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Wednesday, September 28, 2022  |  4:15 PM - 5:15 PM

Open to Conference Attendees Only

Three Community Hospital Behavioral Emergency Room Projects

Keith Kammerer, AIA
President, Buckl Architects
Robert Peake
VP, Facilities Management & Real Estate, Atlantic Health System
Director, The Eckroth Planning Group

Community hospital ED spaces are facing new challenges related to treating patients with behavioral disorders. Suicides, suicide attempts and assault on caregivers has increased. New protocols related to the suicide risk assessment screening has resulted in a large percentage of the ED patient population requiring “sitters” outside ED rooms 24/ 7 for suicide prevention. The average length of stay for typical ED patients is measured in hours by ESI level. For behavioral patients sometimes the ALOS is measured in days, due to IP bed shortages and complexity of care to discharge. The resulting impact of this growth in behavioral patients and long ALOS is to bottleneck throughput for most ED’s. A more innovative approach was required to rethink the workflows for the ED. This work was programmed, planned and designed before the new FGI Guidelines 2022 update for behavioral ED’s. Many of the new FGI 2022 recommendations will be highlighted in this presentation.

1: Transform current emergency room plans into healing spaces that respond to emerging best practice solutions for behavioral patients, staff and families, based on business plans and risk assessment tools.
2: Apply design principles for behavioral emergency room design for future projects that include best practice workflow and engineering systems design for isolation and safety.
3: Interpret FGI 2022 Edition changes coming to the emergency department for types of spaces to treat behavior and mental health patients.
4: Calculate behavioral emergency room demand with tools featured in this session.

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