Educational SessionsEducational 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 — 2:15 -3:15 p.m. |
Track: Innovations in Planning and Design
E33 Designing a Hospital in Canada—What You Need to Know, Eh? 2:15 -3:15 p.m. Robin Snell, Architect, OAA, AAA, MRAIC, LEED AP, Principal, Parkin Architects Limited
Cliff Harvey, Architect, OAA, MRAIC, Senior Architect, Ministry of Health and Long-Term Care
Michael Keen, PEng, MBA, Project Director, Engineering & Plant Services, St. Michael's Hospital The Canadian Standards Association developed a new national standard for the design and construction of healthcare facilities for public launch in the fall of 2011. This new standard was created with input from healthcare specialists, including medical and clinical practitioners, government officials, facility managers, infection control specialists, functional programmers, architects, and consulting engineers. This session will introduce the new standard and include the standard's purpose and the process involved in its creation; its implementation and distribution; its format, content, key features, and key highlights; and compare it to standards from a number of countries including the U.S. and Australia. I P
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Track: Post Occupancy Evaluations and Other Lessons Learned
E34 Sentiment Analysis—Linking Patient Satisfaction to the Patient Room 2:15 -3:15 p.m. Gary Vance, AIA, FACHA, LEED AP, National Director of Healthcare, BSA LifeStructures
Dennis Kaldenberg, PhD, Chief Scientist, Press Ganey Associates, Inc. Over 65% of patient satisfaction surveys have comments. But do they help us to really understand how the patient perceives the physical environment? "Sentiment Analysis," an innovative science that categorizes patients' written and spoken comments, can provide critical insight. This analysis drills down into the "why" behind patient comments and provides evidence for solutions that resolve negative feedback. Attendees will learn the definition, methodology, and application of this method and how to interpret the results. Results from past studies that depict the top seven negative sentiments expressed by patients and an outline of cost, time, and value of facility solutions resulting from a Sentiment Analysis study will be shared. |
Track: Advancement s in Evidence-based Design and Research
E35 Health Facility Evaluations—Measuring Nurses' Perception of Evidence-based Design Strategies 2:15 -3:15 p.m. Laurie Waggener, RRT, IIDA, AAHID, EDAC, Research and Evidence Based Design Director, WHR Architects
Tushar Gupta, AIA, NCARB, Principal, WHR Architects
Kathryn Collins, RN, MPA, FACHE, Senior Manager for Nursing Innovation, Meridian Health This presentation will address the critical steps to implement in the early stages of design to provide a firm foundation for the health facility evaluation process to be conducted post occupancy. Set within the context of the Jersey Shore Transformation Project, presenters will help attendees understand the foundation required in planning an objective, third-party POE process and how to correlate the four levels of EBD in the context of that process. They will list key attributes of spatial configuration correlating with improved teamwork, and frame the importance of survey design to identify physical elements correlating with nurse satisfaction. P A |
Track: Advancements Leading Change
E36 Hospital ICONS—Groundbreaking Emergency Departments 2:15 -3:15 p.m. Donald McKahan, AIA, FACHA, Principal, McKahan Planning Group
Frank Zilm, FAIA, AIA, FACHA, President, Frank Zilm Associates
D. Kirk Hamilton, FAIA, FACHA, Associate Professor of Architecture, Texas A&M University Many hospital Emergency Departments (EDs) are now upgrading their facilities to accommodate the ever-growing demand for ED services. A new generation of ED plans, now in place, need to be "bench-tested" to serve as examples for future hospital designs. This Hospital ICONs program will focus on three new EDs, employing innovative design concepts to improve operational efficiency and increase patient satisfaction. The presentation will provide attendees with important project data, client and architect interviews, architectural photography, and post-occupancy feedback from these groundbreaking EDs. Most importantly, you will leave with critical "lessons learned" from these three Hospital ICONS. |
Track: Materials & Methods Best Practices
E37 An Evidence-based Design Furniture Checklist 2:15 -3:15 p.m. Eileen Malone, RN, MSN, MS, EDAC, Senior Partner, Mercury Healthcare Consulting, LLC
Barbara Dellinger, MA, AAHID, IIDA, CID, EDAC, Associate V.P., Principal Interior Designer, HDR, Inc.
