An open value-based perspective to healthcare building

AIM. This paper aims to build a conceptual relationship between value and open building and scenario planning to aid the assesment of healthcare infrastructures over the short, medium and long term and against dynamically changing contexts. BACKGROUND. Faced with the current financial climate, organisations often find themselves debating the impact of short-term economic pressures, at the expense of planning the strategic long-term sustainability and value of their physical assets. Existing decision making and stakeholder consultation approaches are inadequate and as such an open and dynamic value-based approach to scenario planning is required that will capitalise on the benefits of standardisation, customisation and learning. METHODOLOGY. This paper is supported by a critical and comparative review of health infrastructure, value management and open building literature to understand similarities and differences. It also reports on a workshop with academics and industry professionals and coins open planning and open building. IMPLICATIONS. Value is an important concept in open scenario planning and building. Furthermore, a new method of categorising open value as benefits, sacrifices and resources is trialled.