12international healthcare building standards codes - henning lensch
DESCRIPTION
healthcare building standardsTRANSCRIPT
![Page 1: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/1.jpg)
1
Hospital Planning and Building Standards – AIA, NHS, DIN INTERNATIONAL HEALTHCARE BUILDING STANDARDS & CODES – LATEST ON HARMONIZATION OF CODES AND ACCREDITATION HENNING LENSCH, RRP International Hospital Planners Pte Ltd Munich-Germany-Singapore September 2013
Toronto UIA 2013
![Page 2: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/2.jpg)
2
RRP
1. Comparison of AIA, NHS and DIN
2. Case Study 1: planned in accordance with AIA, not acceptable for NHS?
3. Case Study 2: Third Party Review and standards – please re-design?
4. Accreditation and Planning Standards – JCI instead of AIA/NHS/DIN
5. HAAD Abu Dhabi standards, based on Australia hospital standards
6. Outlook and recommendation – what to follow?
7. Question and Answers
Agenda
![Page 3: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/3.jpg)
3
RRP
1. Comparison between AIA, NHS and German DIN
Agenda
![Page 4: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/4.jpg)
4
RRP
AUS SICHT DES KRANKENHAUSES
What is the standard OT seize?
International projects, state of the art?
![Page 5: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/5.jpg)
5
1. Standards for hospital operation theatres
Example
AIA: 55 – 60 m2 NHS: 55 m2 Australasian: 42 – 52 m2 Canadian: 48 – 55 – 60 m2 Germany: different standards
![Page 6: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/6.jpg)
6
RRP
AUS SICHT DES KRANKENHAUSES
What is the minimum clear door
opening in patient rooms?
International projects, state of the art?
![Page 7: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/7.jpg)
7
1. Standards for clear opening in patient room doors
Example
AIA: 1.12 m clear opening Recommendation for clear opening more than 1.22 m NHS: 1.30 m structural opening Recommendation for opening of minimum 1.50 m Germany: 1.10 m clear opening In the average around 1.25 m
![Page 8: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/8.jpg)
8
OUTPATIENTS INPATIENTS
Standard for Safety – Standards for All?
![Page 9: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/9.jpg)
The Architect’s Perspective – Clinical Path Ways and Workflow
Economy Meets Humanity
Standard for Workflow and Schedule of Accommodation?
![Page 10: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/10.jpg)
10
![Page 11: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/11.jpg)
11
RRP
11 STANDARDS FOR………
Hotel
Nurse-school
Home for dementia
Home for the Elderly REHAB Imaging
Outpatient Department
Public Health Office
Private Hospital Special. Clinics
Daycare Operation Centre
Hospice Health-Park
Phyiotherapy Lifestyle and Spa
Core-Hospital
![Page 12: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/12.jpg)
12 STANDARDS NHS, DIN, NHS and Australasian HFG
![Page 13: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/13.jpg)
13
Source: Dr. Ing. Monika Schill-Fendl, Planungsmethodik
AIA, NHS and German regulations
Agenda
![Page 14: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/14.jpg)
14
1. National insurance regulations, protection of staff
Germany – different requirements
![Page 15: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/15.jpg)
15
1. National insurance regulations, protection of staff
Germany – different requirements
![Page 16: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/16.jpg)
Working D
raft - Last Modified 4/3/2010 12:54:41 P
M
Design Concept – Staff area
![Page 17: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/17.jpg)
TRACKER W
orking Draft - Last M
odified 4/3/2010 12:54:41 PM
Design Concept – staff change
![Page 18: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/18.jpg)
18
RRP
DIN 13080
DIN
![Page 19: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/19.jpg)
19
RRP
1. Syn-energy for the new hospital
German DIN
![Page 20: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/20.jpg)
20
RRP
Using the German DIN for schedules of accommodation
![Page 21: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/21.jpg)
Actual location, United Arab Emirates
![Page 22: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/22.jpg)
6
Rehabilitation Clinic
250 beds
Ideal distribution of ward area according to Business Planning:
• V VIP
• VIP
• Single
• Double
• Clinic Standard (double)
TOTAL
• All relevant medical specialties and diagnostic equipment • separated workflow and VIP suites for Medical Check Ups
• Room categories according to Rehab Clinic
à use guest rooms as overflow for rehab patients
Outpatient Center with Diagnostic
Boarding House/ Accommodation
Mix of Rehabilitation, Outpatient Center and Hotel
# Rooms # Beds
10
20
60
60
20
170
10
20
60
120
40
250
![Page 23: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/23.jpg)
Main sections
![Page 24: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/24.jpg)
24
Healing Architecture
![Page 25: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/25.jpg)
25
RRP
Using the German DIN for schedules of accommodation
![Page 26: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/26.jpg)
26
RRP
NHS example OT
![Page 27: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/27.jpg)
27
RRP
NHS layout examples – here OT
![Page 28: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/28.jpg)
28
RRP
NHS layout examples – here OT
![Page 29: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/29.jpg)
29
RRP
AIA structure
AIA
![Page 30: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/30.jpg)
30
RRP
AIA example
![Page 31: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/31.jpg)
31
RRP
AIA for Cath lab
Agenda
![Page 32: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/32.jpg)
32
RRP
2. Case Study 1: planned in accordance with AIA, not acceptable for NHS?
Agenda
![Page 33: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/33.jpg)
![Page 34: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/34.jpg)
![Page 35: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/35.jpg)
35
RRP
Comparison AIA and NHS
Agenda
Main difference between US and UK NHS design principles for Cath Lab: In the US (AIA), a dirty utility room is not required to be adjacent to the cath lab room In the US (AIA), rooms for preparation and anaesthesia could be shared and do not have to be adjacent to the cath lab procedure room In the UK (NHS), the cath lab shall have the following adjacent rooms: Anaesthesia, preparation, store room, scrub and gowning and control room.
