The Leaflet Archive


Presented by MCD
Industry News

  • FROM OR TO BURN UNIT: Leveraging new tools for making complicated spaces
    According to the American Burn Association, over 400,000 individuals are seen annually in emergency departments, clinics or physician's offices for the treatment of a burn injury in the United States and Canada
  • HANDLING WITH CARE: Keeping tiniest patients top of mind through construction best practices
    Hospitals often invest in expansions and renovations to meet their communities' changing needs, incorporate new technology and clinical innovation, and enhance the patient experience. One challenge facing hospitals and construction teams is minimizing the impact on patient safety and comfort, while also maintaining hospital operations when working in and around these busy, occupied spaces.
  • Ready to FLEX: Exploring lessons learned in creating universal care units
    Several months into the pandemic a nationally recognized health system client decided to design a new acuity-adaptable inpatient unit. These rooms are larger, more capital intensive and require skilled staff to treat higher-acuity patients. The concept of universal inpatient rooms has been around for a while, but hadn't been widely adopted by many health systems. However, the pandemic has revealed the need for, and benefits of, building more capable and adaptable patient rooms.
  • BEATING THE BURNOUTBLUES: Elevating workplace culture & staff experience through design
    A nurse once told me she spent 30 minutes in her car listening to music preparing herself to face the coming shift. Essential team members within the healthcare system, nurses are leaving the profession in droves, and today I wonder if that nurse is one of them. The biggest culprit of this turnover? Burnout. Symptoms include physical, mental and emotional exhaustion, job dissatisfaction, depression and for some, PTSD. Increased stress due to the COVID-19 pandemic has only exacerbated the issue.
  • High-Tech, High-Efficiency: Advancing hybrid operating room design through digital project delivery
    The hybrid operating room remains one of the most utilized spaces in hospitals. This advanced operating suite combines the surgical services of a traditional OR with the added support of an image-guided fluoroscopic unit. This room unites a multidisciplinary group of clinicians who work in unison and provide an advanced service to their patients' needs. The 900-square-foot hybrid ORs at UMass University Medical Center in Worcester, Massachusetts, and Connecticut Children's Medical Center in Hartford, Connecticut, are testaments to the complex nature of surgical services. The collaboration among their specialized clinicians intersects with medical technology to deliver quality, yet efficient, healthcare outcomes.
  • Modern Approach to Life Safety: Leveraging advanced smoke detection to improve patient experience
    By Steven Southard
    Most healthcare facilities are provided with significant quantities of spot-type smoke detectors. These detectors provide an important life safety function, but come with a substantial maintenance burden. These not only carry high costs, but can also interfere with critical healthcare operations. By utilizing advanced smoke detection strategies, healthcare facilities can achieve a more effective system with less disruption and lower lifecycle costs.
  • ADVANCING LESSONS LEARNED: 3 healthcare design trends to continue in 2022 and beyond
    In 2020, COVID-19 undermined our nation's health and tested hospitals and health systems. While a series of spikes in COVID-19 cases and hospitalizations put intense pressure on hospital staff and resources, steep declines in non-COVID-19 patient volume led to sharply lower revenues. An AHA report from last summer estimated total losses for the nation's hospitals and health systems to be at least $323.1 billion in 2020.1 One result of this experience is an evolution in healthcare facilities' design. There's been a shift in healthcare design planning as the industry begins to advance lessons learned from COVID-19 to actionable improvements and change. Looking to 2022 and beyond, the following three areas are expected to be prioritized.
  • DOORWAYS TO THE FUTURE: Examining automatic door trends to watch in healthcare
    Healthcare facilities are leaders in understanding the importance of hygiene in every aspect of operations and in protocols to prevent the spread of germs. This was true before a global pandemic, but there is little doubt that COVID-19 has heightened these efforts. Automatic doors have always been a crucial part of the hygienic mission of healthcare facilities. Installing them at main entrances obviously is an important first step, as it prevents the public and staff from having to touch knobs and handles, eliminating one way in which germs spread. Broad and automated openings also facilitate the passage of a healthcare facility's public, not all of whom have the strength to push through manual doors.
  • Setting the Stage: Preconstruction HVAC surveys help guide success in hospital HVAC projects
    Over the past several years there has been a trend in how HVAC upgrade or remodel projects are designed. Mechanical engineers have increasingly required a preconstruction survey of the existing HVAC systems when designing new systems or remodeling the existing systems. This type of survey aims to answer three vital questions: 1) Is the system installed as shown on the existing mechanical drawings? 2) Is the system performing as it was originally designed? 3) Does the system have any additional capacity?
  • DESIGNING FOR THE AGES: 3 trends to watch in population health design for all generations
    The design of healthcare centers are continually evolving to match the needs of communities. These designs must adequately address the vast range of experiences that a diverse population represents, including generational diversity. Facilities designed with all community members in mind allow for a community-centric approach to healthcare.
  • In the Pipeline: Plumbing system infection control in the wake of COVID-19 + a look at what's next
    COVID-19 has forced many healthcare facilities to realize they were largely unprepared for a pandemic and not designed to respond to one. While the pandemic has overwhelmed many health systems and depleted resources, it has also sparked a renewed focus on infection control.
  • Sound Adaptability Proactive acoustical measures empower future of healthcare facilities
    Convention centers, stadiums and outdoor tents set up to support COVID-19 patients are images that won't soon be forgotten. For these overcrowded healthcare facilities, the pandemic forced the question: How could safe, confidential and quality patient care be provided to an unexpected, large influx of patients?
  • Catering to the 'Lost Tribe': Designing cancer care environments that serve teen, young adult patients
    Cancer doesn't care how old its victims are. Every day, people of all ages are diagnosed with this deadly disease. Still, most oncology units are designed for either pediatric patients or older adults. According to Teen Cancer America, teen and young adult cancer patients represent a "lost tribe" whose needs aren't specifically met when treated within these pediatric or older adult care environments.
  • Walk this Way: Cleanability vs. hospitality drive decisions in healthcare flooring
    For many years, the industry has collectively worked to provide a hospitality-like feeling in public spaces, such as waiting rooms, lobbies, cafes and conference areas and, where possible, on the clinical side in areas like patient rooms and corridors.
  • What's 'IN' with Outpatient: 5 main trends to shape future outpatient facilities
    Over the last decade, those who work in or with major hospital systems have noticed the growth of outpatient services away from main hospital campuses. There are several reasons for this: patient/ physician convenience, expanding market share, costs savings, making ICU beds and hospital resources more available, etc.
  • BUILT TO LAST: 4 best design practices to increase resiliency in rural facilities
    Americans living in rural communities face unique challenges when it comes to access to quality healthcare. Due to the closure of many rural healthcare facilities and increased pressure to mitigate dis- ease spread, design innovation of new and emerging rural healthcare models plays an even more important role in providing safe access to healthcare.
  • Connected Care: Exploring opportunities for technological applications in the healthcare sector
    The impact technologies are having in the healthcare sector cannot be understated. It is vast and happening at breakneck speed. From improving patient experi- ences and clinical workflows to increased efficiencies for health administrators and facility managers, there are immense opportunities for technology to shape the future of care delivery, space planning and operational needs, while improving the quality of care and reducing costs. These opportunities should be carefully and holistically considered in the planning process of new or redeveloped facilities
  • Raising Hope: Five tips for integrating project management + fundraising on healthcare projects
    As a hospital administrator turned hospital builder, I was asked to help John and Brenda Fareri create a new hospital to pay tribute to their daughter Maria, who lost her life from rabies. It was not until I arrived at the Westchester Medical Center, a county hospital with no history of philanthropy, that I realized unless we raised the money for the hospital, there would be no new hospital.
    The COVID-19 pandemic has ushered in a sea of change in consumers' perception of healthcare accessibility and delivery. And driven by the imperative to keep patients and staff safe and healthy during the coronavirus pandemic, many health- care organizations have realized they can provide medical care to their community through alternate methods, including drive-thru testing centers and expanded telehealth services.
  • Forging New Paths How supportive design paves new avenues in cancer care
    Cancer patients face adversities from the moment of diagnosis. So much care is dedicated to the physical treatment of malignancy that emotional and psychological needs are often untreated by medical professionals. Addressing this deficit within the medical environment is a virtuous cause for interior designers, and an opportunity for providers to maximize the total healing potential of their facilities.
  • GOING WITH THE FLOW: How the pandemic reshapes interior space planning
    The COVID-19 pandemic has reshaped the way healthcare facilities operate. Many hospitals were (and still are) overwhelmed with infectious patients, and have had to adapt on the fly to create an environment that can provide care to patients while keeping staff supported, safe and adequately supplied.