Michelle Ossmann, RN, MSN, Consultant, PhD candidate, Architecture, Georgia Institute of Technology Healthcare leaders are routinely confronted with a dizzying assortment of furniture choices over a healthcare facility's 30-year-plus life. This presentation will share research that links furniture features to eight common evidence-based design (EBD) goals, including healthcare-associated infections, patient falls and injuries, and medication errors. Participants will receive the "EBD Furniture Checklist"—a tool, developed from research and industry standards, to be used to make informed furniture investment decisions across the furniture life cycle and to improve healthcare outcomes. Checklist-use experiences and lessons learned will be discussed, along with recommendations for additional research and industry standards. |
Track: Developments in Clinical Care
E38 The Voice of the Nurse - From Programming to Construction — "The State of Nursing" 2:15 -3:15 p.m. Debbie Gregory, RN, BSN, President, Nursing Institute for Healthcare Design; Senior Clinical Consultant, Smith, Seckman, Reid, Inc. This track will present the impact nurses are making in today's healthcare design and construction process. The voice of the nurse has become an increasingly successful and vital part of the planning and design team. From the recent IOM report on the state of nursing to the current state of our healthcare system, the clinician's voice and care is at the heart of healthcare delivery. Discover the mission and goals of the Nursing Institute for Healthcare Design nurses' association and how you can be involved. |
Track: The Future of Ambulatory Care
E39 Promising Practices in Clinic Design 2:15 -3:15 p.m. Anajali Joesph, Director of Research, The Center forHealth Design
Amy Keller, Research Manager, Skidmore, Owings & Merrill An estimated $10.5 billion in facility construction, renovation, and expansion between now and 2015 will need to be invested in U.S. Safety-Net Clinics in order to provide care to a growing uninsured population. With significant funds allocated by the 2009 American Recovery and Reinvestment Act, clinics now have an opportunity to rethink how to provide greater access to care, better patient experiences, and improved staff and organizational outcomes. However, the gap between funding and anticipated need will necessitate carefully planning. A series of new white papers address this gap and inform the clinic design process about key issues that support the built environment through evidence-based design. This presentation will highlight critical issues, including healthcare interactions, patient flow, use of new technology, and the changing community needs that impact healthcare experiences and inform the planning and design of Safety-Net Clinics. |
Track: Strategies for Positive Outcomes
E40 Healthcare Facilities in an Era of Fiscal Prudence 2:15 -3:15 p.m. Kate Rose, MBA, TMH Director of Methodist Community Breast Centers, The Methodist Hospital System
Gaurav Khadse, AIA, LEED AP, Associate Medical Planner, WHR Architects
Reggie Pugh, Project Architect, WHR Architects Competition among healthcare providers in a volatile economic climate has forced organizations to reconsider how their business strategy differentiates them from a broad array of competitors. Creating a holistic healing environment is not enough; design and planning must strike the proper balance between form, function, technological advancement, and responsible cost management. This presentation will reveal how to streamline processes and design strategies to deliver a project that provides for a distinguished patient experience and an optimal staff environment within the realm of budget consciousness. The presentation will share ideas in areas of evidence-based design, considerations for the end user, and case studies from Methodist Healthcare System. N
