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					 European Congress
 Healthcare Planning and Design




                                               www.tno.nl\ducha10

Congress brochure
A European Congress that addresses challenges for the worldwide
healthcare planning and design community, organised by DuCHA in
partnership with ECHAA
Venue De Doelen, Rotterdam, The Netherlands, June 6th-9th 2010
Dear All,
 It is my pleasure to inform you of our           by world-famous Dutch architect
 European congress Healthcare Planning            Rem Koolhaas.
 & Design; Innovation in Health Assets
 for Sustainable Healthcare which will be         The venue of the congress is Rotterdam,
 held from the 6th – 9th of June 2010. The        giving you the opportunity to explore
 topicality of this congress is profound.         the Netherlands’ second city’s enormous
 Over the coming years, developments              diversity of world class architecture
 in population demographics, medical              (buildings by Rem Koolhaas, Renzo Piano,
 technology, workforce availability, the ‘green   Norman Foster, Ben van Berkel and others)
 agenda’ and the financial leverage needed        and its amazing city sights. And when
 to invest in healthcare infrastructure, will     in Rotterdam: why not ”go Dutch” and
 have an enormous impact on the delivery          take the opportunity to explore the city’s
 of healthcare services. While the problems       architectural highlights during a guided
 posed by these trends are similar across         bike tour! To show the city’s appreciation
 Europe and indeed most of the world,             of and support for the congress, the Mayor
 national and regional responses vary             of Rotterdam will host an official reception
 widely. And these local solutions offer both     in the historic city hall, near the congress
 an inspiration and a challenge to current        venue.
 architectural approaches.
                                                  The organizers have put together a full
 This congress will explore the rich diversity    2 ½ day programme, which you can extend
 of perspectives from Europe and beyond           by attending specially organized activities,
 that inform the future of healthcare             or by joining us on our tours. As a courtesy
 infrastructure. A comprehensive programme        to our visitors, a special European tour has
 of masterclasses and workshops will unveil       been prepared that will guide you around
 some of the latest trends in planning and        5 unique, recently completed and state-of-
 financing strategies, showcase a panoply of      the-art hospitals in the Netherlands, Belgium
 innovative healthcare architecture, and offer    and Spain in just 2 ½ days.
 a critical appraisal of different approaches
 to sustainability issues in healthcare           For your convenience we have made all
 infrastructure. Furthermore, case-studies        the information you need available on our
 will show how the current challenges in          congress website www.tno.nl/ducha10. Here
 healthcare planning and design are being         you can find the latest information about the
 met in practice.                                 congress, how to book, where to stay and
                                                  how to get in touch. If you have questions,
 The congress programme offers a                  please contact me or my staff. We will be
 combination of plenary addresses by key-         happy to answer your queries. I am looking
 note speakers, with masterclasses on specific    forward to hosting this congress and seeing
 topics by renowned experts and a day-to-day      you in Rotterdam!!
 workshop programme. The masterclasses
 and workshops are organized into four            Yours Sincerely,
 tracks, each exploring a different aspect
 of the congress’s theme, namely Planning,        Marinus Verweij
 Architecture, Sustainability and Case            Director of the Dutch Centre for Healthcare
 Studies, being brought to you by selected        Assets (DuCHA)
 professionals. A total of 15 countries is        Chairman of the European Centre for Health
 represented during this congress. During this    Assets & Architecture (ECHAA)
 congress a new book on Dutch Healthcare
 Architecture by Cor Wagenaar will be             DuCHA is part of the Netherlands
 presented.The book-presentation will be held     Organisation for Applied Scientific
 in the Kunsthal in Rotterdam, an early design    Knowledge TNO
                                                                                                  European Congress
                                                                                                  Healthcare Planning and Design Perspectives

 1
Programme at a glance
                                                                                            Masterclasses            Planning                  Case Study                  Sustainability             Architecture            Specials
Sunday     13:30-17:30 hrs.   Registration opens

           13:30-17:00 hrs.                                Facility tours
           17:00-19:00 hrs.                                Architectoral Tour of
                                                           Rotterdam by bike (guided)

Monday     7:30-9:30 hrs.     Early morning registration

           9:40-10:00 hrs.                                 European Healthcare;
                                                           Challenges and Solutions
                                                           (Nata Menabe)

           10:00-10:30 hrs.                                Present and Future
                                                           Sustainable Healthcare
                                                           (Ton Verhoeven)

           10:30-11:00 hrs.                                Service to Capital
                                                           translationin Healthcare
                                                           (Martin McKee)
           11:00-12:00 hrs.                                                                 Pathways to Design       Quality management        Private patient rooms       Sustainable healthcare     Critical Care Design:
                                                                                            (Barrie Dowdeswell)      of hospital real estate   -helping the patient        infrastructure.            The Winners and Future
                                                                                                                     in a changing context     heal within a staff         More than just green       Trends, An Investigative
                                                                                                                     (Zwart, van der Voordt)   efficient ward-design       (Becker)                   Study
                                                                                                                                               (van Heel, Schols)                                     (Cadenhead)              Masterclass Berlage
           12:00-13:30 hrs.   Lunch break
           13:30-14:30 hrs.                                                                 Pathways to Design       Quality management        Private patient rooms       Sustainable healthcare     Critical Care Design:
                                                                                            (Barrie Dowdeswell)      of hospital real estate   -helping the patient        infrastructure.            The Winners and Future
                                                                                                                     in a changing context     heal within a staff         More than just green       Trends, An Investigative
                                                                                                                     (Zwart, van der Voordt)   efficient ward-design       (Becker)                   Study
                                                                                                                                               (van Heel, Schols)                                     (Cadenhead)              Masterclass Berlage

           14:30-15:30 hrs.                                                                 Dutch Healthcare         Diagnosis related         Surviving or Thriving?      Comparative Healthcare     Competing views on
                                                                                            Architecture, part 1     strategies for hospital   How to maintain             Sustainability, North      Finnish healthcare
                                                                                            (Wagenaar, Jaspers       planning and operation    operations while            America, the UK and        buildings- and how
                                                                                            and others)              (Lennertz, Diez)          under construction          Europe, part I             they got on
                                                                                                                                               (Macdougall, Tagi)          (Pradinuk et al)           (Kjisik)
           15:30-16:00 hrs.   Tea break
           16:00-17:00 hrs.                                                                 Dutch Healthcare         Diagnosis related         Surviving or Thriving?      Comparative Healthcare     Competing views on
                                                                                            Architecture, part 2     strategies for hospital   How to maintain             Sustainability, North      Finnish healthcare
                                                                                            (Wagenaar, Jaspers       planning and operation    operations while            America, the UK and        buildings- and how
                                                                                            and others)              (Lennertz, Diez)          under construction          Europe, part 2             they got on
           18:00-20:00 hrs.                                Opening Reception and                                                               (Macdougall, Tagi)          (Pradinuk et al)           (Kjisik)
                                                           Book presentation: Dutch
                                                           Healthcare Architecture
                                                           (Kunsthal)

Tuesday    9:00-9:30 hrs.                                  Design & Research
                                                           (Kirk Hamilton)

           9:30-10:00 hrs.                                 Design & Maintain
                                                           (Steve Drinkrow)

           10:00-10:30 hrs.                                Relationship of the well-being
                                                           of humans in connection
                                                           with the built environment
                                                           (Thomas Rau)
           10:30-11:00 hrs.   Coffee break
           11:00-12:00 hrs.                                                                 Sustainable hospitals    Financing and             Patient flows, hospital’s   The drive for sustaina-    People centric
                                                                                            -a German approach       Development of            bed planning and            bility in the design and   healthcare experience
                                                                                            (Kunnibert Lennertz)     Outpatient Facilities     strategic procurement       operation of healthcare    design research &
                                                                                                                     – Viable Future           - key drivers of            facility                   innovation
                                                                                                                     Strategy and Function     University Hospitals        (Buckingham,               (Stuyfzand)
                                                                                                                     in Today’s World          modernization in Serbia     Cadenhead)
                                                                                                                     (Reisenbichler, Bowers)   (Jekic)
           12:00-13:30 hrs.   Lunch break
           13:30-14:30 hrs.                                                                 Sustainable hospitals    Financing and             Patient flows, hospital’s   The drive for sustaina-    People centric
                                                                                            -a German approach       Development of            bed planning and            bility in the design and   healthcare experience
                                                                                            (Kunnibert Lennertz)     Outpatient Facilities     strategic procurement       operation of healthcare    design research &
                                                                                                                     – Viable Future           - key drivers of            facility                   innovation
                                                                                                                     Strategy and Function     University Hospitals        (Buckingham,               (Stuyfzand)
                                                                                                                     in Today’s World          modernization in Serbia     Cadenhead)
                                                                                                                     (Reisenbichler, Bowers)   (Jekic)

                                                                                            Service to capital       Health Flow               Future health:              Desiging Healthcare        Norwegian Healthcare    Hospitals Unzipped,
           14:30-15:30 hrs.                                                                 translation              Engineering; Towards      sustainable places          Facilities through a       Architecture; four      a students view on
                                                                                            (Steve Wright)           a New Approach in         for health and wellbeing    Sustainable model;         examples                the future of hospitals
                                                                                                                     Integrated Design of      (Francis)                   new perspectives           (Eggen, Bjerknes)       (Molenaar, van der Poll)
                                                                                                                     Healthcare Facilities                                 (Nedin)
                                                                                                                     (Rodrigues de Miranda)
           15:30-16:00 hrs.   Tea break
           16:00-17:00 hrs.                                                                 Service to capital       Health Flow               Future health:              Desiging Healthcare        Norwegian Healthcare    Hospitals Unzipped,
                                                                                            translation              Engineering; Towards      sustainable places          Facilities through a       Architecture; four      a students view on
                                                                                            (Steve Wright)           a New Approach in         for health and wellbeing    Sustainable model;         examples                the future of hospitals
                                                                                                                     Integrated Design of      (Francis)                   new perspectives           (Eggen, Bjerknes)       (Molenaar, van der Poll)
                                                                                                                     Healthcare Facilities                                 (Nedin)
                                                                                                                     (Rodrigues de Miranda)
           18:00-20:00 hrs.                                                                 Reception at the
                                                                                            Townhall by city of
                                                                                            Rotterdam

Wednesday 9:00-10:00 hrs.                                                                   7 aspects for the        Integrated                Possibilities and           Sustainable way?           Dutch Healthcare        Low Carbon Buildings
                                                                                            critical assessment of   Infrastructure Scenario   problems related in         How to improve the         Architecture; As seen   in the Healthcare
                                                                                            hospital designs         Planning: a new           regional planning of        quality, capacity and      by the architects       Service Sector
                                                                                            (Sjoerd de Hoogh)        approach to accessing     integrated health care      the architecture?          (Gortemaker, Burger,
                                                                                                                     and distributing          (Vauramo et al)             (Eggen)                    Tuinhof)
                                                                                                                     services and estates
                                                                                                                     (Price, Short)

           10:00-11:00 hrs.                                                                 7 aspects for the        Integrated                Possibilities and           Sustainable way?           Dutch Healthcare        Low Carbon Buildings
                                                                                            critical assessment of   Infrastructure Scenario   problems related in         How to improve the         Architecture; As seen   in the Healthcare
                                                                                            hospital designs         Planning: a new           regional planning of        quality, capacity and      by the architects       Service Sector
                                                                                            (Sjoerd de Hoogh)        approach to accessing     integrated health care      the architecture?          (Gortemaker, Burger,
                                                                                                                     and distributing          (Vauramo et al)             (Eggen)                    Tuinhof)
                                                                                                                     services and estates
                                                                                                                     (Price, Short)


           11:00-11:15 hrs.   Coffee break
           11:15-11:45 hrs.                                The relationship between
                                                           hospital architecture,
                                                           healthcare processes
                                                           and the ICT-domain.
                                                           (Fred Ahsmann)
           11:45-12:15 hrs.
                                                           Closing speakers
                                                           (Albert de Pineda)
           12:30 hrs. -
           Friday 11th June                                Start of the European Tour



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European Congress
Healthcare Planning and Design Perspectives



                                              3
Day to Day Schedule
Sunday 6th of June
13.00-17.00 hrs. Registration office at the congress venue is open.

13.30-16.30 hrs. Healthcare facilities tours
                 We would like to offer the participants of the congress the opportunity to
                 visit a Dutch healthcare facility in or near Rotterdam. Guided visits are
                 offered to a university hospital, a specialist eye hospital, a mental health
                 facility and housing for the elderly with special care needs. All four are
                 dedicated to using architecture/design/planning strategies for improving the
                 healthcare built environment and patient experiences.

