Health and care infrastructure research and innovation centre (HACIRIC) extension.
Lead Research Organisation:
Imperial College London
Department Name: Imperial College Business School
Abstract
HaCIRIC's vision is to be a world class centre delivering research to support better healthcare through better infrastructure. We aim to be the first call for research, help and advice for organisations involved in the redesign of their healthcare infrastructure, both in the UK and internationally. Our programme was established in 2006 and is now responding to the changing global context for healthcare. Britain and all major developed countries need to meet an expanding demand for services while simultaneously controlling rising costs, improving quality and safety, and increasing productivity. It is acknowledged that tackling the major challenges facing health systems around the world will involve: (1) shifting care patterns between different healthcare settings, (2) rethinking the use of technological and physical infrastructure to support that change, (3) developing new organisational and funding models to make it work, and (4) generating rigorous and accessible evidence to demonstrate the changes that really do work. HaCIRIC's work is addressing these challenges, with a focus on the relationships between innovation in healthcare infrastructure, services and technology.1. Shift the location of care within health and social care systemOur research is informing moves towards a general shift in care from acute, high cost and reactive models towards primary, preventative and possibly lower cost ones. We aim to help to move care down this 'pyramid' of care and, where appropriate, out of the formal system, using a strong evidence base and realising the benefits in a planned, efficient and effective way. 2. Develop creative new models combining technological and physical infrastructureEfficient, high quality care - wherever it occurs in the system - depends on achieving the best possible combinations of technology, organisation, physical infrastructure and finance. In acute healthcare, there will be increased emphasis on new roles for or closure of hospitals. In primary care the key may be to harness information and integrate services. In the informal sector, the challenge is how to support self-care, incentivise behavioural change and build support networks.3. Build innovative organisational and funding modelsAchieving new combinations of technology, organisational and physical infrastructure will require various constraints to be tackled. These include finding innovative new solutions that can be scaled-up and delivered wherever appropriate, widening access to healthcare users, and meeting world class standards and performance goals. Greater openness to experimentation in service and business models will be needed by all care systems.4. Support change managementIt is increasingly recognised that if change is to be achieved in a highly politicised field, with entrenched interests and views, policies and innovative approaches will need to be designed in a way that engages the public more effectively. Developing rigorous and accessible evidence to support policy and managerial decision-making is therefore critical.As a whole, our research programme is unique in focusing on the relationships between healthcare technology, services and infrastructure. This has not been adequately researched, making HaCIRIC's work essential - unless the key questions are researched, with solutions properly modelled and the learning effectively disseminated, health systems may not be able to accomplish the vital innovations need to meet the future demands placed on them.
Planned Impact
HaCIRIC's work over the last 4 years has been focused on providing the evidence that can be used by government, the health services and their supply chains to make decisions about planning and delivering new infrastructure. In our next phase we aim to increase our interaction with with high quality strategic and operational stakeholders at both the national and international levels. Our objective is to increase the number of working partners in our research activity measured by the number of active partners each year. The target is to double the number of high quality partners every two years. This will largely come about as we establish the HaCIRIC brand through the quality of the outputs and engagement with users. Our work is now having a direct impact through knowledge and technology transfer activities. For example, our work with the LIFT programme in Greater Manchester has been recognised in national awards. Internationally, the Benefits Realisation project has entered a partnership with Edifer (one of the leading construction companies in Portugal) and the University of Minho to provide knowledge transfer through research and consulting services. We have been invited by the OGC and TSO to become a reviewing panel member for the new 'Managing Successful Programmes' guidelines currently under review. Our work on remote patient monitoring is directly informing government policy in this area through the Preventative Technologies Grant and Whole System Demonstrator programmes and has levered an additional c700,000 in additional funding from government. Plans are being developed to establish an implementation group built on the Procure 21+ group of contractors. At the pre competitive stage of projects we will be developing with the contractors leading edge practice, briefing strategies and project implementation based on our consolidated evidence base of internationally leading practice. With our partners in ECHAA (European Centre for Health Assets and Architecture) we are beginning to offer support for the development of major healthcare infrastructure projects overseas.
Organisations
Publications
A. Tucker D
(2014)
When infrastructure transition and work practice redesign collide
in Journal of Organizational Change Management
Abma I
(2014)
Perceptions and experiences of financial incentives: a qualitative study of dialysis care in England.
in BMJ open
Achour N
(2016)
Learning lessons from the 2011 Van Earthquake to enhance healthcare surge capacity in Turkey
in Environmental Hazards
Achour N
(2015)
Integration of resilience and sustainability: from theory to application
in International Journal of Disaster Resilience in the Built Environment
Achour N
(2014)
Hospital resilience to natural hazards: classification and performance of utilities
in Disaster Prevention and Management
Achour N
(2015)
Healthcare emergency planning and management to major hazards in the UK
in International Journal of Emergency Management
Achour N
(2011)
Healthcare resilience to natural hazards: an achievable target
in International Journal of Disaster Resilience in the Built Environment
Adamu Z
(2015)
Natural Ventilation with Heat Recovery: A Biomimetic Concept
in Buildings
Adamu Z
(2012)
Performance evaluation of natural ventilation strategies for hospital wards - A case study of Great Ormond Street Hospital
in Building and Environment
Adamu Z
(2015)
The Design and Simulation of Natural Personalised Ventilation (NPV) System for Multi-Bed Hospital Wards
in Buildings
Adamu Z
(2016)
Natural Personalised Ventilation - A Novel Approach
in International Journal of Ventilation
Ahmad A
(2013)
Creativity with Building Information Modelling Tools
in International Journal of 3-D Information Modeling
Ahmad, A.M
(2012)
Impact of Space Standardisation and Flexibility on Healthcare Delivery
in Architectural Engineering Design Management (AEDM) Journal.
