Monday - November 14, 2011


Educational Sessions

Educational sessions are designed to provide attendees with just-breaking information, case studies, and research findings on a myriad of topics. Your speakers will offer information-rich presentations with opportunities for Q&A.

Thoughout the program, these icons depict:

P-Sessions that spotlight The Center for Health Design Pebble Projects.
I-Sessions that provide new perspectives and insights from international colleagues.
N-Sessions where the content offered is for attendees with a beginner level of understanding of that content.
A-Sessions where content is for attendees with an advanced level of understanding of that content.
S-Sessions that focus on sustainable design offering SD continuing education credit.

Educational Sessions — 9:00 - 10:00 a.m.

Track: Innovations in Planning and Design
 E01 Sustainable Planning for the "New Normal"— It's Much More Than LEED!

9:00 - 10:00 a.m.

John Downes, MBA, LEED AP, Principal, Stroudwater Associates
David Deininger, AIA, LEED AP, Principal, TRO Jung|Brannen

Market turbulence, uncertain healthcare reform, aging facilities, and the quest for market share and new technology require navigating a chaotic new landscape—the "New Normal." This session offers a solid process for managing competing agendas in a logical, coordinated manner and expands the typical definition of sustainability beyond LEED to include all resources—time, people, money, energy, and materials. Explore the relationships between ever-shifting variables to reveal options that lead to informed decision making. You’ll view a process for conducting a comprehensive data-driven evaluation, compare performance to industry metrics, and frame interconnected planning scenarios that provide real choices about whether to save or spend.
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Track: Post Occupancy Evaluations and Other Lessons Learned
 E02 EBD Pre-Occupancy Survey Checklist for Vicenza Health Clinic—A Case Study

9:00 - 10:00 a.m.


Anthony Cicci, RA, LEED, Senior Principal Consultant, Noblis, Inc.
Carolyn Bulliner, RN, MSN, Medical Facility Planner, Planning and Programming, U.S. Army Health Facility Planning Agency
Julie Mann-Dooks, EDAC, CHD Professional Affiliate, Senior Staff Consultant, Noblis, Inc.

The opening of the Vicenza Health Clinic coincides with updating of the interior design standards applied to all Army health facilities in Europe. This case study provides the U. S. Army with valuable interior design insight and educational materials for planning health facility staff in the outpatient care environment. Participants will discover how the collection and documentation of information supports evidenced-based facility/operational planning and execution. Learn how to create simple survey methodologies to obtain information and document it in a comprehensive and consistent way. Explore how this information can be used to create your own case studies to guide future outcomes.

Track: Advancement s in Evidence-based Design and Research
 E03 Innovations in Research 2011

9:00 - 10:00 a.m.


Frank Becker, PhD, Cornell University
Frank Weinberg, MedStar 
Anjali Joesph, PhD, Director of Research, The Center for Health Design

There is a need for robust research that demonstrates how appropriate health design is a critical driver in positively influencing patient care outcomes, caregiver work environments, and organizational and business returns. This session highlights The Center for Health Design's Research Roadmap for 2012–2015 and reveals areas of high-priority funding. Hear about: (1) the results of recently completed research around the impact of the built environment on preventing patient falls; (2) research on the role of hospital design on the psychological trauma of hospitalization for children; and (3) new measurement and management systems for hand hygiene and healthcare-associated infections. CHD Research award winners will also be revealed.

Track: Future-focused Building Methods
E04 Accelerated Construction of a State-of-the-Art A&E In South Africa

9:00 - 10:00 a.m.

Bryan Brinkman, Architect, Brinkman Ndayi McAll

Port Elizabeth, South Africa, host city for the FIFA 2010 Soccer World Cup, had to construct a new world-class Accident & Emergency Unit for the tournament at an existing hospital on a confined site. This session tells the story of how this project’s team prevailed in accelerating the construction program from eighteen months to twelve-and-one-half, all while maintaining the required high standards in energy efficiency, durability of finishes, best practices, and budget adherance. Hear about the considerations for the development process, the A&E unit design and project administration, and discuss the six-month post-completion assessment and analysis.
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Track: LEAN Approaches and Tools
E05 The Toyota Lean Method to Create Keystone Experiences

9:00 - 10:00 a.m.

Kurt Spiering, AIA, ACHA, Vice President / Principal, HGA Architect and Engineers
Patrick Duke, Senior Vice President, KLMK Group, Inc.
Merrill Bowers, Project Executive, Turner Construction Company

The Owensboro Health Center was committed to including the community in the design and decision-making process for a new community hospital.Through the use of Lean tools and the voice of over 100-plus staff and community members, this team built the roadmap for the ideal patient experience in a hospital that is high-quality, flexible, innovative, futuristic, and environmentally friendly.  Hear how they identified “Keystone Experiences” (experiences that emotionally resonate with patients and users) and its critical role in design/build decisions throughout the facility. Gain valuable insight into community engagement, testing through mock-ups and post-occupancy findings.

Track: Strategies for Positive Outcomes
E06 Accountable Care—Ecology in Healthcare Delivery

9:00 - 10:00 a.m.

Terrie Kurrasch, MPH, FACHE, Associate AIA, Senior Associate–Strategist/Planner, Ratcliff
Steven Steinberg, AIA, Principal, Healthcare Practice Area, Ratcliff
Ross Levy, AIA, LEED AP, GA, CGBP, Director of Sustainability, Ratcliff

The combined demands of climate change, healthcare reform, and an aging population require a new approach to healthcare delivery. Instead of being viewed as removed and institutional, the 21st Century Hospital must become the nexus of the community and central to its ecology. This future-focused session will explore the economic and social conditions that are driving this new paradigm, and highlight a model that is sustainable, wellness-centric, and connected to natural cycles. Explore new energy and water efficiency techniques, including on-site energy generation, chilled beam cooling, and displacement air ventilation. Understand the need for holistic thinking in healthcare planning, with the facility as a part of the larger human ecosystem.

Track: The Future of Ambulatory Care
E07 Enhanced Patient Experience—Design Driver for Urban Hospital-based Ambulatory Care

9:00 - 10:00 a.m.

