Embracing Change

Abstract

As the world changes financially, the healthcare architectural design world is following suit. Gone are the straightforward days of designing a hospital based solely on the programming and function of the space. Now, architects must evolve not only to understand healthcare financing and its availability to clients, but to work in a more collaborative way to design projects. Today, fewer projects are moving forward, creating increased competition among architects. This is also generating more scrutiny in regard to cost control and risk management, which has forced architects to consider alternatives to contractual relationships and design/delivery methods. New ways of thinking about bringing a hospital to life foster creativity in both the design and delivery processes. Although these changes can be somewhat uncomfortable, they foster learning, collaboration, and ultimately, benefits for all who participate in the process.

Keywords

Design design-bid-build design-build economy capital improvement integrated project delivery Lean integrated form of agreement

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References

American Hospital Association. (2009). The economic crisis: The toll on the patients and communities hospitals serve. Retrieved June 18, 2009, from http://www.aha.org/aha/content/2009/pdf/090427econcrisisreport.pdf

Ballard

(2000). The Last Planner System of production control. Retrieved July 31, 2009, from http://www.leanconstruction.org/lastplanner.htm

Carpenter

(2009). Boom going bust? Retrieved June 18, 2009, from http://www.hfmmagazine.com/hfmmagazine_app/jsp/articledisplay.jsp?dcrpath=HFMMAGAZINE/Article/data/02FEB2009/0902HFM_FEA_CoverStory&domain=HFMMAGAZINE

Joseph

(2006). The role of the physical and social environment in promoting health, safety, and effectiveness in the healthcare workplace. Concord, CA: The Center for Health Design.

Lichtig

(2007). Integrated project delivery: A guide. Sacramento, CA: American Institute of Architects and AIA California Council.

Liker

(2003). The Toyota way. New York: McGraw-Hill.

Lott

(2007). To build or not to build: That is the question. Retrieved June 18, 2009, from http://www.hasc.org/lott.cfm

Root

, & Darby

(2004). Evidence-based hospital design improves healthcare outcomes for patients, families and staff. Robert Wood Johnson Foundation. Retrieved June 18, 2009, from http://www.rwjf.org/pr/product.jsp?id=21765