                  There is an additional fee for the tours and space is limited. You can
                  subscribe for a tour with your on-line registration.

1. Erasmus Medical Centre- Rotterdam
                                                        Erasmus MC is the Netherlands’s largest
                                                        university hospital. As well as providing
                                                        complex and last-resort healthcare, the
                                                        Erasmus MC is also the general hospital
                                                        of choice for the people of Rotterdam’s
                                                        inner-city area. Being a university
                                                        hospital, the facility naturally also
                                                        houses extensive education and research
                                                        facilities for students and staff. The
                                                       Erasmus MC is ranked among the top
                                                       20 research institutions worldwide. The
                                                       oldest buildings on its downtown campus
date from the early 1960’s, and the facility has been expanded over time. With approximately
15.000 people visiting the facilities on a daily basis, the campus is effectively a “medical city”
within the city.
A 1 billion euro redevelopment scheme for the existing site was launched in the late 1990’s,
with the aim of renewing all hospital facilities, as well as renovating facilities for education
and research. The new main hospital building has been commissioned and work will have
started when we visit.
The site visit will include a tour of the hospital’s public spaces, an in-depth presentation
detailing the scale and complexity of the site redevelopment project, and a visit to the
research facility (a mock-up of a patient room) that Erasmus MC has set up to determine how
best to create a patient and personnel friendly environment in the new hospital building.



2. Eye Hospital- Rotterdam
                                                      The only specialized hospital of its kind
                                                      in the Netherlands, the Rotterdam Eye
                                                      Hospital is a “centre of excellence”,
                                                      delivering highly specialized ophthalmic
                                                      care. Standards for care delivery, training
                                                      and research are set and assessed in           Kunsthal Rotterdam, by Rem Koolhaas
                                                      accordance with the exacting criteria of
                                                      the American Association of Eye and Ear
                                                      Hospitals. More than 11.500 operations
                                                      are carried out annually and 140.000
                                                      patients visit the outpatients department.

4
                                              Extensive refurbishment and extension of the hospital’s buildings was completed in 2005.
                                              The hospital’s interior design – including the application of art – is specifically aimed at
                                              reducing stress and anxiety in patients. This is a particularly pressing problem for patients
                                              of the hospital, as threatened loss of eyesight can be a very traumatic experience. Levels of
                                              attendant stress and anxiety in patients can be reduced by aiming for maximum transparency
                                              in design. For instance, the formerly gloomy inner courtyard is now a glass-domed interior
                                              garden with glass-fronted facades. To reduce anxiety about surgical procedures – particularly
                                              common among ophthalmology patients – procedures are televised “live” on screens in
                                              waiting areas. Art is everywhere in the hospital, all of it dealing in some way with the themes
                                              of “eyes” and “sight”.
                                              You will have the opportunity to visit all of the hospital and hear everything about the use of
                                              architecture, art, the redevelopment process, stress and anxiety reduction and transparency.

                                              3. Delta Psychiatric Hospital
                                                                                                    The Delta psychiatric hospital is situated
                                                                                                    in the town of Poortugaal just outside
                                                                                                    Rotterdam on a spacious, wooded
                                                                                                    site. The tour of this facility will take
                                                                                                    you from the oldest building on site
                                                                                                    (Dorpsblik) to the latest addition Blaak,
                                                                                                    thus giving an impression of how
                                                                                                    thinking about facilities for mental
                                                                                                    healthcare has evolved over the past
                                                                                                    century or so. The Blaak building is a
                                                                                                    closed/secured facility, yet feelings of
                                                                                                    confinement in patients are alleviated by
                                              the building’s typically open architectural design The Blaak’s external façade, for instance, is
                                              composed of natural materials which harmonize with the wooded surroundings.
                                              Another interesting building on site is the “Greenhouse”, a building housing workshops for
                                              patients. However, the site’s most distinguishing feature is its park, which offers a peaceful
                                              and protective haven for the long-term psychiatric patients living on-site. The park is unique
                                              in the Netherlands for this type of clinic.

                                              4. Humanitas, senior living and care organization
                                                                                                         Humanitas is a provider of housing
                                                                                                         and home care as well as nursing and
                                                                                                         treatment. The Humanitas Foundation
                                                                                                         is a non-profit organization. Humanitas
                                                                                                         staff is about 1.800 and around 4.000
                                                                                                         elderly live in our apartments and
                                                                                                         residential and nursing homes. It makes
                                                                                                         Humanitas Foundation one of the largest
                                                                                                         in this field in The Netherlands. For
                                                                                                         many years, Rotterdam led the way in
                                                                                                         the development of new policies in The
                                                                                                         Netherlands for elderly housing and care.
                                              Various initiatives were adopted by other cities and then fitted in the national policy. True
                                              examples of this are the Humanitas-Bergweg and Humanitas-Akropolis, projects that were
                                              developed by Humanitas.
                                              The basic philosophy Humanitas adopts in their organizations and buildings in a nutshell are:
                                              •	 Rigorous	separation	between	housing	and	care:	from	care	to	housing.
                                              •	 De-institutionalization:	from	intramural	to	sublimated	home	care.
                                              •	 Mixed	occupation:	rich	and	poor,	sick	and	in	good	health,	young	and	old,	migrant	and		
                                                 native.
European Congress                             •	 No	separation	from	partner.
Healthcare Planning and Design Perspectives   •	 ‘Use	it	or	lose	it’;	the	care	is	strictly	suitable	and	advising;	too	much	care	is	worse	than	too		
                                                 little care.
                                                                                                                                                 5
•	 ‘Give	a	hand	with	your	hands	on	your	back’:	stimulate	independence	and	self-reliance	(up		
   to pain threshold);
•	 Corporate	yes-culture:	meetings	cost	money,	enthusiasm	produces	money.

At Sunday afternoon, it is possible to visit one of their exemplary buildings in Rotterdam.

17.00-19.00 hrs. Archiguides Architectural bike tour of Rotterdam
                 Take a tour of Rotterdam’s architectural highlights. There’s lots of them,
                 so you’ll need a bike to see them all! This tour will take you past some
                 of the most exciting recent building projects, focusing on the banks of the
                 river New Meuse, which have proved to be fertile ground for great
                 architecture. On the south bank we will visit the large-scale docklands
                 redevelopment known as the “Head of the South” which has breathed new
                 and vibrant life into a part of the city that had become derelict when
                 harbour activities were moved outside the city limits. Crossing Ben van
                 Berkel’s elegant Erasmus bridge, the tour also showcases buildings by Renzo
                 Piano, Peter Wilson and Sir Norman Foster, as well as taking a tour of
                 the Rem Koolhaas-designed Museum park, which is also home to Jo Coenen’s
                 Netherlands Architecture Institute.
                 There is an additional fee for the architectural tours. You can subscribe for
                 this tour with your on-line registration.



Monday 7th of June
07.30-09.30 hrs. Early morning registration
09.3 -09.40 hrs. Opening of congress
09.40-10.00 hrs. European Healthcare; challenges and solutions;
                 Dr. Nata Menabde,
                 Deputy Regional Director at the WHO Regional Office for Europe
10.00-10.30 hrs. Present and Future Sustainable Healthcare;
                 Prof. Ton Venhoeven,
	                Professor	of	Architecture	Eindhoven	University	of	Technology,		     	
                 Government-Advisor on Infrastructure, director of Venhoeven CS
10.30-11.00 hrs. Service to capital translation for sustainable healthcare;
                 Prof. Martin McKee,
                 Professor of European Public Health at the London School of Hygiene &
                 Tropical Medicine, Research director of the European Observatory on Health
                 Systems and Policies.

Workshop & Masterclass programme
11.00-12.00 &
13.30-14.30 hrs. Masterclass 1: Pathways to Design
                 Speaker: Barrie Dowdeswell, research director ECHAA
MPW01            Quality management of hospital real estate in a changing context
                 Speakers: Johan van der Zwart Msc and Theo van der Voordt, Msc, PhD,
	                Delft	University	of	Technology
MPW02            Private patient rooms – helping the patient heal within a staff efficient
                 ward-design
                 Speakers: drs Liesbeth van Heel & ir Corina Schols
MPW03            Sustainable healthcare infrastructure. More than just green.
                 Speakers: Michael Becker
MPW04            Critical Care Design: The Winners and Future Trends, An Investigative
                 Study
                 Speakers: Charles Cadenhead FAIA, FACHA
SPW01            Presentation of results from Masterclass Berlage Institute on mental
                 healthcare

6
                                              14.30-15.30 &
                                              16.00-17.00 hrs. Masterclass 2: Dutch Healthcare Architecture
                                              	                Speakers:	Cor	Wagenaar	PhD,	Delft	University	of	Technology&	Frans	Jaspers		
                                              	                MD,	board	member	University	Medical	Center	Groningen	(UMCG)	&	invited		
                                                               Dutch Architects
                                              MPW05            Diagnosis related strategies for hospital planning and operation
                                                               Speakers: Dr.-Ing Karin Diez & Prof. Dr.-Ing. Dipl. Wi.-Ing Kunibert Lennerts
                                              MPW06            Surviving or Thriving? How to maintain operations while under
                                                               construction.
                                                               Speakers: Laura MacDougall B.Sc. (OT) MBA & Juli Tagi MN., BScN., RN
                                              MPW07            Comparative Healthcare Sustainability, Northern America, the UK and
                                                               Europe
                                                               Speakers: Paul Marmion P.Eng, LEED, AP & Ray Pradinuk B.A.; B. Arch; MSc
                                                               Arch; MAIBC; LEED AP; GGHC Steering Committee
                                              MPW08            Competing views on Finnish healthcare buildings- and how they got on
                                                               Speakers: Hennu Kjisik, architect