James Harrell, FAIA, FACHA, LEED AP, Design Leader, Healthcare Group, GBBN Architects, Inc.
Timothy Gramann, MBA, Chief Operating Officer, Group Health Associates Affiliated with TriHealth

Patients and their families prefer ambulatory care settings to be as convenient as going to the store to buy a loaf of bread. But making that happen in an urban environment is a challenge. This program explores how these challenges are met! Session leaders will outline the many components of convenient care, including: access to transportation; open, well-staffed reception; electronic kiosks for rapid check in; positive distractions; clarity in wayfinding; and "one-stop-shopping" for diagnostics, pharmacy, and retail services. Participants will understand the provider team approach and learn how to design for flexibility of practice patterns for a multi-specialty physician team.

Track: AIA Forum
E08 Codes and Standards Forum

9:00 - 10:00 a.m.

Rebecca Lewis, AIA, ACHA, CID, Principal, dsgw

Design standards: What are they and how are they used? This Forum, third in a series, will continue to explore the "Standards" used, created, or developed in the design and function of the patient room. Experts will present their own "standards" development, and this will be compared and contrasted to previously presented examples. Discussion will follow.

Track: The Facilities Management Perspective
E08A How Does the Architectural Profession Respond to Utilizing Design Standards Within a Large Healthcare System?

9:00 - 10:00 a.m.

Robert McCoole, Vice President, Facilities Resource Group, Ascension Health

Many healthcare systems are looking to design standards as a way to bring cost control, best practices, right-sizing and speed to market to their projects. This session will provide one large system’s experience with its preferred architectural firms in applying design standards to its major projects. It will explore how the architectural firms manage both relationships involved – the specific hospital client and the system office. It will also address any cultural shift required of the architect in utilizing the design standards.

Roundtable Discussions 9:00 - 10:00 a.m.

Track: Innovations in Planning and Design
R01 Innovative Design on a Small Budget

9:00 - 10:00 a.m.

Mary Therese Hankinson, MBA, MS, RD, EDAC, Planetree Coordinator, VA NJ Health Care System
Kimberly Nelson Montague, AIA, EDAC, LEED, AP, NCARB, Director of Design Consultation, Planetree

The VA NJHCS is a two-campus facility comprised of over two million square feet of space that encompasses 60 buildings constructed more than 50 years ago. This facility has been a Planetree affiliate since 2005, and incorporates Planetree healing environment principles into renovation and construction projects. This roundtable will discuss fiscal challenges associated with the current construction climate and renovation of existing infrastructure on a small construction budget. Moderators will summarize the opportunities employed to overcome barriers and achieve innovation in healing design with limited resources. Attendees will discuss opportunities for innovation that incorporate process redesign/Lean design, evidence-based design, and flexible spaces into renovation projects.
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Track: Post Occupancy Evaluations and Other Lessons Learned
R02 Waiting Environments and Meaningful Outcomes—Results from a Facility Evaluation

9:00 - 10:00 a.m.

Nicholas Watkins, PhD, Director of Research, HOK
Upali Nanda, PhD, Director of Research, American Art Resources
Janet Kobylka, AAHID, IIDA, EDAC, LEED AP, Senior Interior Designer, HOK
Gena English, RID, AAHID, RAS, EDAC, Program Manager NPH FF&E/Interior Designer, Parkland Health and Hospital System

An ongoing facility evaluation, with pre- and post-occupancy stages, is being conducted at the Parkland Health and Hospital System. It measures the impact of furnishings and art within waiting areas, patient areas, and family zones on a wide variety of outcomes, including wait times, noise, care delivery, visitor involvement, comfort and satisfaction, and other key outcomes. This roundtable presents findings from the pre-occupancy phase of the facility evaluation that will serve as a benchmark against post-occupancy data. Moderators will explore how connotations of waiting may not be confined to waiting areas. Attendees will discuss definitions of waiting environments aligned with patients’ and visitors’ journeys through the hospital.

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Track: Rethinking the Central Point of Care
R03 Trends in Clinic Modules and Exam Rooms—Evaluating the Plan That Is Right for You

9:00 - 10:00 a.m.

Christine Guzzo Vickery, CID, Vice President/Senior Interior Designer, HGA Architects and Engineers
Gary Nyberg, RA, Vice President/Principal, HGA Architects and Engineers

This session will review leading clinic design modules and exam rooms currently designed and in use throughout the U.S., and engage participants in discussions on how to make the right decisions for their clinics. Attendees will learn about and evaluate the pros and cons of current clinic floor plan modules and exam room layouts, and analyze exam rooms of the future. Multiple spatial and programmatic relationships will be discussed. Finally, moderators will present the results of an eight-item pilot survey that inquired about the needs of five generations of clinic users, and discuss the implications of those results.

Track: Advancements Leading Change
R04 Unbundling Healthcare Facilities—Deconstructing the Oversized Hospital

9:00 - 10:00 a.m.

Joan Suchomel, AIA, ACHA, Associate Director, Senior Medical Planner, Skidmore, Owings & Merrill, LLP
Peter Van Vechten, AIA, Associate Director, Senior Designer, Skidmore, Owings & Merrill, LLP

Over the past several decades, medical centers have become increasingly monolithic, complex, and ultimately, inhumane. This discussion highlights the investigation of alternative medical center models from around the world that better promote health/well-being for patients and staff, improve patient satisfaction, increase staff productivity, enhance retention, and reduce first and long-term costs. Moderators will reveal three basic prototypes, including: (1) traditional stacked "pancake and tower;" (2) pavilions; and (3) linear/unbundled; and discuss how these models contribute, or don’t contribute, to the above goals. Attendees will have the opportunity to discuss how overall operational efficiencies can be achieved from these findings.

Track: AIA Forum
R05 Architects in Healthcare Organizations Forum

9:00 - 10:00 a.m.

Vincent Della Donna, AIA, Senior Healthcare Architect/Private Sector Leader, RLF Architecture Engineering Interior Design

The Architects in Healthcare Organizations Forum is a platform for the interaction and open discussion between architects in healthcare facilities and design professionals. This Forum will review, with audience participation, some of the administrative and practical issues associated with the delivery of healthcare projects.