Ahmad, AM
(2014)
Impact of Space Flexibility and Standardisation on Healthcare Delivery,
in nternational Journal of Applied Science and Technology
Al-Bizri, S
(2013)
Intelligent Buildings
AlSehaimi A
(2013)
Need for Alternative Research Approaches in Construction Management: Case of Delay Studies
in Journal of Management in Engineering
Angele-Halgand, N
(2013)
International approaches to Clinical Costing
Arayici Y
(2011)
Technology adoption in the BIM implementation for lean architectural practice
in Automation in Construction
Arayici Y
(2011)
BIM adoption and implementation for architectural practices
in Structural Survey
Arayici, Y
(2011)
Knowledge and technology transfer from universities to industries: a case study approach from the built environment field
in Journal of Higher Education
Barlow
(2017)
Managing Innovation In Healthcare
Barlow J
(2011)
The Connected Home: The Future of Domestic Life
Barlow J
(2013)
Handbook of Innovation in Public Services
Barlow J
(2011)
Implementing remote care in the UK: an update of progress
in Eurohealth
Barlow J
(2011)
Raising the profile of simulation and modelling in health services planning and implementation.
in Journal of health services research & policy
Barlow J
(2013)
Europe sees mixed results from public-private partnerships for building and managing health care facilities and services.
in Health affairs (Project Hope)
Bolt T
(2021)
An analytical framework for group simulation model building.
in Health systems (Basingstoke, England)
Boudeau C
(2013)
Design team meetings and the coordination of expertise: the roof garden of a hospital
in Construction Management and Economics
Boudeau, C
(2013)
Ergonomics as authoritarian or libertarian: Reflections on Ward's politics of design
in The Design Journal
Chapman C
(2014)
Costing Practices in Healthcare
in Accounting Horizons
Chapman C
(2012)
What do academics do? Understanding the practical relevance of research
in Qualitative Research in Accounting & Management
Chapman, C
(2013)
Reflections on the research and practice of costing
in Irish Accounting Review
Chen, B
(2011)
Design strategies and environmental assessment methods in health care: Lessons from UK's BREEAM
in Architectural Journal
Chrysanthaki T
(2013)
Stimulating whole system redesign: Lessons from an organizational analysis of the Whole System Demonstrator programme.
in Journal of health services research & policy
Chun, M
(2015)
Comparative study of user-centred design approaches
Cloutman-Green E
(2014)
The important role of sink location in handwashing compliance and microbial sink contamination.
in American journal of infection control
Collinge W
(2014)
Stakeholder interpretations of design: semiotic insights into the briefing process
in Construction Management and Economics
Collinge W
(2018)
Exploring construction project design as multimodal social semiotic practice
in Social Semiotics
Collinge W
(2013)
A conceptual valuation framework (VF) for home telecare system devices
in Journal of Assistive Technologies
Cravo Oliveira T
(2015)
The association between general practitioner participation in joint teleconsultations and rates of referral: a discrete choice experiment.
in BMC family practice
Description | This is an extension to project EP/D039614/1. For copy of final programme report and details of all (c.300) publications please visit www.haciric.org or contact Prof. James Barlow |
Exploitation Route | see EP/D039614/1 |
Sectors | Construction,Healthcare |
URL | http://www.haciric.org |
Description | This is an extension to project EP/D039614/1. For copy of final programme report and details of all (c.300) publications please visit www.haciric.org or contact Prof. James Barlow |
First Year Of Impact | 2014 |
Sector | Construction,Healthcare |
Impact Types | Societal,Economic |
Description | APROS / EGOS Joint Conference UTS Sydney, 9th - 11th December 2015 |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Professional Practitioners |
Results and Impact | Harty, C., and Gottlieb, S. (2015) "Designing space for healthcare practice" APROS / EGOS Joint Conference UTS Sydney, 9th - 11th December 2015 |
Year(s) Of Engagement Activity | 2015 |
Description | Housing - A critical perspective, Liverpool, 9th April 2015. |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | National |
Primary Audience | Professional Practitioners |
Results and Impact | Ewart, I. & Harty, C. (2015) "The Inadequate Provision of Disability Housing Adaptations: a Research Agenda" Housing - A critical perspective, Liverpool, 9th April 2015. |
Year(s) Of Engagement Activity | 2015 |
Description | Nordic Academy of Management 12th-14th Copenhagen, Denmark, August 2015 |
Form Of Engagement Activity | A talk or presentation |
Part Of Official Scheme? | No |
Geographic Reach | International |
Primary Audience | Professional Practitioners |
Results and Impact | Themsen, T. N., Tryggestad, K. T. and Harty, C. (2015) "Risk management and uncertainty in large construction and infrastructure projects: What roles for knowledge and project management?" Nordic Academy of Management 12th-14th Copenhagen, Denmark, August 2015 |
Year(s) Of Engagement Activity | 2015 |