  • CONTAMINATION CONTAINMENT: How Lean Design can be used to prevent infection spread in hospitals
    Last year made it abundantly clear that infection prevention and control in hospitals is paramount to slow the COVID-19 pandemic and maintain a surplus of unoccupied hospital beds. While COVID-19 is at the top of our collective minds, other looming threats such as MRSA, and thousands more documented and unknown zoonotic diseases, mean it's imperative for hospitals to get a handle on infection control protocols now, in order to prepare for whatever the future brings.
  • Lighting the Way: Integrated Project Delivery provides pathway to better lighting for healthcare clients
    Healthcare design teams have the unique challenge of creating a soothing space that promotes patient healing, while also serving the practical demands of delivering round- the-clock care with strict requirements for sanitation, efficiency and reliability. Lighting design plays a crucial role in serving these purposes with illumination tailored to specific needs in different areas of a healthcare facility. Given the 24/7 nature of many facilities and thousands of light fixtures throughout a hospital, the specialized lighting also contributes significantly to overhead expenses - often comprising more than 20% of energy use.
  • ONE-STOP CARE FOR WOUNDED VETS: New rehab & prosthetics center at George E. Whalen VA Medical Center consolidates services
    When the Rehab & Prosthetics care team at George E. Whalen VA Medical Center in Salt Lake City, Utah first sat down with the TSA Architects design team to discuss their challenges, and vision, for a new comprehensive rehab and prosthetics center, the services were spread over many different locations throughout the sprawling hospital. Veterans seeking care to replace or rehabilitate the function of lost or damaged limbs, feet and hands on an inpatient or out- patient basis were faced with the tedious journey of finding their disconnected care destinations embedded deep in the 1950's-era campus.
  • HAIS & THE PANDEMIC EFFECT: Considerations for converting non-medical spaces into healthcare spaces
    The coronavirus pandemic has forced many to ask the critical question: how do we accommodate more patients in a pandemic? The response to the coronavirus is not unlike a natural disaster event: hospitals are converting non-ICU wards into usable pandemic isolation units, parking lots are being transformed to accommodate trailer conversion pods and alternative care sites are being tapped to assist with hospital overflows.
  • HVAC & Infection Control: Examining an unexpected ally in reducing risk of airborne contaminants
    A strong security program makes use of layered zones of protection and incorporates both passive security measures and active security systems. Its purpose is to effectively deter crime, detect breaches, assess alarms, delay incidents, limit damage and improve security staff's incident response. Today, security systems have become essential to the effective operations and integrity of all building operations.
  • Robust Resiliency: Emergency power considerations for healthcare security
    A strong security program makes use of layered zones of protection and incorporates both passive security measures and active security systems. Its purpose is to effectively deter crime, detect breaches, assess alarms, delay incidents, limit damage and improve security staff's incident response. Today, security systems have become essential to the effective operations and integrity of all building operations.
  • 8 TIPS FOR SELECTING HEALTHCARE FIXTURES Reducing spread of infectious diseases, increasing patient safety
    Hospitals, outpatient centers, senior living facilities and medical offices are at an increased risk for spreading viruses, like COVID-19, and bacteria that can lead to illnesses like Legionnaires disease. Transmitted through a building's water stream, these bacteria can result in major liability when immuno-compromised patients like the elderly and young children are exposed. The result is increased costs and claims for healthcare facility owners and operators who have a responsibility to eliminate or reduce the possibility of bacteria growth in their facilities.
  • FROM MACROCLIMATES TO MICROCLIMATES: Elevating mission critical building enclosure performance
    FROM MACROCLIMATES TO MICROCLIMATES Elevating mission critical building enclosure performance
    The coronavirus pandemic serves as a sobering reminder of the ever-changing nature of health-related influences on our global community. In fact, research shows that plagues and pandemics have been a part of human history going back to prehistoric times. And, as the effects of this virus continues, we can be certain the past will repeat itself in future events
  • The Power of Positive Messaging: How branding & safety signage help healthcare spaces paint a clearer picture
    Over the last decade, there has been an increasing focus on interior design within the healthcare sector, and an increased understanding of the importance of good design in creating healing environments. A well-designed environment prioritizes the human experience of that space. Through implementing a more thoughtful design approach, the well-being of patients, visitors and healthcare workers, alike is impacted in a positive way.
  • NEW Approach: How Choice Architecture induces healing from within
    Traditionally, the focus of design for healthcare has been on creating environments for better physical functioning. Choice-based architecture, however, re-envisions the idea of care to engage the whole person - to solve not only the physical but also the emotional and social challenges people face in their daily lives. Such a holistic approach to care is more effective by being self-sustaining.
  • PRIORITIZING CLEANER SOURCE FUELS: Re-evaluating key decision-making criteria for CHP system deployments
    The conversation around combined heat and power systems for hospitals usually revolves around two factors: better efficiency and more resiliency. But there is another factor that should also be considered by those involved in the decision- making process: environmental impact. CHP systems enable buildings to generate their own heat and electric power onsite. Given the Environmental Protection Agency's observation that CHP systems can achieve energy efficiencies of more than 80%, compared to just 50% for a traditional system (e.g., grid electricity and a boiler), it's no surprise that more than 200 hospitals in over 30 states use them today.
  • Providing Ultimate Flexibility: Designing medical gas systems in universal care rooms
    A growing trend in healthcare is the notion of a universal care patient room. The thought behind a universal care room is to provide medical gas and electrical outlet quantities suitable to serve a variety of patient room occupancies, e.g., intensive care, med/surg, etc. In most instances, a universal care room will mimic the requirements of an intensive care room, although this varies depending on the needs of the facility and may be a hybrid of many room types.
  • Foodservice + Dining Exploring the intersection of holistic awareness and revenue generation
    In its recently published 2020 Hospital Statistics, the American Hospital Association reported that in 2018, the number of U.S. hospitals totaled 6,146 with inpatient admissions of nearly 36.4 million. Invariably, patients and families who will experience an average length of stay in the hospital will require time spent and with the likely purchase of a meal in the hospital cafeteria. As a result, healthcare is one of the fastest growing areas in the foodservice industry, with sales in 2018 reaching $14.3 billion in hospitals (according to the Association of Nutrition and Foodservice Professionals).
  • GROUNDBREAKING DEVELOPMENTS Exploring the ins and outs of today's healthcare flooring
    Flooring products, as well as what designers and architects want to specify, have changed and developed over the past few decades mainly impacted by the evolving approach to healthcare design. Informed by the desire to "do no harm" building healthier hospitals has encouraged manufacturers to leverage new technologies to create better products that embrace a more homelike and less clinical aesthetic.
  • TALE OF AN AMERICAN COMMUNITY HOSPITAL: Navigating the conversation with stakeholders on regulatory ambiguity
    What is a hospital? As today's healthcare model moves further away from the major metropolitan acute care hospital, the definition of what a hospital is has become a greater conversation among healthcare providers, designers and politicians, alike. How does the United States define a hospital? The short answer is: in many ways. The healthcare design industry has been asking the question for years, "What is a micro-hospital/community hospital?" It is a hospital, only a smaller version built for maximum efficiency. The better question is, "What defines a hospital?" And how do federal and state regulations alter that definition from one state to another?
  • GETTING DOWN TO DETAILS: How materials, finishes, furnishings & fixtures support healthcare interior trends
    Many interior design trends have evolved due to evidence-based results that demonstrate the impact on patients and healthcare staff. Comforting, soothing, sanitary and welcoming spaces in healthcare environments benefit patients and their companions, aid in outcomes of discharged patients and support staff retention. These trends allow patients and staff more comfort and less stress in the healthcare environment, improving perceptions and outcomes. And, behind the scenes, materials, finishes and fixtures are playing a major role in promoting positive outcomes
  • Rising to Challenges: Finding COVID-19 solutions at facility, system & state levels
    Across the nation, medical construction and design is capturing the general publics attention in a completely new way. As healthcare leaders implement strategies to expand capacity in place, identify alternative sites to accommodate surges and ensure patient safety, the nation is acutely aware of a new normal emerging. This article explores short-term solutions that have emerged at the facility, system and state levels.
  • Smart Compliance: Money saving solutions for hospital compounding pharmacies
    The latest version of USP <800> was released Dec. 1, 2019, which didn't give a certain Midwest client much time to get pharmacies at four different hospitals up to compliance with both USP <797> & <800> by the end of the year. Temporary pharmacies were needed to comply with the looming timeline and to ensure no interruption of compounding sterile preparations - the drugs mixed from different sterile compounds for patients
  • Commissioning Field Notes: Best practices for creating healthcare environments in noncritical spaces
    When a healthcare clinic moves into a general-use space, such as a strip mall, in many ways it's a win-win for patients, providers and property owners. Patients get non-emergency help faster, hospitals can focus on those who truly need care and healthcare systems spend less to build out a space than on new facility construction. And, bonus property owners can repurpose vacant retail storefronts with long-term tenants.