Educational Sessions 10:15 - 11:15 a.m.

Track: Innovations in Planning and Design
E09 Healing the Mind, Body and Spirit—A Holistic Approach to Environmental Design

10:15 - 11:15 a.m.

Tom Tull, MBA, Sr. Director, Organizational Development and Service Excellence, Mountain States Health Alliance
Tracy Boling, MA, LPC, Corporate Manager, Patient-Centered Care, Mountain States Health Alliance

Setting the stage for healing is a challenge for new healthcare construction or renovation. This case study depicts the experiences of one large health system in its quest to develop and employ true healing standards. Speakers will review core healing standards and their development, the application of those standards to both renovations and new construction, and the adoption of creative programs to supply artwork for the environment. You’ll hear strategies to integrate more than the facility into individuals’ experiences, touching all the senses, and understand how applications of sustainabiltiy and LEED are central to this approach.

Track: Post Occupancy Evaluations and Other Lessons Learned
E10 VA Hospitals on the Sustainable Road—Green Globes® or Bust!

10:15 - 11:15 a.m.

Jane Rohde, AIA, FIIDA, ACHA, AAHID, LEED AP, Principal, JSR Associates, Inc.

As a follow up to the HEALTHCARE DESIGN 2010 presentation, "Sustainable Lessons: Results of Green Globes® Assessments of 21 VA Hospitals," this presentation provides background and information on an additional 170 VA facilities that will be utilizing the Green Globes® Continual Improvement of Existing Buildings (CIEB) module to benchmark acute care facilities across the nation. The presenter will discuss sustainability as a cyclical process for continued improvement and share new approaches to healthcare building rating systems. Attendees will gain access to Green Building Initiative™ tools that assist with benchmarking, and leave with best practices gleaned from VA case studies that they can apply to their private as well as public sector projects.

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Track: Advancement s in Evidence-based Design and Research
E11 A Framework for Evaluating Evidence in Evidence-Based Design

10:15 - 11:15 a.m.

Debajyoti Pati, PhD, FIIA, LEED AP, Vice President, Director of Research, HKS, Inc.
Jaynelle Stichler, DNS, RN, EDAC, FACHE, FAAN, Professor & Concentration Chair–Leadership, San Diego State University
Deborah Sweetland, MBA, FACHE, Consultant, Sweetland Consulting

Assessing the quality and applicability of evidence in the EBD process is an on-going challenge. In response to this critical need, the Summer 2011 issue of the HERD Journal published an article entitled "A Framework for Evaluating Evidence in Evidence-Based Design." The article, authored by Debajyoti Pati, draws from decades of experience in evidence-based medicine and evidence-based practice, and presents a customized framework for the design industry to view and assess evidence in evidence-based design. This interactive session will discuss the key points in the framework, and engage participants in identifying main problem areas and their likely responses that will further develop the framework.
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Track: Future-focused Building Methods
E12 Merging Architecture, Engineering & Medicine Into Healthy Hospital Soundscapes

10:15 - 11:15 a.m.

Erica Ryherd, PhD, LEED AP, Assistant Professor, Georgia Institute of Technology
Craig Zimring, PhD, Professor, Georgia Institute of Technology
Jeremy Ackerman, MD, PhD, Assistant Professor, Emory University School of Medicine, Dept. of Emergency Medicine

Research shows that poor sound environments create stress for patients, families and staff, interrupts sleep, slows healing, and contributes to medical errors. Studies also show that hospitals are getting noisier each year. This session discusses recent findings from the Healthcare Acoustics Research Team (HART)— an international, interdisciplinary collaboration of specialists dedicated to improving the hospital soundscape. HART leaders will share case studies evaluating the impact of background noise in intensive care and emergency departments on staff, studies of the impact of acoustic retrofits in wards with critically ill patients, and research that investigates the impact of floor-plate design characteristics on the acoustic environment. Attendees will leave with strategies on how to implement appropriate levels of noise.

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Track: LEAN Approaches and Tools
E13 The LEAN Toolbox—Helping Your Client Achieve their Process Improvement Goals

10:15 - 11:15 a.m.

Paul Fallon, RA, LEED AP, EDAC, Senior Associate, TRO Jung|Brannen

As part of the design process, hospitals are exploring opportunities to implement Lean process improvement to incorporate efficiencies. This session introduces key Lean concepts relevant to design, and focuses on four approaches for how to incorporate Lean thinking using real case study hospital clients. Their stories will illuminate how to apply Lean concepts during strategic planning and programming, utilize Rapid Improvement Events to address operational issues, determine system or department-wide Lean initiatives, and use Lean 2P events—including in-depth charrettes and full-scale mock-up—to demonstrate value to clients. Various tools will be discussed, along with their appropriateness in various settings.

Track: Strategies for Positive Outcomes
 E14 Space Utilization and Asset Management

10:15 - 11:15 a.m.

Gail Dahlstrom, Vice President, Dartmouth Hitchcock
Clifford Harvey, Senior Architect, Ontario Ministry of Health and Long-Term Care
Don Orndoff, Senior Vice President, Kaiser Permanente
Albert Park, Director of Facilities Planning, ThedaCare
Frank Weinberg, Corporate Vice President, MedStar
Mick Zdeblick, Vice President, Campus Transformation, RUSH System for Health

The mandate for high-performance facilities is universal, but how can you manage what you have never measured? Will your space be flexible to meet future needs? What metrics can you use to track and manage the utilization of your space? Finally, how do you ensure that you are getting a return on your investment? In answer to these questions, members of The Center for Health Design’s Built Environment Network have designed and developed a consistent methodology for asset management and space utilization. Learn what process they use to measure their performance and what they are doing to manage their portfolio of assets to meet future needs.

Track: The Future of Ambulatory Care
E15 The Future is Now—Envisioning the Next Generation of Healthcare at Cedars-Sinai

10:15 - 11:15 a.m.

