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
Dattée B
(2017)
Multilevel Organizational Adaptation: Scale Invariance in the Scottish Healthcare System
in Organization Science
Dattée, B
(2017)
Multilevel Organizational Adaptation: Scale Invariance in the Scottish Healthcare System
in Organization Science
Davies R
(2013)
Measurement and exploration of individual beliefs about the consequences of building information modelling use
in Construction Management and Economics
Davies R
(2013)
Implementing 'Site BIM': A case study of ICT innovation on a large hospital project
in Automation in Construction
Derujinsky-Laguecir A
(2011)
Une approche instrumentale des indicateurs de performance
in Management & Avenir
Domingo N
(2015)
Assessment of the Impact of Complex Healthcare Features on Construction Waste Generation
in Buildings
Eason K
(2012)
Bottom-up and middle-out approaches to electronic patient information systems: a focus on healthcare pathways.
in Informatics in primary care
Erskine, J.,
(2012)
Improving quality in European health systems - a comprehensive framework
Ewart I
(2015)
Provision of Disability Adaptations to the Home: Analysis of Household Survey Data
in Housing Studies
Ewart I
(2015)
Living From Home Older People Looking beyond the House
in Home Cultures
Ewart I
(2015)
Portals to the World: Technological Extensions to the Boundaries of the Home
in Interiors
Gaudart J
(2013)
Healthcare environments and spatial variability of healthcare associated infection risk: cross-sectional surveys.
in PloS one
Greenroyd F
(2016)
Using Evidence-Based Design to Improve Pharmacy Department Efficiency
in HERD: Health Environments Research & Design Journal
Greenroyd, FL
(2017)
A tool for signage placement recommendation in hospitals based on wayfinding metrics
in Indoor and Built Environment
HaCIRIC
(2013)
Built Healing Environment Final Report
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
Henderson C
(2014)
Cost-effectiveness of telecare for people with social care needs: the Whole Systems Demonstrator cluster randomised trial.
in Age and ageing
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
Hendy J
(2012)
An organisational analysis of the implementation of telecare and telehealth: the whole systems demonstrator.
in BMC health services research
Hendy J
(2013)
Adoption in practice: The relationship between managerial interpretations of evidence and the adoption of a healthcare innovation
in Health Policy and Technology
Hendy J
(2014)
Managers' Identification with and Adoption of Telehealthcare
in Societies
Hendy J
(2012)
The role of the organizational champion in achieving health system change.
in Social science & medicine (1982)
Howitt P
(2012)
Technologies for global health.
in Lancet (London, England)
Jawad S
(2012)
Safeguarding patients against stem cell tourism.
in The British journal of general practice : the journal of the Royal College of General Practitioners
Jayanti A
(2013)
Barriers to successful implementation of care in home haemodialysis (BASIC-HHD):1. Study design, methods and rationale.
in BMC nephrology
Joarder A
(2012)
Impact of daylight illumination on reducing patient length of stay in hospital after coronary artery bypass graft surgery
in Lighting Research & Technology
Joarder, M
(2012)
Impact of Climate Change on the Constructed Luminous Environment: An Evaluation for the Hospital In-patient Rooms Located in London
in The International Journal of the Constructed Environment
Kapsali M
(2021)
The agency role of simulation models in model-building groups
in Journal of the Operational Research Society
Kearney J
(2011)
Modelling preventive maintenance as a decay process for a two-state system
in Ingeniería y Gestión de Mantenimiento
Kemmer, S
(2013)
Best Practices in Design Management
Khandokar F
(2017)
Healthcare representatives' perspectives on hospital travel plans in England
in Case Studies on Transport Policy
Kobbacy K
(2011)
Towards the development of an intelligent supply contract design system
in Journal of Manufacturing Technology Management
Kobbacy K
(2011)
A survey of AI in operations management from 2005 to 2009
in Journal of Manufacturing Technology Management
Koskela L
(2012)
Is production outside management?
in Building Research & Information
Krystallis I
(2016)
Using BIM to integrate and achieve holistic future-proofing objectives in healthcare projects
in Construction Management and Economics
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
MacNeill V
(2014)
Experiences of front-line health professionals in the delivery of telehealth: a qualitative study.
in The British journal of general practice : the journal of the Royal College of General Practitioners
Mahadkar S
(2012)
Stakeholder consultation practices within healthcare infrastructure planning A conceptual approach to strategic asset management
in Built Environment Project and Asset Management
Malik DJ
(2013)
Assessment of infection risk from environmental contamination using rapid ATP surface measurements.
in American journal of infection control
Malik DJ
(2012)
Estimating bacterial surface contamination by means of ATP determinations: 20 pence short of a pound.
in The Journal of hospital infection
Malik DJ
(2013)
On the difficulties of isolating Clostridium difficile from hospital environments.
in The Journal of hospital infection
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 |