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
Zhao, Y
(2012)
Outpatients' perception on the design of waiting areas in healthcare facilities
in Intelligent Buildings International
Yates-Bolton, N
(2012)
Improving Hospital Environments for People with Dementia
Wanigarathna N
(2016)
Healthcare designers' use of prescriptive and performance-based approaches
in Architectural Engineering and Design Management
Wanigarathna N
(2021)
Sources and flow of healthcare built environment design evidence
in Built Environment Project and Asset Management
Uzun-Jacobson, E
(2012)
Addressing the barriers
in HSJ
Uzun Jacobson E
(2015)
The scope for improvement in hyper-acute stroke care in Scotland
in Operations Research for Health Care
Tutt D
(2013)
Building networks to work: an ethnographic study of informal routes into the UK construction industry and pathways for migrant up-skilling
in Construction Management and Economics
Tutt D
(2011)
Reenactments at Work: Demonstrating Conduct in Data Sessions
in Research on Language & Social Interaction
Tutt D
(2013)
'In the air' and below the horizon: migrant workers in UK construction and the practice-based nature of learning and communicating OHS
in Construction Management and Economics
Tucker DA
(2015)
The importance of role sending in the sensemaking of change agent roles.
in Journal of health organization and management
Tucker D
(2016)
The dynamic nature of social accounts: An examination of how interpretive processes impact on account effectiveness
in Journal of Business Research
Tucker D
(2013)
Communicating During Organizational Change Using Social Accounts The Importance of Ideological Accounts
in Management Communication Quarterly
Thomson D
(2013)
Practitioner understanding of value in the UK building sector
in Engineering, Construction and Architectural Management
Steventon A
(2012)
Effect of telehealth on use of secondary care and mortality: findings from the Whole System Demonstrator cluster randomised trial.
in BMJ (Clinical research ed.)
Spyridonidis D
(2011)
Opening the black box: a study of the process of NICE guidelines implementation.
in Health policy (Amsterdam, Netherlands)
Spyridonidis D
(2014)
Are new forms of professionalism emerging in medicine? The case of the implementation of NICE guidelines
in Health Sociology Review
Shikder, S
(2012)
Summertime performance of climate change on multi-occupancy British dwellings
in Open House International: Special issue on Adapting Buildings to Climate Change
Shikder, S
(2011)
Design and decision making to improve healthcare infrastructure
Shikder S
(2011)
Therapeutic lighting design for the elderly: a review
in Perspectives in Public Health
Shama G
(2013)
The uses and abuses of rapid bioluminescence-based ATP assays.
in International journal of hygiene and environmental health
Saurin T
(2013)
A complex systems theory perspective of lean production
in International Journal of Production Research
Sanders C
(2012)
Exploring barriers to participation and adoption of telehealth and telecare within the Whole System Demonstrator trial: a qualitative study.
in BMC health services research
Rooke J
(2012)
Lean health care: the success of a toolkit depends also on the people who use the tools.
in Annals of emergency medicine
Roehrich, J
(2013)
Managing Public-Private Strategic Alliances
Roehrich J
(2014)
Procuring complex performance: implications for exchange governance complexity
in International Journal of Operations & Production Management
Ponting A
(2013)
A multi-faceted approach to optimising a complex unplanned healthcare system
in International Journal of Logistics Systems and Management
Polverino F
(2014)
Evaluation of factors and approaches affecting emergency department space planning
in Facilities
Pizzo, E
(2012)
Cost effectiveness of routine HIV testing in non-traditional settings
in HIV Medicine
Pizzo E
(2011)
Screenee perception and health-related quality of life in colorectal cancer screening: a review.
in Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research
Phiri, M
(2013)
The impact hospital and architectural health care environments have on patients and staff
in Journal of Business Excellence
Phiri Michael
(2013)
Sustainability and Evidence-Based Design in the Healthcare Estate
Phiri
(2014)
Design Tools for Evidence-Based Healthcare Design
Paranagamage, P
(2014)
Urban design and social capital: lessons from a case study in Braunstone, Leicester, UK
Paranagamage, P
(2014)
Urban design and social capital: lessons from a case study in Braunstone, Leicester, UK
Pantzartzis, E
(2015)
Health Building Note 08-02 Dementia-friendly Health and Social Care Environments
Pantzartzis, E
(2016)
Design of frailty-friendly Emergency Departments: patients with dementia
Pantzartzis, E
(2015)
Health Building Note 08-02: Dementia-friendly Health and Social Care Environments
Pantzartzis, E
(2015)
El entorno para el cuidado de personas con demencia
in Anuario AADAIH
Pantzartzis E
(2016)
Sustainable management of NHS assets backlog maintenance
in Built Environment Project and Asset Management
Pantzartzis E
(2016)
A built environment response to the rising costs of dementia
in Journal of Financial Management of Property and Construction
Pantzartzis E
(2015)
HBN guidance sets out key principles.
in Health estate
Osaji, E.
(2013)
Integrated Modelling, Simulation and Visualisation (MSV) for Sustainable Built Healing Environments (BHEs)
in Journal of the Science Teachers Association of Nigeria (JSTAN)
Oliveira TC
(2013)
Teleconsultations reduce greenhouse gas emissions.
in Journal of health services research & policy
Oliveira TC
(2014)
Telemedicine in Alentejo.
in Telemedicine journal and e-health : the official journal of the American Telemedicine Association
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 |