Alicia Wachtel, Vice President and Regional Healthcare Practice Leader, HOK
Jeffrey Dreesman, Vice President and Director of Medical Planning-Los Angeles, HOK
Robert Cull, AHSP Project Director, Cedars-Sinai Health System

As integrated medicine increases and healthcare reform approaches, patient care is moving "out" of the hospital environment. Explore how the Cedars-Sinai Advanced Health Sciences Pavilion (AHSP) looks beyond current ambulatory care to a future model. Merging three critical drivers—research, education, and patient care—the AHSP houses wet lab research, advanced simulation labs, ambulatory surgery, neurointervention labs, and cardiac catheterization labs in a new 11-story LEED Gold facility. This facility illuminates how to create a physical environment that contains diverse, patient-centric functions and identifies synergies created by co-locating research, education, and patient care in one of the most advanced teaching and simulation envrionments.

Track: AIA Forum
E16 Health Strategic Planning Forum

10:15 - 11:15 a.m.

Gary W. Collins, AIA, NCARB, Senior Associate/Healthcare Market Leader, NBBJ
Raymond J. Swisher, FACHE, Branch Manager, Medicare Advantage Centers for Medicare and Medicaid Services Region 5
Dave Ennis, Senior Vice President, Kauffman Hall
Zach Hafner, Vice President, Kaufman Hall

Maintaining relevance in today’s healthcare design market place has never been so critically dependent on the need for understanding the business of healthcare before we try and design for it. Understanding the care model of your client, the business model, and the commitment to quality, service, and innovation is essential before the need of your design skills. This Forum reveals these critical insights for design teams to communicate with the C-Suite.

Track: The Facilities Management Perspective
E16A EVIDENCE-Based Ambulatory Care Environments for the Age of Healthcare Reform and Physician Integration

10:15 - 11:15 a.m.

Wright Pinson, MBA, MD, Deputy Vice-Chancellor for Health Affairs, Chief Executive Officer, Vanderbilt Health System, President Vanderbilt Health Services, Senior Associate Dean for Clinical Affairs, Vanderbilt University Medical Center
Constance Nestor, EDAC, FACHE, Senior Vice President, Gresham Smith and Partners

In part 1 of this presentation, Ms. Nestor will address the latest evidence-based trends in medical homes, outpatient villages, free-standing EDs and ambulatory care network strategies centered around healthcare reform principals of accountable care and physician integration/ alignment. Part II will highlight Vanderbilt’s success story surrounding its 400,000 SF ambulatory care facilities located at the One Hundred Oaks Mall in Nashville, Tennessee. Dr. Pinson will compare and contrast his initial vision with project challenges associated with realizing the revitalization of a failing retail mall, the opportunity for operations redesign as part of the architectural design process, associated benefits to Vanderbilt physicians and other interesting stories surrounding this “slam dunk” Vanderbilt community development project.

Roundtable Discussions 10:15 - 11:15 a.m.

Track: Innovations in Planning and Design
R06 Right-Sizing Healthcare Parking

10:15 - 11:15 a.m.

Dennis Burns, CAPP, Regional Vice President, Kimley-Horn and Associates, Inc.
Chris Frysinger, Senior Vice President, Kimley-Horn and Associates, Inc.

"Has healthcare parking changed again?" This question is being asked by healthcare planners and administrators around the country. This roundtable discussion will offer the latest in advanced parking management strategies and new parking technologies that develop enhanced, customer-friendly parking programs. The moderator will share new approaches to parking master planning that elevates parking as a key component of campus infrastructure, and not just as an adjunct to other buildings. Launching from case studies in creative transportation demand management strategies for campuses in urban environments, attendees will discuss healthcare parking planning strategies, advanced parking management approaches, and how new approaches improve operational efficiency.

Track: Post Occupancy Evaluations and Other Lessons Learned
R07 A Lean Prelude: An Effective and Authentic Project Team Post-Mortem

10:15 - 11:15 a.m.

Jerry Turner, AIA, Vice President, Jones Lang LaSalle
Rick Dahl, Principal, BWBR
Bill Igel, Senior Project Manager, MA Mortenson 

Attendees will walk away with a unique insider’s view of the project team’s experience in successfully executing the replacement Critical Access Hospital, the largest USDA funded project in the U.S. Moderators will share the post-mortem case study for this project and outline what the team discovered and, specifically, what to stop doing, what to start doing, and what technologies can be better utilized in the future. Participants will discuss opportunities for improved team effectiveness, areas to reduce waste and streamline the design and construction process, and tools that foster clearer communication and a common understanding.

Track: Rethinking the Central Point of Care
R08 Small Projects, Big Impact In Patient-Centered Care

10:15 - 11:15 a.m.

Kimberly Montague, AIA, EDAC, LEED AP, Director, Design Consultation Services, Planetree
Sandra Robertson, RN, MSN, PH-CNS, Patient-Centered Care/Planetree Coordinator, VA Greater Los Angeles Healthcare System

The VA Hospital in Greater Los Angeles embarked upon a journey to create a veteran-centered healing environment with  principles of evidence-based design along with the cultural transformation of Planetree healing environments. Recognizing that it’s not only the facility that plays a key role in a healing environment, but the outdoor spaces as well, this discussion will focus on the physical modifications and plans that have supported a changing culture in internal as well as outdoor spaces. Specific focus on veteran and community engagement, resuling in a transformation toward xeriscaped topography with California native plants and flowers, will be showcased.

Track: Advancements Leading Change
R09 Emerging Trends in Emergency Department Design

10:15 - 11:15 a.m.

Joseph Livengood, MD FACS, Acute Care Surgeon, Medical Center of the Rockies
James Lennon, AIA ACHA, President, Lennon Associates

Through case studies, you will explore emerging trends in emergency department (ED) operations and how they impact patient spaces. Session leaders will explain new, leading operational trends at work in the U.S., and offer alternative methods for serving patients needs within the new operational paradigm. Through discussion of specific examples, participants will have the opportunity to discern the difference between traditional and split-flow emergency departments, new patient-flow alternatives, new technologies and methods for triaging patients and their impact on space requirements, and the wide spectrum of patient spaces needed in future EDs.

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Track: AIA Forum
R10 Architecture + Health Education Forum

10:15 - 11:15 a.m.

