The New Zealand Healthcare Facilities Series

The New Zealand Healthcare Facilities Series

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Healthcare facilities across the country are in various stages of redevelopment and new construction of facilities are needed to face increasing demand from a growing population.

About

Healthcare facilities across the country are in various stages of redevelopment and new construction of facilities are needed to face increasing demand from a growing population.  Robust business cases and careful development are now required as budgets are tight and expectations are high.

This conference series addresses the two key challenges arising from this situation with separately focused days to provide insight into the design and development of healthcare facilities, and best practice project management skills for healthcare facility developments. 

Conference 1, The Future of Healthcare Facilities in New Zealand focuses on how we as a country should plan for and design our future healthcare facilities to cater for changing demographics and users needs.
• What will be the future demands on New Zealand healthcare facilities
• Design features of future healthcare facilities and overseas trends that should be implemented in the New Zealand environment
• Optimising your facilities with technology
• Effectively future proofing your healthcare facilities

Conference 2, Health Facility Development Project Management, has been specifically developed to ensure you return to your organisation with strategies and tools for undertaking facility development projects.  Such practical ‘how to’ topics include:
• Effectively engaging with healthcare facility users and community
• Establishing effective governance for health facility project management
• Meeting the challenges of a tight project budget
• Determining the contracting methodology that will deliver best results
• Shifting and migrating operations during a project
• Closing a project and shifting operations into the new facility

Workshops are a chance to immerse yourself in two specific areas:
Workshop A: Mastering the tendering process to achieve best value will equip you with valuable strategies and tools to ensure tendering is suitable for your project and you get the results you want. 
Workshop B: Utilising contracts that encourage optimal performance is not a contract management 101 type of class.  This workshop will educate and teach you how to apply principles of contract management that will enable you to not only get best efforts out of contractors, but build good working relationships also.

Networking is one of the most valuable aspects of attending these conferences as it is rare to have so many peers and experts all in one place.  This conference series has been designed with this in mind to ensure there is ample time for informal discussions and interactions, so you can build those key connections.

Agenda

Day 1

8.30

Registration and coffee

9.00

Opening remarks from the Chair

9.10

Addressing the current demands on New Zealand healthcare facilities to highlight what is needed to be provided for in the future

• Are current healthcare facilities in New Zealand prepared to cater for the future health needs?
• The need for increased collaboration and sharing of information on development projects
• How will public use of private hospitals affect facility planning?
• How can healthcare facilities make better use of budgets?

Greg Simpson, General Manager Facilities, Counties-Manukau DHB

10.00

Mobile health facilities as a unique solution for overcoming hospital capacity issues (Keynote)

The challenges of limited capacity in the UK are mirrored here in New Zealand. Gary will relate ‘war stories’ from the UK on how portable capacity has been used to solve capacity constraints and the logistics of working with Hospitals, getting access to sites to place units, ensuring that they operate everyday is a challenge. This address features case studies of how mobile surgical units can be utilised to treat some toughest hospital capacity challenges.

• Elective Initiatives- Cataract waiting times were an issue in the north of England, and with a blitz enabled by the use of mobile health facilities 11,000 patients were treated in 11 months, making the surgical waiting list far more manageable.
• New Capacity- When a new day surgery facility was being constructed on the Singleton Hospital in Swansea, they installed a mobile operating theatre. This gave immediate capacity which later transitioned to the new facility when it was commissioned
• Refurbishment- When Nuffield Hospital Newcastle-upon-Tyne embarked upon a 6-month refurbishment of its wards they chose to maintain its capacity during this time using a number of mobile health facilities which made refurbishments quicker and easier.
• Fire- What do you do if your theatre burns down? This happened at The Royal Marsden in London. With in days mobile health facilities were in place, providing a theatre and recovery ward. This enabled theatre and recovery services to continue without interrupting the rebuilding process.

Gary King, International Development Director, Vanguard Healthcare Solutions (UK)

10.50

Morning tea

11.10

New design features and emerging trends that should be implemented in future healthcare facility projects

This session looks at the emerging trends for healthcare facilities, drawing from overseas examples to consider those that warrant implementation in New Zealand healthcare facilities based on tangible benefits offered.
• New considerations in the design of facilities including model of care trends that effect design and hospital planning
• What new technologies and design elements are now being utilised and what advantages do these offer?
• The relevance of overseas projects and experiences to the New Zealand environment.

Rachael Rush, Director of Health, Klein

12.00

Designing and developing a patient centred healthcare facility (Case Study)

• The process of turning a dream into reality
• How goals for the hospital were translated into design concepts
• What new technologies and features have been utilised
• What effect has the new facility had on patients?

Clare McArthur, CEO, Ormiston Hospital

12.50

Lunch

1.40

The case for sustainable elements incorporated into healthcare facilities

Recent overuse of terms such as sustainability and green has caused them to lose credibility as many simply see them as a passing fad. But the case for pursuing sustainable goals reside more with their potential for lifecycle cost savings as opposed to just environmental responsibility. This session looks at the benefits to health facilities that can be gained by incorporating sustainable features, offering some key points of consideration including:
• Energy saving features to reduce the power bill of the facility
• Considering the lifecycle of materials and their long term cost
• Increasing expectations for social responsibility and environment regard
• Incorporating these elements into a business case to justify sustainable development

Simon Harvey, Director, Business LAB

2.30

Optimising your facilities with technology – within and beyond the walls

• How has technology altered facility design?
• How can technology best be leveraged and factored into facility design?
• What are some of the practical considerations in implementing systems to best support outcomes – both within the facility and beyond the walls?