                                              Special event & Reception: 18:00 -20:00 hrs. Kunsthal Rotterdam
                                              Book presentation: Dutch Healthcare Architecture by Cor Wagenaar
                                              Video-presentation: “Healthcare facilities: the user experience”



                                              Tuesday 8th of June:
                                              09.00-09.30      Design & research for healthcare architecture; Kirk Hamilton
                                              09.30-10.00 hrs The design and maintenance of healthcare facilities in the developing and
                                                               competitive economy of South Africa, Steve Drinkrow Infrastructure
                                                               Executive Medi-Clinic Ltd and past-president of the International Federation
                                                               of Hospital Engineers (IFHE)
                                              10.00-10.30 hrs. Relationship of the well-being of humans in connection with the built
                                              	                environment;	mr.	Thomas	Rau,	RAU	architects

                                              Workshop & Masterclass programm Tuesday 8th of June
                                              11.00 - 12.00 &
                                              13.30 - 14.30     Masterclass 3: Sustainable hopsitals- a german approach
                                                                Speaker: Prof. Dr.-Ing. Dipl. Wi.-Ing Kunibert Lennerts
                                              TPW09             Financing and Development of Outpatient Facilities – Viable Future
                                                                Strategy and Function in Today’s World
                                                                Speakers: Tom Reisenbichler, AIA, LEED® AP & Donna Bowers JD, RHIA, CHP
                                              TPW10             Patient flows, hospital bed planning and strategic procurement - key
                                                                drivers of University Hospitals modernization in Serbia
                                                                Speakers: Ivan Jekic MD, MBA & Annette Katrava .A.(Econ.), Dipl.Mngt &
                                                                Nicolas Koumpis .A.(Econ.), Dipl.Mngt.
                                              TPW11             The drive for sustainability in the design and operation of healthcare
                                                                facilities
                                                                Speakers: Neil Cadenhead RIBA, ARB, Msc, Dip Arch & Richard Buckingham
                                                                BA (Hons.)
                                              TPW12             People centric healthcare experience design research & innovation
                                                                Speakers: Jos Stuyfzand

                                              14.30-15.30 &
                                              16.00-17.00 hrs. Masterclass 4: Service to capital translation
                                                               Speaker: Steve Wright, executive director ECHAA
                                              TPW13            Health Flow Engineering: Towards a New Approach in Integrated Design
                                                               of Healthcare Facilities
European Congress                                              Speaker: René Rodrigues de Miranda
Healthcare Planning and Design Perspectives

                                                                                                                                              7
TPW14             Future health: sustainable places for health and wellbeing
                  Speakers: Susan Francis MS
TPW15             Designing healthcare facilities through a sustainable model; new
                  perspectives
                  Speakers: Phil Nedin, Healthcare Global Business Leader
TPW16             Norwegian Healthcare Architecture; four examples
                  Speakers: Johannes Eggen Architect MNAL & Johan Arne Bjerknes Architect
                  MNAL
SPW02             Hospitals Unzipped, a students’ view on the future of hospitals
                  Speakers: Prof Bas Molenaar & Mark van der Poll, architect & students
	                 Eindhoven	University	of	Technology

Special event: 18:00-20:00 hrs. Rotterdam City Hall
Official reception hosted by the Mayor of Rotterdam, mr Ahmed Aboutaleb
Held in Rotterdam’s attractive historic city hall, a short stroll from the congress venue.

Wednesday 9th of June:
Workshop & Masterclass programme Wednesday 9th of June

09.00-10.00 &
10.00-11.00 hrs. Masterclass 5: Seven aspects for the critical assessment of
                 hospital designs
                 Speaker: Sjoerd de Hoogh, architect BNA
WPW17            Integrated Infrastructure Scenario Planning: a new approach to accessing
                 and distributing services and estates
                 Speakers: Prof. Andrew Price BSc, PhD, FCIOB, FICE, CEng, FCIOB, HaCIRIC,
	                Loughborough	University,	&	Phil	Astley,	MARU	(Medical	Architecture			
	                Research	Unit),	London	South	Bank	University
WPW18            Possibilities and problems related in regional planning of integrated
                 health care
                 Speakers: Prof. Erkki Vauramo, Prof. Olli-Pekka Ryynänen, Kati Myllymäki and
                 Ermo Haavisto
WPW19            Different aspects of sustainability for health care buildings.
	                Speakers:	Hans	Eggen,	architect,	director	of	the	UIA	Public	Health	Group
WPW20            Dutch Healthcare Architecture; As seen by the architects
                 Speakers: Roelof Gortemaker, Arnold Burger, Taco Tuinhof
SPW03            Lead Market Initiative – Low Carbon Buildings in the Healthcare Service
                 Sector
                 Speakers: to be confirmed

Closing speakers                                                                                Mayor of Rotterdam, mr Ahmed Aboutaleb
11.15-11.45 hrs. The relationship between hospital architecture, healthcare processes and
                  the ICT-domain;
                  drs. Fred Ahsmann Msc., Practice Manager Systems Integration
                  & ICT Architecture
11.45 -12.15 hrs. A fresh look at healthcare architecture;
                  Albert de Pineda, PINEARQ Estudio dei Arquitectura Barcelona, Spain

Wednesday 9th of June – Friday 11th of June: European facility tour
12:30 hrs.        Visits to:
	                 •	Deventer	Hospital	(Deventer	the	Netherlands),
	                 •	Orbis	Medical	Park		(Sittard,	the	Netherlands	),
	                 •	AZ	Groeninge	(Kortrijk,	Belgium),	
	                 •	Hospital	del	Mar		(Barcelona,	Spain)
	                 •	Hospital	de	la	Santa	Creu	i	Sant	Pau	(Barcelona,	Spain).


8
                                              Plenary Speakers



                                              Speaker Biography: Dr Nata Menabde
                                              Dr Nata Menabde is Deputy Regional Director at the WHO Regional Office for Europe. She
                                              has a solid academic background in public health (M.Sc. in pharmacy, Ph.D. in pharmacology)
                                              and 25 years of experience as a health professional, during which she has built an extensive
                                              track record in public health and health systems at country and international levels. She has
                                              studied	health	management	and	leadership	in	the	United	States,	health	care	economics	in	
                                              the	United	Kingdom	and	public	health	in	Sweden.	Since	she	took	up	her	current	position	in	
                                              2006, Dr Menabde has vigorously promoted the primary-care-based health systems agenda,
                                              culminating in the adoption of the (“Health equals Wealth”) Tallinn Charter in June 2008. Her
                                              extensive public health agenda track record includes achievements in the areas of tuberculosis
                                              and HIV/AIDS, non-communicable diseases and risk factors such as tobacco and obesity,
                                              climate change and other environmental concerns, the International Health Regulations and
                                              other aspects of health security, intellectual property rights and the social determinants of
                                              health. She has also strengthened partnerships with key stakeholders such as the Council of
                                              Europe,	the	European	Union,	the	European	Commission,	the	United	Nations	Children’s	Fund	
                                              (UNICEF),	the	World	Bank,	the	Organisation	for	Economic	Co-operation	and	Development,	the	
                                              Global Fund to Fight AIDS, Tuberculosis and Malaria and the European Investment Bank to
                                              increase the effectiveness of WHO’s work.




                                              Speaker Biography; Prof Martin McKee
                                              Prof Martin McKee qualified in medicine in Belfast, Northern Ireland, with subsequent
                                              training in internal medicine and public health. As Professor of European Public Health at
                                              the London School of Hygiene and Tropical Medicine he co-directed the European Centre on
                                              Health of Societies in Transition (ECOHOST), a WHO Collaborating Centre that comprises
                                              the largest team of researchers working on health and health policy in central and eastern
                                              Europe	and	the	former	Soviet	Union.	Martin	McKee	is	also	research	director	of	the	European	
                                              Observatory on Health Systems and Policies, a unique partnership of universities, national
                                              and regional governments, and international agencies. Martin McKee has published over 400
                                              scientific papers and 23 books and is editor of the European Journal of Public Health and a
                                              member of numerous editorial boards, as well as being an editorial consultant to The Lancet.
                                              Martin McKee has been invited to give many endowed lectures, including the Milroy Lecture
                                              (Royal	College	of	Physicians)	and	Cochrane	Lecture	(UK	Society	for	Social	Medicine).	Martin	
                                              McKee sits on a number of advisory boards in Europe and North America, in both the public
                                              and	private	sectors.	He	is	a	Fellow	of	the	Royal	Colleges	of	Physicians	of	the	UK	and	Ireland	
                                              and	the	UK	Faculty	of	Public	Health.	His	contributions	to	European	health	policy	have	been	
                                              recognised	by,	among	others,	election	to	the	UK	Academy	of	Medical	Sciences,	the	Romanian	
                                              Academy	of	Medical	Sciences,	and	the	US	Institute	of	Medicine,	by	the	award	of	honorary	
European Congress                             doctorates	from	Hungary	and	The	Netherlands	and	visiting	professorships	at	the	Universities	
Healthcare Planning and Design Perspectives   of Zagreb and Belgrade.

                                                                                                                                           9
Speaker Biography; Prof Ton Venhoeven
Ton Venhoeven (1954) is architect/director of VenhoevenCS Architects, Professor
of	Architectural	History	and	Theory	at	the	Technical	University	of	Eindhoven	
and advisor to the national government on infrastructure. The creative team of
VenhoevenCS comes from various cultural backgrounds and forms an ambitious and
innovative office for sustainable architecture, urban planning and infrastructure.
The office’s research focuses on the design of self-supporting cities and emission free
buildings. Cultural and social aspects are of major importance: the C and S in the
name refer to it. Because of their broad experience and expertise, VenhoevenCS is
often invited for complex design projects. VenhoevenCS produces a variety of public
and private works, ranging from housing projects, interior design and utilitarian
buildings to infrastructure, urban design and development research.
VenhoevenCS has conducted several studies on hospital designs in and outside the
Netherlands, and won the 2004 hospital design competition ‘Future hospitals: competitive
and healing’, commissioned by Bouwcollege with its innovative entry: Core Hospital. As a
direct result Ton Venhoeven is now a member of the supervisory board of the Paul Stradins
University	Hospital	in	Riga	(Latvia).	Currently	VenhoevenCS	is	designing	the	masterplans	for	
GGNET (psychiatric care) and SEIN (Epilepsy centre), as well as a hospital for epilepsy patients
In 2008 Ton Venhoeven was a member of the jury of the international design competition for
the new hospital in Espoo, Finland.
Health care is becoming a more prominent component in projects executed by VenhoevenCS.
The	project	U2	in	Geuzenveld	is	an	example	where	psychiatric	care	facility	for	elderly	
patients are combined with owner-occupied housing and shops. In Forum ‘t Zand a mix of
educational-, childcare-, cultural and social care facilities are combined with a community
healthcare centre. Sportplaza Mercator in Amsterdam combines a therapeutic swimming pool
and a fitness centre and in Leiden-Noord a community school combines education with a
Children’s Centre, housing for the elderly and for people who are cognitively challenged.




Speaker Biography; Prof Kirk Hamilton
Kirk Hamilton is a Fellow and Associate Director of the Center for Health Systems & Design
and	Associate	Professor	of	Architecture	at	Texas	A&M	University	in	College	Station,	TX,	
where his research area is the relationship of evidence-based design of health facilities and
measurable organizational performance. He is also a Founding Principal Emeritus, WHR
Architects,	Houston	and	Dallas,	TX.	WHR	is	an	internationally	recognized	firm	that	specializes	
in healthcare architecture.