David Allison, AIA, ACHA, Professor/Director, Graduate Studies in Architecture + Health, Clemson University

This Forum is intended to allow educators who are involved in programs, studios, or courses focused on healthcare architecture, and design professionals who are interested in education, to discuss issues of content, curriculum, and pedagogy. It is also intended to explore ways to better integrate academia, the design professions, and the healthcare industry at large.

Educational Sessions 11:30 a.m. - 12:30 p.m.

Track: Innovations in Planning and Design
E17 Designing the Cancer Patient Experience

11:30 a.m. - 12:30 p.m.

Sly Moore, MA, MBA, Vice President and Chief Operating Officer, Southeast Health
Gary Adamson, Chief Experience Officer, Starizon Studio
Judy Aslin, MSN, RN, NEA-BC, Executive Director, Cancer Center, Southeast Health
Brian Pansing, AIA, Principal, PNM Ltd. Architects
Barbara Harriman, IIDA, President/Creative Director, Distinctive Art Source

This is the story of how Southeast Health and Starizon created a unique approach to the cancer patient experience that individualizes each patient's journey while focusing on their life. Speakers will share the process developed to help determine and define new directions of care, including the introduction of guides to accompany each patient through their journey, along with the intentional creation of spaces full of warmth and restorative qualities. Gain insight into how to individualize cancer patient experiences and understand the critical role of environment in cancer care. You will rethink traditional models and hear outcomes that reflect the patient experience.

Track: Post Occupancy Evaluations and Other Lessons Learned
E18 Computer Game Simulation—Enabling Pre & Post Occupancy Evaluation and Design

11:30 a.m. - 12:30 p.m.

Jane Carthey, BArch, Senior Health Architect, Rice Daubney Architects
Russell Lowe, BArch, MArch, Senior Lecturer, Built Environment Faculty, University of NSW
John Mitchell, BArch, Dip Arch Comp, Associate Professor, Built Environment Faculty, University of NSW

This exciting session outlines a working prototype of virtual environments that facilitate user group involvement in the design and evaluation of the hospital emergency department. These real-time interactive environments allow post-occupancy evaluation at the conceptual design stage of a building project, and contribute signficantly to the effectiveness of user groups and designers in procurement of health infrastructure. Learn about new concepts in Real-Time Interactive Environments and Computer Game Modeling, and develop an understanding of the workflow required to deliver these environments by using BIM and other technologies. Speakers will explore the issues inherent in developing interfaces that support involvement from a wide variety of end users.

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Track: Advancement s in Evidence-based Design and Research
E19 3rd Annual Design Research Awareness Survey—Investigating Industry Changes in Awareness, Use and Understanding of EBD

11:30 a.m. - 12:30 p.m.

Anjali Joesph, PhD, Director of Research, The Center for Health Design
Ellen Taylor, Research Associate, The Center for Health Design

Use of research about the built environment has grown significantly over the last few years, but we have just started measuring its use in healthcare. With support from Herman Miller, The Center for Health Design has completed the third year of its annual survey on design research and its use. Survey results provide insights into many questions surrounding the use of research in healthcare design and set the stage for analysis of industry trends. This session outlines results for Year 3 and highlights developing trends and changes from Years 1 and 2 in areas such as: research and EBD awareness; information sources; industry opinions; applications of EBD features; data collection; and how information is disseminated.

Track: Future-focused Building Methods
E20 Green Roofs for the Existing Hospital

11:30 a.m. - 12:30 p.m.

Kevin Brickman, Senior Project Manager, The John R. McAdams Company, Inc.

This presentation will begin with an overview of several green roof systems—ranging from Extensive, Intensive, and Modular—and discuss the differences between and the pros and cons for each to be implemented on an existing roof structure. It will then highlight a case study of a light-weight, preplanted, modular green roof system implemented at the Carolinas Medical Center, and its outcomes to date. Attendees will explore the feasibility for installing green roofs in existing facilities, learn the design process required prior to implementation, and understand the aesthetic, environmental, and financial benefits of green roof installation.

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Track: LEAN Approaches and Tools
E21 Revolutionize Today to Impact Tomorrow—Executive Leadership for Innovation

11:30 a.m. - 12:30 p.m.

David A. Tam, MD, MBA, FACHE, Chief Administrative Officer, Palomar Pomerado Health
Jay Leopold, Regional Manager, DPR Construction
Thomas Chessum, FAIA, NCARB, Principal, CO Architects

The executive leadership of a large healthcare project—with a vision of fostering leading-edge innovations in the design and construction process—must orchestrate the integration, motivation, and well-being of a myriad of critical stakeholders to achieve long- and short-term results. This session outlines how this orchestration can take place using a model for high-performance team operations, effective implementation of Lean principles, and a strategy for how to form a joint governance model that combines many critical stakeholders under a shared vision. Insights for how to communicate and nurture stakeholder involvement in a highly innovation-focused environment will also be shared.

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Track: Strategies for Positive Outcomes
E22 Antimicrobial Copper Surfaces—Risk Mitigation for Infections

11:30 a.m. - 12:30 p.m.

Michael Schmidt, PhD, Professor and Vice Chair, Microbiology and Immunology, Medical University of South Carolina

Each year, hospital-acquired infections (HAI) result in a substantial loss of life and an additional cost to the U.S. healthcare system of $45 billion. Evidence will be presented illustrating how risk mitigation of the environmental burden resulted in a concomitant mitigation of the HAI rates for patients treated in rooms with antimicrobial copper touch surfaces. A discussion of the complexities and costs associated with effectively applying antimicrobial copper touch surfaces within the built environment will facilitate an understanding of the need for a design that makes use of emerging infection control solutions to fight HAIs in a pragmatic and aesthetically satisfying way.

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Track: The Future of Ambulatory Care
E23 Design of Safety Net Clinics—A Cost/Benefit Tool

11:30 a.m. - 12:30 p.m.