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Track: The Facilities Management Perspective
E40A LEAN – What One Medical Center Learned On Its Journey 2:15 - 3:15 p.m. Hal Hudson, Director, Construction, Mercy Medical Center – North Iowa
Nathan Bergh, Process Excellence, Mercy Medical Center – North Iowa
Dr. Matt Schiller, Emergency Medical Center Director, Mercy Medical Center – North Iowa Mercy Medical Center-North Iowa started on a LEAN journey four years ago. Traced are the use of 3P design methods along with a review of case studies and the impact on traditional project delivery methods. Presenters are from Mercy’s Process Excellence; Construction and Clinical teams directly involved in the 3P processes. |
Roundtable Discussions —2:15 -3:15 p.m. |
Track: Innovations in Planning and Design
R21 Re-Inventing the Acuity Adaptable Room/Unit—How We Made It Work! 2:15 -3:15 p.m. Natalie Miovski, AIA, LEED AP, Principal, Healthcare Architect, EwingCole
Kate Fleetwood, MHSA, SSBB, Project Manager, Administration, Geisinger Medical Center The Geisinger Medical Center Master Plan yielded a desired operational model that utilized an Acuity Adaptable patient room and unit. The team was challenged to understand what made the universal care model fail and if it was possible to design, operationalize, and make it successful at the Center. Moderators will share their process for successful adoption of this model, including their decision-making matrix, operational design criteria, plan development and results of the one-year post-occupancy report. Participants will discuss critical elements of the model and evaluate outcomes, including infection rates, patient falls, incubation times, and staffing costs. |
Track: Post Occupancy Evaluations and Other Lessons Learned
R22 The Pre-Occupancy Study—Critical to Practitioner-Focused Facility Evaluation 2:15 -3:15 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
Jennifer Aliber, M.Arch, AIA, ACHA, LEED AP, Principal, Shepley Bulfinch Post-occupancy evaluation (POE) studies are becoming more common, yet few involve a pre-occupancy evaluation (Pre-OE) phase. This lack of data inhibits the researcher's ability to set benchmarks against which to judge the outcomes of the evaluations of completed projects. Moderators and participants will discuss various issues associated with Pre-OEs including: (1) the structural relationship between pre- and post-occupancy studies; (2) recommended timelines for conducting pre/post studies; (3) the impact of retrospective Pre-OEs; and (4) the implications of having the same subjects participate in both phases. A case study will provide the context for pre- and post-occupancy evaluation. |
Track: Developments in Clinical Care
R23 UNSET-A Tool to Compare Centralized vs. Decentralized Nursing Station Layout 2:15 -3:15 p.m.
Francine Parker, EdD, MSN, CNE, Associate Professor, Auburn University
Sarajane Eisen, PhD, IDEC, EDAC, IIDA, Assistant Professor, Texas Christian University
Lou Bunker Hellmich, PhD, Senior Research Associate, AECOM
Terri Zborowsky PhD, Director of Healthcare Education & Research
Nursing station layout can be a critical factor in addressing the unrelenting nursing shortage. This session reports on the first phase of a collaborative study that will explore the impact of centralized and decentralized nursing station design on nurses' perceived stress, job satisfaction, and care giving behavior. Using a semi-structured focus group process, session moderators will solicit input from participants/attendees on links between nursing station layout and nurses’ care-giving behaviors for use in a newly created research instrument-The Universal Nursing Station Evaluation Tool (UNSET). Other agenda items will include a discussion of job satisfaction and perceived stress—additional aspects of the UNSET tool that have been already developed.
