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The Business Case for Simulation-based Hospital Design Testing; $90M Saved in Costs Avoided.

Nora Colman¹, Christopher Chelette², Jayne Woodward²

¹From the Division of Pediatric Critical Care, Department of Pediatrics, Children's Healthcare of Atlanta, Atlanta, Ga.

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|November 18, 2024

Summary

This summary is machine-generated.

Simulation-based hospital design testing (SbHDT) identified numerous safety issues early, preventing costly post-construction changes. This approach significantly reduced expenses by mitigating risks before building, proving financially practical for healthcare facilities.

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Area of Science:

Healthcare facility design
Simulation-based testing
Evidence-based design

Background:

Simulation-based hospital design testing (SbHDT) ensures architectural designs support safe, high-quality, and efficient care delivery.
It goes beyond basic building code compliance to proactively identify potential issues.

Purpose of the Study:

To assess the financial impact of SbHDT, specifically focusing on cost avoidance.
To evaluate the effectiveness of SbHDT in mitigating safety concerns and improving hospital design.

Main Methods:

SbHDT was applied during the design of a new 400+ bed children's hospital, focusing on 15 clinical areas.
Latent conditions were identified, and architectural modifications were made to resolve them before construction.
The cost of these modifications was documented to calculate total cost avoidance.

Main Results:

The simulation cost $1.6M, representing 0.01% of the total project cost.
722 latent conditions were identified, with 57% mitigated through design changes.
$90 million in costs were avoided, and 28% of latent conditions would have been prohibitively expensive to fix post-construction.

Conclusions:

SbHDT is financially practical, significantly impacting cost avoidance in healthcare facility design.
It improves clinical care, optimizes safety, and maximizes investment through evidence-based design.
While SbHDT has upfront costs, it leads to long-term savings by avoiding expenses related to safety threats and operational inefficiencies.