Planning, design, and construction of health care facilities : addressing Joint Commission and JCI standards and other considerations ... from planning to commissioning

Developing and executing a health care facility s new or improved design establishes the basis for safe and effective care within that structure s walls. Like any construction or renovation project, it requires resources, education, communication, and collaboration throughout the process, which encompassing planning, design, construction, and commissioning. When patient and worker safety are at risk, the stakes for a successful project are even higher. This third edition of Planning, Design, and Construction of Health Care Facilities presents a comprehensive guide for health care organizations around the world looking to build new facilities or update current structures in compliance with Joint Commission, Joint Commission International (JCI), and other recognized standards of health care design excellence. It includes a wealth of information, strategies, and experiences that will supply you with core concepts you need for sustained success with your new facility or existing structure. Key features of this revised edition include the following: Increased alignment of content with Joint Commission and JCI standards Significant participation and contributions from the American Institute of Architects Academy of Architecture for Health Content beneficial to architects, designers, and construction firms as well as to hospital leaders and facilities managers New or expanded information on the topics of process improvement, risk assessment, and commissioning Chapters that concentrate on a specific phase of the project process (planning, design, construction, and commissioning) and how it interacts with the other phases. Recurring chapter features, including Project Gallery, which highlights projects by domestic and international health care organizations; Standards Sidelight, which reinforces how Joint Commission and JCI standards relate to key concepts; and Overarching Issue, which addresses issues relevant throughout the entire project process Focus Features covering critical and supplementary related topics, such as designing for safety and reliability, alternate facility delivery models, and more Planning, Design, and Construction of Health Care Facilities 3 Table of Contents 5 Foreword 7 Introduction 9 Table of Terms 16 Foundations 20 Joint Commission and Joint Commission International Standards 21 The Facility Guidelines Institute 23 Other Relevant Standards and Regulations 24 Chapter 1: The Planning Phase 26 Types of Planning 27 Step 1: Analyzing Project Needs 28 Step 2: Assembling the Project Team 29 Standards Sidelight: Leadership 32 Overarching Issue: Project Size 34 Project Gallery: Community Partnerships 35 Step 3: Gathering Project Data 38 Step 4: Devising a Project Plan 39 Step 5: Determining a Budget 40 Step 6: Finalizing the Master Facility Plan 42 Step 7: Ensuring Regulatory Compliance 42 Step 8: Documenting the Master Facility Plan 43 Build or Renovate? 43 Project Gallery: Major Renovation 44 Exit Note 46 Planning Focus: RPI and Change Management 47 Robust Process Improvement®(RPI) 48 RPI’s Four Elements of Change Management 48 Planning Focus: Alternative Facility Delivery Models 50 Integrated Project Delivery Model 50 Construction-Manager- at-Risk Model 51 Design-Build Model 51 Design-Assist Model 51 P3 Model 51 Planning Focus: Design Outcome PlanTM 52 Project Vision 54 Guiding Principles 54 Design Elements 54 Processes 54 Metrics 54 Baseline 55 Targets 55 Outcome 55 Planning Focus: Value Engineering (VE) 56 Planning 57 Design 57 Methodology and Approach 58 Construction 59 Conclusion 59 Chapter 2: The Design Phase 60 Predesign 61 Overarching Issue: Process Redesign 62 Project Gallery: Lean Design and Construction 63 Schematic Design 66 Standards Sidelight: Patient-Centered Care 67 Design Development 68 Project Gallery: Building Information Modeling 74 Construction Documents Preparation 76 Project Gallery: Mock-Ups 77 Exit Note 80 Design Focus: Forward-Thinking Design 82 Patient-Centered Design 82 Sustainable Design 83 Technology-Supportive Design 85 Adaptive Design 86 Design Focus: Specialty Design 87 Designing for Laboratories 87 Designing for Pharmacies 89 Designing for Hybrid Operating Rooms 90 Design Focus: Designing for Safety and Reliability 92 Designing for Life Safety 94 Designing for Infection Control 95 Designing for MEP Infrastructures 99 Designing for Security 101 Designing for Patient Flow 102 Designing for Emergency Management 104 Designing for Human Factors 105 Designing for Worker Safety 106 Designing for Fall Prevention 107 Designing for Bariatric Needs 107 Evidence-Based Design 108 Designing for Technology Safety 109 Designing for Facilities in Developing Countries 110 Chapter 3: The Construction Phase 114 Construction Bidding 115 Construction Risk Management 115 Standards Sidelight: Infection Control 116 Project Gallery: Cleanliness Levels in Construction 117 Interim Life Safety Measures (ILSMs) 119 Standards Sidelight: Life Safety 120 Construction Activities 121 Overarching Issue: Communication 122 Exit Note 124 Construction Focus: Construction Risks and Measures 125 Construction Risks 125 Measures to Minimize Risks 127 Chapter 4: The Commissioning Phase 129 The Commissioning Process 130 The Commissioning Team 131 Standards and Regulations for Commissioning 131 Facility Commissioning 131 Facility Orientation 133 Simulations 133 Clinical Operations Commissioning 134 Move-In 136 Standards Sidelight: Medication Management 136 Postoccupancy Evaluation 137 Commissioning Budget 137 Benefits of Commissioning 137 Survey Considerations 137 Overarching Issue: Process Alignment 138 Exit Note 139 Commissioning Focus: Moving Day 140 Major Move-In Considerations 140 Best Practices for Moving Day 141 "A health care facility's new or improved design establishes the basis for safe and effective care within that structure. Designing and executing a construction or renovation project requires resources, education, communication, and collaboration throughout the process. When patient and worker safety are at risk, the stakes for a successful project are even higher. This third edition of Planning, Design, and Construction of Health Care Facilities--developed in conjunction with the American Institute of Architects Academy of Architecture for Health (AIA-AAH)--presents a comprehensive guide for health care organizations around the world looking to build new facilities or update current structures"--Back cover