  • GETTING IN Rhythm: Using lighting to manage anxiety & depression, promote healing in healthcare settings
    As the healthcare industry continues to shift focus from simply caring for the sick to a more holistic approach of total health management, and as mounting evidence surfaces that anxiety and depression are more prevalent in the general population, it's becoming increasingly critical for hospitals to find ways to reduce stress and anxiety throughout all areas of a facility. It is estimated that nearly 1 in 5 Americans in the general population have some form of mental illness or mood disorder, such as depression. In healthcare workers, that rate is even higher.
  • QUICK HELP: Addressing behavioral health in emergency departments
    Alarming figures are calling attention to the need for better processes, training and facilities within emergency departments for behavioral healthcare. One in eight visits to the ED in the U.S. involves mental and substance use disorders, highlighting the importance of patient access to a psychiatrist and a calming environment within the ED.
  • EXPANSION IS A DESIGN QUESTION: How regional and national growth impacts delivery of care
    In 2009, McKinsey & Company published "Developing a Regional Health System Strategy," exploring how such an approach could permanently improve healthcare delivery. The authors noted a consistent tradeoff between three factors - quality, access and financial sustainability - in various systems around the world.
  • Healthcare Prefabrication + the New Frontier: Yesterday, today and the future of mitigating jobsite challenges
    The construction industry has a problem: skilled labor is at an all-time low. However, the part of the story that's particularly alarming, but rarely surfaces, is it's also not in a position to recover. In 2004, the Brookings Institute published a white paper titled "Toward a New Metropolis." The conclusion 15 years ago was that half of what will exist in the built environment by 2030 didn't exist yet. The construction industry uses 29% of the craft apprentices enrolled in apprenticeship programs, equating to just 144,000 apprentices and approximately 2% of the industry workforce, as of 2016. According to the white paper, by 2020, the industry will need over 2 million additional craftworkers.
  • Thinking Outside the Box: How prefab exteriors save money, reduce schedules on healthcare projects
    The already complex arena of healthcare facility design is set to become even more complex, thanks to forces ranging from changing laws and regulations to new technologies and shifting patient needs. Today's providers also want reduced costs and shorter construction time while still seeking high-quality materials and design aesthetic.
  • 3 for 3 Three biophilic trends to watch for three types of facility occupants
    Healthcare facilities are transforming their brands from sick care to the center of health, calm and well-being for the community. Many are rethinking healthcare design to support the emotional needs of patients, their families and healthcare staff. Biophilia can have a profound impact on these building occupants
  • Systems Check: 4 healthcare HVAC trends to watch
    Since the last great recession, healthcare systems have been changing how patients are being served, and subsequently how they operate their facilities to meet these changing needs of clients and healthcare providers. In many cases, healthcare systems are moving from massive, centralized hospital campuses that patients must seek out, to smaller . . . facilities that can serve dispersed patients closer to their homes and places of work.
  • WORKING HAND-IN-GLOVE: Curbing risk of HAIs with deeper understanding of clinical processes
    Designers need to think strategically to reduce hospital-acquired infections, as every advantage in the fight to reduce the spread of viral, bacterial and fungal pathogens offers the potential to save a life.
  • Emergency Power Supply Systems: Best practices, solutions for staying online during disasters
    When a national disaster hits, keeping power running to life-saving systems within a hospital can literally be a matter of life and death. Not only do those systems need to operate to maintain care for patients within a hospital during the event, they also need to function to treat those who sustain injuries and need care in the aftermath. Outdated generators, malfunctioning automatic transfer switches and improper emergency system setup can all lead to issues when emergency power operations have to be implemented.
  • RE-THINKING DESIGN: Creating sustainable prenatal solutions in rural America through design
    "You're trying to solve the unsolvable." That was the response we received from the first medical professional we approached with our idea of a conceptual project. Dr. Kellett Letson, vice president and chief of women's health at Mission Hospital, is an expert on the complexities of delivering prenatal care to women in rural North Carolina. You could believe him when he said that a group of architects was going to have a hard time solving the frightening problem of infant and maternal mortality in rural America. What he came to learn was this particular group of architects was too stubborn not to try anyway.
  • Solid Backing: Central plant, utility infrastructure resiliency critical to hospital operations, patient safety
    Communities across the U.S. are feeling the effects of more frequent natural disasters. When tornadoes, hurricanes, wildfires, earthquakes or droughts wreak havoc, resiliency of a central plant and a hospital's utility infrastructure is critical to maintaining hospital operations and keeping patients safe. There is no waiting until the storm passes. Protecting against the loss of power, water or natural gas must be addressed during the planning and design phases.
  • 3 Keys to Creating Holistic Balance: Maintaining resiliency in healthcare spaces with flexibility, functionality & biophilia
    Today resiliency has become an emphasis in healthcare environments, where quickly recovering from changes or overcoming difficulties is essential. As designers, there are many approaches to consider in helping a client create resiliency in their space, but we would argue that three are essential to ensuring long-term patient care success: flexibility, functionality and biophilia.
  • AT YOUR SERVICE: Technology, trends + changing healthcare landscape reshaping outpatient facility design
    A building boom in outpatient care centers continues to spread across the country, driven by significant changes in healthcare delivery expected to strengthen demand for these facilities in the years ahead.
  • Re-thinking the ED: Top trends in emergency department design deliver quality care, patient experience
    A new wave of highly efficient emergency care facilities is upping the ante on patient care. All hospital systems have unique models of care delivery but each share a common goal: to improve the overall patient experience, which includes minimizing time spent in the waiting room, as well as reducing the overall length of stay. This goal of maximum efficiency and re-thinking the patient experience has created different spaces that are uncommon to the typical ED
  • DRIVING POSITIVE EXPERIENCES: Trends & technology behind healthcare parking
    The experience of parking your own car at a major medical center can be quite negative. It is antithetical to the goal of a health system - to improve outcomes by managing the patient experience from the moment patients leave their homes. Structured parking facilities can be dark, loud and damp, with constant movement and the echo of car alarms. They can be disorienting and unsafe for pedestrians. And, when the garage is nearly full, an appointment can be missed just looking for a space. This is no way to enter a healing environment.
  • GREAT EXPECTATIONS - Biophilia and other trends: Creating connections in the healthcare world

    Biophilia is one of those buzzwords thrown around design studios 12 times a day. While it's not a new concept, it's certainly having a moment - and for good reason. For starters, there's abundant research behind it; studies show that incorporating the outside world into spaces people spend time in promotes emotional and physical well-being.

  • Leaning into TECH: Exploring impact of big data, blockchain and AI on efficiency + patient care

    The New England Health Institute projected an estimated $600 billion annually is wasted in the U.S. healthcare industry. Even taking a more conservative view, half of that amount represents $300 billion of inefficiencies and waste we can largely control, if we approach the issues strategically. This includes everything from healthcare procurement and supply chain through construction delivery and activation.

  • ENVISIONING MODERN READING ROOMS: Using advanced visualization architectural methods to help radiology physicians improve healthcare value
    The imaging performed by radiology physicians to deliver healthcare is complex and specialized and, for many years, was performed in classical dark rooms or cubicle farms. That is now changing. There is a unique opportunity for reading rooms and multi-use environments to be designed to better deliver healthcare, aligning with advancing technologies and ultimately optimize best practices in patient-provider-radiologist collaboration
  • SOUND OFF: Design strategies for facility acoustics
    Sound. In healthcare settings, its intrusive effects impede healing, generate stress and can make communication difficult for staff and patients, alike. In busy waiting areas, with its cacophony of voices, beeps and rings, absorption is the name of the game. From carpet to ceiling tiles, much is baked into specs across the industry, but the fundamentals are always worth revisiting while pushing the boundaries with new strategies and tactics
  • VertiGrow? Top considerations for vertical expansion projects
    So, patient volumes are rising, departments are squeezed and more space is needed for a new unit. Landlocked and wondering what to do, the client is faced with diverting patients to another hospital or evaluating options to expand or replace. Sound familiar? The client is experiencing a planning and design challenge that occurs with most aging hospitals.
  • FLEXIBLE GROWTH & PATIENT EXPERIENCE New patient tower for Baptist Health of Northeast Florida supports demand
    In 2005, Baptist Health of Northeast Florida's new hospital, Baptist Medical Center South, opened its doors to patients. As part of this undertaking, a cohesive, long-term campus master plan was created to guide growth. Located in Jacksonville, Florida, when Tower C opened in spring 2018, one of the final pieces of the master plan was realized. The new eight-story, 138- bed, 155,200-square-foot patient tower gives Baptist Medical Center South the space to better serve a rapidly growing community - especially in surgery and labor and delivery.
