Healthcare Design - May 2014 - 44

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HCDmagazine.com 06.14

cardiac catheterization, endoscopy, angiography,
and so on-and how they can be streamlined
to reduce the duplication of staff and services.
"Instead of having each of those modalities occurring in a silo," Belknap says, "we brought all of the
interventional platforms together so any patient
on a stretcher needing prep or recovery is in one
of 64 treatment bays. It's a huge step in terms of
efficiency for the hospital to embrace Lean for the
delivery system."
MaineGeneral also opted for 36-bed inpatient
units broken up into 12-bed pods with decentralized nurses' stations so that each pod is
self-sustaining, meaning they can be opened or
closed based on census, Hays notes.

Above: Low-maintenance flooring
was used throughout the facility, with
sheet vinyl and rubber options used
to eliminate the need to wax floors,
as seen here in the ED waiting room.
Below: The integration of indoor and
outdoor spaces is illustrated in this
view of the cafeteria and outlying
activity terrace.

ANTON GRASSL/ESTO

that once the building's footprint is determined,
construction can progress even if the interiors
aren't yet finalized.
Another Lean driver for the project was the
use of prefabrication. With a delay in financing
pushing the project start into late summer, the
building's steel frame wasn't erected until winter,
meaning the team needed a quick solution to
sealing up the site before weather might impede
progress, says Robert Gambrell, senior vice
president of Robins & Morton. The answer was to
prefabricate the building's exterior panels off-site
for a quick installation.
That process was then applied to headwalls
and bathroom pods for the patient rooms. In fact,
those pieces were prefabricated on-site, with the
team taking advantage of its expansive basement
rather than renting warehouse space for the job.
Further supporting an easy prefabrication
and installation of patient room elements was
the decision to pursue a standardized design,
an approach gleaned from numerous site visits
the design team conducted of peer facilities. "It
was so dramatic in terms of the duration of the
labor in the field getting to the point of putting up
drywall and painting. It was overnight in these
units that had repeated elements, and it was due
to prefab," Belknap says.
Other Lean approaches to interiors included
reassessing traditional layouts-specifically those
supporting the interventional platform of surgery,



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Healthcare Design - May 2014

Table of Contents for the Digital Edition of Healthcare Design - May 2014

Contents
Healthcare Design - May 2014 - Cover1
Healthcare Design - May 2014 - Cover2
Healthcare Design - May 2014 - 1
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Healthcare Design - May 2014 - Contents
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