Healthcare Design - April 2016 - 10
MONITOR
Edited by Anne DiNardo
Left: University Health
System's transitional
care center is designed
with a glazed glass wall
entrance to give it more
of a storefront look than
a clinical feel. Below:
Twelve recliners are
available for patients,
while standard chairs
along the perimeter are
for companions. Bottom:
A translucent glass panel
divides the unit into two
areas, with one side
housing a TV and the
other housing medical
gases and offering a
quieter setting.
Not every patient approved for discharge is able
to vacate the hospital bed immediately. Some
might be waiting on a prescription to be sent
from the hospital pharmacy while others might
have to wait for a family member to pick them
up. Keeping these patients in beds for noncare-related reasons can contribute to backlogs
in the admitting process and increase the time
sick patients sit in the emergency department
(ED) until moving upstairs.
University Health System in San Antonio
sought to address the issue by introducing a
transitional care center on the first floor of its
trauma tower, which opened in spring 2015.
The approximately 2,500-square-foot enclosed
waiting area serves those who've been discharged but aren't able to immediately walk out
the door, as well as direct-admit patients who
come to the hospital and find there isn't a bed
available yet.
Says Marvina Williams, RN, senior medical
planner and senior associate at Perkins+Will
(Atlanta): "It's a win-win situation. The approach
led to operational efficiencies and cost savings
for our client."
To create a warm, non-clinical setting, the
center is designed with a glazed glass wall
entrance and residential furnishings, including
10
HCDmagazine.com 04.16
recliners, artwork, TVs, a nourishment station,
and private bathroom. "They may have just
come from a procedure or some may have
fractured legs," says Joyce Ornelas, RN director who manages the transitional care center
at University Health. "We didn't want them
just sitting in your typical office waiting room
chair."
The unit, which is being relocated to a
larger space on the third floor this year, is
staffed by a licensed practical nurse and two
technicians who can continue to monitor patients' medical needs until they leave. Medical
gases are located on a wall in one area of
the room for those needing oxygen, and a
medication dispensing kiosk allows patients
to send prescriptions directly to the pharmacy
through a tube system and video conference
with a pharmacist.
Ornelas says the transitional care center
has improved operational efficiency at the
hospital by reducing the amount of time
patients remain in beds after they've been discharged. The hospital has set a goal to send
30 percent of all discharge patients through
the unit this year.-Anne DiNardo
MICHELLE LITVIN
Moving services
http://www.HCDmagazine.com
Healthcare Design - April 2016
Table of Contents for the Digital Edition of Healthcare Design - April 2016
Healthcare Design - April 2016
Contents
hcdmagazine.com
Editorial
Monitor
Product Spotlight: Outdoor Spaces
The Center
New Wave
The Home Stretch
AIA-AAH
First Look
Healthcare Design - April 2016 - Healthcare Design - April 2016
Healthcare Design - April 2016 - Cover2
Healthcare Design - April 2016 - 1
Healthcare Design - April 2016 - Contents
Healthcare Design - April 2016 - 3
Healthcare Design - April 2016 - hcdmagazine.com
Healthcare Design - April 2016 - 5
Healthcare Design - April 2016 - Editorial
Healthcare Design - April 2016 - 7
Healthcare Design - April 2016 - 8
Healthcare Design - April 2016 - 9
Healthcare Design - April 2016 - Monitor
Healthcare Design - April 2016 - 11
Healthcare Design - April 2016 - 12
Healthcare Design - April 2016 - 13
Healthcare Design - April 2016 - 14
Healthcare Design - April 2016 - 15
Healthcare Design - April 2016 - Product Spotlight: Outdoor Spaces
Healthcare Design - April 2016 - 17
Healthcare Design - April 2016 - 18
Healthcare Design - April 2016 - 19
Healthcare Design - April 2016 - 20
Healthcare Design - April 2016 - 21
Healthcare Design - April 2016 - 22
Healthcare Design - April 2016 - The Center
Healthcare Design - April 2016 - New Wave
Healthcare Design - April 2016 - 25
Healthcare Design - April 2016 - 26
Healthcare Design - April 2016 - 27
Healthcare Design - April 2016 - 28
Healthcare Design - April 2016 - 29
Healthcare Design - April 2016 - 30
Healthcare Design - April 2016 - 31
Healthcare Design - April 2016 - The Home Stretch
Healthcare Design - April 2016 - 33
Healthcare Design - April 2016 - 34
Healthcare Design - April 2016 - 35
Healthcare Design - April 2016 - 36
Healthcare Design - April 2016 - 37
Healthcare Design - April 2016 - 38
Healthcare Design - April 2016 - 39
Healthcare Design - April 2016 - 40
Healthcare Design - April 2016 - 41
Healthcare Design - April 2016 - 42
Healthcare Design - April 2016 - 43
Healthcare Design - April 2016 - 44
Healthcare Design - April 2016 - 45
Healthcare Design - April 2016 - AIA-AAH
Healthcare Design - April 2016 - 47
Healthcare Design - April 2016 - 48
Healthcare Design - April 2016 - 49
Healthcare Design - April 2016 - 50
Healthcare Design - April 2016 - 51
Healthcare Design - April 2016 - 52
Healthcare Design - April 2016 - 53
Healthcare Design - April 2016 - 54
Healthcare Design - April 2016 - 55
Healthcare Design - April 2016 - First Look
Healthcare Design - April 2016 - Cover3
Healthcare Design - April 2016 - Cover4
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