A board certified healthcare architect with 30 years experience in hospital design, he was
elevated to the AIA College of Fellows for his advocacy for excellence in architecture for
health, innovations in design, for research, and his visions for the hospital of the future. His
experience includes professional training in facilitation, graphic recording, conflict resolution
and small group dynamics through the American Leadership Forum and a Master of Science in
Organization	Development	at	Pepperdine	University.

10
European Congress
Healthcare Planning and Design Perspectives
                                              Mr. Hamilton is a past president of the AIA’s Academy of Architecture for Health, as well as
                                              past president and a founding regent of the American College of Healthcare Architects. He
                                              serves on the board of the Center for Health Design. He was the 2003 chair of the Society
                                              for Critical Care Medicine’s design committee, and serves on the faculty of the Institute for
                                              Healthcare Improvement’s collaboratives on improving flow in the acute care setting and
                                              transforming care at the bedside.




                                              Speaker Biography; Steve Drinkrow
                                              Steve Drinkrow is the executive responsible for the greater Infrastructure Department which
                                              is tasked with Engineering Projects, Maintenance and the Capital Procurement for Medi-
                                              Clinic’s Southern Africa’s, 51 hospitals. He has been in facilities engineering management for
                                              over 30 years, 25 of which have been in the hospital environment, with the Medi Clinic Group.

                                              Medi-Clinic Southern Africa has operated hospitals in South Africa for 26 years and is part of
                                              an international hospital group, Medi-Clinic Corporation which operates hospitals in Southern
                                              Africa, Dubai and Switzerland. His talk will address the role of private healthcare in providing
                                              healthcare facilities to the privately ensured members of the South African population. The
                                              influence of profitability, legislation, demographics, competition and disease profiles on the
                                              design and maintenance of these facilities will be discussed.

                                              Steve Drinkrow is the past President of the International Federation of Hospital Engineering
                                              (IFHE), an organization he has served in various capacities since 1994. I.F.H.E. represents
                                              hospital	engineering	in	30	countries	world	wide	including	Germany,	Holland	and	the	United	
                                              States.

                                              Steve	Drinkrow	qualified	at	the	Cape	Peninsula	University	of	Technology	in	1978	with	a	
                                              Higher Diploma in Mechanical Engineering. He is married to Marietjie and has two children,
                                              Christopher and Jeune.




                                              Speaker Biography; Thomas Rau, architect
                                              Social and environmental commitment are at the heart of Thomas Rau’s approach to
                                              architecture. Driven by a self-perception based on mutual respect, Thomas Rau closely involves
                                              his clients in the design of their project. Equally, respect for nature, the built environment and
                                              the cultural context are important factors considered in the planning of his projects.
                                              Thomas Rau regards ‘state of the art’ to be merely the starting point for his projects.
                                              Consequently, he initiated the development of the world’s first energy-generating revolving
                                              door,	which	RAU	has	developed	in	co-operation	with	Boon	Edam.	The	head	office	of	the	Dutch	
                                              branch of the World Wide Fund for Nature (WWF) is CO2-neutral and (almost entirely) self-
                                              sustaining. The body warmth of the people who work in the building is captured and re-used
                                              for heating, birds can breed in nesting boxes in the façade and bats can use the basement as
                                              an extension of their natural habitat.

                                                                                                                                              11
The practice goes one step further with its latest project, Le Carré de Soie in Lyon. This mixed-
use office complex is not only CO2-neutral and self-sustaining, but does produce more energy
than it needs for its own operation. The surplus of energy is fed into the public grid. Similarly,
Christiaan Huygens College in Eindhoven will be the first CO2-neutral and energy-producing
school in the Netherlands, with estimated annual savings in energy costs of approximately €
130.000.
Thomas Rau is ranked among the Top 100 Dutch key players in sustainability, a list published
by national newspaper Trouw and broadcasting corporation LLiNK. He is placed at number
one in the ‘Green Building’ category of the Dutch ‘Green.200’ ranking by Green.2 magazine.
Thomas	Rau	studied	fine	arts	and	dance	at	the	Alanus	University	of	Arts	in	Bonn	and	
architecture	at	RWTH	Aachen	University.	He	has	been	working	as	an	architect	in	Amsterdam	
since	1990.	He	established	RAU	in	1992.	The	office	is	working	in	all	areas	of	the	building	
business with a focus on public health and education.




Speaker Biography; Fred Ahsmann, MSc
Drs.	Fred	Ahsmann	MSc	(1956)	graduated	as	art	historian	in	1983	at	the	University	of	Utrecht	
and graduated as Master of Science in Knowledge Engineering in 1993 at the Middlesex
University	in	London.	He	is	currently	leading	a	group	of	ICT	Solution	Architects	within	
Siemens IT Solutions and Services. One of the key products this group is a generic ICT-
reference architecture for the Healthcare, called ITAH (ICT Architecture for Healthcare). ITAH
provides a framework that hospital organizations can use to quickly establish a ICT reference
architecture for a digital hospital, in which the primary care and cure processes depend on
reliable and performant ICT-solutions. The framework offers a methodical way to establish a
roadmap for transforming a current As-Is to the required To-Be situation.
Fred Ahsmann was involved as responsible program manager in the design phase of the ICT-
infrastructure for the Orbis Medical Centre. The architectural design of this hospital, which
opened its doors in January 2009, was based on a visionary ambition, taking full advantage
of the capabilities that architecture and information technologies offer today to redesign
classical way of delivering healthcare into a what is called ‘New Way of Working’. During the
design phase the architecture and the elaboration for the core ICT-Services was established.
At this moment Fred Ahsmann is working as the responsible program manager for the ICT-
innovation at the HagaZiekenhuis in The Hague. This hospital is planning to renovate the
existing hospital buildings and at the same time redesigning its hospital processes in a radical
way, based on the Planetree concept. The ICT-innovation program, which is based on the ITAH-
reference architecture, is a crucial cornerstone for this innovation program.
In his presentation, Fred Ahsmann will elaborate on the relationship between hospital
architecture, healthcare processes and the ICT-domain. He will demonstrate how these three
areas depend on each other and that at the conception of new physical hospital a clear vision
and ambition not only on the hospital processes, but also on the ICT-platform is crucial for a
successful completion.




12
                                              Speaker Biography; Albert de Pineda
                                              Albert Alvarez de Pineda was born in Barcelona in 1953. His architectural career is specialized
                                              in the healthcare field, having performed , hospitals and residences for elderly, public and
                                              private throughout the Spanish geography (Catalunya, Madrid, Valencia, Galicia, etc.) and
                                              worldwide (amongt others Germany, Portugal, Luxembourg, El Salvador, Dubai) since 1980.
                                              He founded PINEARQ, S.L., a studio dedicated to qualified technical services in Architecture
                                              and	Urbanism	in	1998.	Some	of	the	major	projects	include	the	Biomedical	Research	Park	of	
                                              Barcelona (PRBB), Hospital del Mar in Barcelona, Berlin Hedwigshöhe Hospital, Hospitalarian
                                              Complex Marti i Julià in Girona, Hospital do Mar in Loures (Lisbon) or the private Hospitals
                                              of Quiron in Barcelona and Madrid. He has participated as a lecturer in numerous courses
                                              and congresses. Other types of buildings have been: markets, research centers, university
                                              departments and residential complexes. His work has been published in magazines and books
                                              both nationally and internationally.




European Congress
Healthcare Planning and Design Perspectives

                                                                                                                                           13
Masterclasses
Monday                                            of the capital and case study reports and
11.00-12.00 & 13.30-14.30 hrs                     publications.

1. Masterclass Pathways to Design
Barrie Dowdeswell                                 Monday
One of the major challenges in hospital and       14.30-15.30 & 16.00-17.00 hrs
healthcare facility architecture is achieving a
high degree of sustainable synergy between        2. Masterclass Dutch Healthcare
design and clinical work processes. This is       Architecture
crucial if the full potential of the clinical     Cor Wagenaar & Frans Jaspers
and professional workforce is to be realized      This masterclass is dedicated to the past
in a manner where design contributes in           en present of the Dutch Design tradition
material and measurable terms to improved         in healthcare. In the first part of the
clinical outcomes, better patient care and        Masterclass, the cultural and architectural
satisfaction and increased cost effectiveness.    tradition of healthcare buildings will be
                                                  shared with the audience to gain insight
This workshop will look at some of more           in the development and future of Dutch
progressive solutions to this problem in the      healthcare architecture The Masters for
form of case studies and thematic analysis        this part are Cor Wagenaar, editor of the
drawn from the recent study of capital asset      book: “The Architecture of Hospitals”
strategy for healthcare in Europe undertaken      (2006) and Frans Jaspers (board member of
jointly between ECHAA / EuHPN and the             the	University	Medical	Center	Groningen		
European Observatory on Health Systems            (UMCG).	Various	invited	architects	like	Winy	
and Policies. A significant finding was the       Maas (MRVD) and Kees Kaan (Claus & Kaan
fundamental importance of clinical care           Architects) will share their experience of
pathways and work process systemization           designing for Dutch healthcare clients in
as the core input to designing for the future,    the second part of this Masterclass. These
and yet this initiative remains relatively        ‘Masters of Dutch Design’ will showcase
underdeveloped and unrealized despite             exemplar buildings that are part of the book
obvious advantages for patient care.              that will be released later that day in the
                                                  Kunsthal.
As the trend towards public private
partnerships as a preferred model of service
delivery accelerates throughout Europe,           Tuesday
ongoing research by ECHAA is demonstrating        11.00-12.00 & 13.30-14.30 hrs
how the more dynamic and successful of
these organisations are moving ahead of           3. Masterclass
their more conservative counterparts in the       Kunibert Lennerts
private and public sectors through adoption       After working as Department Head for
of this practice. In today’s climate of extreme   Real Estate Management and Facility
rapidity of change in healthcare, set within      Management at the real estate subsidiary of
a volatile and fragile resource outlook,          the German Railway (responsible for one of
there are important lessons here for those        the most heterogeneous and extensive real
who deliver services, those who design            estate portfolio in Germany; 400 employees,
the facilities and those who invest in and        400 Mio. Euro budget / p.a.), Kunibert
commission healthcare.                            Lennerts became full professor of Facility
                                                  Management	at	Universität	Karlsruhe	(TH)	
The masterclass will be given by Barrie           as	first	University	professorship	of	Facility	
Dowdeswell, Research Director of ECHAA,           Management in Germany in 2000. Next to
who has both practical experience in this         his research work he is consultant in the
field as a former Hospital Chief Executive in     area of Real Estate and Facility Management
the	UK	NHS	and	as	a	co-author	and	co-editor	      (banks, hospitals, local authorities, retail

