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Über dieses Buch

The book presents a methodology for detecting intervention needs on existing healthcare buildings and estimating the related costs, to perform a sustainable financial planning for modernization, regulatory adjustment and performance upgrade. By the identification of specific parameters, characterizing the building in terms of layout typology, technical features and services provision, it proposes a framework for the collection of relevant information to current regulations and standards. Integrated evaluation tools are developed to perform first a technical assessment of the investigated building, basing on the survey of its key features and on the codification of standard actions. Then, appraisal procedure valuates intervention cost from the similarity degree between the object of analysis and a set of interventions already performed on healthcare assets. The book offers a valuable tool for technical professionals, public administrations and healthcare managers engaged in maintenance and performance assessment of healthcare facilities.

Inhaltsverzeichnis

Frontmatter

Chapter 1. Introduction

Abstract
In this chapter, an overview of the research is provided. The construction cost for a building can be estimated through a synthetic-comparative approach, useful for the determination of the budget when a detailed project is not yet available. Budget determination can refer to a multi-year plan for the modernization of a built asset, its seismic retrofit, or energy-performance improvement. Based on Jevons’s law of indifference, stating that two identical goods—in a given market and in a given moment—have an identical value, this research examines applying it to inhomogeneous and complex assets, in this case healthcare facilities. Once costs of interventions, already performed on existing assets, are known, it is possible to compare the value of assets with similar features that express modernization or adjustment needs for an adequate building upgrade.
Raul Berto, Paolo Rosato, Carlo Antonio Stival

Chapter 2. Quick Requirement Assessment of Healthcare Buildings

Abstract
Evaluation of performances in existing healthcare facilities requires a reliable methodology to define the refurbishment and adjustment needs for a building upgrade. In particular, the investigation of healthcare buildings is considered a challenging task for performance assessment due to activity layout, special plants and coexistence of operative areas requiring diverse levels of safety. Here is proposed a methodology for a Quick Requirement Assessment (QRA procedure) that, using a dataset derived by documental and in situ surveys, enables assessing the actual performance of an asset. This brief preventive screening, based on codified standard interventions, verifies compliance with current regulations and provides data outputs directly usable for the cost valuation of intervention needed.
Raul Berto, Paolo Rosato, Carlo Antonio Stival

Chapter 3. The Valuation of Upgrade Costs on Healthcare Buildings

Abstract
The cost appraisal represents the second target of the process of evaluation of maintenance, refurbishment and adjustment intervention on existing healthcare buildings and facilities. In this approach, cost valuation depends on the QRA procedure’s output. The methodology for cost estimation of intervention is based on two steps: (a) selection of a cluster of previous interventions similar to subject; (b) data elaboration to establish similarity between interventions that have occurred on buildings and interventions to be carried out on the subject, as described by a QRA procedure application. A collection of technical and economic data concerning interventions already completed in healthcare facilities is needed to activate the cost-evaluation procedure.
Raul Berto, Paolo Rosato, Carlo Antonio Stival

Chapter 4. Data Management for Cost Valuation

Abstract
This chapter describes how to activate the QRA procedure for the technical assessment of existing healthcare buildings and facilities and subsequent valuation for intervention cost appraisal. We describe a dataset framework (Occurred Intervention Database, OID) for the collection of relevant information on refurbishment, extraordinary maintenance and adjustment interventions already carried out on existing healthcare buildings and facilities. Each intervention registered in OID is scheduled according to four sections, reporting relevant data about: the health facility; the building subject to intervention; the scope of the intervention; and the categories of construction work involved, respectively.
Raul Berto, Paolo Rosato, Carlo Antonio Stival

Chapter 5. An Experimental Application of the Procedure

Abstract
In this chapter, an application of the methodology for technical assessment and cost valuation is reported. First, a general overview of the interventions that occurred in the existing healthcare facilities is provided to describe the quality of information provided. Then, the case study is Pavilion No. 7 belonging to the ‘Santa Maria della Misericordia’ Hospital in Udine; this building has been identified as an evaluation subject as part of the action promoted by the Friuli–Venezia Giulia Region that aims to identify critical issues affecting healthcare facilities and to calibrate a methodology to prepare financial plans for intervention. The description of the application of the methodology reports the data necessary to perform a QRA procedure and shows how economic valuation has been conducted. A brief discussion of results is provided along with the application and as a concluding remark.
Raul Berto, Paolo Rosato, Carlo Antonio Stival

Chapter 6. Concluding Remarks

Without Abstract
Raul Berto, Paolo Rosato, Carlo Antonio Stival

Backmatter

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