28 - 29 November, 2018 | Hilton, Brisbane

Health Facility Design and Development: Plenary Day One - 28 November 2018

8:00 am - 9:00 am Registration and Networking

9:00 am - 9:10 am Opening Remarks from the Chair

Irene Roberts, Portfolio Director at Sunshine Coast Hospital and Health Service

Irene Roberts

Portfolio Director
Sunshine Coast Hospital and Health Service

9:10 am - 9:40 am Keynote Presentation: The Herston Quarter Redevelopment Project – Establishing a Health-Centric, Mixed Use Health Precinct to Elevate Quality of Care

From 2017 for the next decade, the $1.1 Billion private-sector led Herston Quarter is a project that presents a redevelopment opportunity to contribute important social infrastructure to one of Australia’s leading health precincts, including delivery of a new specialist public health facility for Metro North Hospital and Health Service. The project combines an innovative PPP financing structure with a unique delivery model that emphasises the strengths of specialist developers and operators to deliver an integrated health and wellbeing precinct within a working public hospital site. In this session, Debbie will discuss the shared vision to continually improve quality and access to a comprehensive range of integrated health services through a private development with key external partners:

  • How the addition of Herston Quarter will greatly enhance the access to health services for the region and generate a community feel with a new uses, including a range of residential, retail, and public spaces
  • How the flexibility of the development agreement and unique commercial and delivery structure and how the approach sets a benchmark in ways government and the private sector can work together to deliver significant heath-focussed mix use projects
  • Minimising risk for the State by adopting a unique arrangement via a property trust in the delivery of public health infrastructure
  • Extensively engaging clinicians throughout the clinical design and development process to ensure relevance and practicality of the mode of care
  • Lessons learnt from the challenges of balancing competing design and technical requirements within the operational requirements of Queensland’s largest site, and the importance of effective communication
Debbie McNamara, Development Director at Metro North Hospital and Health Service

Debbie McNamara

Development Director
Metro North Hospital and Health Service

9:40 am - 10:10 am The Essential People Tool to Lead Real Change

Given the voracity,speed and extent of change in
the healthcare industry, it’s essential to understand
yourself first before you encourage others to make
change. This session will help you:
• Become aware of the 3 mental barriers to change
implementation
• Understand how others may react to change
proposals and plan for success
• Implement a cognitive behavioural 4 step change
planning process to help you lead change in any
environment
Anthony Bonnici, Director at Move Mountains

Anthony Bonnici

Director
Move Mountains

The world is experiencing a global aging boom. According to studies, by 2030 there will be 34 nations including Australia where more than 20% of the population is over 65, classifying Australian as a super aging nation. This panel will review the impending trends in aging and how we have addressed the growing demand so far, while focusing on:

  • How designers and planners are integrating the needs of senior citizens in the planning of new hospital facilities
  • How to do more with our existing facilities?
  • How innovation in technology is changing the way care is provided for elderly people
  • Federal versus State agenda in health and aged care
  • Digital transformation – What it means in terms of translating digital innovation into our facilities

Facilitators:
Keola Wescott, Senior Director Capital Project Delivery at QLD Health

Keola Wescott

Senior Director Capital Project Delivery
QLD Health

Wendy Hoey, Executive Director – Rockhampton Hospital at Central Queensland Hospital and Health Service

Wendy Hoey

Executive Director – Rockhampton Hospital
Central Queensland Hospital and Health Service

Damian Gould, Chief Executive Officer at Building Queensland

Damian Gould

Chief Executive Officer
Building Queensland

Dan Levitt MSc. CHE., Executive Director at Tabor Home Society (Canada)

Dan Levitt MSc. CHE.

Executive Director
Tabor Home Society (Canada)

10:40 am - 11:00 am Speed Networking

An effectively structured interactive session designed to help you expand your network through one-on-one focused conversations. Bring your business cards!

11:00 am - 11:30 am Networking Morning Tea

11:30 am - 12:00 pm Case Study: An Overview of the State Infrastructure Plan – Addressing Queensland’s Future Health Infrastructure Needs

Queensland Health is developing plans to address future health infrastructure for QLD across the short, medium and long term. Bronwyn will outline the strategic direction for health infrastructure in QLD:
 
  • Moving toward integrated planning – Aligning service planning, workforce planning and infrastructure planning to better coordinate the use of resources and achieve integrated healthcare
  • Planning for growth – The increased demand for health services, particularly in the south east corner and eastern sea board, puts pressure on existing healthcare services that have reached capacity or are not fit for purpose
  • Renewal – With 122 public hospitals in QLD plus Primary Health Care Clinics, the issue of aging infrastructure needs a planned response.  The question we should be asking ourselves is whether to hold, renew or rebuild and determine when to commence planning
Bronwyn Nardi, Executive Director – Infrastructure Strategy and Planning at QLD Health

Bronwyn Nardi

Executive Director – Infrastructure Strategy and Planning
QLD Health

12:00 pm - 12:30 pm Creating Age-friendly Hospitals and Health Services

An age-friendly hospital is a hospital promoting
health, dignity and participation of persons of
older ages, valuing health, humanity, and human
rights. This engaging interactive session will offer
a framework for designing hospitals that truly meet
the health and social needs of seniors.
• Learn ways to create a friendly, supportive,
respectful and accessible healing environment
tailored to the unique needs of older persons
• Articulate the key components of building design
that facilitate safe, health promoting, effective,
holistic, patient-centered and coordinated care in
a planned manner to the older person
• Empower older persons and their families to
increase control over their health
Dan Levitt MSc. CHE., Executive Director at Tabor Home Society (Canada)

Dan Levitt MSc. CHE.

