Instead of building new hospitals that import old systems and problems, the time has come to reexamine many of our ideas about what a hospital should be. Can a building foster continuous improvement? How can we design it to be flexible and useful well into the future? How can we do more with less?
Answering these questions and more, Lean-Led Hospital Design: Creating the Efficient Hospital of the Future explains how hospitals can be built to increase patient safety and reduce wait times while eliminating waste, lowering costs, and easing some of healthcare’s most persistent problems. It supplies a simplified timeline of architectural planning-from start to finish-to guide readers through the various stages of the Lean design development philosophy, including Lean architectural design and Lean work design. It includes examples from several real healthcare facility design and construction projects, as well as interviews with hospital leaders and architects.
Foreword
Richard P. Shannon, M.D.
Preface
Acknowledgments
Authors
Section I : Lean Background and Model
Chapter 1 : The Two Faces of Lean Design and Facility Design
Chapter 2 : Traditional Versus Lean-Led Hospital Design
Chapter 3 : A Model for Lean-Led Design
Section II : Lean Design at Every Stage
Chapter 4 : Are We Too Late?
Chapter 5 : Are We Too Early?
Chapter 6 : Standardization Supports Flexibility
Section III : Broadening Collaboration
Chapter 7 : When to Break the Rules
Chapter 8 : At the Tipping Point
Section IV : Extended Applications
Chapter 9 : Cultural Context for Lean-Led Design
Chapter 10 : Lean Technology
Section V : Conclusion and Resources
Chapter 11 : Looking to the Future
Appendix A : A Little History
Appendix B : Nine Questions to Assess Your Organizations Lean State
Appendix C : Selecting the Right Design and Construction Team
Appendix D : Voices from the Field
Glossary
Index
