Contract - October 2012 - (Page 84)

“Next Practices” in Healthcare Design The American College of Healthcare Architects (ACHA) Next Practices Committee explores how potential changes in healthcare delivery will impact healthcare design identifying forward-thinking practices that will United states. it also focused on an awareness of contribute to making healthcare more affordable future trends that will affect healthcare design. and accessible, and that will ultimately improve the the committee’s methodology is a scholarly quality of patient care, is absolutely critical in the approach that marries the best architectural and evolving landscape of healthcare delivery in the clinical practices. an important part of the effort is United states. With that as its core focus, the considering how the trends and forces influencing american college of Healthcare architects (acHa) the future of healthcare will affect the design of next Practices committee is in the midst of refining healthcare settings and spaces. the advantage of a set of “next practices” for healthcare design and having a diverse group of healthcare architects from healthcare delivery. across the country was gaining access to a range of the genesis of the committee came from a perspectives to aid the flow of creative thinking. challenge to the audience from a regional healthcare Focusing on the common themes of driving system during a panel discussion at the 2009 down costs, making care more accessible and california Health Facilities Forum. the system’s improving outcomes, the committee identified and leaders contended that california hospital building vetted key concepts that resulted in a list of ideas. and licensing codes were so rigid that the clinical and operational improvements occurring in the other the acHa next Practices committee’s presentation 49 states were often difficult or impossible to at the 2011 california Health Facilities Forum in implement in california. as a result, healthcare Oakland revolved around three concepts: architecture in california was perceived to be in a remedial mode, rather than at the leading edge of 1. improve patient flow, patient services, and clinical and operational practices. the healthcare throughput system challenged the audience of architects to 2. new configurations to respond to new thinking seek innovation in healthcare and to work with 3. incorporation of new sciences and technologies regulatory agencies to ensure that code requirements—now and in the future—better For each concept, the committee developed several support best practices. supporting ideas, or “next practices.” examples of next practices include: national focus based on california lessons Because the acHa has a national perspective, the team-Based Medicine. One of the first next practices committee quickly evolved to focus beyond resulting from Healthcare reform is the idea of california, identifying future “next practices” that team-Based Medicine. improvements in quality, should be adopted by architects throughout the access, and cost control will occur through 84 collaboration by providers emphasizing prevention, wellness, and continuity of care to at-risk populations. Design plans for physician practices must include space that enables communications among multidisciplinary team members with the physician as team leader. care Processes and BiM. as labor is the most expensive part of healthcare delivery, the design process must evolve to become more integrated at strategic, logistical, and tactical levels. Patient care processes need to be designed first using tools such as value stream mapping to meet established benchmarks. as the building is being designed to support the efficient delivery of patient care and the effective use of care teams, architects will use such tools as simulation modeling and plan optimization software to assure targets are being met. With these elements incorporated into the Building information Model (BiM), opportunities for improvement can be explored with real time feedback on operational and construction costs, as well as an evaluation of their relative efficiency and effectiveness. Physician Home Visits. a former emergency department (eD) physician on the committee has re-imagined the traditional physician home visit. His medical group puts the doctor on the doorstep— when necessary within 60 minutes and without any advance appointment. the physician is dispatched to the patient’s home, equipped with every diagnostic tool necessary to assess the patient’s contractdesign.com OctOber 2012 DiagraM cOUrtesy OF tHe aMerican cOllege OF HealtHcare arcHitects (acHa) next Practices cOMMittee Practice: next Practices By Douglas Childs, AIA, FACHA http://www.contractdesign.com

Table of Contents for the Digital Edition of Contract - October 2012

Contract - October 2012
Contents
Editorial
Industry News
Exhibition: HD Boutique
Product Focus: Take a Hint
Product Briefs: Health and Wellness
Dale and Frances Hughes Cancer Center
Los Angeles Center for Women’s Health
Paul S. Russell, MD Museum of Medical History and Innovation
Healthcare Environment Awards
Kaleida Health, Clinical and Medical Research Building
Old Town Recovery Center
Baystate Medical Center
Legacy Health Randall Children’s Hospital
Memorial Sloan-Kettering, Brooklyn Infusion Center
Community Hospital @ Yishun
Mercy Medical Center Rooftop Garden
Rehab + Space Center
Heart Care Center
Practice: “Next Practices” in Healthcare Design
Design: Foster + Partners Develops Master Plan for Cleveland Clinic Growth
Exhibition: Studio Gang Architects at the Art Institute of Chicago
Designers Select: Lighting
Sources
Ad Index
Renovation: Saving Lives by Updating an Icon

Contract - October 2012