Habilitationsschrift, 2010
170 Seiten
The main goal of this study is to present Integral Process Design (IPD) as a solution to address the growing issue of high healthcare costs in complex buildings, specifically hospitals. IPD aims to bridge the gap between business planning and building design, ensuring operational efficiency and cost-effectiveness from the early stages of planning. This approach focuses on the integration of operational processes and interdepartmental cooperation within a hospital, aiming to liberate sufficient resources for cost-free construction and refurbishment.
Part A: Overview
This part sets the stage by introducing the concept of Integral Process Design (IPD) and its application to complex buildings, particularly hospitals. It highlights the pressing issue of escalating healthcare costs and the need for efficiency improvements. The chapter explores the limitations of traditional planning methods and outlines the key goals of IPD.
Part B: Constraints
Part B delves into the constraints that hinder efficient planning and operation of healthcare facilities. It examines the shortcomings of current building structures, the limitations of "tailor-fit" solutions, and the negative impact of separated investment and operational budgets. This part also discusses the complexities of health service financing and remuneration systems.
Part C: Concept
Part C presents various concepts for performance management in hospitals, including Clinical Path Management, Lean Process Management, Evidence-Based Design, and the CORE Hospital concept. It explores their strengths and limitations, setting the stage for the introduction of IPD.
Part D: Implementation
Part D focuses on the practical application of IPD, showcasing its implementation in various hospital projects. It presents case studies, analyzes the economic and performance impacts of IPD, and outlines strategies for integrating business and architectural design. This part also delves into the crucial aspects of moderation, communication, and transition assistance for successful IPD implementation.
Integral Process Design, healthcare, hospital, efficiency, cost-reduction, business planning, building design, strategic space, Joint Business Case, transition assistance, operational excellence, grey performance, assumption trap, healistic design, sustainable planning, remuneration, DRG, DTC, monistic financing, healthcare system.
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