© 2018 DESTRAVIS | Design. Strategy. Vision.

Health

Service Overview

From tertiary and specialist centres to sub-acute and community health services; we provide the complete spectrum of advice to public and private health services providers.

Health and Clinical Service Planning

Health service delivery occurs in an increasingly changing and complex environment. The ability to deliver patient centred health care that meet health needs is challenging. Developing well planned, integrated, safe, high quality and coordinated health services with the capacity and capability to respond to changing health needs is a priority.

Our health service planning team is well positioned to partner with clients to review existing health service arrangements and align them with changing health needs whilst making effective use of current and future resources.  Our approach to service planning is rigorous, evidence based and can be scaled to meet individual client project requirements. 

  • Service Planning
  • Clinical Service Statements
  • Model of Care
  • Analysis and interpretation of population, epidemiological and social data and information
  • Understanding of current service environment
  • Service profiling analysis
  • Identification of health needs
  • Identification of future health service solutions including Options analysis
  • Workforce requirements
  • Stakeholder management

Strategic Planning

Our approach is a strategic one, seeking to ensure functional alignment between an organisation’s operational and strategic objective and the built environment. ​

For this reason we place great emphasis on the strategic formation of the project; ensuring a project is clearly defined from the outset and managed closely for consistent, efficient progress towards achieving Client’s intended outcomes. ​

​Destravis recognises the importance of a well considered, robust project strategy which aligns an Organisation’s Strategic Plans, Health Service Plans, existing infrastructure limitation and opportunities, and budget constraints.

​Our strategic plans and feasibility studies consider background and context, limitations and opportunities and strategise options for further analysis. Analysis includes (where applicable) technical investigations, operational and capital cost estimates, program and procurement options, culminating in a recommendation for endorsement.​

  • Precinct Planning
  • Strategic Asset Plans
  • State Health Infrastructure Plans
  • New facilities, refurbishment
  • Optimisation and re-design
  • Integrated or re-designed models
  • Alternative supply models
  • New service partnerships
  • Planning for equipment and technology changes.

Master Planning

Based on the previous phases of work, Destravis will develop a master plan for the campus or site which incorporates everything that is intended to be built. It will incorporate allowances for future expansion or development in line with your business plans or HHS requirements. ​The Destravis Master Plan will be robust and strategic enough to act as a development control plan, informing future development and expansions on the site. The aim being to ensure the planning considers future growth, minimises disruptions and avoids surplus costs due to redundant works.​

  • The master plan report will incorporate:​
  • Complete site assessment and analysis,​
  • Concept creation including functional flows and zones, blocking and stacking, indicative concept drawings,​
  • Cost plan / budget,​
  • Program and sequencing of design, procurement and construction,​
  • Decanting approach and methodology,​
  • Detailed Schedule of Accommodation.​

​During this phase, Destravis can manage the process, perform the role of principal consultant and engage and coordinate all subconsultants input if required.

Strategic Infrastructure Assessment​
Condition Assessment​
Destravis will develop an infrastructure gap analysis and maintenance and/or renewal strategy for the site considering fitness for current purpose and fitness for future purposes.

This includes:​

  • Assessment of built fabric​
  • Assessment of building structure​
  • Assessment of engineering services & plant​
  • Assessment of wider infrastructure​
  • Identification of development opportunities​
  • Identification of leasehold opportunities.​

Project Definition Plan​
Destravis will deliver a PDP report which defines the scope of the building project required to accommodate the health services as briefed in the FDB.

The PDP process includes:​

  • Managing and conducting user group consultation,​
  • Resolving policies, models of care and service, ​
  • Built form requirements, ​
  • Infrastructure and services requirements, ​
  • Area allocations, etc.​
  • Development of concept plans, standard room data sheets and Accommodation Brief.​
  • Campus-wide Master Plans
  • Facility Master Plans
  • Space Utilisation Studies
  • Condition Assessments
  • Project Definition Plan

Stakeholder Engagement

As public health providers in Australia and New Zealand compete for limited capital investment dollars, those with strong cases of feasibility and return on investment will be best placed to obtain project support.