Executive Director
Tabor Home Society (Canada)

12:30 pm - 1:00 pm Case Study: Overcoming Challenges around Patient Flow to Maintain High Quality Care and Improve Clinical Efficiencies

Maintaining high quality care is critical for efficient patient flow. In this session, Alanna will discuss how Royal Brisbane and Women’s Hospital (RWH) are overcoming patient flow challenges, particularly around volume, skill sets and greater co-morbidity, by choosing the most appropriate model of care for the patient cohort:

  • Improving patient flow by taking a patient-centred approach: Using a nurse navigator model to monitor the patient journey, “hot” and “cold” ED sections to reduce waiting times and their patient access and coordination hub for an interdisciplinary approach between the HHS and Ambulance
  • How RWH is utilising QEAT (Queensland Emergency Access Target) KPIs to review their models of care and assess their impact on clinical efficiencies, patient experiences and health outcomes
  • Continuous improvement by being aware of and benchmarking against other projects and initiatives within and outside your health service
  • Making sure information is entered in a timely fashion to assist with clinical decision making
  • Effective workforce  planning to maintain high quality care through inter-professional learning, utilising good evidence and improving clinical handover processes
Alanna Geary, Executive Director Nursing and Midwifery Services at Royal Brisbane & Women’s Hospital and Metro North Hospital & Health Services

Alanna Geary

Executive Director Nursing and Midwifery Services
Royal Brisbane & Women’s Hospital and Metro North Hospital & Health Services

1:00 pm - 2:00 pm Networking Lunch

2:00 pm - 2:30 pm Case Study: Managing the Delivery of the First New Non-Replacement Tertiary Teaching Hospital through Functional Design Documentation, Development and Building Commissioning

Di and Caroline led the design, development and building commissioning aspects of the $1.8 Billion Sunshine Coast University Hospital (SCUH) PPP project for the past 9 years. Here they will share their experiences from a building commissioning perspective, with a particular focus on:

  • Collaboration with community groups in developing a prototype suite as part of the new hospital site, built to demonstrate the most prolific 25 standard rooms to be built in the hospital
  • Insight into the building commissioning process and initiatives used to enhance stakeholder experiences, such as lean thinking, horizon scanning and high consumer engagement in all stages
  • Proactive response to patient feedback to ensure quality improvement through the planning process
Dianne Morgan, Clinical Planning Manager at Sunshine Coast Hospital and Health Service

Dianne Morgan

Clinical Planning Manager
Sunshine Coast Hospital and Health Service

Caroline Zantis, Clinical Planning Manager at Sunshine Coast Hospital and Health Service

Caroline Zantis

Clinical Planning Manager
Sunshine Coast Hospital and Health Service

2:30 pm - 3:00 pm Case Study: How to Successfully Implement an Integrated Service Commissioning Approach in a Complex PPP Landscape

Integrated service commissioning assisted the whole health service’s readiness to transition into the new building, making SCUH one of Australia’s smoothest commissioning hospital projects to date. Underpinned by a contemporary change management framework, Irene will discuss the design, implementation and impact of their integrated approach to service commissioning:

  • Applying complex facility wide, end to end scenarios to ensure models of care were appropriate and supported patient flow
  • Fully integrated ICT and extensive training, with multi-disciplinary teams working collectively to better understand each other’s dependencies, contributed to a seamless transition
  • Clinical scenario testing aided by virtual reality technology applied on a large interdepartmental scale, like examining the perioperative journey of a major trauma patient  
  • Summary of impact and outcomes of their integrated approach, including greater clarity in roles, scope and processes, active risk management and higher levels of clinical engagement
Irene Roberts, Portfolio Director at Sunshine Coast Hospital and Health Service

Irene Roberts

Portfolio Director
Sunshine Coast Hospital and Health Service

3:00 pm - 3:30 pm Networking Afternoon Tea

3:30 pm - 4:00 pm Case Study: Adopting the “Whole of Lifecycle” Mindset to Asset Management to Place Sustainability and Maintenance at Front of Mind

Ongoing maintenance is an incessant struggle as hospitals become increasingly expensive and complex. Irrespective of the scale of the project, we must consider the true lifecycle cost of the asset and apply it to both digital and build environments. With reference to current city and rural sites, David will discuss how you can extract more value for money while creating a sustainable and maintainable asset:

  • Opportunities for significant savings and efficiencies by adopting this model of thinking upfront in the early stages of planning to reduce risk of operational failures
  • Benefit vs. cost analysis – the difference between not funding maintenance properly relative to the early failure of the building itself or components within the building
  • How to develop an appropriate asset management and maintenance plan to effectively manage your whole of life building and infrastructure costs, and leverage continuous improvement opportunities through benchmarking and performance review
David Sinclair, Executive Director – Capital and Asset Services at QLD Health

David Sinclair

Executive Director – Capital and Asset Services
QLD Health

4:00 pm - 4:30 pm Champagne Solutions Clinic

Choose one of the following topics to further
identify, benchmark and analyse the key issues and
challenges around improving hospital infrastructure!
Pick a note taker and representative from the table
who will share the solutions after 20 minutes of
discussion.
TOPIC 1: Principles of hospital redesign to
accommodate new digital environments
TOPIC 2: The potential for regional and metro
health service partnerships
TOPIC 3: Introducing Activity Based Working
(ABW) into the hospital spaces

4:30 pm - 5:30 pm Networking Drinks