Larry Mallak, PhD, Professor, Western Michigan University
Muhammad Wasif Butt, Senior Research Assistant, Western Michigan University

Safety Net Clinics (SNCs) benefit from evidence-based design techniques. However, many SNC decision makers need tools to make informed decisions about the inclusion or exclusion of specific design features. Using design recommendations from The Center for Health Design's 2008 report to the California Health Care Foundation, a cost-benefit tool was developed. This tool has modules to address key decision areas in SNC design, including the addition of extra provider rooms, use of green materials in the pursuit of LEED certification, waiting room amenities, and exterior lighting. Attendees will gain insight into the tool, view a demonstration, and learn how the tool supports specific design decisions.

Track: AIA Forum
E24 Laboratory Planning and Design Forum

11:30 a.m. - 12:30 p.m.

    Frederick Marks, AIA, LEEDap BD+C, Certified Six Sigma Green Belt, Director, Science & Technology, AC Martin Partners, Inc.
Charles Pappalardo, Vice President of Business Development, Science & Technology, Suffolk Construction Company

Integrated Project Delivery (IPD) has become, in recent years, an acceptable alternative to design-bid-build for owners and facility managers who desire a better, faster, less costly and less adversarial procurement process. Its use has prompted a change in the traditional roles and responsibilities of the architect/engineer and contractor. To review the degree to which these changes are impacting the industry, this forum will present a case study of the University of Massachusetts Medical School, Albert Sherman Center - a 512,000 gsf academic research facility currently under construction. Attention will be paid to how risks and rewards were defined contractually, what is meant by “design assist,” why BIM is critical to communication, and how the programmatic & planning goals of the life sciences initiative were not compromised by competing interests.
 

 

Track: The Facilities Management Perspective
E24A Integrated Facility Design - Breakthrough Improvement in New Outpatient Center

11:30 a.m. - 12:30 p.m.

Brian Zeallear, Architect, Senior Associate, NBBJ
Nicole Pelly, MD, Clinical Assistant Professor/Department of Anesthesiology, Seattle Children’s Hospital
Joan Wellman, President, Joan Wellman and Associates, Inc.

A discussion has been happening in the business and design worlds. While business magazines launched online design and innovation channels and business schools introduced design programs, designers have begun to emphasize performance like never before. In an environment compelled to recalibrate the engines of growth and prosperity, the discussion around design’s critical role in business has focused on the value of innovation and efficient design solutions. IFD is a different way of thinking about the architectural design process. This session outlines a process that focuses on optimizing operations as the main driver for design through hyper-collaboration, validating assumed space needs through use of metrics, breaking down barriers between departments to create multi-use space, and a common design tool understood and accessible to all – rapid prototyping.
 

 

Roundtable Discussions 11:30 a.m. - 12:30 p.m.

Track: Innovations in Planning and Design
R11 Enhancing Safety Through Design

11:30 a.m. - 12:30 p.m.

Kerrie Cardon, RN, AIA, ACHA, Healthcare A+D Consultant, Herman Miller Healthcare

Healthcare environments are inherently dangerous and intrinsically pose many obstacles to safe and efficient care.  This roundtable will discuss the most common areas involving potentially dangerous, inefficient and unsafe care practices and how the physical environments we design dictate behaviors and work patterns.  Design can – and must - ensure patient and staff safety.  Today’s moderator – as both a nurse and architect - will outline processes needed to reduce medical errors and injuries, and share design concepts to support these safe and efficient practices.
 

Track: Post Occupancy Evaluations and Other Lessons Learned
R12 Healthy Village—Lessons Learned from an Integrated Care Delivery Model

11:30 a.m. - 12:30 p.m.

Michael Scherbel, AIA, NCARB, EDAC, Partner, Plunkett Raysich Architects, LLP
Greg Britton, FACHE, President and CEO, Beloit Health System

A healthy village is an innovative healthcare delivery model with a synergy of complementary services, designed to be a destination in the community it serves. The NorthPointe Health and Wellness Center provides an exceptional benchmark for this high level of integrated care and encompasses immediate care, physician practices, diagnostics, therapies, education, medical fitness, and a host of other services. Moderators will share key model elements: defining service offerings through community understanding; focus on wellness; establishment of centers of excellence; and matching facility and operations to the creation of ideal experiences. Attendees will discuss the metrics used to define success and the critical lessons learned.

Track: Rethinking the Central Point of Care
R13 Family Centered Design and Its Impact on Healing—A Case Study from the Helen DeVos Children's Hospital

11:30 a.m. - 12:30 p.m.

Fred Gore, AIA, LEED, Senior Design Architect, URS Corporation
Steven Coates, Director, Spectrum Health Hospital Group

Healthcare design can improve healthcare operations and clinical outcomes. Studies suggest that the patient’s environment can have a direct impact on their length of stay and overall healing. Through the case study of Helen DeVos Children’s Hospital, this roundtable will assess the design aspects that heal the human body and spirit. Moderators will look at the impact of design on the entire culture of a healthcare instituion. Attendees will learn about this world-class facility where design, culture, and operating systems enforce the family centered care philosophy, and how to create an environment that plays an active role in the healing process.

Track: Advancements Leading Change
R14 Transforming Rehabilitation Medicine and Education in Haiti

11:30 a.m. - 12:30 p.m.

Jay Verspyck, AIA, LEED AP, Healthcare Architect, Shepley Bulfinch
Koji Nakashima, MD, Director, Rehabilitative Medicine (Haiti), Partners in Health
Andree Leroy, MD, Director of International Affairs, Institute of Lifestyle Medicine, Spaulding Rehabilitation Hospital

Collaborative healthcare design has the power to act as a catalyst for social change, transforming perceptions of individuals with disabilities in a culture where they have been long stigmatized. This case study discusses the establishment of Haiti’s first dedicated rehabilitation service and education facility, designed to meet the needs of the country’s ten-percent-plus disabled population following the 2010 earthquake. Particpants will hear this fascinating story, and explore healthcare as a catalyst for social change as well as design strategies for building in other cultures, and effective use of adaptive technologies, local materials, and resources in limited-resource settings.

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Track: AIA Forum
R15 Emerging Professionals Forum

11:30 a.m. - 12:30 p.m.

Tatiana Guimaraes, Associate, HKS, Inc.

