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
Chapman C
(2014)
Costing Practices in Healthcare
in Accounting Horizons
Mourshed M
(2011)
Phi-array: A novel method for fitness visualization and decision making in evolutionary design optimization
in Advanced Engineering Informatics
Henderson C
(2014)
Cost-effectiveness of telecare for people with social care needs: the Whole Systems Demonstrator cluster randomised trial.
in Age and ageing
Malik DJ
(2013)
Assessment of infection risk from environmental contamination using rapid ATP surface measurements.
in American journal of infection control
Cloutman-Green E
(2014)
The important role of sink location in handwashing compliance and microbial sink contamination.
in American journal of infection control
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
Pantzartzis, E
(2015)
El entorno para el cuidado de personas con demencia
in Anuario AADAIH
Wanigarathna N
(2016)
Healthcare designers' use of prescriptive and performance-based approaches
in Architectural Engineering and Design Management
Ahmad, A.M
(2012)
Impact of Space Standardisation and Flexibility on Healthcare Delivery
in Architectural Engineering Design Management (AEDM) Journal.
Chen, B
(2011)
Design strategies and environmental assessment methods in health care: Lessons from UK's BREEAM
in Architectural Journal
Davies R
(2013)
Implementing 'Site BIM': A case study of ICT innovation on a large hospital project
in Automation in Construction
Arayici Y
(2011)
Technology adoption in the BIM implementation for lean architectural practice
in Automation in Construction
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
Hendy J
(2012)
An organisational analysis of the implementation of telecare and telehealth: the whole systems demonstrator.
in BMC health services 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
Jayanti A
(2013)
Barriers to successful implementation of care in home haemodialysis (BASIC-HHD):1. Study design, methods and rationale.
in BMC nephrology
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.)
Abma I
(2014)
Perceptions and experiences of financial incentives: a qualitative study of dialysis care in England.
in BMJ open
Maben J
(2016)
One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs.
in BMJ quality & safety
Adamu Z
(2012)
Performance evaluation of natural ventilation strategies for hospital wards - A case study of Great Ormond Street Hospital
in Building and Environment
Mills G
(2015)
Rethinking healthcare building design quality: an evidence-based strategy
in Building Research & Information
Koskela L
(2012)
Is production outside management?
in Building Research & Information
Adamu Z
(2015)
The Design and Simulation of Natural Personalised Ventilation (NPV) System for Multi-Bed Hospital Wards
in Buildings
Adamu Z
(2015)
Natural Ventilation with Heat Recovery: A Biomimetic Concept
in Buildings
Domingo N
(2015)
Assessment of the Impact of Complex Healthcare Features on Construction Waste Generation
in Buildings
Pantzartzis E
(2016)
Sustainable management of NHS assets backlog maintenance
in Built Environment Project and Asset Management
Mahadkar S
(2012)
Stakeholder consultation practices within healthcare infrastructure planning A conceptual approach to strategic asset management
in Built Environment Project and Asset Management
Wanigarathna N
(2021)
Sources and flow of healthcare built environment design evidence
in Built Environment Project and Asset Management
Khandokar F
(2017)
Healthcare representatives' perspectives on hospital travel plans in England
in Case Studies on Transport Policy
Krystallis I
(2016)
Using BIM to integrate and achieve holistic future-proofing objectives in healthcare projects
in Construction Management and Economics
Davies R
(2013)
Measurement and exploration of individual beliefs about the consequences of building information modelling use
in Construction Management and Economics
Boudeau C
(2013)
Design team meetings and the coordination of expertise: the roof garden of a hospital
in Construction Management and Economics
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
Collinge W
(2014)
Stakeholder interpretations of design: semiotic insights into the briefing process
in Construction Management and Economics
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
Achour N
(2014)
Hospital resilience to natural hazards: classification and performance of utilities
in Disaster Prevention and Management
Ochieng E
(2014)
Integration of energy efficient technologies in UK supermarkets
in Energy Policy
Mills, G
(2013)
Understanding Project Emergence and Temporal Systems: Triggering stakeholder values from value
in Engineering Project Organization Journal
Harty C
(2015)
The hospital building as project and matter of concern: the role of representations in negotiating patient room designs and bodies
in Engineering Project Organization Journal
Thomson D
(2013)
Practitioner understanding of value in the UK building sector
in Engineering, Construction and Architectural Management
Henderson J
(2013)
The need to improve double-loop learning and design-construction feedback loops A survey of industry practice
in Engineering, Construction and Architectural Management
Achour N
(2016)
Learning lessons from the 2011 Van Earthquake to enhance healthcare surge capacity in Turkey
in Environmental Hazards
Barlow J
(2011)
Implementing remote care in the UK: an update of progress
in Eurohealth
Martin G
(2011)
The challenges of evaluating large-scale, multi-partner programmes: the case of NIHR CLAHRCs
in Evidence & Policy
Polverino F
(2014)
Evaluation of factors and approaches affecting emergency department space planning
in Facilities
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)
Pantzartzis E
(2015)
HBN guidance sets out key principles.
in Health estate
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 |