life as part of their design considerations but ultimately walk away at the end of construction. We are so confident in the quality of the facilities we deliver that we actively seek opportunities to undertake their long-term operations. Planning Our integrated approach ensures the Thiess Services facilities management team contributes upfront to the design development stage and throughout procurement and delivery, rather than being limited to a post-construction role. The following benefits are realised: Optimum balance between capital expenditure and life cycle, and operational costs and warranties Early identification of the most appropriate location of major and minor plant rooms Plant and equipment selection and procurement is led by Thiess with full input from Thiess Services to find the optimum balance between capital outlay and the life cycle of selected equipment A united approach is taken to the selection and procurement of fittings, furniture and fixed equipment for the facility with key considerations given to client and specialist clinical requirements; life cycle and operational costs; warranties; and ongoing operational maintenance. Operations We take a planned approach to supporting clinical services. We have tailored our Maximo asset and works management system to effectively manage the common risks associated with facilities management in health infrastructure. Maximo can be fully integrated with our 24/7 Helpdesk function and the automated building management system. Functional criticality and KPI parameters are allocated to assets and locations in Maximo. This functionality enables targeted service response, which aligns with the hospital s operations as well as contractual KPIs. Ultimately, it eliminates unplanned disruptions and reduces operating costs.

17 17 Moving beyond healthcare Smart planning Integrated design single step CONSTRUCTION Seamless Transition Operation and maintenance WHOLE-OF-LIFE solution

18 18 Case Study Whole-of-life strategy reaps benefits at Royal North Shore Hospital Image: InfraShore/John Gollings

19 19 The $1.127 billion Royal North Shore Hospital (RNSH) and Community Health Services Redevelopment is the largest hospital redevelopment in New South Wales history. Thiess work showcases unparalleled expertise in complex brownfield health project design and construction, consolidating more than 53 outdated buildings into an integrated campus of impressive purpose-built facilities. The project incorporates the: Community Health Building an eight-level, 10,000m 2 building Acute Services Building the highly efficient, nine-level, 96,000m 2 centrepiece of the redevelopment project Douglas Building Refurbishment Multi-level car park new seven-level, 567-space building of 23,000m 2 Additional works including pedestrian link bridges, roads and civil works, services diversions, demolition and decanting. Smart design and construction have ensured in-built flexibility so the campus can expand to meet Sydney s future healthcare needs and adapt to future developments in healthcare. The Public Private Partnership involves the financing, design, construction, operation (with the exception of providing clinical services) and maintenance of the facility for a 28-year period. Thiess services business was involved from the design stage right through to construction and handover, delivering greater efficiencies and significant operational and maintenance benefits. key achievements include: Successful on time, on budget delivery of a state-of-the-art health campus Construction within a fully operational hospital environment High-level stakeholder engagement across more than 134 user groups Future-proofing facilities to enable capacity for expansion and adaptation to new technology Whole-of-life excellence through integration of hard and soft facilities managers from the design stage Incorporation of innovations including a simplified façade system, one of Australia s largest no-joint buildings and use of slip-forms Integration of a first-of-its-kind cogeneration plant for a NSW hospital Best-practice decant management enabling smooth transitions for staff, patients and clinicians. Image courtesy of NSW Health

20 Health PROVEN

21 21 With more than 20 years of continuous experience designing and constructing state-of-the-art healthcare facilities, we have amassed a depth and breadth of skills, resources and know-how About 75 per cent of our building projects are complex, highly serviced buildings, often completed within existing operational environments. In New South Wales, we have a unique record for continuously working on a stream of major teaching hospital redevelopments since 1995, including the redevelopment of four of the six tertiarylevel hospitals in Sydney. Nationwide, we have proven our ability to deliver health facilities that maximise operational efficiency, ensure bestpractice patient experiences and build in flexibility that allows for changing models of healthcare delivery. With our sights firmly fixed on the future, we will continue to work with our health clients to deliver next generation healthcare infrastructure that supports improved patient outcomes and provides clinicians and staff with efficient and inviting workplaces.

22 22 Experience Project Showcase National recognition Thiess won the prestigious Contractor Excellence Award at the 2013 National Infrastructure Awards for our work on the RNSH redevelopment In 2008, Thiess received the Master Builders Association s Excellence in Construction Award in the category of Health Buildings for Westmead Our redevelopment of the Royal Brisbane Hospital West Block has won awards from the Australian Institute of Building, the Institute of Engineers Australia and the Queensland Master Builders Association The Holy Spirit Northside Hospital was the Queensland Master Builders Association Project of the Year in 2002 after being delivered three months ahead of schedule.

23 a history of Excellence Royal North Shore Hospital & Community Health Services Redevelopment, NSW, 2014 Townsville Hospital North Block, Qld, 2011 Westmead Hospital Redevelopment, NSW, 2008 The Arcadia Aged Care Facility, Vic, 2005 Holy Spirit Lourdes Aged Care, NSW, 2004 Royal Brisbane Hospital West Block, Qld, 2002 St Vincent s Robina Hospital, Qld, 2000 Prince of Wales, Private Hospital, NSW, 1998 Geelong Private Hospital, Vic, 1998 HMAS Cerberus Health Centre, Vic, 1995 Swan District Hospital Redevelopment, WA, 1992 Lismore Base Hospital, NSW, 1992 Griffith University Centre for Medicine & Oral Health, Qld, 2005 Royal Prince Alfred Hospital Redevelopment, NSW, 2004 Integrated Health Services & Facilities, NSW, 2003 Prince Charles Holy Spirit Northside Hospital, Qld, 2001 Clinical Services Building Cairns Hospital, Qld, 1999 Private Hospital HOA Canberra Hospital Campus, ACT, 1998 Prince of Wales, Ambulatory Care Building, NSW, 1998 Prince of Wales Hospital Acute Services Building, NSW, 1995 CORPORATE OFFICE Level 5, 179 Grey Street South Bank QLD 4101 Tel: (+61 7) NEW SOUTH WALES/ AUSTRALIAN CAPITAL TERRITORY Level 5, 26 College Street Sydney NSW 2000 Tel: (+61 2) QUEENSLAND Level 7, 189 Grey Street South Bank QLD 4101 Tel: (+61 7) VICTORIA/SOUTH AUSTRALIA/ TASMANIA/NEW ZEALAND Level 9, 417 St Kilda Road Melbourne VIC 3004 Tel: (+61 3) Level 2, 101 Flinders Street Adelaide SA 5000 Tel: (+61 8) WESTERN AUSTRALIA/ NORTHERN TERRITORY The Forrest Centre Level 19, 221 St Georges Terrace Perth WA 6000 Tel: (+61 8) services CORPORATE OFFICE The Precinct 2 Level 1, 10 Browning Street West End QLD 4101 Tel: (+61 7) asset and INFRASTRUCTURE services Level 4, Park Street South Melbourne VIC 3205 Tel: (+61 3) _1013

24 thiess.com Published by Thiess Pty Ltd ABN