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Track: Strategies for Positive Outcomes
R24 Building for Sustainable Operations—Design Strategies That Support High Performance Green Buildings 2:15 -3:15 p.m. Robin Guenther, FAIA, EDAC, Principal, Perkins+Will
Janet Brown, Director, Sustainable Operations and Green Building, Practice Greenhealth Does an effective recycling program require more space? Can we serve local and organic foods from our current kitchen? Compost WHERE? Can I get to a zero-waste cafeteria? These questions and more will form the basis of a lively, interactive discussion between a designer, a sustainable operations expert, and a hospital executive seeking to find win-win solutions to facility design that supports sustainable operations initiatives. Case studies from the U.S. and abroad will be shared that offer solutions for tight urban sites, key physical interventions that support sustainable operations, and the cumulative experience of hundreds of Practice Greenhealth Hospitals. S
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Track: Employing New Technologies
R25 Patient-Centric Digital Hospital—Through Collaboration 2:15 -3:15 p.m. Tom Leonidas, PE, Founder/Lead Solutions Architect, Sophos Technology Consultants
Furley Lumpkin, Director of IT/Facilities Planning, NYU Langone Medical Center The goal of the all-digital hospital is to break down traditional barriers by connecting technologies to facilitate patient-centric care. EMR, CPOE, PACS, Voice over IP, Patient Education/Entertainment and other medical technologies have changed the paradigm for network criticality. This discussion will focus on how to develop a collaborative team between IT and facilities planning to create a framework for finding creative solutions. A case study will be presented from NYU Langone Medical Center, where this approach produced powerful results in establishing a roadmap to a robust network infrastructure, data center, and data recovery strategy within the challenging physical constraints of the campus.
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Educational Sessions — 3:30 - 4:30 p.m. |
Track: Innovations in Planning and Design
E41 Africa—Empowering Health Through Design 3:30 - 4:30 p.m. James Shraiky, Professor, Director of Healthcare Design Initiatives, Arizona State University Epidemics have led to decades of high mortality rates and low life expectancies in African nations. While the primary causes of these diseases and deaths are preventable, accessiblity to resources in underserved areas thwart prevention. This session relates the story of an interdisciplinary research team that traveled to Rwanda to identify main health requirements and services in Central Africa. Researchers peformed design-based field studies on cultural needs, values, practices and responses, and healthcare delivery. Outcomes from this research cultivated the design of a Health-Empowerment-Based mobile clinic, named "Sankofa." Hear about the team's EBD process, the results of this unique mobile lab, and the culturally based design solutions specific to Africa. I
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Track: Post Occupancy Evaluations and Other Lessons Learned
E42 Celebration Revisited—What We Have Learned and Where We Are Going? 3:30 - 4:30 p.m. Charles W. Cole, Jr., AIA, AHA, President & Healthcare Design Principal, HuntonBrady Architects
Dr. Monica Reed, CEO, Celebration Health
Mike Thompson, Vice President of Operations, Florida Hospital East Orlando Celebration Health was the trailblazer for delivering highly efficient, patient-focused, cost-effective care. Focused on achieving optimum health and wellness, Celebration's emphasis was on healing the whole person—mind, body, and spirit—and its practices are now mainstream in healing environments around the world. Fourteen years later, Celebration is poised for its next generation. This session will present key lessons learned from the early years and what is planned for the future. Presenters will discuss key innovations that were successful, and innovations that will be modified or eliminated with specific attention to rethinking the ED, nursing unit, and patient rooms. Finally, Celebration's "celebrated" Second-Opinion process will be discussed. |
Track: Advancement s in Evidence-based Design and Research
E43 Mitigate Falls Risk in Hospitals—Evidence-based Design Recommendations 3:30 - 4:30 p.m. Margaret Calkins, PhD, Board Chair, IDEAS Institute Patient falls are the most common adverse event reported in acute care settings, affecting from 2% to 10% of annual hospital admissions. Patient falls cause increased morbidity, mortality, length of stay, and have significant cost impacts. This study examined the relationship of design factors in patient rooms to falls in 30 units in 15 hospitals. Results indicate key factors associated with higher numbers of falls, including multi-person rooms, shared toilet rooms, number and location of grab bars, and other factors. Attendees will explore the intrinsic and extrinsic factors on fall risk and the role design plays in mitigating these factors through real design solutions. |