  • In with Skin: 6 trends to watch in healthcare exterior design
    Around the country, hospital and health systems are investing in expansions and new construction. When it comes to designing the exterior of a new facility, owners are making a renewed investment in sustainable, high-quality materials that improve facility performance and lifespan. Technology advancements in areas such as prefabrication and computational design are expanding design options and accelerating construction timelines. The following are a few of the healthcare exterior design trends anticipated in 2019 and beyond.
  • RE-IMAGINING CARE 6: tips for taking an empathy & experiential approach to pediatric behavioral health spaces
    Across the U.S., the demand for inpatient mental and behavioral health services continues to surge, particularly within the child and adolescent demographic. According to a CDC/NCHS study, six percent of youth ages 12-19 are being treated with psychotropic medication for a psychiatric disorder or condition.
  • Entry to Care: Exploring door hardware & access solution trends in healthcare facilities
    Multiple influences are driving today’s trends of hardware and access control solutions in healthcare facilities, including increased security needs, evolving technologies and changes to healthcare delivery impacting movement through spaces. There is an increased demand on architects and designers to correctly specify door hardware in a healthcare environment undergoing constant change. The following trends represent a small portion of these needs and responses.
  • HEALTHY ALIGNMENT: Embracing cultural shift to consolidation, standardization drives positive design & operations outcomes
    Each year, more community hospitals are absorbed into larger systems. By the end of 2018, the number of community hospitals in a system will approach 70 percent nationally, according to the American Hospital Association. Why are hospitals becoming systemized? The premise of systemization is simple: reduce cost by leveraging size for enhanced purchasing power, contract negotiation strength, consistent data reporting and reduced variation through standardization.
  • Timeless Design:Tips for saving money on interiors while maintaining a competitive edge
    The average cost of constructing a new hospital comes out to roughly $400 per square foot. When this kind of money is at stake, owners are naturally looking for ways to save money without sacrificing quality — and interior design is often one of the first places they look for savings.
  • Healing the Healers: The sound and well-being connection in hospitals
    Did you know that stroke patients working with a music therapist can learn to express themselves through singing, or that music with a beat can make walking easier for those suffering from Parkinson’s disease?
  • Standing Ready: Lightning protection for hospital rooftop gardens, terraces
    From the ground, it can be difficult to see slender air terminals (lightning rods) mounted on a roof. Locating air terminals out of reach from the ground also helps protect them against damage or vandalism. If, instead, a person is on a rooftop terrace or landscaped garden, only inches away from the air terminals, it is appropriate to consider both the appearance and damage resistance of air terminals.
  • WATER WISE: What U.S. hospitals can learn from Cape Town, South Africa’s water crisis
    The world was shocked to learn that Cape Town, South Africa’s second largest city, was forced to reconcile with the fact that its water supply wasn’t a lifetime guarantee. In January 2018, the mayor of Cape Town, Patricia de Lille, announced that “Day Zero” would occur in April of that year. Day Zero was a term used to describe the crisis at hand when the dams that feed the city its water supply would dry up and all city-supplied water would cease to exist. The city asked residents to drastically cut back on their water usage, warning they might be forced to wait in lines for water rations if trends continued.
  • CONSTRUCTION CONTAINMENT & PROTECTION: Today's best practices keep infection control top of mind
    All construction logistics are challenging, but perhaps one of the more difficult aspects rests in managing construction containment methods on healthcare projects. While the staples of infection control procedures and mitigating risks remain similar to years past, the way teams are working to improve each facility’s construction experience is rapidly evolving.
  • Designing from Cultural Cues: A Stigma-free model of care for "sidelined" adults
    Whether it’s the opioid crisis, homelessness, depression or any of the other diagnoses heard about on a regular basis, behavioral healthcare is an increasingly visible component in the spectrum of care across the United States. On average, 1 in 5 adults battle mental health issues, with roughly 41 percent receiving care. In examining the typical architectural and interior design process for behavioral health facilities, it frequently focuses on a single project, an isolated part of the sum of treatment and care options.
  • EMERGING SOLUTIONS FOR EMERGING DISEASES: Designing for resilience in the face of infectious diseases
    When the Ebola epidemic caught the world by surprise and exposed potential weak points in readiness for certain types of infectious diseases. These events, often thought of as once-in-a-lifetime, are on the rise as the world becomes more connected and the changing climate is shifting and expanding disease zones. Although outbreaks often come from unintentional harm, such as travel-borne illnesses and lack of childhood vaccination, the threat of intentional harm (e.g., bioterrorism, anthrax) is also a reality we must prepare for.
  • Design Thinking: Reimagining the healthcare design process
    There is no question the healthcare industry is transforming at a rate faster than ever. To address the speed of this transformation, healthcare providers are faced with balancing the implementation of cutting-edge technologies and forward-thinking processes with the financial impact of each decision.
  • CONSUMERISM ELEVATES HEALTHCARE FLOORING: Flooring integral to creating ‘wow’ moments, calm patient spaces
    Consumerism is changing the business of healthcare, and brand loyalty is the Holy Grail. As patients take more control over their health spending, providers can influence buying decisions by offering a patient experience that is pleasant, convenient and seamless across digital platforms and physical locations.
  • TRANSPARENCY IN HEALTHCARE: Bring down those walls with glass
    The physiology of the medical campus and its edifices has experienced a dramatic change in permeability, transparency and accessibility. Glass — the most vulnerable of all building elements — has multiplied from being a treasured 10-15 percent of a building’s cladding to, in many cases, 50 percent or more today. What has driven this movement to more clearly expose and reveal the inner workings of the healthcare machine with increasingly transparent and invisible membranes? We are truly seeing evidence of the shift in attitude toward healthcare as a more knowable and accessible aspect in modern society — intelligence and control over health in all its facets is a power we’ve gained almost exponentially of late.
  • COMMUNITY CONNECTIONS: Taking the next step with enhanced family care delivery
    A tremendous amount of research in facility design and care implementation has been provided in the field of healthcare in the last two decades. Hospital administration, developers and designers often sift through copious white papers to understand what is still considered best practices and what features translate to the most impact for dollar value.
  • Sound Advice: Designing for speech privacy, controlling noise to enhance care
    The Facility Guidelines Institute’s Guidelines for Design and Construction of Hospitals and Outpatient Facilities are broadly accepted as best practice in healthcare facility design and construction, and its recommendations are incorporated into building codes in many U.S. states.
  • SUICIDE PREVENTION IN BEHAVIORAL HEALTHCARE SPACES : Updated The Joint Commission guidance clarifies issues on anti-ligature scores
    Between 2010 and 2014, The Joint Commission received almost 1,100 reports of suicides occurring in healthcare settings. The reports paralleled a trend that now puts suicide as the 10th leading cause of death in the United States, according to the Centers for Disease Control and Prevention
  • DESIGNING FOR TOMORROW: Making room for more personalized care experience at Park Nicollet Methodist Hospital
    To meet the needs of a growing community and an aging population, Park Nicollet Methodist Hospital is engaged in a transformative modernization program on its Methodist Hospital campus in St. Louis Park, Minnesota — the largest facility improvement since the hospital opened more than 50 years ago. When complete in 2019, the four-year expansion and renovation program will enhance the experience of care, safety and outcomes with a sustainable solution that will position Park Nicollet for continued leadership in healthcare.
  • MONITORING TECH: Trends in healthcare TV, digital technology
    TV viewing preferences and digital technology in the U.S. have changed rapidly over the last few years. More people are going mobile and streaming self-curated content to their smartphone or tablet. The hospitality industry has embraced mobile technology to meet consumer demand for on-demand content. Hotels now provide input panels with power, USB, VGA and HDMI ports, allowing guests to use their personal mobile devices as receivers for audio and video content. Airlines, restaurants and other entertainment venues offer free Wi-Fi, mobile check-in and other amenities onsite and on demand.
  • Necessity & Opportunity: How strategic partnerships can benefit outpatient healthcare facilities
    As U.S. healthcare continues its evolution toward a value-based and consumer-centric model, health systems are growing more responsible for population health management and rethinking care delivery strategies. One emerging strategy health systems are testing across the country is a growing focus and reliance on strategic partnerships. When leveraged appropriately, strategic partnerships can help health systems better manage population health by addressing the social determinants of health, strengthen their continuum of care and achieve improved health outcomes.
  • CHILD-READY: Envisioning pediatric spaces of the future
    Healthcare design requires careful thought, consideration and attention to detail, especially when designing for a pediatric population. While routine pediatric care is typically community based in medical office, ambulatory, urgent care, emergency and even community acute care hospitals, specialized, complex care is routinely sought out at pediatric centers of excellence.