14
                                              industry, state, other big real estate holder    considering medical facilities as networks
                                              like telecommunication etc.).                    rather than linear systems. Treating
                                              The Karlsruhe Institute of Technology            the problem this way leads naturally to
                                              (KIT) represents the cooperation between         integration of technological change in
                                              the	Universität	Karlsruhe	and	the	               facility conceptualisation and design,
                                              Forschungszentrum Karlsruhe.                     and correspondingly to the impact of
                                                                                               productivity on the facility. Defining the
                                                                                               capacity of a network to handle multiple
                                              Tuesday                                          flow processes is, however, analytically more
                                              14.30-15.30 & 16.00-17.00 hrs                    difficult than for a linear system. Industrial
                                                                                               analogies like lean production and queuing
                                              4. Masterclass Services to Capital               theory can be illuminating here.
                                              Translation
                                              Steve Wright                                     The Masterclass will be given by Steve
                                              Hospital capacity is a complex mix of assets     Wright, Executive Director of ECHAA, who
                                              including buildings, medical/diagnostic          has practical experience of hospital capital
                                              medical equipment, operating theatres and        investment appraisal as a former Associate
                                              intensive care units. However, to avoid what     Director in the Projects Directorate of the
                                              as thought of as overly complex models, it       European Investment Bank. He is also a
                                              has become customary to measure capacity         co-author and co-editor of the Observatory
                                              in terms of certified hospital beds. In          thematic and case study reports.
                                              practical terms, despite apparent complexity,
                                              simple arithmetical relationships are used to    [1] http://www.euro.who.int/observatory/
                                              drive the calculation of bed capacity (based     Publications/20090323_1 and case studies
                                              for example on population, admissions            volume (September 2009).
                                              frequency, average length of stay and
                                              occupancy rate). The implication is that the
                                              constraining factor on hospital functioning      Wednesday
                                              is the number of beds (or possibly theatres).    09.00-10.00 & 10.00-11.00 hrs
                                              Put like this, few hospital planning
                                              professionals seriously believe such a view      5. Masterclass: 7 Aspects for the
                                              which seems to be based on warehousing           Critical Assessment of Hospital
                                              patients until the facility can do something     Designs
                                              with them.                                       Sjoerd de Hoogh
                                                                                               When developing a hospital, crucial
                                              The Masterclass will explore alternative         decisions are being made at an early stage
                                              ways of looking at the issue which are           which have a huge impact on the overall
                                              more dynamic than counting ‘beds’. Work          performance of the healthcare process and
                                              done by ECHAA/EHPN and the European              the business case of the health assets. To
                                              Observatory[1] suggests that there is a          check the feasibility of a hospital project, it
                                              very wide choice of technique, or at least       is necessary to look further then investments
                                              an extremely wide range of capital:labour        costs and budgets. The critical part is to test
                                              ratios, to treat any given patient or disease    if other, difficult to measure, ambitions are
                                              syndrome (hence the fact that medical            being met.
                                              care can be delivered, in some cases             The Dutch Centre for Health Assets has
                                              rather well, in very old facilities). Further,   developed a unique method to score seven
                                              we should characterise healthcare and            essential aspects which show the feasibility
                                              particularly hospital functioning as flow        of a long-term development, in the early
                                              processes. The analytical problem then           design phase. Aspects such as life-cycle costs,
                                              becomes one of defining the capacity to          flexibility, clinical performance and customer
European Congress                             deliver such groups of processes. Thinking       and staff friendly design all interact within
Healthcare Planning and Design Perspectives   about multiple flow processes results in         the design parameters and this method

                                                                                                                                              15
helps to optimize and weigh these aspects to
create a sustainable hospital.
The state of the art of Dutch hospital designs
and various international case studies have
been analysed and tested with this method
and results will be shown. For example;
healthcare process is equated against traffic
flows and flexibility. Optimization is possible
by expressing these items in terms of the
business case. This method is also a vehicle
to address various international trends in
hospital architecture.
The Masterclass will be given by Sjoerd de
Hoogh, Msc Architecture, researcher for the
Dutch Centre for Health Assets. His research
area is the relationship of the quality of
health facilities and the performance of the
healthcare service delivery. He is involved in
consulting international hospital projects on
a strategic level.




                                                  European Congress
                                                  Healthcare Planning and Design Perspectives

16
Post Congress tour (9th - 11th June)

Explore the variety of hospital architecture in Europe in this three day tour directly following
the congress! The tour will showcase recent high-profile projects (newly built or renovation
schemes) in the Netherlands, Belgium and Spain and feature presentations and site tours
under the guidance of local architects and local staff. A number of themes will be addressed:
outpatient department concepts and routing, the use of information technology to optimize
hospital efficiency, sustainability and last but not last some beautiful examples in Barcelona of
high-quality redevelopments of heritage sites.

This unique tour has limited capacity and is truly one of a kind. Included in the tour are
transport (by bus and air), local taxes, site visits, **** hotels and most meals. The tour will
start in Rotterdam and end in Barcelona (Spain). This will give you the opportunity to extend
your stay in Barcelona for the weekend. Barcelona international airport services destinations
world-wide.

The tour will be separately organized and has limited capacity. Applications will be dealt with
on a first come, first served basis. The post congress tour requires a minimum number of
twenty participants. The tour will be hosted by members of DuCHA and local co-organisers.
See the website for further details and registration.



                                Programme
                   9th of June Wednesday afternoon   End of congress – transport to Deventer (including lunch)
                                                     Tour of Deventer Hospital, Deventer, the Netherlands
                                                     Transport to hotel and dinner in Heerlen

                     10th of June Thursday morning   Tour of Orbis Medical Park, Sittard, the Netherlands
                                         afternoon   Transport to Kortrijk (incl. lunch on the bus)
                                                     Tour of AZ Groeninge, Kortrijk, Belgium
                                                     Transport to Brussels Airport (dinner at airport - not
                                                     included in tour fee)
                                                     Brussels to Barcelona, Spain (by air)
                                                     Hotel Tryp, near Barcelona Airport

                       11th of June Friday morning   Transport Hotel to Hospital del Mar by bus
                                                     Tour of Hospital del Mar
                                                     Lunch at Barcelona beach (next to the hospital – not
                                                     included in tour fee).
                                                     Bus transfer to Hospital de la Santa Creu I Sant Pau
                                        afternoon    Tour of Hospital de la Santa Creu i Sant Pau (old & new
                                                     buildings)
                                                     End of hospital tour. Bus drop-off points: Barcelona
                                                     Centre, Hotel Tryp and Barcelona airport.


Keyfeatures of the hospitals
Deventer Hospital (Deventer) – spectacularly designed public spaces, smart lay-out of patient
logistics and outpatient department, ecologically sustainable hospital.
Orbis Medical Park (Sittard) – Built as the “Hospital of the 21st century” care pathway driven
design, IT-integrated hospital concept, all single rooms patient wards.
AZ Groeninge (Kortrijk) – 350 bed hospitals designed by Austrian and Belgian architects
around concepts of sustainability and flexibility, high-quality interior architecture, daylight-
assisted patient & staff way finding concepts.
Hospital del Mar (Barcelona) – redevelopment of ocean front hospital site; trace decades
of building history and discover the latest add-ons. Direct natural light in IC-units and a
wonderful medical campus.
Hospital de la Santa Creu i Sant Pau (Barcelona) – cultural heritage and modern architecture
combined in one site visit. Beautifully detailed old pavilion-style hospital and modernistic
stone-cladded brand new hospital in the city center of Barcelona – a must see!

                                                                                                                 17
Practical information
Registration
To register for the pre-congress Healthcare Facilities Tours, the congress and the Post Congress
Tour; visit our website http://ducha10.ducha.nl/.
The following registration fees (excluding VAT) will apply:


                                 Early bird (paid before 15 march)   Paid after 15 march
Registration fees                Price/person (in Euro’s)            (in Euro’s)

Registration fee                 650,00                              750,00

Residents of Central and East    450,00                              550,00
European States

Students1                        260,00                              290,00

Guest/Accompanying person2       125,00                              125,00

Individual Day Pass              400,00                              450,00

1 Please mail a photocopy of your student identification card to: pauline.hoogerbrug@tno.nl
2 Only for lunches, social events (eg welcome reception town hall)




With this fee you are entitled to the                         their registration fees. The Congress reserves
following items:                                              the right to cancel a Pre or Post Congress
                                                              Tour if insufficient bookings are received.
•	 Access	to	the	Conference	centre                            Additionally if circumstances beyond our
•		 Full	access	to	keynote	sessions,		 	                      control force the cancellation of a Tour full
    masterclasses and workshops)                              reimbursement will be given to delegates for
•		 Study	materials	and	hand-outs                             that Tour.
•		 All	(2	lunches)	and	drinks	provided	as	part		
    of the congress programme                                 Special conditions apply to the refunding
•		 Access	to	Monday	and	Tuesday	evening		                    of the post congress tour. See the congress
    special events                                            website for further details. The congress/TNO
                                                              is not responsible for any loss or damage
Additional fees (in Euro)                                     as a result of a substitution, alteration or
Pre-congress healthcare facilities tour: 45,-                 cancellation/postponement of an event.
Archiguides Rotterdam bike tour:         25,-                 The congress/TNO shall assume no liability
Post Congress European Hospital Facilities                    whatsoever in the event this conference
Tour (see website for details):          770,-                is cancelled, rescheduled or postponed
                                                              due to a fortuitous event, Act of God,
Cancellation fees                                             unforeseen occurrence or any other event
All requests for refunds must be in writing                   that renders performance of this conference
and received no later than March 15, 2010.                    impracticable, illegal or impossible. For
A 250 Euro administrative fee will be charged                 purposes of this clause, a fortuitous event
for cancellations received before                             shall include, but not be limited to: war,
March 15, 2010. Refunds will not be issued                    fire, labor strike, extreme weather or other
after March 15, 2010, but substitutions of                    emergency. In the event that the Congress/
attendees may be made at any time without                     TNO cancels an event for any reason, you
charge.                                                       will receive a credit for 100% of the paid fee.
The Pre-congress healthcare facilities tour
and the tour by bike are non refundable.                      Accommodation
We reserve the right to offer qualified                       There are a number of hotels in the nearby
substitute presenters in the event of an                      area. We recommend the Hilton Hotel and
emergency,illness, etc. If a particular                       Hotel Atlanta, since they are within walking
presentation has to be cancelled, attendees                   distance and the congress organisers and          European Congress
are still responsible for the full amount of                  speakers will stay in these hotels. For special   Healthcare Planning and Design Perspectives