Destravis recognises the importance of a well considered, robust project strategy which aligns an Organisation’s Strategic Plans, Health Service Plans, existing infrastructure limitation and opportunities, and budget constraints. We are often called upon to help define the issue and articulate possible solutions for our clients.

A detailed understanding of our clients business combined with our extensive experience and lessons learnt are foundations of our success.

  • Workshop facilitation
  • Community engagement
  • User group meetings
  • Executive level strategy and engagement
  • Board presentations
  • Ministerial briefings

Feasibility Studies

We are often called upon to help define the issue and articulate possible solutions for our clients. A detailed understanding of our clients business combined with our extensive experience and lessons learnt are foundations of our success.​

Our strategic plans and feasibility studies consider background and context, limitations and opportunities and strategise options for further analysis. Analysis includes (where applicable) technical investigations, operational and capital cost estimates, program and procurement options, culminating in a recommendation for endorsement.​

  • Scenario testing
  • Technical assessment
  • Risk identifification and mitigation
  • Capital and whole of life costing

Business Cases

Destravis has a holistic understanding of the requirements of a business case. ​

Underpinned by an exceptional ability to guide the development of robust strategies, we test for alignment with Strategic Plans, Health Service Plans, existing infrastructure limitation and opportunities, and budget constraints. ​

Explorations include opportunities for value capturing, economic uplift, infrastructure partnerships, alternative procurement and revenue models, and investigates feasibility of applying latest market trends and risk profiles.​​

As public health providers in Australia and New Zealand compete for limited capital investment dollars, those with strong cases for sustainability, return on investment, social and economic benefits will be best placed to obtain project support.​

We have the in-house ability to provide an integrated business case service including management, authoring, economic modelling, design management, capital and operational costings, and procurement plans. We will coordinate external specialists in financial and commercial analysis, social and environmental impact assessments as required, and have successful working relationships with some of the countries most trusted providers in these areas.​

Schematic Design​

Destravis will work in conjunction with a project architect during this phase to ensure the intentions of the project, as briefed by the client and users are carried through to building design. Destravis will continue to conduct user group consultation to ensure the evolving design meets users requirements.​

  • For new facilities, refurbishment or redesign
  • Integrated or redesigned models of care
  • Base Case and options development
  • Benefits identification and assessment
  • Alternatiive supply models
  • Market sounding and procurement analysis
  • Capital and operational cost modelling
  • Schematic design (or design management of external design team)

Numerous members of the Destravis team have completed Gateway Review training and are pre-qualified on State Government Gateway Reviewer lists.

Project Management

Destravis maintains a focus on protecting client interests and realising project outcomes through the provision of Client Representatives qualified and experienced in providing senior project management services. ​

Our team has complex health project deliver experience in roles including senior project management, project director and design manager. They are experienced in the full scope of capital projects with an expertise to take a project firmly and confidently from start to finish. ​

It is their ability to grasp the vision, program a way forward, test the concept and manage the design intent which puts the project on the path to realising intended benefits.​

The hand selection of project directors and senior project managers is a process that Destravis takes seriously. ​

Each member of the team brings considerable expertise in their chosen profession and by way of industry accreditation and affiliation.​

  • Project Director / Client Representative
  • Project Manager / Programmer
  • Procurement Frameworks
  • Procurement Support
  • Technical Advisory
  • Value Management Review
  • Buildability Review
  • Risk Assessment

Cost Advisory

Destravis provides strategic cost advisory services to complete the holistic planning services we provide clients in the health sector. ​

The importance of providing this service allows evidence based design to inform and reverse engineer the client budgets. This reduces the time in design as the budget is aligned with expectations, as well as giving certainty in future planning and procurement. ​

Our strategic cost advisors also look at alternative commercial opportunities for private funding of specific future plans. Through the commercial feasibility analysis, the team can determine the whether a project would be attractive to the private sector and / or provide alternate options to future capital expenditure by minimising impact to the organisation cashflow. This type of future planning enables continued growth and improvement within the assets, and reducing the reliance on government funding.​