  • Planning Perfection: Facility activation = coordinated approach to occupying a new healthcare facility
    Moving into a new or renovated space is the most highly anticipated part of bringing a new project online. Even a tiny oversight can have a huge impact, causing delays that can result in significant lost revenue. And yet two services are often overlooked when bringing a new project to completion: transition planning and move management.
  • State of Healthcare HVAC: Trends, challenges and HVAC’s role in infection control in large hospitals
    Hospital HVAC systems are not only used for thermal comfort, but are a critical component of infection control and patient safety. HVAC systems help prevent the spread of infection within the hospital, along with helping to promote patient healing. Recent trends in healthcare projects (such as increased energy efficiency, increased budget constraints and compressed project schedules) have shifted the focus of HVAC systems away from their primary purpose of promoting patient safety, in an effort to help achieve other project goals.
  • ENGINEERING GREEN: Top emerging strategies to reduce hospital operating costs, utility expenditures
    As the economics of healthcare undergo increasing pressure and uncertainty, hospitals are facing a greater-than-ever imperative to manage costs. Although energy represents a small portion of a hospital’s overall yearly operating costs, reducing utility expenditures can be a low-risk, high-yield and stable investment for the future.
  • FIRST DEFENSE: Protecting medical facilities from vehicle threats
    We’re in a new era of healthcare delivery — modern healthcare architecture has become more focused on strategically designed projects that accommodate the latest advancements in both construction techniques and medical technologies. This evolution has resulted in innovative state-of-the-art facilities that are as beautiful as they are functional.
  • Rethinking Design: Incorporating new trends, technologies in healthcare restrooms
    Restrooms are universally used spaces, but their design in healthcare settings can vary widely based on patient population, room location and layout and safety concerns. For designers, patient restrooms in hospitals pose the greatest design challenges to ensure that spaces support healing, comfort and calm for patients and provide ease of maintenance, infection control and safety features for facility managers
  • Beyond the Intercom: Today’s nurse call, communication systems deliver improved patient care
    Today’s nurse call systems are no longer simply an intercom for patients to contact the nurses’ station. Modern nurse call systems are now an integrated part of the ever evolving patient care solutions that interface with patient electronic medical records and provide real-time patient status to improve patient safety. Safety improvements such as “out-of-bed” alerts help prevent slip and fall incidents that sometimes are cause for extending a patient’s stay.
  • How Sterile is Too Sterile? Balancing form and function in a healthcare environment
    Whether as a patient or a visitor, everyone can relate to being in a healthcare facility that feels institutional and overly sterile. Typically, sterility in a hospital is a great attribute and one that should be encouraged. Patients have many choices when it comes to providers and — historically when asked for input on the interior environment — often express a desire for warm and engaging attributes that promote a healing environment.
  • SAVVY PLANNING: Navigating growth, change with integrated planning and flexible spaces
    To respond to changing dynamics and forces driving healthcare, industry leaders study the paths of growth and change in an effort to match forecasts to hospital building plans. And to plan with a longer and yet even more precise perspective, healthcare leaders, using clinical engineering principles, need to evaluate metrics and appropriate analytics to develop customized flexible solutions and decisively allocate resources.
  • Fringe Benefits: Lighting design to improve staff health, wellness, productivity
    Whenever we interview hospital staff on lighting design improvements, their instinctive response is to brainstorm with us on the best possible design for their patients. This says a lot about their dedication and priorities. When choosing — for example — where to provide more natural light or views to the outside, nursing professionals will insist on upgrading patient spaces over their own every time.
  • Healing By Mother Nature: Past, present and future of incorporating biophilic patterns in healthcare projects
    Biophilic design incorporates our innate connection to nature into the built environment to improve health and well-being. The science is relatively young, but new studies and research results continue to support the importance of integrating natural elements and so-called biophilic design patterns into new projects and renovations. Nowhere is this more important than healthcare settings.
  • SAFETY, MAINTENANCE & LOOKS: Factors driving today’s trends in healthcare flooring
    The intended use of a healthcare space defines the type of flooring selected, and many factors must be considered. Attention to factors that make sustainable environments conducive to safety, cleanliness, wellness and healing have created the best results. These factors include the selection of everything from ceiling to flooring that can contribute to the healing process.
  • ‘A PLACE TO FLOURISH’: Research gathered from 1,000 women guided the design intent of the Women’s College Hospital in Toronto
    Women’s College Hospital, designed by Perkins Eastman Black/IBI Group Architects, in Toronto, is the recipient of the 2016 Generative Space Award, presented at the Health Facilities Symposium and Exhibition. Women’s is the largest academic ambulatory care center and research institute in Canada, dedicated to improving the lives of women and their families.
  • Acoustical Ceilings & Fire Safety: Suspended ceiling systems play important role in controlling growth of fire in facilities
    A suspended acoustical ceiling represents a significant percentage of a room’s surfaces. As such, it is critical to controlling the noise level in a room and between rooms. It is also critical to controlling the growth of a fire in a room by providing a separation between the room and the space above the ceiling. Because of this separation, a suspended ceiling can delay a fire that starts in an occupied space from reaching potentially combustible materials in other areas of the building.
  • Safe Haven: Designing comfort, safety into behavioral health spaces in EDs
    The rate of mental health-related emergency department visits is increasing. According to a 2010 study by the Agency for Healthcare Research and Quality, mental disorders and substance abuse are related to one of every eight ED cases in the U.S. or nearly 12 million visits to EDs yearly. As the baby boomer population grows older, more seniors with dementia and mental illness are presenting at EDs across the United States; patients aged ≥65 years have the highest rate of mental health-related ED visits and the highest risk ratio for hospital admission.
  • EMERGENCY CARE FOR AN AGING POPULATION: Best practices in geriatric emergency department design
    U.S. Census data indicates that in the near future, 1 in 5 medical patients will be over 65 years old. Will our emergency departments be ready to respond? As 79 million baby boomers age into the 65-andolder geriatric bracket and increase their utilization of healthcare resources, it is imperative that EDs are designed to accommodate this growing market segment.
  • FIVE-STAR HEALING: Specialty facilities bring in comforts of home via hotel-like features
    The design and construction of hospitality healthcare facilities are as profound and complex as for a full-service hospital. Like any construction or renovation project, specialty projects require resources, experience, communication and collaboration that span between design and construction phases.
  • PICTURE PERFECT: Illuminate health and wellness with digital signage
    As the industry transitions into a more preventive- and wellness-oriented industry, the expectation to do more than just treat sickness and disease is prevalent — to not only heal, but to inform and promote wellness and quality of life
  • Enhanced Flow: Benefits of using 3-D modeling, coordination drawings on HVAC projects
    Three-dimensional building information modeling is revolutionizing the way medical facilities are planning and managing their projects. It has made a specific impact on heating, ventilation and air conditioning work, a component of healthcare projects that affects every other design and construction aspect.
  • HARNESSING POWER OF PLACE: Creating flexible spaces built for technology, fostering patient-provider relationships
    “I’m going to see my doctor today.” There are two immediate intentions in this statement — the patient plans to both visualize and directly encounter a doctor in person or, increasingly, via telemedicine. Whether technology is a help or a hindrance, however, is based on both the physical environment and the associated user behaviors. Moreover, technology constantly evolves, necessitating flexible environments and ongoing user learning
  • More Power, Please: Factors behind a growing demand for emergency backup power in healthcare facilities
    Among the many currents of change buffeting the healthcare industry, the issue of emergency backup power can be added to the list. Building codes, relative to emergency backup power in hospitals, are basically consistent from code cycle to code cycle. Each new edition of the National Electrical Code and National Fire Protection Act (NFPA) 99 makes minor tweaks, but the overall concept of the code remains consistent.
  • CONTINUOUS CARE: Top patient, design considerations for today’s bariatric spaces
    One of the intended outcomes of the healthcare law was to improve overall community health, rather than just treat patients when they become sick. This has led to the development of facilities that offer comprehensive care for patients with chronic conditions or long-term diseases such as cancer, diabetes and morbid obesity.
  • Lifting the Lid on Restrooms: Rethinking patient bathroom design, creating clean spaces
    One crucial area in which the built environment has direct impact on care delivery is in the effective management of infection control. From structural and interior space design to the technologies and materials used within it, the built environment can significantly help reduce the spread of infection.
  • REPURPOSE, REUSE: Turning old facilities into new assets to benefit communities
    Due to the healthcare law and other forces, hospital systems and other healthcare providers are employing new strategies to serve patients. Traditionally most services were centered on hospital campuses, but just like retailers have known for a long time, healthcare providers are realizing the benefits of being close to the communities they serve.
    Building Information Modeling is an integral part of providing construction services for healthcare facilities. Whether during design, estimating or construction, the process lends itself to building virtually by demonstrating its true value. Whether saving labor through improved fabrication techniques, reducing risk by engineering a hazard out of the equation or operating a building more efficiently with a data-rich model — the use of BIM should always be where it makes the most sense. To do so requires an equal amount of commitment and coordination from clients, design teams and subcontractors.
