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Target value design: applications to newborn intensive care units.

Zofia K Rybkowski1, Mardelle McCuskey Shepley, H Glenn Ballard

  • 1Corresponding Author: Zofia K. Rybkowski, PhD, Assistant Professor, Department of Construction Science, 434 Langford A, College of Architecture, Texas A&M University, College Station, TX 77843-3137 (zrybkowski@tamu.edu; 979-845-4354).

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Understanding the health impact and cost-benefits of neonatal intensive care unit (NICU) design is crucial. This paper explores target value design (TVD) and set-based design for optimizing NICU environments, particularly the shift to single-family rooms (SFRs).

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Area of Science:

  • Healthcare Design
  • Construction Management
  • Neonatal Medicine

Background:

  • There is a growing need to understand the health impacts and cost-benefit analyses of design choices in neonatal intensive care units (NICUs).
  • The transition from traditional open-bay NICUs to single-family-room (SFR) units presents unique design challenges and opportunities.
  • Informed decisions regarding long-term value of design strategies are essential for healthcare facilities.

Purpose of the Study:

  • To introduce the guiding principles of Target Value Design (TVD), a price-led methodology, within the context of healthcare facility design.
  • To explore the role of set-based design within TVD and its specific application to NICU environments.
  • To provide a framework for making informed design decisions that balance health impact and cost-effectiveness in NICUs.

Main Methods:

  • Introduction of Target Value Design (TVD) principles.
  • Discussion of set-based design methodologies.
  • Application of these principles to neonatal intensive care unit (NICU) design considerations.

Main Results:

  • TVD offers a structured approach to healthcare facility design, prioritizing value from the outset.
  • Set-based design complements TVD by exploring multiple design options to achieve optimal outcomes.
  • These methodologies can guide decisions regarding the transition to single-family-room (SFR) NICUs.

Conclusions:

  • Target Value Design (TVD) and set-based design provide valuable frameworks for optimizing NICU design.
  • These Lean construction-informed methodologies can lead to improved patient outcomes and cost efficiencies.
  • Further research and application of TVD are recommended for future NICU development and renovation projects.