HOSPITAL LAYOUT
EFTHIMIA PANTZARTZIS – HEALTHCARE ARCHITECT AND CONSULTANT; NIKOLAOS PANTZARTZIS – MECHANICAL ENGINEER; MATTIA GENTILE – PROFESSOR OF MEDICAL GENETICS, FACULTY OF MEDICINE, UNIVERSITY OF BARI, ITALY
Reproductive medicine department redesign
Efthimia Pantzartzis and Nikolaos Pantzartzis of Studio di Ingegneria e Architettura Pantzartzis, Bari, Italy, and Mattia Gentile of the Medical Genetics Unit of the Department of Reproductive Medicine, ASL Bari, Bari, Italy, investigate how hospital layout redesign can lead to more efficient processes.
The Hospital Di Venere in Bari.
The Department of Reproductive Medicine is located in the Hospital Di Venere in Bari, Italy. It brings together two specialties: genetic medicine (GM) and maternal fetal medicine (MFM), which have not always worked together seamlessly despite sharing robust interconnections. The two specialties have been located in the same building. The staff have been used to working alongside each other and sharing spaces and equipment. Nevertheless, the existing layout did not allow separate flows of patients with different needs and expectations. From the refurbishment of a separate building on the site came the opportunity to redesign the layout, retaining three areas of expertise (fetal medicine, genetic counselling, and genetic laboratories) to become the first Non-Invasive Prenatal Test (NIPT) screening centre in the Puglia Region, with state-of-the-art equipment and bespoke patient flows. The new layout has been designed
Efthimia Pantzartzis
Mattia Gentile
Nikolaos Pantzartzis
•Efthimia Pantzartzis, a healthcare architect and consultant, has worked in the public sector on healthcare refurbishment projects in Italy for over fifteen years, and on EPSRC and DH England- funded projects on hospital productivity and efficiency, healthcare infrastructure value, critical infrastructure risk, dementia-friendly health and social care environments, and A&E departments. She has been senior expert at ASSET Puglia, and assessment manager at AReSS Puglia and is currently a consultant for the EIB on Health Facilities Investments Guidelines and for the Conformity Assessment Body of ASSET Puglia on healthcare facilities projects. •Dr Mattia Gentile has thirty years’ experience in medical genetics, with a special interest in cytogenetic/genomics, prenatal diagnosis, and mental disability. He has been director of the Laboratory of Medical Genetics, Di Venere Hospital, ASL BARI, since 2014, and appointed professor of Medical Genetics, Faculty of Medicine, University of Bari, Italy, since 1992. He has worked as Consultant in Medical Genetics in the following National Research Institutes: IRCCS de Bellis, Castellana Grotte (BA), IRCCS Oncologico, Bari, Fatebenefratelli Hospital, Rome. •Nikolaos Pantzartzis, a mechanical engineer with over 36 years of experience in public complex schemes, has been working in both public and private sectors, residential, commercial, hospitality, and exhibition, including the IBM Travelling Exhibition (1982-1984) with Renzo Piano, Ove Arup & Partners. His expertise includes project design, construction, and maintenance of technological systems of healthcare facilities; energy management, design, energy certification and consumption optimisation; refurbishment and restructuring of buildings and services; project and construction management; and fire protection systems design.
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around patient needs and expectations, ensuring that genetic counselling and fetal medicine counselling are delivered in a modern, safe, and non-institutional environment in order to reduce patient stress and discomfort in the communication process, thus helping individuals, couples, and families understand and adapt to the medical, psychological, and reproductive implications of the genetic element of specific health conditions.
Hospitals and the healthcare system in Puglia Region In Italy, 82 per cent of the existing hospital building stock was built before 1990 and 58 per cent before 1970. Puglia Region is no different, with 31 per cent of hospital building stock dating before 1946, 12 per cent between 1947 and 1969, 46 per cent between 1970 and 1989; and 11 per cent dating after 1990.1
The healthcare system
in Puglia is mainly public, with some private structures that contribute to the
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