    Building commissioning requirements for commercial buildings are slowly being accepted throughout the country. This progression is occurring through the adoption of energy and green codes, such as the International Energy Conservation Code and the International Green Construction Code. The Joint Commission uses these guidelines, where applicable, to determine the accreditation of hospitals.
    According to the latest numbers from the NFPA’s Fire Analysis & Research Division, U.S. fire departments respond to an average of 6,240 structure fires in healthcare properties per year. These fires can cause an average of $52 million in property damage annually.
    Healthcare systems are focusing on the “best patient experience” as one of their top priorities when designing facilities. This focus on the patient is applied in healthcare environments in order to satisfy the needs of patients away from the comfort and convenience of their own homes, and to provide a higher quality of care.
  • Balancing Act: Healthcare flooring trends that support needs of staff, visitors
    Finding the perfect flooring solution in healthcare environments these days can seem almost impossible. With manufacturers providing solutions for designers to create unlimited design options and pattern capabilities, the performance and maintenance criteria is more crucial than ever. Fortunately, Evidence- Based Design criteria has been gathered in recent years around the flooring materials and their contribution to improved outcomes. These tools can help designers prioritize the best solution for a particular facility’s needs.
  • BEYOND THE CARD: The importance of prudent cyber security for healthcare facility control systems
    While construction of new healthcare facilities has skyrocketed in the last decade, most campuses consist of a combination of new and legacy buildings that have grown piecemeal over time to accommodate the needs of a growing care population. As a result, the control systems that manage building functions are often cobbled together without the latest security challenges in mind.
  • Embrace the Dark Side: Dimming hospital lighting to save money
    I admit I’m the parent who walks around the house shutting off lights, and I tell my children the money that doesn’t go to the power company is our vacation money. Okay, there is other money budgeted for vacations, but it’s a great incentive to conserve energy and save money for activities the whole family enjoys.
    An overarching problem with U.S. healthcare is the uneven distribution of care, especially high-quality care. Urban centers, with the highest concentrations of population, are also most likely to have the highest concentrations of top quality of healthcare capability. However, demographics are just the beginning of the story
  • The Right Ingredients: Today’s developments in healthcare dining facilities
    As healthcare evolves, and as healthcare institutions set the stage for an increased emphasis on wellness, healthier dietary choices are becoming key in leading hospitals into new advancements in food service. Rather than just providing standard dietary options for its patients, hospitals have begun to align dietary and nutritional selections with their principles for patient care. Patient satisfaction has become a priority for healthcare systems. HCAHPS, the Patients’ Perspectives of Care Survey, focuses specifically on the individualized care of the patient; however, an unsatisfactory meal experience may lead to an unsavory ranking on the overall experience. Improving the experience for the patient has included customized menus and dining-on-demand
    The healthcare industry continues to experience significant change in the effort to reduce costs and improve efficiency, much of which has been influenced by the healthcare law and other incremental regulatory changes. For example, the recent enactment of the U.S. Bipartisan Act of 2015 added distance parameters for provider-based, off-campus outpatient departments, which will change reimbursement and reconsideration of some outpatient program strategies.
  • Prevention Through Design: Process provides enhanced plan for safety
    Much like patient safety, employee safety is paramount to the professionals that design, install and operate healthcare facilities. But despite the highest caution and control, hospitals can be some of the most hazardous places for workers, including the building teams operating around or within the facilities. In many instances, considerations for safety within healthcare facilities are isolated. Architects are concerned with code compliance and other design considerations; engineers primarily focus on maintenance and service access of equipment; the constructor executes on building the given design and the owner aims to operate the healthcare facility as safely as possible. What if all involved parties collaborated on safety, ensuring that all key stakeholders share and build upon valuable input for the entire building lifecycle? Enter prevention through design.
    For decades, healthcare has been able to innovate within itself. Leading providers and systems could look to peers for new ideas to modify their services and facilities and these changes kept organizations achieving financial and care-delivery goals. That reality changed with the introduction of the healthcare law, landmark health reform that essentially asks providers to do more with less.
  • ENERGY OPTIMIZATION: Making it work for long-term savings
    The industry is often tasked to build and maintain an infrastructure that provides high-level, sustained performance with little or no additional financial resources. Asset optimization, in all aspects of a healthcare institution’s operations, has become a significant driving force for efficiency, allowing the institution to maintain a high level of service within a value-based revenue model.
    Healthcare is at a crossroads, shifting significantly from inpatient to outpatient care. Given this change, how do we design outpatient facilities, not for a faceless future, but for a dynamic present? Researchers recently set out to find answers to better prepare for the healthcare industry of tomorrow. The result is a report by the Center for Advanced Design Research and Evaluation, Clinic 20XX, Designing for an Ever-Changing Present, which delves into the drivers of change, the trends in response and principles for clinical design. The findings of this report are summarized here, along with some additional case studies and insights on how principles outlined in this report have been implemented in practice.
  • Orchestrating the User Experience: Trends in healthcare facility signage and wayfinding draw competitive edge
    As consolidation and competition accelerate and payment-for- satisfaction takes hold, health systems must carefully orchestrate the user experience that visitors, patients and providers have when encountering healthcare facilities. Getting lost remains a primary patient complaint and risk factor for many hospitals. As a result, signage and wayfinding have moved from after-thought to competitive advantage.
  • Recover, Rethink, Thrive: Responding in the Wake of Natural Disaster
    Richard Kahn
    Every time a major storm capable of widespread damage and destruction occurs, organizations and their facilities are severely impacted. For healthcare organizations, this can lead to levels of damage that render key spaces or entire medical centers inoperable for extended periods of time. There is very little healthcare organizations can do to predict when these natural disasters will occur, but there is a great deal they can do to prepare and respond.
  • Reducing Risks: A Joint Commission Fire and Life Safety Code Update
    John D. Maurer
    Knowing what guidelines dictate the design of healthcare facilities can sometimes be bewildering. This confusion often stems from the multiple sets of potentially applicable codes and guidelines that architects, designers and facility professionals must adhere to.
  • Top 4: Strategies For Minimizing Renovation
    The combination of the Affordable Care Act’s passage, an aging demographic and changes in technology are all fueling a healthcare building boom across the U.S. As facility owners race to align with these shifts from volume-based to value-based care models, the number of expansion and renovation projects on existing campuses is outnumbering new, stand-alone facilities. This means more construction work is being performed on active medical campuses which, if not planned and executed properly, can be disruptive to staff operations or patient care.
  • Under The Evidence-Based Lens
    Rosalyn Cama
    Successful interior design installations respond to the industries they serve. In healthcare, the most important responsibility of an interior designer is to create environments that facilitate the delivery of quality care. In this complex and evolving field, it is crucial to keep up with policy and operational trends and anticipate how interior design interventions most impact performance.
  • Solid Backbones
    Ronaldo Magno
    Safe, working restrooms are a critical part of any building, but in a healthcare environment, sound restroom plumbing design is even more important. Special attention must be given to reducing the risk of hospital-acquired infections, while also ensuring reliable access to water, even in times of emergency.
  • The Accessibility Experience
    Justin Skeesuck
    Life has become increasingly difficult for me over the past 23 years, as different parts of my body have stopped functioning. I live with a progressive neuromuscular disease, which has forced me to use braces, a cane, a manual wheelchair and, most recently, a power chair for mobility.
  • Bright Impressions
    Tom Kaczkowski
    From the approach to a hospital entrance, to winding one's way through the interior spaces to facing an examination or sitting in a waiting room, patients and visitors would rather be anywhere else than a hospital. The perception of hospitals is hard to shake - a place of crisis, scary beeping machines, bland decor and cold fluorescent lighting. But the hospital experience today can be dramatically different than even five years ago in healthcare facilities embracing designs that inspire hope, comfort and confidence while accentuating the hospital's mission. And lighting is an essential design element influencing the staff, patient and visitor's perception of the hospital experience.
  • Providing Solid Foundations
    Tim Shaefer
    There are many moving parts to activating new facilities. While building preparation is paramount, consideration must also be given to the function and flow of the new space. In addition, plans will be significantly altered depending on whether services and employees are relocating to the new space or if the facility will require all new users, furniture, fixtures and equipment.
  • Urgent Care Centers
    Marc Margulies
    The phenomenon of the urgent care center is here to stay. While many people have great affection for their primary care provider, and those PCPs serve an invaluable role in the health and well-being of their patients, they cannot be available 24 hours, seven days a week. The UCC, in any number of incarnations, offers a level of availability at hours beyond that of most PCPs and at a fraction of the cost of equivalent services at an emergency department. These are all established facts, and support the growing number and popularity of the plethora of new urgent care providers.
