INNOVATIONS IN HEALTH CARE: FLEXIBILITY

Friday, May 11, 2018
Image: 2018 PDC Summit session for innovation health care flexibility
This 2018 PDC Summit general session focused on innovations advancing health care design, construction, and operations and creating facilities that are flexible for the future. The Healthcare Infrastructure Research Institute and ASHE have been working together to identify innovations in the health care field. A jury reviewed more than 70 innovations and selected 16 ideas as best practice. Following are the winners of the 2017 The Built Environment for Healthcare Industry Innovation Program.

The 16 Winners
The innovations described below were selected by our Executive Board as being worthy of recognition. The order in which they are summarized is irrelevant.

Healthcare Resiliency in the Era of Climate Change
NBBJ Architects

Replacement hospitals for medical institutions wiped away in Hurricane Katrina have recently reopened. The design of these facilities serves as a model for hospitals in other communities that must increasingly accommodate the effects of a changing climate and rising water levels. This study examines how these hospitals provide clues to institutions in other areas prone to severe natural disasters. It also looks at how these hospitals have transformed the region into a major hub for medical care, health and wellness, and also boosted the region’s economic future.

Contact Person: Daniel Skiffington, DSkiffington@nbbj.com

Increasing Access to Healthcare – the case for a Nano Hospital
WHR Architects

This study explores a concept for a smaller, ergonomic patient room that uses evidence based design to provide a high quality care environment while checking unrestricted growth in size and cost. It uses quantitative program comparison against past projects to show that the essential areas necessary for clinical care and support need not be reduced to achieve a smaller more efficient footprint.

The goal of the study is to provide insight into how smart design could reduce excessive construction while still providing the space for high quality care based on the principles of lean design and ergonomics in conjunction with technology.

Contact Person: Bhargav Goswami, bgoswami@whrarchitects.com

Modular Design and Construction in Healthcare
Gresham, Smith and Partners
Turner Construction

In a 2009 report, the National Research Council of the National Academics identified prefabrication and modularization as an “opportunity for breakthrough achievement” in the design and construction industry. This study examines how the healthcare design and construction market have embraced the opportunity for modularization and what results can be measured in terms of cost, schedule, quality and safety. It further explores these areas of design and construction delivery and provides definitive data to help guide owners, architects, and contractors on future projects.

Contact Person: Pat West, pat_west@gspnet.com

The Perpetual Future-State Hospital
Affiliated Engineers, Inc.

Future-proofing healthcare facilities with adaptability strategies and measures correctly assume that care-model change from “present point A” to “unknown point B” is inevitable. Today’s convergence of record data, analytics, genomics, and value-based payment for services, however, is fundamentally redefining the concept of facility flexibility from assumptions of episodic change to a state of comparatively continuous change. This case study explores how the transition from fee-for-service to value-based healthcare, guided by information/data technology, drives changes in space usage, whether to the more medically-intensive, such as surgical centers, or the more consultatively-intensive, such as telehealth augmented by real-time biometric patient data. Meeting the current challenges requires fresh approaches to capital project management. Combining the best practices of integrated teams and value stream mapping offers the environment for success.

Contact Person: Khris House, khouse@aeieng.com

Non Traditional Means of Delivering Healthcare
DGA

With communities and consumers seeking better care and greater convenience, non-traditional outlets of care are growing in terms of popularity and capability. Some direct examples of this include government programs providing outreach to underserved communities and those below the federal poverty level; telemedicine and retail clinics are also part of the non-traditional delivery of care. This case study explores: mobile medical units, back pack medicine, wellness home check nursing, telemedicine and wearable devices and Workplace Clinics / Urgent Care Centers / Retail Clinics.

This work illustrates the impact of the real people and teams that are currently providing this care and the lessons learned from their experiences.

Contact Persons:
Melinda Lin, mlin@dga-sf.com
Charles Aunger, charles@aunger.com

Using Predictive Analytics and Big Data to drive Ambulatory Care Transformation
Hoar Construction, Real Estate Strategies (RES), and HGA Architects

Health providers acknowledge that ambulatory networks are the key to providing convenient, accessible services for patients while also ensuring future market share growth for health systems. Hoar, Real Estate Strategies, and HGA architects joined forces and developed an innovative approach to assist health systems in the creation and rapid implementation of successful ambulatory network strategies.

