1. STRINKING A BALANCE BETWEEN GREENNESS AND HEALING OF A HOSPITAL GSAS Sponsored Seminar / Workshop Professor. Mohammed Arif, University of Salfrod, UK Qatar National Convention Centre, Doha – Qatar 14 th June 2014

2. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION 2 Where Did It All Start?

3. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION 3 FACILITY PURPOSE PRODUCTIVITY

4. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION People Are More Important Than Buildings

5. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION Building Automation Vs Comfort

6. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION Localised Controls and Manual Over- rides Important

7. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION Value Added For BREEAM Credits Vs Actual Value Added

8. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION BREEAM Results Are Important

9. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION Automation Can Lead to Bad Habits

10. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION MOVING TO A HEALTHCARE FACILITY NOW 10

11. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION HEALING ENVIRONMENT 11

12. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION 12 –External Space Scale Upkeep and care –Cleanliness –Paths and sidewalks –Hospital entrance –Building Conditions Orientation –Signposts –Wayfinding Green Spaces –Trees –Colourfulness –Water –Benches Building Aesthetics –Shape and color –General upkeep PATIENT PERCEPTION

13. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION 13 Spatial –Furnishing –Wall –Ceiling –Temperature –Humidity –Quietness –Views and lighting Information –Direction –Helpfulness Privacy –Being watched vs being cared –Gossip –Intrusiveness PATIENT PERCEPTION CONTD.

14. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION 14 –Patients and their families Reduction of errors –Identical rooms –Lighting Increased safety and security »Reduced falls »Reduced infection rates »Indoor quality Enhanced control Privacy »Patient rooms »Waiting areas Comfort »Materials »Art »View »Visual comfort »Acoustic comfort Furniture Orientation PATIENT AND FAMILIES

15. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION 15 –Spatial Indoor plants, interior landscaping Furniture layout Exterior view from the workspace Presence of coordinated art objects Pleasant colour scheme Architectural design of the space Location and orientation of the space HEALTHCARE PROVIDERS

16. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION 16 –Environmental Adequate illumination Availability of daylight Thermal comfort Noise level Air quality and freshness HEALTHCARE PROVIDERS CONTD.

17. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION 17 –Maintenance Provision of hand hygiene Proximity to wards Cleanliness and ease of maintenance Spaciousness HEALTHCARE PROVIDERS CONTD.

18. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION 18 –Number of beds in a room –Safe and easily cleaned surface materials –Sound absorbing ceiling tiles –Adequate ventilation –Thermal comfort –Natural daylight –Control over temperature and lighting –Views –Exposure and access to nature –Appropriate equipment and furniture BENEFICIAL INDOOR ENVIRONMENT

19. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION DEPARTMENT SPECIFIC RESEARCH 19

20. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION 20 GARDEN –Some areas better utilised than others –Need to be more colourful, with more trees –Colourful flowers and sound of flowing water very soothing –Garden needs to interactive for kids –Wheelchair and stroller friendly path –Some private areas for bereavement or stress ATRIUM –Atrium proved overwhelming for kids –However, it provided comfort to the vistors –Architectural distractions such as paintings and building design features reduced stress of parents –Retail spaces further lowered the stress –Glass elevators was intimidating for kids as some of them felt fear of heights –Atrium helped identify landmarks and made wayfinding easy. PEDIATRICS

21. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION 21 Single patient rooms with private bathrooms Ward layout for smaller patient group size Movable seating in spacious dayrooms, lounges Low noise, good acoustics Nature window views Garden accessible to patients Nature art, no abstract art Daylight exposure Staff stations close to activity areas, providing good visibility Easy wayfinding and signage PSYCHIATRY

22. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION 22 –Finding a Space Amongst Congestion and Clutter –Trying to work underwater – Accessibility and water temperature –Ambience –Being equipped for flexible spaces with appropriate furniture MIDWIFERY

23. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION BIG QUESTIONS ARE ANY OF THESE PROCESS RELATED REQUIREMENTS INCORPORATED IN DESIGN AND CONSTRUCTION OF HOSPITALS IN QATAR? 23

24. EFFECTIVE MANAGEMENT OF HOSPITAL ACQUIRED INFECTION 24 HOW CAN GUIDELINES SUCH AS GSAS AND LEED INCORPORATE THESE IN HOSPITAL ACCREDITATION? BIG QUESTIONS

25. THANK YOU