Healthcare Design - February 2019 - 40

The dual cameras in this
hybrid room, designed by
Bostwick Design Partnership, allow the clinicians to capture images
simultaneously from both
cameras and construct a
clear 3-D image of the
area they're working in.

THE RIGHT ENVIRONMENT

As providers expand their cardiac service lines, they're looking for newer or updated-and often bigger-spaces to accommodate a range of invasive and noninvasive procedures, from open heart and image-guided
surgeries to transcatheter aortic valve replacements. The WVU Heart
and Vascular Institute opened with a range of
capabilities, including neurovascular services,
PROVIDERS ARE LOOKING
and hopes to conduct its first heart transplant
FOR UPDATED-OFTEN
in 2019.
Michael Zambo, principal at Bostwick Design
BIGGER-SPACES TO
Partnership (Cleveland), says in the past it was
ACCOMMODATE A RANGE
common to put cardiac surgeons in existing ORs
or spaces where they had to "make it work," but
OF PROCEDURES.

40

FEBRUARY 2019

HCDMAGAZINE.COM

today he's seeing clients focused on figuring out
what cases surgeons want to handle and then
building a room to fit those needs. "We create
the right environment for the best outcomes,"
he says.
One answer to this trend is hybrid rooms,
designed to handle surgery, imaging, and cardiac
catheterization procedures in the same setting.
When the Miller Family Heart and Vascular
Institute at Cleveland Clinic opened a decade
ago, it housed 14 cardiac ORs, says Randy Geise,
senior healthcare facility planner at Cleveland
Clinic in Cleveland. "We've added four hybrid
ORs to this service and are in the process of
constructing two additional hybrid rooms," he
says. "We've also added hybrid ORs to our facility
in Florida and a number of regional hospitals
in Ohio. There's demand from staff to perform
certain procedures."
Jaeger, who estimates his firm has done 20
hybrid advanced procedure rooms in the last
year for clients in the Midwest, says most of
these rooms are used to repair structural heart
defects, such as heart valves or wall and chamber repairs. But if something goes wrong during
a procedure and the patient suddenly requires
an open-heart surgery, the setting can allow
them to be treated in the same room rather
than transferred down the hall to an OR space.

TODD WILLIAMS, SHOOTING STAR PHOTOGRAPHY

"When they switched gears, leadership said we needed to think
differently and build something great," says former OR nurse Holly Garon,
assistant vice president, surgical services at WVU Medicine. "So they
changed their vision to have a heart and vascular institute that's designed
for complete care of the patient who has cardiovascular pathology."
Since the opening of the 110,000-square-foot Heart and Vascular
Institute, WVU has seen its volume for cases, including open heart,
catheterization, electrophysiology, and vascular, increase 55 percent
between August 2017 and August 2018 and its surgical staff grow from one
to five cardiac surgeons. "We increased capacity and quickly utilized it,"
Garon says.
WVU's vision and success illustrate a larger trend across healthcare as
other organizations are evolving their cardiac care services, supported by
advances in technology and equipment that allow them to do more life-saving procedures, often using noninvasive approaches.
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Healthcare Design - February 2019

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