The Expansive Hospital Game
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Transcript of The Expansive Hospital Game
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The Expansive Hospital GameFrederick van Amstel, PhD Researcher
Construction Management & Engineering Dept.
BIM Werkplaats
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This is not how healthcare construction projects do organize
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Top-down hierarchy
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Healthcare construction projects emerge amidst the boundaries of many organizations
3Elderly housing project studied in Enschede
Architecture studio
Hydraulic engineering
Electrical engineering Facility
management
Contractor
Engineering company
Engineering company
Structural engineering
Engineering company
Elderly care
Construction management
BuildingSub-contractor
Architectural design
Model management
Information technology company Elderly housing
Structural engineering counseling
Engineering company
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Collaboration across organizations is not easy
4Hospital lab project studied in Hengelo
Architectural design
PathologyDialysis
Northwestern Hospital
Microbiology
Architecture studio
Hydraulic engineering
Electrical engineering
Advisory
Contractor
Engineering company
Engineering company
Client’s consultant
Structural engineering
Engineering company
Medical device development
Technology manufacturer
Facility managementConcurrent
engineering
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How to learn collaboration in multi-organization projects?
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Welcome to the Expansive Hospital Board Game!
6Second workshop for a new Medical Imaging Center.
• Fun and safe way to try
• Simulate long processes
(25 years in 2 hours)
• Highlight the
consequences of
player’s actions
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Game plot: constant hospital expansion
7Ziekenhuis Ziekenzorg Enschede, 1955
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Game plot: constant hospital expansion
8Medisch Spectrum Twente, 2013
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Game components
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Game roles
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The Architect The Engineer The Builder
The NurseThe Facility ManagerThe Director
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Money flow
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Succesfully treated patient
Player’s accounts
Players must balance between competing and collaborating for money.
Insurance bank
Hospital Account
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Building rules
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Building block
Service layer
Requirements
Clashes
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Operating rules
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Patient card Patient pawn Income
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Information strategies
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Players must keep information, since it gets easily lost.
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Contract types
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Traditional Fast-track Integrated
Moderating the construction guys.
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Playtesting results
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Organization performance
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Engineer
Architect
Builder
Facility manager
Nurse
Director
EngineerArchitect
Builder
Facility manager
Nurse
Director
Facility manager
Nurse
DirectorEngineer
Architect
Builder
Experiment with Civil Engineering Students, 2013
$ 1784
$ 1860
$ 9905
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Learning outcomes
Contracts have a great impact on collaboration Collaboration is a free choice Tendency to egoisthic behavior when the stakes are high Players begin to collaborate when they realize the big picture Information models help seeing the big picture
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The fun test
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My Research Interests
Participatory Design
Activity Theory
Cultural Studies
Frederick van Amstel [email protected]
Twitter @fredvanamstel
http://fredvanamstel.com