Table 4.

Main findings from the eight case hospital projects – the FM employees, the clinical employees and the project leaders (PL) of Sykehusbygg

TopicsFM employeesClinical employeesThe PL role of Sykehusbygg
Framework of user involvementLess structured – regular meeting plan
FM/PM is involved in the early concept phase, and to some extent in the design phase.
O&M is more involved in the last part of the design phase and the commissioning phase.
Dedicated PL representing the clinical employees coordinating the group leaders for each discipline
Structured meetings – regular meeting plan for six months ahead
Fixed agenda
Information flow – one week before the meeting
Focus groups raising specific topics
The PL of clinical interaction – Coordinates the clinical working groups and facilitates the process of clinical employees.
PL of technical issues – Plans and facilitates the involvement of the different technical disciplines
Planned decision-making and time for closing the decision gates
Available resources and competenciesPM is 100% in some projects and partly in others (50–70%).
O&M is normally not 100% available.
Some participate in meetings, while others are 100% available as a part of the design team.
100% dedicated PLs of health-care personnel with medical expertise
Group leaders recruited from the clinics
The PLs (technique and clinical interaction)
are 100% dedicated to the project.
Experienced PL and expertise on facilitation and involvement processes, planning and design of hospitals
Interaction and co-working (physically) between the design team and client organizationIn four of the cases, both the PM and the O&M role are involved in the design stage.
In two of the cases, the PM is involved, but not the O&M.
In two of the cases this is wanted by Sykehusbygg, but not prioritized.
The PL of clinical interaction is part of the design team, and coordinates the information and input from the disciplinary groups.The PL of clinical interaction and the PL of technique are coordinating the co-working. Physically co-located two to three days a week
Working closely with the architects, contractors, planners and consultants
Benefits and lessons learnedIncreased understanding among FM employees of the value of engaging external expertise
Improved communication internally and between FM and clinical employees
Increased professionalism of FM in hospitals
Digital VR platform useful for training and preparation of running a new hospital
Ownership and engagement of clinical employees in the Org. and Dev. process
Increased productivity
Efficiency in terms of “improved work days for the employees”
New ways of working at the wards
Visualization of patient rooms and corridors
Efficient Digital Training platform with VR
Saving costs due to knowledge transfer between O&M and PM from other hospital projects
Smart technology and digital tools are beneficial in visualizing and engaging the users.
It is sometimes difficult to engage O&M staff when needed

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