Track: Advancements Leading Change
E44 The New Walter Reed National Military Medical Center—A World-Class Facility 3:30 - 4:30 p.m. Frederick Foote, MD, Adjunct Professor, Uniformed Services University of the Health Sciences (USUHS) The new Walter Reed National Military Medical Center will open in September 2011. This $2 billion-plus project, comprising more than a dozen new construction and renovation sites, embodies true evidence-based design and advanced healing environments. This report will examine 10 "world-class" features of the new hospital. Several of these involve simultaneous innovation in building design and the process of care. This presentation argues for a 'design-care continuum" encompassing both these agendas. Attendees obtain a "first-look" preview of the facility's advanced features and processes, and hear about lessons learned from a process of innovation in a military culture. |
Track: Materials & Methods Best Practices
E45 Illuminating Health—A Research Update 3:30 - 4:30 p.m. Eve Edelstein, EDAC, PhD (Neuro), AssocAIA, F-AAA, President, Innovative Design Science Studies suggest how design can reduce "circadian disruption" and associated physiological imbalances and health risks. This presentation reviews rigorous research and medical studies that describe the influence of light on physical and mental health, as well as behavior and function. Attendees will learn how designers can utilize these findings to create environments that promote healthier workplaces and healing spaces. You will understand how inadequate exposure to natural light can negatively impact health and productivity, and learn about the long-term health outcomes and return on investment associated with proper lighting. Speakers will also share evidence-based design concepts that can be readily incorporated into existing and new settings. |
Track: Developments in Clinical Care
E46 Safer, More Efficient Facilities Through Integrated Technology 3:30 - 4:30 p.m. David Cowan, MSHS, Executive in Residence, Georgia Institute of Technology
Don Kinser, MBA, BMech Eng, Chairman and CEO, EDI, Ltd. Technology, information systems, and clinical systems are pervasive, but their potential is limited by lack of integration between themselves, the building infrastructure, and work processes. Careful consideration must be given to planning and implementation to optimize not only system "parts," but the "whole." This presentation will address each and offer approaches to guide your planning for new and renovated facilities that are prepared for the technology of tomorrow. You will hear about current trends in health technology, and review case studies of technology successes and the processes that lead to those successes. Presenters will pose concrete planning techniques and strategies to balance priorties and optimize overall outcomes.
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Track: The Future of Ambulatory Care
E47 Design of a LEED Gold Ambulatory Cancer Center 3:30 - 4:30 p.m. Andrew Jarvis, AIA, LEED AP, Principal, EwingCole
When AtlantiCare decided to build a new free-standing 40,000 sf cancer center to serve its patients in southern New Jersey, it intended to create an energy-efficient, environmentally sensitive facility – but to stop short of LEED certification. After the completion of the design, AtlantiCare decided to submit the building for LEED certification. The owner, architect, engineers and construction manager worked collaboratively to modify the design, and the project ultimately attained LEED Gold certification. In this case study, we will discuss: how sustainable building practices are integral to good design for outpatient cancer care; what the actual costs of LEED certification are relative to a well-designed, non-certified building; and how the expectations for this building were met - and in some cases, not met – two years after it opened its doors. |
Track: Strategies for Positive Outcomes
E48 Prototyping Healthcare—Innovative Concepts to Meet Today's Reform Realities 3:30 - 4:30 p.m. Mark Patterson, AIA, ACHA, EDAC, LEED AP, Vice President, SmithGroup
Matthew Richter, AIA, Principal, SmithGroup As providers look for faster, more cost-effective ways to design, build, and operate advanced healthcare facilities, many are turning to prototypical, or template, designs. It is an innovative approach that is not "cookie cutter" or "off the shelf," but rather, built upon higher benchmarks developed by today's leading health systems. This program will outline the protyping process and the significant cost and time benefits that can be gained by leveraging prototypical planning and design concepts in your next project. Participants will learn about today's template process, assess the pros and cons, and discover ways that templates can be used to jump-start new programs. N
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Track: The Facilities Management Perspective
E48A Contributing to Facility Life Cycle Management Through the Healthcare BIM Consortium – What This Means to the Building, Design & Construction Industry 3:30 - 4:30 p.m. Russ Manning, LEED AP, Senior Health System Planner, Capital Planning Branch, Portfolio Planning & Management Division, Office of the Assistant Secretary of Defense for Health Affairs