Through a team of senior quantity surveyors, Destravis services now encompass the full spectrum of cost management services to the health sector.​

Our cost leaders each have over two decades of experience and have developed an unrivalled knowledge and benchmarking ability for hospitals, aged care and health related facilities of all acuity levels. ​

This strategic cost advice will be utilised in the development of business plans, feasibility studies, asset prioritisation and planning and strategic facility planning.​

  • Quantity Survyeing
  • Project Budgets
  • Pre-tender estimates
  • Tender nomilisation and evaluation
  • Progresss claims
  • Variation management
  • Value engineering assessment
  • Total Asset Management Plan
  • State Health Infrastructure Plan
  • Operational cost modelling

Health Facility Planning

During the formative phases of capital projects Destravis can input into or manage the process, performing the role of principal consultant / client representative and engaging and coordinating all subconsultants input as required.​

Strategic Functional Design Brief​

Destravis will lead the development of the Strategic Functional Design Brief by reviewing and interpreting clinical requirements with a technical consideration for built form and infrastructure requirements. This includes:​

  • Assessment of spatial requirements and process flows of Models of Care (MoC) and Models of Service (MoS),​
  • Development of a Brief of Accommodation,​
  • Strategic project brief for clinical and non-clinical spaces reflecting MoC and MoS,​
  • Verifying brief in accordance with design and planning regulations,​
  • Preliminary business case and feasibility studies.

Full Functional Design Brief​

Destravis will assist in the completion of the Full Functional Design Brief by reviewing and interpreting clinical requirements with a technical consideration for built form requirements. This includes:​

  • Detailed Schedule of Accommodation, complete with circulation, travel and other statutory space requirements,​
  • Non-clinical space briefs,​
  • Verifying brief in accordance with design and planning regulations.​
  • Updated business case.​

Master Plan

Based on the previous phases of work, Destravis will develop a master plan for the campus or site which incorporates everything that is intended to be built. It will incorporate allowances for future expansion or development in line with your business plans or HHS requirements. ​
The master plan report will incorporate:​

  • Complete site assessment and analysis,​
  • Concept creation including functional flows and zones, blocking and stacking, indicative concept drawings,​
  • Cost plan / budget,​
  • Program and sequencing of design, procurement and construction,​
  • Decanting approach and methodology,​
  • Detailed Schedule of Accommodation.​
  • Function Design Brief
  • Functional planning and flow diagrams
  • Blocking & stacking
  • Schedules of accommodation
  • Floor plans
  • Concept design

Specialist Services

Beyond the scope of new capital infrastructure planning, Destravis is experienced in many specialist areas of project planning and delivery. These include, but are not limited to:

Advisory Services

  • Innovation strategies,
  • Governance and integration planning,
  • Workplace modelling (clinical and non-clinical),
  • Education, Learning and Research Environments,
  • Change Management for non-clinical environments,
  • Partnerships between Public and Private health providers,
  • Buildability advice.

Transaction reviews​

  • Design compliance​
  • Cost and area benchmarking ​
  • Delivery model and risk analysis​
  • Construction risk​
  • Operational and continuation of service delivery risk​
  • Clinical management and service model risk​
  • Business management and financial operations​

Design Audits

  • Peer Review​
  • Value Management Review​
  • Value Engineering Review​
  • Operational Flow Review​
  • Operational Efficiency Review​
  • Buildability Review​
  • Space Utilisation Review​
  • Space & Storage Audits​
  • Post Occupancy Evaluations

Consulting Services​

  • Project Director roles​
  • Master Planning​
  • Campus & Facility​
  • Detailed requirements of future growth ​
  • Considering changing MoC and ICT trends.​
  • Business cases and feasibility studies,​
  • Health Facility Planning and Design (in conjunction with Architects and Engineers)​
  • Stakeholder Management and Coordination​
  • Procurement Frameworks​
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