National Development Program for Finnish Hospital Facilities VALSAI

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National Development Program for Finnish Hospital
Facilities (VALSAI)

• Kari Reijula, MD, PhD, Professor
• Director of Theme
• Good Indoor Environment Quality Theme
• Finnish Institute of Occupational Health
• Helsinki, Finland

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R D project in Finnish Hospitals (VALSAI)

• Changes in health care processes
• Flexibility needed new methods, modern
  technology
• Hospital infections resistant bacteria
• Future ward, outpatient care
• Need to separate acute and elective care
• Aging population, lack of personnel, economical
  reasons
• Need for renovation (due to the age condition)
  in hospitals
• Need to improve the IAQ hygiene in hospitals
• Need to improve strategies how to renovate
  hospitals
• How to get funding, who should own the hospital
  properties?
• Global needs! (bulding industry, epidemics
  (SARS, "bird flu")

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Central Hospital Districts in Finland (20)
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Hospital buildings (10) Condition and Need for
Renovation
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Moisture damage in hospital buildings
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The cost of hospital renovation
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VALSAI - PROJECT
OBJECTIVES

• Develop tools for making regional long term
  planning
• including space requirement estimation
• Produce criteria to estimate usability,
  operability, technical
• systems, as well as the basis for physical
  condition surveys
• and refurbishment design
• Develop refurbishment processes for hospital
  facilities
• Develop new tools for property management and
  carry out
• piloting of the tools
• Find alternative solutions to own, finance and
  manage
• hospital properties

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VALSAI
National vision for health care actions
Long term plans of the region
Owners, municipalities
Existing facilities
Operative planning of the hospital
VALSAI-methods/tools
Modern technology
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VALSAI
Future vision of health care national/regional o
rganization plan
Architecture/ Space requirements
Existing bldg and falicities
what is missing? something too much? right
location? what has to be changed?
Health care processes
what is changing? technical systems ownership pro
perty management
logistics e-hospital
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VALSAI 2006-2008 National Development Program
for Finnish Hospital Facilities

• Lead party
• Finnish Institute of Occupational Health (FIOH
  TTL)
• Project Manager Prof. Kari Reijula
• Other participating Institutes
• Helsinki University of Technology (TKK)
• Technical Research Center of Finland (VTT)
• Institute for Real Estate Economics (KTI)
• Participating Hospitals
• 5 University Hospital Districts (Helsinki,
  Turku, Tampere, Kuopio, Oulu)
• 3 hospital districts (Lahti, Joensuu, Kokkola)
• Helsinki City Health Department
• 12 partner companies
• Six "Task groups" in four pilot hospitals

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VALSAI Task Groups (1-2)

• Task group 1 Regional visions, facility
  development programmes and master plans
• Reviewing the regional master plans
• Producing material for regional master planning
• Result vision document
• Status completed
• Task group 2 Care processes and facility design
• Developing a new method for process based
  architectural design
• Developed and piloted in at the Kuopio University
  Hospital
• Result Method description
• Status ongoing and ready late 2007

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VALSAI Task Groups (3-4)

• Task group 3 Guidelines and user requirements
• Focus in HVAC, indoor air environment
  technology
• Analysis of previous literature, knowledge and
  experience
• Result Guidelines for planning
• Status ongoing, ready autumn 2007
• Task group 4 Assessments and surveys of quality
  of hospital environment
• 4.1 Assessment of operational feasibility,
  accessibility, usability
• Analysis of existing evaluation methods
• Method from component 2 as a tool for producing
  evaluation criteria
• Result report, method for functional evaluation
• Status ongoing

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VALSAI Task Groups (4, continued)

• 4.2 Field studies and measurements at Helsinki
  University Hospital
• Microbes
• Micro-particles in air
• HVAC and Carbon dioxide levels
• Heat and temperature
• Anestesia gas, contamination
• Condition of premises, systems, IAQ
• Hygiene
• Result Status report of working environment in
  hospitals
• Status ongoing, ready early 2008
• 4.3 Lighting and Acoustics
• Working party for monitoring the problems
• Result User requirements and planning guidelines
  for lighting and acoustics
• Status Ongoing

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VALSAI Task Groups (5-6)

• Task group 5 A new management method for
  refurbishment process
• New working methods for renovation process
• How to protect workers/patients during the
  renovation
• Piloted at the Oulu University Hospital
• Result Guidelines for management of construction
  process in functioning hospital
• Status ongoing, ready autumn 2007
• Task group 6 Management of Health Care Property
  (Facilities)
• Review of present knowledge/literature
• Inventory of current situation in participating
  hospital districts (8)
• Comparison with other industries
• Piloted in Lahti
• Result Strategic alternatives to manage and
  finance hospitals facilities
• Status ongoing, ready spring 2008

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VALSAI Project Organization
Plan and needs
TKK
TTL
Health care processes and architecture
TKK
Design guidelines and user requirements
TKK
Task groups
Assessment and surveys
TTL
TKK
KTI
VTT
Processes for design and refurbishment
Property management/economics
KTI
Kuopio
Oulu
Joensuu
Lahti
piloting hospital districts main focus
research institutes in charge of component