![Page 36: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/36.jpg)
36
RRP
Following AIA, but not NHS
![Page 37: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/37.jpg)
37
RRP
1. Syn-energy for the new hospital
Agenda
![Page 38: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/38.jpg)
38
RRP
1. Syn-energy for the new hospital
Agenda
![Page 39: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/39.jpg)
39 Agenda
Main differences between US and UK NHS design principles for OT: In the UK (NHS), the direct access of the scrub / gowning room, Anaesthetic, Dirty Utility and Preparation room is mandatory In the UK (NHS), the room for preparation is only not needed if the preparation could be done under the ultra-clean canopy in the operation theatre itself In the US (AIA), the ANAE area is the so called “induction room”, and this room could be shared between the OT and also be located not directly adjacent to the OT In the US (AIA), shared scrub zones can be located outside of the OT, in a more or less open zone (ventilation system to be designed in a way that a “air curtain” is more and less prohibiting water from the scrub to come contaminate other areas) In the UK (NHS), separated single room recovery spaces are requested. In the US, a curtain between recovery spaces can be accepted In the US (AIA), the transfer from the patient bed to the OT stretcher could be done in the OT. We do not see any clear requirements / procedure in the NHS guidelines. Here, we can only find the following: “increasing number of patients are transferred onto their beds rather than a trolley. A bed is significantly larger than a trolley.” In the UK (NHS), there are many requirements for the admission lounge, waiting room, administration office as integral to communication base etc. which are more and less referring to very specific workflows and procedures. Here, many of these basic requirements (also for ambulant / outpatient) are not fulfilled and must normally being discussed with the user.
![Page 40: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/40.jpg)
40
RRP
NHS layout examples – here OT
![Page 41: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/41.jpg)
41
RRP
AIA extract
AIA for OT
![Page 42: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/42.jpg)
42
RRP
3. Case Study 2: Third Party Review and standards – please re-design?
Agenda
![Page 43: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/43.jpg)
Working D
raft - Last Modified 4/3/2010 12:54:41 P
M
AIA Guidelines - Comparison
![Page 44: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/44.jpg)
Working D
raft - Last Modified 4/3/2010 12:54:41 P
M
AIA Guidelines - Comparison
![Page 45: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/45.jpg)
45
1. Is our design wrong?
Third party review according to AIA
![Page 46: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/46.jpg)
46
1. Is our design wrong?
Third party review according to AIA
![Page 47: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/47.jpg)
47
1. Is our design wrong?
Third party review according to AIA
![Page 48: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/48.jpg)
48
1. Is our design wrong?
Third party review according to AIA
![Page 49: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/49.jpg)
![Page 50: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/50.jpg)
50
1. Is our design wrong? It is an ICU renovation project……..
Third party review according to AIA
![Page 51: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/51.jpg)
51
1. Is our design wrong?
Third party review according to AIA
![Page 52: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/52.jpg)
52
1. Is our design wrong?
Third party review according to AIA
![Page 53: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/53.jpg)
![Page 54: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/54.jpg)
54
RRP
4. Accreditation and Planning Standards – JCI instead of AIA/NHS/DIN
Agenda
![Page 55: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/55.jpg)
55
RRP
Hospital Standard and JCI, example
![Page 56: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/56.jpg)
56 Hospital Standard and JCI, example
![Page 57: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/57.jpg)
57
RRP
5. HAAD Abu Dhabi standards, based on Australia hospital standards
Agenda
![Page 58: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/58.jpg)
58
RRP
Further developments of mainly the Guidelines from Australia
HAAD Abu Dhabi
![Page 59: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/59.jpg)
59
RRP
Further developments of mainly the Guidelines from Australia
HAAD Abu Dhabi
![Page 60: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/60.jpg)
60
RRP
Further developments of mainly the Guidelines from Australia
HAAD Abu Dhabi
![Page 61: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/61.jpg)
61
RRP
Further developments of mainly the Guidelines from Australia
HAAD Abu Dhabi
![Page 62: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/62.jpg)
62
RRP
Further developments of mainly the Guidelines from Australia
HAAD Abu Dhabi
![Page 63: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/63.jpg)
63
RRP
6. Outlook and recommendation – what to follow?
Agenda
![Page 64: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/64.jpg)
Custom
ers requirem
ents
Workplace design
There is no standard workplace design!
Standards are good, but……………..
![Page 65: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/65.jpg)
![Page 66: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/66.jpg)
Designing for Operational Change
![Page 67: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/67.jpg)
![Page 68: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/68.jpg)
68
7. Questions and Answers
Agenda
![Page 69: 12International Healthcare Building Standards Codes - Henning Lensch](https://reader033.vdocuments.mx/reader033/viewer/2022051216/55cf97be550346d033935688/html5/thumbnails/69.jpg)
69
Hospital Planning and Building Standards – AIA, NHS, DIN INTERNATIONAL HEALTHCARE BUILDING STANDARDS & CODES – LATEST ON HARMONIZATION OF CODES AND ACCREDITATION HENNING LENSCH, RRP International Hospital Planners Pte Ltd Munich-Germany-Singapore September 2013
Toronto UIA 2013