Healthcare Design - September 2022 - 39

I N F O CUS
S T R A T E G I C A PPR O A C H E S to D E S I GN C H A L L E N GE S
AS THE SHIFT of care from inpatient to outpatient
continues to evolve, determining an appropriate
site for services has become an important
strategic decision for healthcare organizations
and practices. One strategy is moving outpatient
programs from expensive hospital real estate to
less expensive and more customer-friendly facilities,
such as a medical office building (MOB).
While the economy, efficiency, and simplicity
promised by the traditional MOB is
enticing, several factors-such as occupancy
classification, clinical complexity, and owner
expectations-influence the planning and design
and can have significant implications for
the project's scope and budget.
BASICS OF A MOB
MOBs are traditionally tenant-based office
buildings exclusive to healthcare-related practices.
Because the design and construction of
office buildings are historically shepherded by
developers, who approach the process with a
critical eye on cost and value, there's often an
implied sense of economy, even frugality, when
discussing an MOB. For example, a typical MOB
may include amenities and features that make
it more suitable for healthcare business, such as
more parking capacity with plenty of convenient
and ADA-accessible spaces or back-of-house elevators
sized to accommodate stretchers. But
costly infrastructural upgrades such as emergency
power, piped medical gases, or enhanced
HVAC performance (like more frequent air
changes and precise humidity controls) required
by many specialty or hospital-based
practices typically are not included in the baseline
assumptions of MOB design.
Additionally, the complexity of care adminisPLANNING
AND DESIGN
BUILDING NUANCES
Different medical office building models can help clients and
project teams find the right setting for outpatient care needs
By Sarah Walter
tered in outpatient facilities as well as the acuity
of patients receiving care in these environments
is increasing, which further impacts the performance
requirements expected of an MOB.
What may have been originally conceived (and
budgeted) as " a simple MOB, " in anticipation of
straightforward clinical programs like primary
care offices, might become a more robust facility
once code requirements and client
expectations are met.
Unfortunately, the terminology
used to describe outpatient
SEP TEMBER 2022
39
DAVID SENIOR

Healthcare Design - September 2022

Table of Contents for the Digital Edition of Healthcare Design - September 2022

Healthcare Design - September 2022 - Cover1
Healthcare Design - September 2022 - Cover2
Healthcare Design - September 2022 - 1
Healthcare Design - September 2022 - 2
Healthcare Design - September 2022 - 3
Healthcare Design - September 2022 - 4
Healthcare Design - September 2022 - 5
Healthcare Design - September 2022 - 6
Healthcare Design - September 2022 - 7
Healthcare Design - September 2022 - 8
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Healthcare Design - September 2022 - 15
Healthcare Design - September 2022 - 16
Healthcare Design - September 2022 - 16a
Healthcare Design - September 2022 - 16b
Healthcare Design - September 2022 - 16c
Healthcare Design - September 2022 - 16d
Healthcare Design - September 2022 - 16e
Healthcare Design - September 2022 - 16f
Healthcare Design - September 2022 - 16g
Healthcare Design - September 2022 - 168
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Healthcare Design - September 2022 - Cover3
Healthcare Design - September 2022 - Cover4
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