Design of flexible and adaptable healthcare buildings of the future: a BIM approach

The UK's Government Construction adviser announced that all the public construction will be implemented with BIM in the coming years. This decision affects dramatically the design phase of healthcare facilities as by 2016, BIM is mandatory in the implementation of the design process. Moreover, The UK Construction Strategy plan does not offer for investigating the multidisciplinary design space of possible solutions. The uncertainty that impacts on healthcare (demographic trends, changing patterns of disease, technological advances and clinical knowledge) has led healthcare policy makers to take action to manage demand for healthcare services and the supply enabled by healthcare infrastructure. A state of the art review of literature identified that healthcare facilities are not designed to be change-ready and that owners of such facilities have dynamic requirements. To future-proof healthcare facilities a design process is required to offer a collaborative, parametric lean construction practice that enables the design team to generate and analyse flexible healthcare building design spaces based on multi-stakeholder requirements. BIM and Integrated Project Delivery (IPD) offer dynamic decisions early in the design process. Here, IPD, the RIBA Outline Plan of Work 2012 and the BIM Guide from the Computer Integrated Construction Research Program were used to define the exact information exchange between the parties in a BIM-based construction process for change-ready healthcare facilities. A generic process map is derived from the literature for future testing and is presented in respect to the principles and philosophies of process protocol.