This case study utilizes predictive analytics and interactive mapping to identify unsaturated market areas full of unmet patient demand, overlay ideal payer mix projections, and forecasting future financial success of new locations long before real estate has even been identified. By combining proven tools and techniques from vast experience in the retail and financial services industries with healthcare specific Big Data, health providers can now create predictive, visually compelling, neighborhood level strategic plans for expansion or optimization of urgent care centers, freestanding EDs, primary & specialty care practices and even micro-hospital locations.

Contact Persons:
Coker Barton, cbarton@hoar.com
Craig Beam, craig.beam@restrategies.com
Charles Black, charles.black@restrategies.com
Stan Chiu, SChiu@hga.com

Technology Driven Solutions in Preparedness Reporting for Life Safety Management
JLL

The U.S. healthcare industry continues on a path of perpetual transformation as patient demands and government regulations evolve the care environment and begin to define a renewed operating model for the Nation’s top health systems. Requisite attention to margins, newfound potential in operational efficiencies, increased competition, and a proliferation of M&A activity, are all contributing factors to the ever increasingly complex task of managing a modern health system. This work examines the use of new technologies to ensure compliance preparedness, benchmarking, and reporting around three important areas: construction risk, life safety, and environment of care.

Contact Persons:
Ted Pappas, Theodore.Pappas@am.jll.com
Roger Herritz, Roger.Herritz@am.jll.com

Making a Virtual Statement Mercy - Facility Delivers New Frontier of Care Delivery
Forum Studio

Mercy’s Virtual Care Center in Chesterfield, Missouri, has no waiting rooms, hospital beds, or patients. Instead Mercy Virtual, which opened last winter, houses more than 500 full-time employees who sit in front of computer displays, watching over the care of patients within several health systems, including 38 hospitals in six states. This case study illustrates that by integrating care management with primary care, home telemonitoring, and online and telephone support, Mercy has made a remarkable impact on utilization and clinical outcomes for individual clients.

Contact Person:
\ Gary Collins, collinsg@forumstudio.com

Achieving Integrated Team Success
Clark Construction Group

Success on today’s projects comes from delivery methods/contracts that allow the design and construction team to collaborate from the early stages of project inception. Studies show that this early engagement, at all levels, increases collaboration and leads to better outcomes. This presentation explores: 1) the ideal phase of the project (programming, conceptualization, schematic, etc.) during which to bring together the tem to achieve the maximum benefit, 2) characteristics of a successful project team/culture, 3) project delivery options that maximize collaboration and manage proper risk allocation of the team and 4) best practices on past projects that exemplify the definition of successful team integration.

Contact Person: Barbara Wagner, barbara.wagner@clarkconstruction.com

Entropy and the Exploding Hospital
CRGA Design

The United States has begun moving to a new model of care that emphasizes healthy lifestyles to avoid unnecessary and/or avoidable inpatient admissions. When care is required, it is delivered in the most appropriate environment from a cost, quality and patient experience perspective. There will always be very sick patients requiring high-acuity care spaces–but there are so many alternatives to delivering high quality care across the continuum.

This study explores a future of healthcare being dispersed from the public realm of institutional space to the scattered private realm of personal space–a space defined not by bricks and mortar, but rather by social connections. Such innovation could very well point to a future of (most) healthcare being delivered without dedicated buildings. The irony is the wider the dispersion, the more personalized care becomes.

Contact Persons:
Rolf Haarstad, rhaarstad@crgadesign.com
Stephen Wooldridge, Stephen.C.Wooldridge@medstar.net

ConX System for Healthcare Infrastructure: A Platform for Continuous Improvement
ConXtech

The ConX System is an innovative structural steel platform that major healthcare owners are leveraging to advance the effectiveness of their healthcare facilities. Healthcare owners are in a unique position to benefit the most by delivering more standardized facilities. This presentation examines the role of systemization in creating a Platform for Continuous Improvement. The desired outcome is to design and deliver healthcare facilities faster, better and more safely by breaking the cycle of continuous re-creation.