Willy Paul, Executive Director, NW Region, Kaiser Permanente
Who is the Healthcare BIM Consortium (HBC) - the VA, MHS, Kaiser, and Sutter Health and what are they doing? Get an overview of the mission and purpose of the HBC. Presenters will report on the progression of collaboration between healthcare system owners, BIM software developers, designers, builders and consultants to advance 5 common BIM objectives for healthcare owners. |
Roundtable Discussions — 3:30 - 4:30 p.m. |
Track: Innovations in Planning and Design
R26 Child-Centered Architectural Design in Iran 3:30 - 4:30 p.m. Dr. Sanaz Litkouhi, Payam Noor University Current research examines the issues related to designing childrens' hospitals by obtaining children's views, and likes and dislikes, and then brings those preferences into the design process. This roundtable offers the results from a recent study of 394 children in Iran (from inside and outside the hospital setting) that sourced data about psychological factors, physical factors, environmental factors, and new medical methods. Attendees will discuss the analysis of this data and leave with valuable references for how to construct a pleasant and comfortable healing environment for children. I |
Track: Post-Occupancy Evaluations and Other Lessons Learned
R27 LEED-Certified Hospital Projects—Why Aren't They Measuring Up? 3:30 - 4:30 p.m. Arash Guity, PE, CEM, LEED AP, Chief Environmental Performance Engineer, BLUE/Mazzetti Nash Lipsey Burch Since the introduction of the LEED rating system, many hospital design projects have gone through the process of certification, ranging from Certified to Platinum. But not one has demonstrated energy performance capable of achieving an Energy Star label of 75 or greater. A study has been conducted to examine these certified projects to better understand the reason for the contrast in anticipated and demonstrated performance. This session will provide an overview of the LEED-certified hospital projects and include a discussion of study findings that evaluated the anticipated vs. demonstrated savings. This will be followed by a discussion on what can be done to improve the actual performance of hospitals. S |
Track: Developments in Clinical Care
R28 The ICU Environment and Nurse-Physician Collaboration 3:30 - 4:30 p.m. Mahbub Rashid, PhD, RA, Associate Professor, University of Kansas
Diane Boyle, PhD, RN, Associate Professor, University of Kansas Medical Center Nurse-Physician (N-P) collaboration is a key factor in Intensive Care Unit (ICU) outcomes. However, the effects that the physical adult ICU environment has on N-P collaboration remains unknown. The moderators hypothesize that three key factors influence collaboration: (1) clinicians' perception of psychosocial factors, such as privacy and status; (2) spatial behaviors, such as walking trips and fleeting face-to-face interactions; and (3) performance factors, including the use of time. Participants will hear about their study, which explores these three issues and discuss the instruments and tools needed to identify ICU environments that positively affect N-P collaboration. |
Track: Strategies for Positive Outcomes
R29 2011 Healthcare Reform Update—The Business Case for Planning and Development 3:30 - 4:30 p.m. Peter Trice, Vice President, The Innova Group This roundtable provides an overview of the current state of healthcare, including key trends and the anticipated impact of healthcare feform, and offers tools and approaches required for successful planning and facility development. The moderators begin with a brief overview of healthcare macroeconomics and business case models, describing how hospitals "make money" and justify facility projects under the current reimbursement models. They will address forecasted changes, including reform's current and expected impact on volumes, revenues, cost structures, operations, and capital and funding sources. Attendees will have the opportunity to discuss concepts—such as forecasting, scenario planning, and benchmarking—in this new environment. |
Track: Employing New Technologies
R30 Digitalizing a Hospital—Obstacles and Opportunities from "Meaningful Use" 3:30 - 4:30 p.m. Christian Lindmark, RCDD, Associate Principal, Technology, Mazzetti Nash Lipsey Burch
Tansy Bowermaster, AIA, Vice President, The Stinnett Group The Centers for Medicare and Medicaid Services (CMS) recently released "Meaningful Use" criteria in an effort to encourage adoption of technology within hospitals nationwide. This session will probe the obstacles experienced by Salinas Valley Memoral Hospital for adoption of the criteria and solutions. Participants will understand what CMS's description of "Meaningful Use" requires in terms of a physical infrastructure, and discuss a process methodology for assessing the current state of your building relative to what is needed. You'll identify opportunities by understanding the obstacles on the road to "Meaningful Use" of Electronic Health Records and explore the lessons learned" from a typical county hospital.
