Session Detail

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Tuesday, September 19, 2017  |  8:00 AM - 9:00 AM

Open to Conference Attendees Only

Patient CHOICE & Access: Healthcare Urbanism & effects on delivery points

, Dept. of Veterans Affairs
Holly Harris, Associate AIA, LEED AP BD+C
Designer, Healthcare Planner, SmithGroupJJR
Pablo Torresarpi, Int'l AIA, LEED AP
Sr. Healthcare Planner, Architect III, SmithGroupJJR
Vladislav Torskiy, ACHE, AORN, IAIA, Lean Healthcare CP
Health Care Studio Leader | Principal, SmithGroupJJR

The 2016 Commission on Care called for a vision to transform Veterans’ health care to enhance quality, access, choice and well-being with the mission to create a multi-disciplinary environment that inspires to evoke change and the advancement of a better delivery of healthcare through physical space. With the Veterans Access, Choice, and Accountability Act of 2014 (VACAA), Congress tasked VHA with creating the temporary Choice Program, designed to alleviate access issues by allowing for greater use of community care for enrolled veterans, [but] the design and implementation of the law have proven to be flawed. This hypothetical study researches one VISN submarket and maps VA and non-VA community based care delivery points that explore non-VA care point, hypothetical referral patterns, time and travel distances, services provided in relationship to VA capabilities, and the concept of Healthcare Urbanism, identifying the specialty care providers that can offer Veterans with a choice.


1. Evaluate existing geographic market of healthcare network
2. Analyze patient demographics and referral patterns in relation to delivery of care
3. Identify opportunities for alternate points of care to best serve the patient
4. Plan for future growth where points of care are non-accessible

SESSION FOCUS AREAS: = Generative Space = American Society of Interior Designers = NOAH