  • Biocontainment Patient Care Units
    John Andrews
    Doctors and nurses who treat highly-infectious diseases do so at great personal risk. These are deadly illnesses for which there is no vaccine, and whether they are transmitted via bodily fluids, in the case of Ebola, or through the air, in the case of SARS, they pose a serious threat to the men and women who provide care.
  • Path to Harmony
    Lydia Kimball
    According to the American Cancer Society, it's estimated that there were over 1.6 million new cancer diagnoses in the U.S. in 2014, with the number increasing globally each year. With this number of cases, it is reasonable to assume that regional health centers will be expanding facilities to provide services to accommodate these patients. A community-based approach to the delivery of healthcare also suggests the best way to treat these patients is by providing service in their own areas — minimizing the expense and stress of going to a larger, perhaps unfamiliar, metropolitan location for care.
  • Solid Ground
    Laura Morris & Phil Carey
    One of the largest and sometimes most controversial investments healthcare clients make on the interior design of their facilities is flooring. Many facilities have maintenance protocols or are used to making do with what they have because of miles and miles of existing flooring.
    Cliff Yahnke
    The replacement of fluorescent and incandescent lighting with LED technology in the healthcare industry has led to substantial energy cost savings. While the focus on squeezing out additional savings increases, many unique capabilities of this exciting technology remain locked away waiting to be unleashed.
  • Man Up
    Ted Shaw
    There's an old joke about a man who goes to the doctor complaining that he sees spots. The receptionist asks, "Have you ever seen a doctor?" And the patient replies, "No. Just the spots." Like much humor, this one-liner actually mirrors a truth: men are much less likely than women to see a physician and look for ways to enhance their wellness.
  • Voice of Ventilation
    Christopher P. Rousseau
    As the only ASHRAE/ASHE jointly sponsored ASHRAE standard, and based on its close relationship to the Facility Guidelines Institute, Standard 170, Ventilation of Health Care Facilities, is in a unique position to be the premier voice in ventilation requirements.
  • Creating positive distractions
    Dori Mommers
    In today's healthcare market, hospitals are designed with a contemporary way of thinking and state-ofthe-art technology. Facilities are reaching beyond the ordinary to create soothing, healing environments for patients, families and staff. Artwork can help create that impact and provide a sense of wellness and comfort. In the past, artwork in a hospital seemed to be an afterthought and not considered a priority in the overall design. This has significantly changed over the last decade. Today, more hospitals are realizing artwork has an immeasurable impact on the healing process.
  • PULSE of activity
    Bhargav Goswami & Mark Vaughan
    "It's about time for an emergency department that understands patients better." That quote came from Dean Q. Lin, FACHE, president of Ocean Medical Center in Brick, New Jersey. Lin was announcing the opening of the new Hirair and Anna Hovnanian Emergency Care Center last March but he could easily have been talking about any number of the newest emergency department models. Medical planners and architects are working with administrators and clinicians to develop EDs that are not only more responsive to the needs of patients and their families, but also provide flexible, efficient facilities that allow emergency department staff to deliver the highest quality of care in high stress environments.
  • Sustainable Synergies
    Steven Maurer
    Alfred I. duPont believed "It is the duty of everyone in the world to do what is in his power to alleviate human suffering." The charitable trust established through his will became the Nemours Foundation, an internationally recognized children's health system that owns and operates the Alfred I. duPont Hospital for Children in Wilmington, Delaware and the Nemours Children's Hospital in Orlando, Florida, along with major pediatric specialty clinics in Delaware, Florida, Pennsylvania and New Jersey. His philosophy was one of kindness, fairness and responsibility.
  • Striking a BALANCE
    John Klopsch & David Vollmer
    Begin with the end in mind, as recommended by Stephen R. Covey in his book on personal development, "The 7 Habits of Highly Effective People." This concept also applies to the capital facility planning process. Aligning the guiding principles of design with the implementation of construction and the long-term effectiveness of operations will produce a highly effective facility. By defining the broad parameters and measurable metrics for success at the inception of the project, the owner can better control the end product.
  • Uninterrupted Lifeline
    Jim Degnan
    The main artery of every hospital is the essential power system, which is always in a state of change due to remodels, equipment obsolescence, new codes and growth. Here are eight trends to consider as essential power systems evolve: 100 hours? Air quality regulatory agencies require limiting the use of emergency/standby power non road stationary compression ignition internal combustion engines to 100 hours or less per year for testing. Some agencies may evaluate the 100 hours based on operation of a plant, and not of the individual generators. If so, it may be difficult to individually cycle through generators and load each one up long enough to reveal heat-based flaws. Consider testing for the minimum time required each month, but once a year run each generator at 90 percent load for a minimum of four hours or longer - if staying under the 100 hour limit.
  • We Did Everything Right, Right?
    Trish Martinec K
    Norio Tsuchiya, senior designer at HKS, was proud of the design of Texas Health Flower Mound Hospital. He thought he and his team did everything right. They designed with healthcare urbanism, wellness, operational efficiency, staff and patient satisfaction and wayfinding in mind. The project won many accolades including the IIDA Design Excellence Award and the Symposium Distinction Award. In 2013, the project received Modern Healthcare's Best Place to Work award. On a celebratory note, Tsuchiya - who was working on another project with Texas Health - talked to the current president and CEO, Spencer Turner, to congratulate him.
  • Comfort by design
    Tracy A. Randall & Christine Guzzo Vickery
    Once known for sterile aesthetics, today's healthcare facilities are trading vinyl-lined corridors and florescent lighting for a more welcoming aesthetic that borrows design cues from the hospitality industry. And while most patients will never mistake a hospital or clinic for a hotel, healthcare facilities nonetheless are projecting a stronger welcoming image with natural finishes, more intuitive wayfinding and a stronger connection to natural light and exterior views. The image makeover is driven partly by competition as healthcare organizations jockey for market share and partly by consumer demands for quality service.
  • Leveling the Playing Field
    Dan Lee
    Societal shifts, technology developments and the political landscape have greatly changed the way we live and the way we work within the past five years alone, and it's often difficult to keep up with this ever-evolving nature - especially in the healthcare industry. Healthcare organizations are tasked with catering to the multiple and diverse needs of patients while delivering quality care amidst these constant shifts. In effect, much of the consideration is put on the patient, which has left hospital employee needs largely out of the mix.
  • Multi-space illumination:
    Anton Lama & Mary Ann Hay
    The challenge in designing effective lighting for healthcare facilities lies in the ability to meet the multiple needs of each space. From the patients and their families to the medical staff and the owner's operational and energy savings requirements, it must be the lighting designer's mission to streamline all the facility's needs into a single, multi-faceted lighting program.
  • Casework
    Beth Carroll
    Casework has been a viable component of healthcare environments for decades, providing a multitude of functions in a variety of locations from public to clinical areas. A significant portion of a project's design process is focused on the configuration, size and functionality of casework within each space. It can contribute to the operational efficiency of workflow and performance while at the same time serve as an aesthetic element, bringing warmth and comfort into a space.
  • Maximizing value, maximizing resources
    Sean O'Keefe
    The challenges of developing modern medical facilities are immense. Hospitals large and small must continually consider changing patient needs, innovations in the practice of medicine and myriad differing economic factors before investing financial resources in facility improvements. To best understand the multitude of variables associated with design and construction, medical facility managers often engage in an integrated development process to achieve better spatial efficiency and cost-effective facilities.
  • Prefab in motion
    Chris Hermreck
    With the unclear landscape in healthcare, organizations are looking inward to control costs. Operating margins continue to constrict due to changes in reimbursement and the looming implementation of the Affordable Care Act. This constriction decreases the overall ability to fund capital investments, making decisions on the use of the available funds critical. As investments in new or renovated facilities can become a significant portion of the expenditures, it is critical that each investment is carefully implemented.
  • Ecotherapy
    L. Kent Doss
    The term "biophilia," which literally translates as "love of life or living systems," is used to describe the theory that suggests there is an instinctive bond between human beings and other living systems and that this bond is essential to good physical and mental health. 1. We have a natural attraction to all that is alive and vital — all humans have "the urge to affiliate with other forms of life." 2. This premise helps explain why many spend time and energy caring for plants and flowers in their homes…in other words, our natural love for life helps us sustain life.