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Educational Sessions — 4:45 - 5:45 p.m. |
Track: Innovations in Planning and Design
E49 Transformational Change—The Experience of the CEO in Building a New Hospital 4:45 - 5:45 p.m. Constance Harmsen, PhD, RN, FACHE, EDAC, Chief Executive Officer, Surgical Specialty Hospital of Arizona This program will reveal results of a dissertation that explored the experiences of 12 hospital CEOs, all considered exceptional leaders who brought about transformational change through building a new or replacement acute care hospital. Using Robert Quinn's transformational change cycle as a conceptual framework, study results suggest agreement with the framework and illuminate key factors in transformational change. Hear first-hand about the experiences of these CEOs, their roles in executive leadership during the building project, and of the day-to-day operations, and the symbols and artifacts of transformational change common to these organizations. |
Track: Post-Occupancy Evaluations and Other Lessons Learned
E50 The Role of POEs in the EBD Process—Where Do We Go Next? 4:45 - 5:45 p.m. Anjali Joseph, PhD, Director of Research, The Center for Health Design
Xiaobo Quan, Research Associate, The Center for Health Design
Amy Keller, Research Manager, Skidmore, Owings & Merrill
The Center for Health Design is leading an effort to develop a standard POE tool based on EBD principles to be used to collect post-occupancy data in a systematic way. This data will be shared and benchmarked though the RIPPLE database (www.ripple.healthdesign.org). Linking design with performance outcomes will pave the way for the development of the EDAC accreditation for buildings. This program will discuss the development of this POE tool, its components, execution, and how the data should be shared. Attendees will discuss the use of POE in healthcare today, different methods used for conducting POEs, and future needs from the perspectives of different stakeholders.
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Track: Advancements in Evidence-Based Design and Research
E51 Ready, Set, Pebble—Three Pebble Project Processes and Key Findings 4:45 - 5:45 p.m. Ellen Taylor, Research Associate, The Center for Health Design
Kathy Harper, Director Clinical Coordination, Parkland Health System
Bruce Komiske, Chief of New Hospital Design and Construction, Ann & Robert H. Lurie Children' s Hospital of Chicago
Patti Cochrane, RN, MHSc, Vice President, Patient Services and Quality; Chief Nursing Officer, Trillium Health Center Participants in the Pebble Project demonstrate commitment to providing higher quality care for patients and optimal workplaces for staff. This panel presentation will explore how participation in the Pebble Project is being implemented across three different Pebble Partner Facilities: Parkland Health System's Parkland Hospital in Dallas, Texas; the Ann & Robert H. Lurie Children's Hospital of Chicago, Illinois; and Trillium Health Center in Toronto, Canada. Questions asked of the panel will highlight basic and essential details of their projects including: what they are researching; key metrics; design features being implemented; EBD processes employed; and findings to date. P
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Track: Advancements Leading Change
E52 The New Nanaimo ED—A Place Where Staff Want to Work 4:45 - 5:45 p.m. Bruce Raber, MRAIC, AIA Associate, EDAC, VP, Practice Leader Healthcare, Stantec Architecture
Drew Digney, MD, CCFP (EM), Chief of Emergency Medicine, Nanaimo Regional General Hospital
Suzanne Fox, Manager Emergency Services, Medical Day Care, Cancer Care & Medical Clinics, Nanaimo Regional General Hospital Sparked by the challenge to create an "environment that staff would want to come to on their day off," the new ED at Nanaimo in Canada may be the first in the world to include nature-imbued courtyards within actual patient treatment zones. In relating this fascinating case study, presenters will share their process and discuss the establishment of EBD goals and objectives, strategies to achieve a LEED Gold solution, and pursuit of four key values, including timely, respectful, quality of care, and a place people want to work. Participants will hear key considerations informing the design, including improved patient flow, functionality, privacy/confidentiality, safety, and an abundance of natural daylight. I