18
conference prices, see the conference hotel      uniting academic and practical expertise.       Media information
website:                                         More information about ECHAA can be found       To contact the organisation please refer to
www.nl.worldmeetings.com/ducha10                 on the website: www.echaa.eu.                   mrs. Willeke van Staalduinen:
                                                                                                 willeke.vanstaalduinen@tno.nl
Exhibit and Sponsor opportunities                Rotterdam
The exhibit area will only have a very limited   Rotterdam is the Netherland’s most pre-         T +31 88 844 29 66
number of space rentals. These spaces            eminent modern architecture city. Within
(including a table and electricity) are in the   a space of a few square kilometres around       Exhibiting information
same area as the lobby of the congress where     the centre, you will find a comprehensive       To contact the organisation with questions
all the activities take place (coffee/drinks,    catalogue of work by eminent contemporary       concerning congress exhibitions, please refer
lunch). You will be an integral part of the      architects. Fine examples of work by Rem        to mrs. Annette de Vreeze:
congress, so everyone will see you! Your         Koolhaas, Renzo Piano, Ben van Berkel, Sir      annette.devreeze@tno.nl
Company logo and short description will be       Norman Foster and many other architects
in the programme guide. For only 2.950,-         can be found in Rotterdam. Rotterdam is also    T +31 88 866 29 10
Euro you can rent an exhibit space including     home to the largest university medical centre   F +31 88 866 29 45
2 full conference passes!                        of the Netherlands, ErasmusMC, which is
                                                 currently going through major upgrading.
The Congress offers numerous other sponsor
opportunities (e.g. attendee bag insert). See    Rotterdam is easy to reach by flight, (high
the congress-website www.tno.nl/ducha10.         speed) international train or ferry. More
For further information you can contact:         information about Rotterdam can be found at
Annette de Vreeze:                               www.rotterdam.info.
annette.devreeze@tno.nl
                                                 Registration Information
DuCHA                                            Congress Organisation
The Dutch Centre for Health Assets (DuCHA)       Click on www.tno.nl/ducha2010
is the latest addition to the Netherlands
Organisation for Applied Scientific              To contact the organisation please refer to
Research’s (TNO, www.tno.nl) range of            mrs. Annette de Vreeze:
expertise centres. Yet, as the successor         anette.devreeze@tno.nl
to the Netherlands Board for Healthcare          Dutch Centre for Health Assets
Institutions (Bouwcollege), DuCHA can            Churchilllaan 11
call upon the wealth of knowledge and            3527	GV	Utrecht
experience in planning and design for the        The Netherlands
healthcare sector that the Bouwcollege has
amassed in its 35-year history. In recent        T +31 88 866 29 10
years, DuCHA and its predecessor have been       F +31 88 866 2945
active in developing innovative approaches
to hospital design and planning (the “Core       The content managers for the conference
Hospital”, the “Layers Approach”), life-cycle    are: mr. Joram Nauta (joram.nauta@tno.nl)
economics, and real estate management in         and mr. Sjoerd de Hoogh (sjoerd.dehoogh@
the healthcare sector.                           tno.nl)

ECHAA
ECHAA (the European Centre for Health
Assets and Achitecture) is a partnership to
support and promote evidence-based policy
decisions related to the built environment of
the health sector. ECHAA has a commitment
to working for the healthcare sector, using
European and other regions’ experience, and


                                                                                                                                               19
Parallel Workshops

Monday 7th of June
MPW01       Quality management of hospital        MPW02     Private patient rooms – helping
            real estate in a changing context               the patient heal within a staff
Speakers:   Johan van der Zwart Msc                         efficient ward-design
            and Theo van der Voordt,              Speakers: drs Liesbeth van Heel & ir
	           Msc,	PhD,	Delft	University	of		                 Corina Schols, Erasmus MC
            Technology, the Netherlands                     Rotterdam, the Netherlands



Real estate is an important business resource.    At the very start of the redevelopment
So briefing, design and management of             project, Erasmus MC’s aim was to provide
hospital buildings should not only take into      patient care in the university hospital of
account functional and social-psychological       the 21st century in private patient rooms.
needs of patients, staff and visitors, but also   For the Netherlands that was a wild idea at
organizational performance, economic added        the time, but since the first general hospital
value and competitive advance, short-term         with single bed rooms has come into use
and during the whole life cycle. Optimization     (Orbis Medical Center, 2009) and others have
of health real estate in different phases of      increased their percentage drastically. To
the building cycle requires a balanced match      substantiate Erasmus MC’s choice, research
with the needs and wishes of different            was done, both on the interior design of the
stakeholders and different perspectives.          private patient room in two mock-ups as well
Current “quality models” can help to support      as on ward design and its effect on patients
complex decision making processes. In             (e.g. communication between doctors and
Dutch healthcare the “Model Nederlandse           patients and prevention of hospital acquired
Kwaliteit” (INK-model) - based on the             infection) and staff efficiency, in a test-ward
European Foundation Quality Management’s          in the existing hospital. In this workshop
model (EFQM-model) - and the Balanced Score       we would like to share our thoughts and
Card (BSC) are often used as a diagnostic         challenges on designing the ward that
tool and management tool to improve               provides both privacy, autonomy, safety and
corporate performance. The discipline             space for patient and their families as well as
of Corporate Real Estate Management               allows nurses and support staff to take care
developed several other models to analyze         of them in a professional, compassionate and
and steer the contribution of real estate to      efficient way. We will look at the positioning
the corporation’s overall performance. In this    of the wards in the building complex (higher
workshop models from these two different          up, with great views, and access to roof
worlds will be explored on its applicability      gardens), their unit size and easy access
to health care real estate strategies and         to OR, Radiology etcetera, their layout and
discussed with the workshop participants.         finally at the requirements of the room itself.
A preliminary “integrated model” will be          As we will be fully engaged in the design
presented and illustrated by a case study of      process in June 2010, we will show you – and
the relation between corporate strategy and       ask you opinion on – our latest design efforts
real estate strategy of the Maasland hospital     and choices.
in Sittard. Finally the research input and
discussions will be used to reflect on the
question how to improve the fit between
changing needs and objectives of patients,
employees and visitors, health organizations
and society as a whole in a continuously
changing context.




20
                                              MPW03     Sustainable healthcare i               MPW04     Critical Care Design: The
                                                        nfrastructure. More than just                    Winners and Future Trends, An
                                                        green.                                           Investigative Study
                                              Speakers: Michael Becker, director Siemens       Speakers: Charles Cadenhead FAIA, FACHA,
                                                        One Hospitals, Germany                 	         WHR	Architects,	USA




                                              Like CEOs of other industries, healthcare        The Society of Critical Care Medicine (SCCM)
                                              CEOs need to cope with various challenges        is the leading international organization
                                              in order to be sustainably profitable and        dedicated to ensuring excellence and
                                              thus fulfill economic as well as ecological      consistancy in the practice of critical
                                              requirements. However, two megatrends            care. The annual design competition,
                                              make it increasingly difficult to separate       held yearly since established in 1992, has
                                              economic growth from energy use:                 received and judged numerous design
                                              demographic change and increasing                entries. These entries are judged by
                                              urbanization. Both have resulted in              panels of physicians, nurses and architects
                                              skyrocketing energy costs, shortages of          against a common outline and ranking of
                                              natural resources, including water and           criteria. The design competition entry data,
                                              myriad other challenges.                         additional information collected through
                                                                                               post-occupancy tours, and architectural
                                              The Green+ Hospitals approach supports           plan analysis have yielded interesting
                                              you in meeting these challenging demands         comparisons	of	past	SCCM	ICU	winning	
                                              and prepares you for the future. This            designs. The findings compare and contrast
                                              approach not only focuses on the obvious         planning approach and concept, space
                                              “green” aspects, but also on a broad variety     program components and areas, social
                                              of levers required to address all levers.        organization of the unit, architectural
                                              Understanding	these	elements	results	            layout, configurations and circulation
                                              in what we consider to be a sustainable          patterns. They reflect changing attitudes
                                              solution for healthcare infrastructure.          to patient and family centered care and
                                              E.g. innovative technologies support a           accommodations, and attitudes toward
                                              facility’s clinical and financial success with   facilities	for	staff	in	the	ICU.		ICUs	rely	on	
                                              savings of up to 25 percent on installation      the most advanced nursing care, staff and
                                              costs, power requirements, and construction.     technology most hospitals can provide
                                              With refurbished systems we realize a            and strategies of improving the work
                                              reduction of 20,000 tons of CO2 every year.      environment and positively improving
                                              A holistic view on efficiency as well as         patient outcomes are exemplified in many of
                                              processes is essential, including planning,      these winning entries.
                                              equipment, system integration, IT, and           By studying best practice health facilities for
                                              operation. Optimized medical and support         critical care medicine and utilizing valuable
                                              processes are required to leverage the full      comparable data collected from these
                                              potential of efficiency and environmental        facilities, those who will invest in the future
                                              care. Optimized workflows contribute to          of healthcare design and environments can
                                              maximize hospital efficiency by increasing       maximize health outcomes and benefit from
                                              utilization of human resources and medical       the lessons learned by others.
                                              equipment, and by reducing required floor
                                              space.


European Congress
Healthcare Planning and Design Perspectives

                                                                                                                                            21
                                                  operation unit.
MPW05     Diagnosis related strategies for        MPW06      Surviving or Thriving? How
          hospital planning and operation                    to maintain operations while
Speakers: Dr.-Ing Karin Diez & Prof. Dr.-Ing.                under construction.
          Dipl. Wi.-Ing Kunibert Lennerts,        Speakers: Laura MacDougall B.Sc. (OT) MBA,
          Karlsruhe Institute of Technology,                 & Juli Tagi MN., BScN., RN, Mount
          Germany                                            Sinai Hospital, Toronto, Canada



As in most European nations, Germany has          Recent studies suggest that hospital
to face the challenges from demographic           construction projects are growing at an
changes of society. Aging population has          unprecedented rate. This is compounded
a great impact on the health care system,         by the fact that almost 47% of the hospital
and especially on hospital care. German           construction projects in the pipeline are
federal statistic agency predicts growing         renovation projects. Renovations are
numbers of in patient treatment of 25% for        required to bring the existing hospitals up
the year 2030, based on the data of 2002. For     to current standards, by integrating new
departments with a surgical profile, as for       technology, incorporating contemporary
example cardiology, the number of cases is        infection control practices, and adapting
assumed to grow by 47%. At the same time,         to changes in clinical practice. However,
the individual length of a patient’s stay is      updating an existing facility is far more
decreasing. Through the implementation            disruptive than an addition or new build
of the German Diagnosis Related Grouping          and therefore requires far more attention to
System a powerful database has become             allow existing services to continue while the
available. The documentation of diseases          facility is under construction. Maintaining
in combination with demographic data and          operations while under going a significant
costs on medical but also on infrastructural      redevelopment can present a wide range of
level gives the basis for strategic planning.     challenges including: disruption in access,
In reference to a certain region, prediction of   noise and vibration, infection control and
number of cases by diagnosis, but also the        occupational health and safety concerns,
need for infrastructures can be estimated.        disruption in the provision of clinical
The session will give an example for hospital     services (especially critical care areas) and
planning on different strategy levels.            recruitment and retention challenges.
First, on the level of strategic hospital
management a scenario will be described.          Research and practical experience will be
This will be followed up by tactical              presented outlining what can be done to
implementations and discussed down to             minimize risk, manage stakeholders, and
operative issues and consequences for one         maintain operations during the construction
of the key functional areas in hospitals, the     period. Strategies will address opportunities
                                                  in each stage of the process from initial
                                                  planning through to commissioning with the
                                                  objective of ensuring that your organization
                                                  thrives during construction rather than just




22
                                              survives!
                                              MPW07     Comparative Healthcare                 MPW08     Competing views on Finnish
                                                        Sustainability, Northern America,                healthcare buildings- and how
                                              	         the	UK	and	Europe                                they got on
                                              Speakers: Paul Marmion P.Eng, LEED, AP &         Speakers: Hennu Kjisik, architect Harris-
                                                        Ray Pradinuk B.A.; B. Arch;                      Kjisik Architects, Finland
                                                        MSc Arch; MAIBC; LEED AP; GGHC
                                                        Steering Committee, Canada