  • Healthcare leader PREDICTIONS
    Compiled By Constance Nestor
    The Health Care Institute recently embarked on finding out healthcare leaders' prescriptions for healthcare environments during the next 10 years. Thoughts on these challenges were found while conducting the HCI 2013 Healthcare Leaders Survey. The survey included healthcare institutions of various sizes and types from a range of geographic regions. Healthcare c-suite leader predictions were presented in the November/December issue of MCD. The following is an account of what facilities leaders have to say:
  • Hybrid ORs
    Bill Hinton
    A hybrid OR is on the wish list for many facilities, as a way to attract physicians, expand services and provide hope for patients. Whether the hybrid project is a renovation or part of a larger replacement or addition project, facilities doing a hybrid for the first time are in for a challenging new experience. The perfect recipe for a successful hybrid OR project includes involving the right clinical stakeholders, determining actual procedures to be provided, coordinating multiple vendors and integrating timely decision-making into the design.
  • DEFINING expectations
    Judson Orlando
    With the unclear landscape in healthcare, organizations are looking inward to control costs. Operating margins continue to constrict due to changes in reimbursement and the looming implementation of the Affordable Care Act. This constriction decreases the overall ability to fund capital investments, making decisions on the use of the available funds critical. As investments in new or renovated facilities can become a significant portion of the expenditures, it is critical that each investment is carefully implemented.
  • Prescription for SUCCESS
    WITH ITS NEW 72-BED ADDITION, DELL CHILDREN'S MEDICAL CENTER OF CENTRAL TEXAS HAS ACHIEVED what no other hospital has: becoming the first to earn LEED Platinum certification twice — first for the original structure completed in 2008 and now being the first in the world to achieve LEED-HC Platinum for its 2013 expansion, the W.H. and Elaine McCarty South Tower.
    Greg Gore & Clay Seckman
    The geothermal heat pump system powering HVAC operations at the new Methodist Olive Branch Hospital in Olive Branch, Miss. is certainly innovative — MOBH is one of a handful of hospitals in the country to incorporate such technology. It is also green — reducing fossil fuel usage and supporting overall sustainability efforts at MOBH, which is tracking LEED Gold and predicting an Energy Star rating of 93. However, these are not the only reasons the project team selected this particular HVAC system.
    Jeffrey Brand
    In recent years there has been a consistent trend to create easily accessible and efficiently planned ambulatory surgery facilities for healthcare systems. Following this development is the emergence of new alternatives to provide care for more specialized emergency, surgery and oncology patients within the parameters of an expanded outpatient setting.
  • RELIABLE condensate drainage
    Warren Trent
    Hospital facility managers are continually plagued by preventable building damage and health-threatening conditions caused by the failure to drain condensate from air conditioning systems. When condensate is not successfully removed, one or more of the following conditions develop: 1) condensate stands in the drain pan, 2) condensate overflows the drain pan and/or 3) condensate is blown onto internal components where it causes damage and creates fertile growth places for pathogenic organisms.
  • Solid SUPPORT
    J. Patrick Schultz
    The design of the hospital pharmacy can play an important role in streamlining patient care, improving workflow and reducing errors in medication dispensing. And good design makes it easier to provide the right prescription efficiently and free the pharmacist to ensure medication instructions are understood — thereby eliminating one of the primary reasons for patient readmission.
  • How big is 'big enough'?
    Bogue Waller
    Many people take the continued operation of hospitals for granted during a power outage, but electrical engineers must plan the details necessary to maintain continuous power. During an outage, an essential power supply system, or EPSS, is necessary for every hospital to provide backup power in case of loss of the normal power supply. It is these backup systems that ensure a continuous power supply for medical equipment, lighting, communication, ventilation and other critical systems that patients are dependent upon.
  • Silence is golden
    Benjamin Davenny
    Healthcare costs are rising, and the federal government is trying to rein in costs and get better results for the money it is spending on Medicare. With the passage of The Affordable Care Act, insurance coverage expansion received most of the media attention, but part of the act covered improvement of quality and reduction of costs in Medicare. Under the ACA, the Department of Health and Human Services and its Centers for Medicare and Medicaid Services are tasked with implementing these quality and cost measures. CMS already had some cost and quality improvement measures in place, such as reducing hospital-acquired conditions and the inpatient quality reporting system.
  • Transforming healthcare
    Miguel Burbano De Lara
    Challenge and innovation are two sides of the same coin. The Affordable Care Act underscored many of the existing challenges confronted by healthcare organizations - in particular, safety, quality, access, efficiency and cost - to which leaders have responded with innovations that began transforming the delivery of healthcare. Yet these existing challenges persist as new ones have emerged, including: capacity limitations, a shortage of qualified healthcare workers and the ineffective distribution of healthcare facilities and services. Leading healthcare organizations and their partners are demonstrating that ground-breaking methodologies can be used to design or redesign and build facilities to become an integral component in accelerating the positive transformation of healthcare.
  • Flooring factor
    Sheila J. Bosch & Elisa A. Worden-Kirouac
    At first glance, the application of Evidence-Based Design seems like a simple equation for flooring selection — if choosing X flooring, Y outcome will occur. Rubber flooring diminishes noise levels. Anti-microbial flooring decreases healthcare-associated infections. Slip-resistant flooring reduces patient falls.
  • Hanging around
    Tracy Morris
    In today's healthcare environment, budgetary constraints dictate a more prudent use of hospital facility space. Wise designers and administrators are finding solutions in strategically used wall space, which eases tight corridor and floor-space burdens.
  • To invest or not to invest
    Aran A. McCarthy and Jim Rivard
    As economic changes continue to challenge the nation's healthcare systems, hospital administrators need to take a hard look at their priorities for capital improvements. Each year, spending budgets must be set, with funds reserved for facilities upgrades, expansions and new clinical models that will help healthcare systems maintain a competitive edge. While balancing these various priorities is always a challenging task, it's even more critical in today's shifting economic and regulatory environment.
    Scott Larkin and Michael Ryan
    With financing becoming available again and requests for urgently needed healthcare renovations and expansions starting to roll in, now may seem the least likely time to delve into the master-planning process. But being overwhelmed by short-term needs and ignoring long-term planning can be a recipe for failure.
  • CLEAR directions
    Edward M. Browne
    Wayfinding was first described centuries ago as a system of navigation used by people who traveled land and sea by unmarked routes. The indigenous people of Polynesia astounded Western sailors by use of tides, movement of waves and cloud formations to navigate huge distances in open canoes. They did not have maps or charts, relying instead on an innate sense of how to find their way.
    At the same time that construction of healthcare facilities in the United States is experiencing constraint due to an uncertain healthcare delivery system, designers are seeing an international interest in modern, Western-style hospitals that follow U.S. codes, can be accredited by Joint Commission International and have amenities similar to five-star hotels.
  • 'Defend in place'
    Doug Parris
    Hospitals are a vital part of civic infrastructure, and never more so than during natural disasters. When a crisis occurs, people naturally gravitate to hospitals, not only for immediate medical needs, but also because of order and stability, with 24/7 activity and the expertise to deal with emergencies.
  • Beyond the curve
    Kurt Neubek
    It has been said that Baby Boomers, when viewed on a graph of U.S. population by age, create a noticeable lump in the curve that, over time, moves across the graph "like a pig in a python." Today, a similar phenomenon is occurring with Building Information Modeling in healthcare design and construction.
    Though not a new concept, prefabrication is a strategy that is taking off in commercial construction.
  • From oil to gas
    Richard Borrelli and Jeff LaPierre
    Recent technological innovations have brought natural gas supply levels to record highs and near historic lows in price. For healthcare institutions looking for ways to reduce facility operating costs, the switch to gas is attractive. But how do you decide if it is the right decision?
  • Heart Hospital
    Michael Kennedy, Kim Williamson and Kris Denevan
    Sanford Health is an integrated health system headquartered in the Dakotas, and is now the largest, rural, not-for-profit healthcare system in the nation with locations in 112 communities in seven states. With more than 25,000 employees, Sanford Health is also the largest employer in North and South Dakota.
  • Listen Up
    David A. Bateman Jr., Benjamin Davenny and Jeffrey A. Zapfe
    Acoustics, technology and vibration considerations will all affect healthcare facilities of the future, in ways that administrators need to prepare for now. Acoustics and noise control are increasingly important in hospital design, as evidenced by incorporation into healthcare facility guidelines, LEED for Healthcare and other standards.
  • Careful choreography
    Barbara Anderson and Elsa Mersereau
    Lean principles are regularly employed in healthcare organizations as a process-improvement methodology. Increasingly, Lean thinking is a consideration during the design of healthcare projects in an effort to improve workflow, eliminate waste and enhance patient-centered care.
  • On the horizon
    Kelly Brainerd
    The recently released 2012 Mortenson Construction Healthcare Industry Study includes several key insights related to the continuing need for innovation in the design of healthcare facilities.
  • Public-Private Partnerships
    Andrew Quirk
    There is no question that, in these economic times, new funding models for infrastructure projects are more important than ever. Capital for these projects, which include upgrading roads and bridges, building schools and constructing new medical facilities, is limited, but the need is great.
Medical Construction & Design