The Patient Centered Dental-Health Home 2023-2026 - 20

Fundamentals
Multiple Floors
If, with multiple floors you do not have room to
place all primary medical and all dental on the first
floor, then do a Medical A with a Dental A clinic on
the same floor and a Medical B and Dental B on the
second floor to assure that medical and dental are
well-integrated and patient movement is minimal.
Such an arrangement promotes efficiency
for the clinical staff, especially when
coordinating with each other or
providing services within each
other's clinical spaces. This
also means increased billable
encounter numbers.
Patients, especially those
herding children, are more able
to access combined services,
which means a more effective
treatment experience and care
outcomes.
EXPERT ADVICE:
The most effective groupings for patient
movement when building within multiple
floors is to have primary medical care and
dental share the first floor and obstetrics
and pediatrics share the second floor.
Strategic Design can allow for complementary
plumbing and gas lines for both dental floors along
with placement of the mechanical room on the
lower floor to accommodate both dental clinics.
Optimal Patient Flow Through
Service Points
Successful design brings all department heads
together to assure that all needs are met, creative
solutions flow, and all interdependencies and
opportunities to share multipurpose spaces are
identified. Wherever possible, clinic design should
allow patients to move between medical and dental
without going back through reception.
20
EXPERT ADVICE:
After receiving care, it is ideal to have
patients leave through an exit and
checkout space without having to
traverse the main waiting room. This
improves flow and prevents congestion.
Patients receiving surgical
dental services could have
designated parking spaces
located outside such
exits to allow ease of
transfer.
Space for case managers,
promotores de salud, or
other treatment enablers
is essential and their
location should be integrated
into the clinical design (not
the administrative design),
allowing them to quickly move
from one discipline to another to serve
patients no matter where their appointments
originate. Grouping staff in pods (teams) which are
positioned near their treatment areas allows them
to not only see each other but track their assigned
treatment rooms and patients. More efficient staff
and treatment space location can reduce miles of
staff walking, and promote greater efficiency and
timeliness of care.
Have a centralized reception room for both medical
and dental patients for more efficient intake,
sharing of staff costs, and coordination of care.
For patients brought back for test results or vitals,
have a step down waiting area located between
just after intake but before the treatment rooms.
Consider multipurpose treatment rooms between
medical and dental that can allow for all services.
There are equipment choices that will support
this model. It allows for people with disabilities
or moms with children to receive care that orbits
around them rather than having to move around
the facility.
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The Patient Centered Dental-Health Home 2023-2026

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