Professorial Dissertation from the year 2010 in the subject Nursing /
Foster Care Management / Social Services, Swiss Federal Institute of
Technology Zurich (Department für Architektur), language: English,
abstract: INTEGRAL PROCESS DESIGN [IPD]: ABSTRACT Improved Planning
and Operations for Complex Buildings Starting Point: Health care systems
throughout the world face financial collapse. Costs must be reduced.
This study shows a significant cost reduction potential of hospital
running costs which account for ca.25-30% of health care budgets in many
OECD countries. (CDC, 2009) Goals: The goal of Integral Process Design
is to liberate sufficient resources due to operational optimization so
that the entire construction and refurbishment budget for hospitals
could be free of charge. Avoiding dangerous assumption traps with IPD:
Today's planning information is based on too optimistic efficacy
assumptions which are not coherent with reality in hospitals. Planning
has to be more realistic to avoid dangerous 'Assumption Traps' which
lead to misdirected investments. Tracing imposed inefficiencies with
Grey Performance Analysis: IPD focuses on externally imposed
inefficiencies by targeting avoidable unnecessary work called 'Grey
Performance'. Architectural consequences of IPD: IPD significantly
influences the organizational structure, functional layout and
architectural planning of complex buildings. Health facility
architecture must change its focus from optimal use of surfaces to
optimal use of human resources. Enabling more quality through additional
revenues: More revenues are possible by surrounding building design with
business design already in the early project conceptualization.