The AIA Academy of Architecture for Health is dedicated to the development of programs and services specifically tailored to architects under the age of 40. The Emerging Professionals Forum is intended to provide an opportunity for discussion on topics pertinent to young and emerging healthcare architects.

Educational Sessions 1:45 - 2:45 p.m.

Track: Innovations in Planning and Design
E25 Simulation Modeling & Master Planning in 3D—You Don't Need Glasses Anymore

1:45 - 2:45 p.m.

Susan O'Hara, RN, BA, MPH, President, O'Hara Healthcare Consultants
Vincent Della Donna, AIA, Private Sector Leader Healthcare, RLF
Steve Langston, AIA, ACHA, EDAC, LEED AP, Design Director, RLF
Ken Bradley, Senior  Vice President/Administrator, Winter Park Memorial Hospital

Traditional master planning is used to forecast physical improvements for future requirements. New computer-based simulation modeling is a tool that adds value to further investigate capacity and utilization in an evidenced-based manner, incorporating both qualitative and quantitative data. Through case study examples, this session demonstrates how simulation modeling can be used and can provide the design team and owner with "predictive" information to make informed decisions. Participants will learn about its various components, compare and contrast traditional master planning vs. that with 3D simulation, and understand how simulation can bridge the information gap between healthcare designers and clients.

Track: Post Occupancy Evaluations and Other Lessons Learned
E26 Effective Post-Occupancy Evaluations for Healthcare Projects

1:45 - 2:45 p.m.

Ron Nemeth, Architect, Partner, ACI Architecture
Laura Macdougall, B Sc (OT), MBA, Director, Capital Projects, Mount Sinai Hospital

A well-developed and executed post-occupancy evaluation (POE) provides critical feedback that helps architects, designers, and hospital staff and administrators understand operations. This much sought-after evidence is most accurately gathered from front-line personnel, patients, and families. Using two case studies, presenters will provide guidance on the format and development of the POE with recommendations for how to enlist collaborators. The validity and challenges associated with this process will be examined from the client’s and architect’s perspectives. Attendees will see how to translate POE feedback into future planning, and will leave with directions for how to assemble a toolbox of evidence-based feedback and ideas.

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Track: Advancement s in Evidence-based Design and Research
E27 Cultural Aspects from China—Evidence-Based Design Research and Design

1:45 - 2:45 p.m.

Craig Zimring, PhD, Professor, School of Architecture, Georgia Institute of Technology
Hui Cai, MArch, PhD Candidate, School of Architecture, Georgia Institute of Technology
Wenli Wang, Design Researcher, Nurture, the Steelcase Inc.

Melanie D. Redman, EDAC, IDSA, Senior Design Researcher, Nurture, the Steelcase Inc.
Peter D. Trice, Vice President, The Innova Group


China is starting a massive healthcare construction program, with more than 3,000 new hospitals and 750,000 clinics providing healthcare for 700,000,000 people. This session will explore the impacts of Chinese culture on healthcare design, and the role of evidence-based design in China and the developing world. Specifically, speakers will discuss ongoing research on Chinese evidence-based design at Georgia Tech. You will hear findings from a collaborative deep-dive field study conducted by Nurture and Georgia Tech. The study researched 20 hospitals in five Chinese cities as well as ongoing and planned construction projects in China, including the unique procurement process for design/construction services and its impact on the quality of the design of the hospitals.

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Track: Future-focused Building Methods
E28 Acoustic and Vibration Control for the Healthcare Facility

1:45 - 2:45 p.m.

Chris Papadimos, Principal, Papadimos Group

Appropriate acoustic and vibration control is essential to healthcare facility design. This session will present prevalent issues and challenges encountered during healthcare facility planning and design with examples of typical problem situations. The presenter will share current trends, industry standards and guidelines, including green guides and credits, and some shortfalls of such efforts to address current needs. The session will then provide a systematic approach for properly incorporating acoustic and vibration control in building design, and present case studies of several academic healthcare facilities as a means of conveying relevant aspects of design and construction that are affected by acoustics and vibration considerations.

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Track: LEAN Approaches and Tools
E29 The Triple Bottom Line for Healthcare—Green, Lean and Adaptive Healthcare Environments

1:45 - 2:45 p.m.

Roger Call, AIA, ACHA, LEED AP, Director, Healthcare Architecture + Design, Herman Miller Healthcare
Ted Larned, PE, Continuous Improvement Director, Spectrum Health Medical Group

Using the Triple Bottom Line (TBL) construct of people, planet and profit, this presentation reviews the connections between sustainability efforts, Lean operations, and adaptive spaces and how they are inherently linked to form a strong foundation for a triple bottom line. Specific illustrations will be provided, based upon the Lean implementation work at Spectrum Health Medical Group. Attendees will learn about the current state of sustainabity, Lean application, and adaptive space efforts in healthcare facilities, and will explore specifically how these three topics can, and are, driving the triple bottom line of people, planet, and profit for healthcare organizations.

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Track: Strategies for Positive Outcomes
E30 Paying it Forward—Risking Profits Up Front for Owner Savings and Team Rewards

1:45 - 2:45 p.m.

Penrose Wolf, Owner’s Representative, Cleveland Clinic
Robert Bostwick, AIA, President and Director of Design, Bostwick Design Partnership
Pamela Neckar, MBA, Chief Financial Officer, Bostwick Design Partnership

Owners are increasingly frustrated by traditional delivery approaches that do little to reduce their risk when executing a multi-million project. As a result, they are continuously challenging architects and construction managers to link project outcomes to team performance. Cleveland Clinic recently found itself in that position on a $40 million surgery expansion project, and challenged the design and construction team to develop a compensation model linking outcomes to performance through a profit-at-risk approach including owner savings and team rewards. Through innovative thinking, the team jointly created a binding charter amended to each of their traditional contracts. In this session, you will learn about the processes, setbacks, and successes experienced by this multi-disciplined team.

Track: The Future of Ambulatory Care
E31 Exam Room Reexamined—Designing Efficiency into the Pediatric Healing Environment

1:45 - 2:45 p.m.