                                              The acute care hospital has been transformed     The City of Espoo, part of the Metropolitan
                                              from lagger to leader in international efforts   Area of Helsinki, organised in 2008 a two-
                                              to reduce greenhouse gas emissions. Having       stage open international architectural
                                              made considerable progress in reducing           competition for the new Espoo Hospital
                                              the energy appetite of this most ravenous        Campus. The task consisted of the design of
                                              building type, North American healthcare         a new 40 000 m2 rehabilitation hospital and
                                              designers are dumfounded by the per square       the conversion of an existing 1970s hospital
                                              meter energy consumption claimed for             into a “Life and Living” Senior Citizens’
                                              hospitals in Europe, and by the incredulously    Centre, including housing and auxiliary
                                              ambitious	deadlines	set	in	Europe	and	the	UK	    services. The aim was to procure an
                                              for carbon neutrality of all non-residential     architecturally and functionally innovative
                                              buildings. There is an urgent need to confirm    and unique solution of the highest
                                              that the cross-continental comparisons           international standard where health-care
                                              being made are indeed ‘apples to apples’ and     related activities co-exist with residential
                                              assuming that they are, an equally urgent        areas thus creating an active and functional
                                              need to exchange ideas and strategies that       entity that promotes health and well-being
                                              will lessen the environmental impact of the      and at the same time provides a range of
                                              type internationally.                            services for nearby residents and other
                                                                                               citizens.
                                              This session will begin with presentations       The first stage, an ideas competition to find
                                              by the lead architects and engineers of four     a general plan for the campus area, attracted
                                              current and exemplary healthcare projects,       48 entries about one third being from outside
                                              one	each	from	North	America,	the	UK,	the	        Finland. The six best entries were invited to
                                              Netherlands and Scandinavia. Presenters          take part in the second stage during which
                                              will introduce the projects typologically and    the buildings and the external areas had
                                              identify the comprehensive sustainability        to be designed in detail. The standard was
                                              strategies incorporated before focusing on       generally considered to have been extremely
                                              GHG reduction strategies specifically. Data      high and the level of innovation exceptional.
                                              will be presented in common units for a          The winners were K2S Architects (Kimmo
                                              series of common measures, including: gross      Lintula, Niko Sirola and Mikko Summanen)
                                              and net floor area; volume, perimeter wall       from Helsinki. Among the laureates were
                                              and glazing area per unit of floor area; air     many well-known architectural firms,
                                              change rates by care area, and; energy use       among them total newcomers to health-care
                                              and GHG emissions for heating, ventilation,      design but also some that are previously
                                              domestic hot water, lighting, equipment,         internationally well-known in the field.
                                              etc., allowing meaningful comparison and         The winners are of course working on the
                                              discussion in an open forum. Panelists will      project at full speed now. By the time of
                                              be challenged to develop shared goals and a      this workshop their work will be close to
                                              consensus best path forward                      completion, results will be shown in this
                                                                                               workshop.
European Congress
Healthcare Planning and Design Perspectives

                                                                                                                                           23
Tuesday 8th of June

TPW09     Financing and Development of          TPW10     Patient flows, hospital’s
          Outpatient Facilities – Viable                  bed planning and strategic
          Future Strategy and Function in                 procurement - key drivers
          Today’s World                         	         of	University	Hospitals	
Speakers: Tom Reisenbichler, AIA, LEED®                   modernization in Serbia
          AP & Donna Bowers JD, RHIA,           Speakers: Ivan Jekic MD, MBA & Annette
          CHP, Perkins+Will Architects,                   Katrava .A.(Econ.), Dipl.Mngt
	         Dallas,	USA                                     & Nicolas Koumpis .A.(Econ.),
                                                	         Dipl.Mngt,	EU/DEC	Project	of		
                                                          Technical Assistance for Capacity
                                                          Building of the Ministry of
                                                          Health, Belgrade, Serbia

As healthcare providers across the globe        This workshops shows the potentials
struggle with increasing expenses, patient      and challenges of integrated approach to
access and quality of care, they are seeking    planning and implementation of (1)patient
to use their capital for new technologies       flows concept, (2)activity based forecasting
and programs that help them compete in          of future hospital’s bed capacity and (3)
the marketplace, while relying upon third       strategic procurement as key drivers of
parties to finance the physical environment.    university hospital modernization in four
This session will compare and contrast the      large tertiary care institutions (Clinical
development of two outpatient medical           Centres-CC’s) of the Republic of Serbia.
facilities being built simultaneously in        The	four	biggest	University	Hospitals	in	
Europe	and	Unites	States.	Comparisons	          Serbia - Clinical Centers (CC) treat with over
between market strategies, financing            2 million outpatients, 220.000 inpatients
arrangements, operational strategies and        and perform 120.000 surgeries per annum.
sustainable design approaches will be           All four have complete or partial pavilion
considered. Focus will be provided by the       structure (10 to 40 buildings), fragmented
healthcare providers and project directors      patient flows resulting in inefficiencies in
on operational strategies, value placed on      process of diagnostic and care, workflows
sustainable design and design of healing        of medical professionals, other staff and
environments. Presenters will outline what      medical supplies as well as problems with
has worked successfully and what could          efficient use of working time. They all have
be improved. Best practices for healthcare      overcapacity (total of over 7000 hospital
delivery, sustainable building design and       beds in 2006) based on both underdeveloped
architectural project delivery will be shared   contemporary models of care and traditional
with the audience. The audience will gain       input based planning. Furthermore, strategic
valuable insights into the challenges and       purchasing policies are in early stage.
opportunities surrounding third party           A main project goal is to centralize facilities,
financed projects, and gain exposure to         integrate joint functions and to separate
financial arrangements which                    patient flows into four major patient groups
                                                (outpatients, day-patients, emergency
                                                patients and inpatients) and patients for OR/
                                                ICU	areas,	resulting	in	substantial	decrease	
                                                in number of hospital beds. Project supports
                                                two parallel and interrelated processes:
                                                health service delivery changes and large-




24
                                                                                              TPW11     The drive for sustainability in
                                                                                                        the design and operation of
                                                                                                        healthcare facility
                                                                                              Speakers: Neil Cadenhead RIBA, ARB, Msc,
                                                                                                        Dip Arch & Richard Buckingham
                                                                                                        BA (Hons.), BDP Groupe6,
                                                                                                        England/France




                                              scale capital infrastructure investment of
                                              physical facilities (total space of hospital    The development and growth of European
                                              facilities in 4 CC’s approx. 450.000 m2 -       building regulation standards, design
                                              round 200.000 m2 to be reconstructed or         practices and codes has occurred over a 70
                                              newly built in the 1st phase), to finally       year period which has also involved cheap,
                                              ensure truly “patient centred” hospitals that   freely available, energy, and disregard
                                              are at the same time long-term functionally     to the effect of our consumption on the
                                              and financially sustainable. This workshop      environment, CO2 emissions, scarcity of
                                              will highlight some of the key elements of      resource and indeed resource inequality.
                                              this project.                                   Developing the design of sustainable
                                                                                              hospitals is only partly possible within the
                                                                                              context of the current regulatory framework
                                                                                              for hospitals but the regulations and
                                                                                              other codes or design working practices
                                                                                              themselves limit what can be achieved in
                                                                                              terms of making hospitals sustainable.

                                                                                              We will use specific examples from different
                                                                                              countries’ codes e.g.; German DIN Standards,
                                                                                              UK	building	regulations,	HBNs	and	HTM’s	
                                                                                              and French, Etablissement Recevant la
                                                                                              Publique standerds(ERP) (with some
                                                                                              references	to	the	USA	AIA	Guidelines	for	
                                                                                              hospitals, and SNIP and other codes still
                                                                                              being applied in Eastern Europe as applied
                                                                                              to a number of recent projects e.g. Tbilisi
                                                                                              Hospital (DIN Standards) Brighton Hospital
                                                                                              in	the	UK	(HTM’s)	Pol	Francillian	hospital	in	
                                                                                              France (ERP’s), to illustrate how our codes
                                                                                              have energy profligacy embedded in their
                                                                                              requirements and how the same issues
                                                                                              could be addressed with more sustainable
                                                                                              thinking.




European Congress
Healthcare Planning and Design Perspectives


                                                                                                                                          25
TPW12     People centric healthcare              TPW13      Health Flow Engineering:
          experience design research &                      Towards a New Approach in
          innovation                                        Integrated Design of Healthcare
Speakers: Jos Stuyfzand, Director Ambient                   Facilities
          Experience Design,Philips Design,      Speaker:   René Rodrigues de Miranda,
          the Netherlands                                   Deerns, the Netherlands




From the point of view of design and             Without doubt, a modern healthcare facility
business context, the focus for healthcare       is considered to be one of the most complex
environments increasingly moves from             design challenges. At the end of the day,
singular solutions and functional workflow       it is not a purely technical exercise but
efficiency towards a holistic care and           an approach to facilitate all human key
workflow experience that addresses both          moments in life: birth, illness, recovery,
the functional en emotional needs of             farewell, death and even the conception of
patients, family and clinical teams. Ambient     life itself, into one building configuration.
experience for healthcare extends far            But it is also considered just a piece of real
beyond the design of a product or interior       estate that needs to be handled accordingly
architecture: it is the creation of an entire    with life cycle costs’ consequences always
environment that is sensitive to patient         in the back of our mind. This workshop
experience and clinical workflow needs           introduces the relationship between Medical
and personalized to their requirements. It       flow functionality and the Health Flow
merges technology (like dynamic lighting,        engineering as the integrated design tool to
video projection and smart-cards) with           come to new insights in the development
architectural qualities and people’s senses      of future facilities. Recognizing health care
into an ambient experience with one goal –       facilities as a collection of movements in a
to deliver better healthcare. In this workshop   distribution network that enables the wide
the creation of an People centric healthcare     range of medical interventions and nursing
experience will be featured                      activities will create new insights. With a
                                                 series of examples on meta scale as well
                                                 as on smaller scale this concurrent design
                                                 flow of engineering, architecture as well as




26
                                              industrial design will be demonstrated            sustainable places.