Andrew Terris, Consulting Director, HealthMap

3.20

Afternoon tea

3.40

Key methods for best practice project financial management (Case Study)

Efficient usage of budgets is assisted by having a prior knowledge of the primary causes for blowouts and areas where savings can be found allows for optimal management of the process. This session offers insight into how budgets can best be used, specifically covering:
• Identifying the financial pitfalls early on to avoid expenditure blow out
• Undertaking life cycle cost analysis on the project
• How can budget blowouts caused by complications and delays be minimised?

Anthony de Rose, Associate Operations Director, Capital & Coast DHB

4.30

Effectively future proofing health facilities

• Future users and technologies and their impact on facility design
• Design that considers the cost of the facility over its life cycle
• Reviewing design tools and techniques for optimising lifecycle facility effectiveness
• Impact of alternative procurement strategies on facility lifecycle

Darryl Carey, Director, Chow Hill Architects

5.20

End of conference one and networking drinks

Day 2

8.30

Registration and coffee

9.00

Opening remarks from the Chair

9.10

Effective engagement with healthcare facility users and community (Case Study)

Drawn from a number of projects in health, Alan’s presentation will outline approaches, strategies and techniques employed for engagement, consultation and building commitment and energy within projects.
• Stages of engagement
• Cultural factors to consider
• The use of visual tools
• Turning around a troubled project
• Management of expectations and the early introduction of a prioritisation tool

Alan Mackintosh, PMP Project Manager, Mindpool Ltd

10.00

Utilising value management to meet the challenge of a tight project budget

• Confirming the key requirements of the project and using these as a focus
• Using VM as a proactive rather than reactive tool for optimal outcomes
• Gaining community and stakeholder input and support
• Identifying best value options that deliver on functional needs and budget constraints
• Determining optimal ways of delivering the defined project objectives

Peter Waterhouse, Director, Value Solutions

10.50

Morning tea

11.10

Determining the contracting methodology that will deliver the best results for your project

• An overview of the methodologies and what scenarios are each best suited to
• Key criteria to be included in analysis, key success factors and risks
• Advantages and downsides of each method
• Strategies for overcoming the challenges that can arise

Waren Warfield, Managing Director, RCP NZ

12.00

Panel discussion: Succeeding in driving the project business case up the chain of decision making (Panel)

This panel represents an opportunity to hear first hand what is expected in the business case for a project so as to ensure that it can be done right the first time.
• The business, quality and operational considerations that must be addressed
• What makes a convincing case?
• Quickly clarifying issues and shortcomings of a case for fast resubmission

Alan Mackintosh, PMP, Project Manager, Mindpool Ltd
Geraint Martin, CEO, Counties-Manukau DHB

12.40

Lunch

1.30

Decanting and migrating operations successfully during a redevelopment (Case Study)

This session outlines some lessons learned and how to conduct the planning process and engage key stakeholders with the planning to enable smooth migration of staff, patients, operations and equipment.
• Planning the process for a smooth migration
• Engaging staff and stakeholders in planning
• Impact of migration on staff and how to best overcome negative feelings
• What opportunities can migration offer?

Nola Ardern, Staging and Migration Manager, Lakes DHB

2.20

Successfully closing the project and shifting operations into the new facility (Case Study)

Providing examples from two recent projects where one was vacated and the other not during construction, Brendon Groufsky from the Canterbury District Health Board, will detail the process he used for closing the project and transitioning to operational use of the facility.
• Tools for ensuring all project objectives have been completed
• Undertaking a thorough project review to pin point trouble areas and determine how improvements can be made in future projects
• Communicating project completion to stakeholders and organisational units
• Seamlessly transitioning into operational use of the facility

Brendon Groufsky, Project Manager, Canterbury DHB

3.10

Afternoon tea

3.30

Understanding the legislative requirements for your project

This session is a comprehensive update that will get you up to speed with all the pertinent legislation to health sector facility development projects.
• Latest amendments to the Building Act and their implication to healthcare projects
• Aspects of the Construction Contracts Act to be aware of
• Interacting with local authorities effectively to speed up the consenting process
• Legal risks to DHBs in contracting and procurement

Janine Stewart, Senior Associate, Minter Ellison Rudd Watts

4.20

Establishing effective governance of health facility project management

From this session you will gain an understanding of how to devise a governance structure that accounts for the idiosyncrasies of the NZ health sector environment with examples provided to demonstrate proven effectiveness.
• Structures that are conducive to part time management so primary roles can be fulfilled
• Should you form a steering group? And if so who should be in it and how should it be formed?
• Establishing reporting lines and accountability to ensure that the day-to-day decisions are handled and the higher level decisions are passed on

Allan Johns, Project Manager, NCounter Group Ltd

5.10

End of conference day and networking drinks

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