Contact Persons:
Kelly Luttrell, KLuttrell@ConXtech.com
Claire Matthews, cmatthews@conxtech.com

The Impacts of Population Health Analytics on Hospital and Outpatient Clinic Designs
GE Healthcare

Today’s healthcare delivery needs to change in response to changes in population dynamics including elements such as rising rates of chronic conditions like diabetes and obesity. Population Health is a term to describe a new method of providing care by identifying a population and predicting what their health needs may be and providing customer care pathways to the high-risk members prior to them needing to receive care at an acute care hospital. This study explores the idea of producing a healthcare service which does not start and finish at the hospital door, but intertwines all aspects of community and primary care. With use of predictive analytics in Population Health, designers are reconsidering the traditional hospital campus model and moving outpatient clinics out of the acute care hospitals and into the community. For healthcare organizations to be successful in this new environment is dependent upon how well providers manage the health of their population and how population health technology can help improve outcomes and reduce costs.

Contact Persons:
Christine Chadwick, christine.chadwick@ge.com
Dan Zikovitz

Patient Experience Enhanced by Mobile Wayfinding
Gozio Health

Gozio Health’s mobile wayfinding application delivers a personalized patient experience that takes patients from their home, to the right parking garage and on to their point of care inside a healthcare system’s facilities. This study demonstrates that hospitals recognize that a smartphone-based, navigation platform for their organization, represents the next generation of mobile health and patients experience, putting location-bbased information at patients families’ and visitors’ fingertips. With 75% of adults relying on smartphones for location-based information and directions, a hospital-branded app that offers step-by-bstep navigation meets an expressed users need and provides an enticing reason for patients to down-bload and engage.

Contact Persons:
Carolyn Van Winkle, carolyn.vanwinkle@gmail.com
Barb Kragor, barb@goziohealth.com

Designing Tomorrow’s Hospital
TLC Engineering for Architecture

This presentation explores what we can expect from the hospital of the future and examines elements that can be implemented with today’s technology such as mobile care and remote diagnostics, crowdsourcing and patient education, group thinking and innovation and perpetual analytics. Perpetual analytics focuses on staff status, response times, energy usage and predictive maintenance. This case study that patients want to know how they are doing, and to know that their choice of facility and physician is the best choice.

Contact Person: Rania Sadrack, Rania.Sadrack@tlc-eng.com

Space Condition Management
JLL

Hospitals need a well-defined methodology for evaluating the condition of all spaces and assets, assessing cost and true timelines for repair or replacement, and determining which capital investments have priority in keeping conditions above standard. This presentation explores JLL/ATG’s Space Condition Management solution, designed in collaboration with some of the healthcare industry’s leading hospitals, which creates accurate digital architectural layouts of the entire hospital campus to the room level. The goal is to utilize technology to gain consistency, quantify functionality and aesthetic value, and produce accurate data that better informs capital budgeting. Space Condition Management’s mobile inspection apps, real-time analytics, and email alert system provide the ability to assess conditions and correct problems–before their impact is felt.

Contact Persons:
Ted Pappas, Theodore.Pappas@amjll.com
Roger Herritz, Roger.Herritz@am.jll.com

MR-Linac in Cancer Treatment
HOK

Oncologist teams face many challenges in accurately tracking tumor position during radiation treatment. Very recently, Elekta along with Philips Healthcare launched a hightech solution, the MR-Linac.MR-Linac is the world’s first treatment delivery system which provides MR-guided external beam radiation therapy; it enables the therapist to have a closer look at the patient’s internal anatomy, improving the radiation treatment. This case study illustrates the challenges faced during pre-design, design, construction, and post construction. It also highlights how these challenges were resolved by the owner, architect, and engineers with the hope it will benefit other medical facilities contemplating the planning of MR&45;linac in an existing vault.

Contact Person:
Yvonne Nagy, yvonne.nagy@hok.com
Nupur Gupta, nupur.gupta@hok.com

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