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BeReal benefits realisation model integrated approach: The built environment lifecycle and organisational views

The overall performance measurement of a healthcare system should be related to 
benefits realisation optimisation, looking for equilibrium between resource 
utilization (cost and time) and services provided (access and quality). The built 
environment should be seen, not only as context, but also as a resource that 
enables and potentially impacts on healthcare operations efficiency, influencing 
care and service efficacy. Based on an extensive literature review, focus group 
discussion, and case studies, this paper gives a perspective of the BeReal (benefits 
realisation) model structure and, describes a selected group of benefits which are 
used as preliminarily performance high-level targets (strategic benefits and sub 
benefits), organising the basis for further characterisation of detailed (end) 
benefits. In line with that, the scope of the BeReal model is discussed and 
characterised through a selected group of criteria (i.e. through the built 
environment lifecycle view, organisational view and other related dimensions). 
For some of these criteria a roadmap is proposed, emphasising on further research 
that could lead to fundamental improvements in the BeReal model, more precisely 
in benefits specification and segmentation, within the context of the UK 
healthcare sector.