                                              TPW14    Future health: sustainable places        TPW15     Designing healthcare facilities
                                                       for health and wellbeing                           through a sustainable model; new
                                              Speakers: Susan Francis MS, Special                         perspectives
                                                         Advisor for the Commission             Speakers: Phil Nedin, Healthcare Global
                                                         for Architecture and the Built         	         Business	Leader,	United	Kingdom
                                              	          Environment,	United	Kingdom




                                              A new healthcare landscape is emerging            Sustainability is now a common strategic
                                              that emphasises a holistic social model of        direction required in the design brief of
                                              health and wellbeing. Greater responsibility      almost all healthcare facilities around the
                                              is being placed on lifestyle and personal         world.
                                              responsibility to encourage healthier lifestyle
                                              choices. The delivery of care itself is also      It does, however, have many meanings
                                              changing: with rising patient expectations,       depending on the context within which
                                              an ageing population, the increasing use          it is used and hence can often create a
                                              of IT, alongside a drive to improve quality       lack of clarity particularly with the large
                                              and effectiveness by organising care              stakeholder group involved in the planning
                                              around patient pathways. Living within            and operation of a healthcare facility. It is
                                              environmental limits has become a key             therefore important that the designers of
                                              issue for our future health and wellbeing.        these facilities adopt a consistent and wide
                                              The physical environment is responsible           view of sustainability. This presentation
                                              for	50%	of	UK	carbon	emissions	and	the	           considers a sustainable approach for the
                                              strategic location of buildings and their         design of healthcare facilities in an efficient
                                              environmental performance can help to             and effective manner over the life of
                                              mitigate some of the adverse effects of           the estate. It is after all about creating a
                                              climate change on the environment. Design         sustainable healthcare business through a
                                              of the physical environment can be a              number of imperatives.
                                              catalyst for change and has great potential
                                              to synthesis complex requirements. It             These include developing a whole life
                                              can help to create sustainable places that        costing approach, flexible estate planning,
                                              enhance people’s health and wellbeing,            creating therapeutic environments and
                                              reduce adverse impact on climate change as        reducing carbon emissions. It becomes clear
                                              well as improve service delivery. The benefits    that individual imperatives are mutually
                                              of a more holistic approach to healthcare,        dependent and together create best value
                                              wellbeing and sustainability are clear with       when innovative solutions are considered.
                                              examples of projects to demonstrate it can
                                              be done. But to achieve widespread practice       This presentation deals with these issues
                                              requires more joined-up thinking in policy        and offers new examples in order to give the
                                              making, strategic planning, and practice.         concept of a sustainable design approach
                                              This paper will showcase good practice            clarity.
                                              and explore what steps are needed to bring
                                              health into a wider planning arena, create
                                              more care effective delivery and deliver more
European Congress
Healthcare Planning and Design Perspectives

                                                                                                                                              27
TPW16    Norwegian Healthcare                      SPW02		   Hospitals	Unzipped,	a	students		
         Architecture; four examples                         view on the future of hospitals
Speakers: Johannes Eggen Architect MNAL            Speakers: Bas Molenaar, Professor
          & Johan Arne Bjerknes Architect                    Architecture and Health
          MNAL, Norway                             	         Care	Eindhoven	University		
                                                             of Technology, Partner EGM
                                                             Architects & Mark van der
                                                             Poll, Tutor Architecture and
                                                   	         Health	Care	University	of		 	
                                                             Technology , Architect at Inbo
                                                             Architects

This session will highlight four recent            A skyscraper with free-range floors for
Scandinavian hospital projects, varying            people with dementia, a panopticum as an
in size from 50,000-square-meters to               ideal concept for a nursery home; tertiary
350,000-square-meters, but with shared             care as highway drive-by; new concepts for
ambition on patient-focused design,                ‘core hospitals’; a diagnostic centre shaped
sustainability, and flexibility. Their differing   like a spaceship… Bas Molenaar, Mark van
sites (rural versus urban) and sizes               der Poll and students will present future
resulted in very different design concepts.        concepts for hospitals and nursery homes.
Participants will obtain an overview of the        The somewhat provoking concepts will put
Scandinavian model for hospitals, identify         the discussion on sharp and are the start of a
different qualities in each four hospital          vivid debate. For or against decentralization,
concepts, and hear specific highlights. In this    privacy versus collectivity, scale and
workshop there will also be a presentation         dimension, demography and district. In
about a research project for innovative            short: what is the status quo of architecture
design in operating theatres, “the future          and health care?
operation room”




28
                                              Wednesday 9th of June

                                              WPW17     Integrated Infrastructure Scenario     WPW18     Possibilities and problems related
                                                        Planning: a new approach to                      in regional planning of integrated
                                                        accessing and distributing                       health care
                                                        services and estates                   Speakers: Prof. Erkki Vauramo, Prof. Olli-
                                              Speakers: Prof. Andrew Price BSc, PhD,                     Pekka Ryynänen, Kati Myllymäki
                                                        FCIOB, FICE, CEng, FCIOB,                        Health director Kouvala city
                                                        HaCIRIC, Loughborough                            and Ermo Haavisto Medical
                                              	         University,	&	Phil	Astley,	MARU		                director of Kymenlaakso hospital
                                                        (Medical Architecture Research                   district, Finland
                                              	         Unit),	London	South	Bank		 	
                                              	         University,	United	Kingdom

                                              Population increase, the economy and global      This workshop will deal with regional
                                              warming are likely to put a sharp focus          planning for integrated health care in
                                              on how we organise ourselves to: make            Finland. The region Kymenlaakso with it’s
                                              better use of our resources; decrease carbon     180 000 inhabitants and 1970’s healthcare
                                              emissions; and re-think how we can act in a      infrastructure will be central in this case
                                              more	sustainable	way.	Within	the	UK	NHS,	        study. The region is located in South-Eastern
                                              taking care closer to home and outside of        Finland. The population is rapidly ageing,
                                              hospitals is one of a number of DH initiatives   the 75+ population will double by 2040.
                                              to improve healthcare and respond to the         There are two equally strong centres with
                                              need for sustainable, accessible, efficient      some political competition involved: the
                                              and effective services. This workshop will       District Hospital with the main specialties, a
                                              trial a new approach to scenario planning        Psychiatric Hospital and a Health Centre with
                                              that will help to determine which services       beds, all located in the north, in the City of
                                              to put in what type of building according        Kouvola, and the Regional Central Hospital
                                              to care model design, estates and transport      and Health Centre located in the south, in
                                              planning. This workshop will be designed         the City of Kotka.
                                              around a live case study example with
                                              the aim of determining the barriers,             Helsinki	University	of	Technology	has	firstly	
                                              opportunities and benefits of using a multi-     analyzed the general trends in region.
                                              disciplinary and integrated approach to          The second phase, started in 2009, will
                                              infrastructure planning. This approach is        produce a new service model adapted to the
                                              supported by a robust academic literature,       existing resources with a related building
                                              various rigorous tools and models and a case     programme. The care model will be based on
                                              study example will be based on actual data       the integration of primary care and special
                                              captured from action research to include         care services. In Kouvola special care will be
                                              660,000 patient activity and patient travel      integrated into a strong Health Centre and
                                              and service re-configuration attitudinal data.   in Kotka primary care will be integrated into
                                              The aim of this workshop will be to present      the Central Hospital while still maintaining
                                              a new best practice approach within the          its own identity. Outlines of facility planning
                                              context of a live case study, as a means of      will be described and the planning figures
                                              validating and revising this new approach.       will	be	discussed.	The	need	for	EU-wide	
                                              This work will build on research completed       comparison of population based planning
                                              with DH Estates and Facilities and The           figures is obvious. New service blocks will
                                              Prince’s Foundation.                             also be discussed in this workshop.



European Congress
Healthcare Planning and Design Perspectives

                                                                                                                                            29
WPW19     Different aspects of sustainability     WPW20     Dutch Healthcare Architecture; As       SPW03     Lead Market Initiative – Low
          for health care buildings.                        seen by the architects                            Carbon Buildings in the
Speakers: Hans Eggen, architect, director of      Speakers: Roelof Gortemaker architect                       Healthcare Service Sector
	         the	UIA	Public	Health	Group,		                    De Jong Gortemaker Algra                Speakers: to be confirmed
          Switzerland                                       Architects and Engineers
                                                            &, Arnold Burger, architects
                                                            Burger Grunstra Architects
                                                            & Taco Tuinhof RDH Architects
                                                  	         and	Urban	Planners,	the		 	
                                                            Netherlands



There are many aspects of sustainability. For     STAGG (Dutch foundation for architectural         The LCB-HeathCare project will create the
a hospital which requires large investments       research on healthcare buildings), a study        initial platform for a European Lead Market
over a very long time these multiple criteria     group of the BNA (Royal Institute of Dutch        network of public procurement stakeholders
are very difficult to fulfil. The workshop will   Architects), hosts a country workshop             that wish to be proactive in stimulating
contrast two different type of life cycles:       to provide an idea of how healthcare              innovative Low Carbon Building solutions
                                                  architecture came into existence in the           for the healthcare sector. Buildings account
The ‘old cycle’ where new requirements            Netherlands. The workshop will focus on the       for	some	40%	of	CO2	emissions	in	the	EU	
require new departments even new annex            circumstances in which architects and clients     and the healthcare sector has a particularly
building. The result of such transformation       work in the Netherlands and how those             intense demand for energy, through heating,
over 50 or 100 years is a complex of              circumstances contribute to the creation          lighting, ventilation and equipment use, due
buildings added on, without concept, with a       of special and innovative projects. The           to its nature, scale and 24/7 operation. The
high density which also creates an unhealthy      design climate in the Netherlands invites         healthcare sector is ideally placed as a lead
feeling. All available rest of land has been      modernisation and innovation. Clients dare        market; not only are the drivers to reduce
used, buildings are getting older and finally,    to experiment. It also relates to the interface   carbon and energy costs considerable, the
cannot be used as a hospital any more.            between the private and public funding            sector also provides a highly managed
This will be in contrast with the ‘new cycle’     used to finance healthcare architecture. This     professional environment that facilitates
in which long term masterplanning for             consequently reduces the risks for the client     innovative solutions to be specified and
sustainability will be a prominent feature.       vis-à-vis using only private funding. Dutch       tested and provides routes to a wider market
But how do we in practice develop enough          architects are internationally renowned           of a significant scale, facilitating rapid
scare capacity in planning, land use and          innovators. There are various reasons for         replication and scale up of demand.
architectural identity over a full life cycle?    this. The standard of architectural education
This workshops will explore this, using           in the Netherlands is high. Several institutes    This	workshop	will	build	on	a	UK	initiative	
various examples of hospitals sites in            conduct research, disseminate knowledge           to support innovation through procurement
Europe.                                           and provide educational study programmes.         and involve health care service organisations
                                                  This means there is scope for paying              from four European countries. The situation
                                                  attention to architecture, as provisions for      in the four participating countries is quite
                                                  basic healthcare requirements have long           different, as is their current experience and
                                                  been in place. Affordable healthcare is           national systems, thus offering a wide range
                                                  available to everyone who needs it. A good        of lessons for other stakeholders across
                                                  insurance system for the entire population        Europe.
                                                  provides a broad base for care institutions.
                                                  These facts can also be compared with the
                                                  situation in other countries. The parameters
                                                  that require attention to improve the
                                                  situation in a given country can therefore be
                                                  readily established. We shall include various
                                                  examples in this workshop.


30
European Congress
Healthcare Planning and Design Perspectives

                                              31
Colofon
Photograhps: TNO




                   European Congress
                   Healthcare Planning and Design Perspectives

32
Information

More information about this congress and the
post programme tour can be found on:
www.tno.nl/ducha09

To contact the organisation please refer to:
mrs. Annette de Vreeze
annette.devreeze@tno.nl

Dutch Centre for Health Assets
Churchilllaan 11
3527 GV Utrecht
The Netherlands

T +31 88 866 29 10
F +31 88 866 29 45

The content managers for the congress are:
mr. Joram Nauta
joram.nauta@ducha.nl

mr. Sjoerd de Hoogh
sjoerd.dehoogh@ducha.nl

tno.nl

				
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