Travis Leissner, AIA, Director/KMD Architects
Kaye Schmidt, RN, MA, CPON, NEA-BC, Senior Director/Center for Cancer and Blood Disorders, Children's Medical Center, Dallas, Texas

This case study shows, first-hand, how efficiency was designed into the clinic setting for the Center for Cancer and Blood Disorders (CCBD) at Children’s Medical Center. Attendees will witness how the maximum number of examinations rooms was achieved within existing space with a typical exam room configuration grounded in evidence-based design principles, which wasted little to no space. Although BIM technology for 3D analysis enhanced the design process, a full-scale mock-up for caregiver and hospital staff review was warranted. You’ll hear how this ergonomically planned layout was accomplished and how other stakeholders, such as donors and family members, provided recommendations from the customer and visitor side.

Track: AIA Forum
E32 Neuroscience and Architecture Forum

1:45 - 2:45 p.m.

Eve Edelstein, EDAC, MArch, PhD, AssocAIA, F-AAA, Visiting Scholar, University of California, San Diego

The Neuroscience and Architecture Forum is a platform for advancing research-enhanced design. The forum will review, with audience participation, practical means to apply scientific methods and new technologies within the architectural process to integrate evidence-gathering on time and within budget. Examples include architectural projects where research was integrated at each stage of the architectural process, from concept through construction documents.

Track: The Facilities Management Perspective
E32A Empowering Patients with Connected Medicine

1:45 - 2:45 p.m.

Dr. Andrew R. Watson, Surgeon, CMO, CCM, University of Pittsburgh Medical Center, Center for Connected Medicine
James A. Brownrigg, Vice President, General Manager , Turner Construction

Healthcare Information Technology (HIT) has become a foundational component of the patient care cycle, reimbursement, facility operations and clinical workflow. Therefore, healthcare facilities must rethink how to accommodate the technology and the infrastructure to deliver Connected Medicine. This session will discuss strategies and lessons learned to successfully deploy Connected Medicine Infrastructure and Technology, how to control costs, and future proof your design. Prepare your clients for Meaningful Use, Accountable Care, and Telemedicine. Come learn pioneering strategies to address the skyrocketing cost of disconnected care, and explore the challenge of Cost/Quality/Access.

Roundtable Discussions 1:45 - 2:45 p.m.

Track: Innovations in Planning and Design
R16 Pre-Design "Rules of Thumb"— Planning Ambulatory Care Centers

1:45 - 2:45 p.m.

Dina Battisto, BArch, MArch, MS, PhD, Associate Professor, Architecture + Health, Clemson University
Deborah Franqui, BArch, AIA, Graduate Student, Research Assistant, Architecture + Health, Clemson University

Primary care facilities are the fastest growing segment of healthcare spending and are poised for continued growth. This roundtable introduces pre-design "rules-of-thumb" and easy-to-use planning tools for ambulatory care facilities. The framework evolved from literature reviews, expert interviews, case studies, best practices, and a post-occupancy evaluation of a clinic. Moderators will compare the "rules of thumb" to available national standards, guidelines, and benchmarks, with the goal to help right-size ambulatory care facilities and improve functionality and operational efficiency. Attendees will discuss and evaluate new trends in ambulatory care, including primary care clinics, primary and multi-specialty clinics, and specialty-focused clinics.

Track: Post Occupancy Evaluations and Other Lessons Learned
R17 Health Facility Evaluation for Design Practitioners

1:45 - 2:45 p.m.

Mardelle McCuskey Shepley, DArch, FAIA, ACHA, EDAC, LEED AP, William Peña Endowed Professor, Director, Center for Health Systems & Design, Texas A&M University

This discussion outlines the process for effective health facility evaluation. Definitions of terms commonly associated with the facility evaluation process and a summary of approaches from the most prolific experts in the field will be outlined. The presenter will summarize the tools for conducting evaluations, a system for evaluating the customized needs of firms and institutions, and guidelines for team selection. Attendees will discuss the process for conducting a relevant literature review and the structure for conducting a sophisticated evaluation of the physical environment, including the role of archiving and publication.

Track: Rethinking the Central Point of Care
R18 The Impact of Design on Healthcare Staff Rest and Rejuvenation—A Break Room Makeover Research Study

1:45 - 2:45 p.m.

Caroline Kelly, EDAC, IDSA, Senior Design Researcher, Nuture by Steelcase
Karyl King, PMP, What I.F. Program Manager, Spectrum Health- MC070

Healthcare professionals are vulnerable to fatigue and stress because of the demands of their work and the environment in which that work is performed. This roundtable will share how Steelcase and Spectrum Health developed the design principles, design interventions, and measurement activities for break rooms in a medical-surgical nursing unit and a perioperative unit. Moderators will share methods used to evaluate the effect of the interventions, including electronic surveys, time-lapse video observation, and content analysis. Attendees will discuss findings, including statistically significant increases in satisfaction and how video data substantiated the survey findings and illustrated positive changes in use, which was sustained over time.

Track: Advancements Leading Change
R19 Mentoring the Next Generation

1:45 - 2:45 p.m.

Leo Gehring, CHFM, CHC, FASHE, Chair of IFMA Healthcare Council Facility Management Career Development Committee
David Hewett, CPM, CRE, RPA, CFM, FMA, CCIM, Founding Partner, iNPOINT Advisors

There is growing concern about the lack of youth in healthcare facilities, and our ability to survive without them. Most current healthcare FM positions are held by members of the "baby boom" generation and they are approaching retirement. The axiom is that the industry needs to recruit at least two bright young people per retiree. This discussion will address what should be done, emphasizing mentoring as the most accurate path to transfer organizational and industry wisdom. We’ll bring to the table practical steps to ensure that you and your firm are not lost in tomorrow’s demographics. This roundtable will address the difference between organized mentoring and casual mentoring, and how best to recruit the next generation of healthcare FMs.

Track: AIA Forum
R20 Therapeutic Environments Forum

1:45 - 2:45 p.m.

Lisa Lipschutz, AIA, ACHA, Principal, Practice Area Leader Planning, Array HFS

This session is an open Forum discussion on Theory, Research, and Practice issues related to the active role of the healthcare environment on patient outcomes, patient safety, and staff effectiveness.