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Track: Materials and Methods Best Practices
E53 Windows and Daylight in Medical Workspaces—Measuring Nurses' Psychological and Cognitive Behavior 4:45 - 5:45 p.m. Rana Sagha Zadeh, MArch, LEED AP, EDAC, PhD Candidate, Center for Health Systems & Design
Mardelle McCuskey Shepley, DArch, FAIA, ACHA, EDAC, LEED AP, William Peña Endowed Professor, Director, Center for Health Systems & Design, Texas A&M University
Laurie Waggener, BSRC, RRT, IIDA, AAHID, EDAC, Research and Evidence Based Design Director, WHR Architects, Inc. In a collaborative study with university, industry, and clinical representatives, this research team posits that the presence of windows and daylight in the caregiver workstation will have a positive impact on alertness/sleepiness, mood, and medical errors. This research entails more than 200 hours of observation, surveys, and interviews, and analysis of hospital records for three day lighting conditions in three cardiology nurse stations. The team will share key findings from the Spring 2011 data analysis and their implications, including possible methods of measuring environmental quality through POE and computer simulation, and how to implement lighting related research into your projects.
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Track: Developments in Clinical Care
E54 Tip-Toe Around Technology and Fall into Your Own Pit! Challenges Faced During EMR Rollout 4:45 - 5:45 p.m. Mary Ann Derr, RN, MBA, Principal, Synurgy Healthcare Solutions
Terry Miller, BSEE, Executive Vice President & COO, Gene Burton & Associates Hospitals are implementing Electronic Medical Records (EMR) at a dizzying pace. Most are learning by trial and error, and those errors are driving costs through the ceiling. Fitting today's technology into yesterday's space presents an additional set of challenges. This session will explore innovative EMR approaches and pose a fail-proof plan for outstanding acceptance and a successful EMR rollout. Hear real-life examples of pitfalls to avoid and solutions to be gained through accountability and lessons learned from some of the nation's most prestigious health systems. Speakers will share rollout checklists, strategies for clinician buy-in, and methods to reach consensus among stakeholders.
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Track: The Future of Ambulatory Care
E55 Creating the Jack and Jill Exam Room at the Mayo Clinic 4:45 - 5:45 p.m. Dr. William Mundell, Staff Physician, Division of General Internal Medicine, Mayo Clinic
Joleen Bernau, Center for Innovation, Mayo Clinic Exam rooms at Mayo Clinic remained virtually unchanged in 100 years despite significant changes in physician-patient interaction, tools, technology, and processes. This case study depicts how the Center for Innovation partnered with the General Internal Medicine division to co-develop the first new major room innovation at Mayo Clinic. The secret was an active experimentation process in which new ideas were iterated and tried in the outpatient laboratory—a unique clinical space where real patients see real physicians. This story illuminates how prototyping leads to better understanding of the human experience and how design-thinking informs change in healthcare. Explore resulting non-traditional outpatient spaces and the role innovation played in this large-scale process.
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Track: Strategies for Positive Outcomes
E56 Healthcare Renovation—A Paradigm Shift in Facilities Management 4:45 - 5:45 p.m. Scott Grove, Creative Director, Smith+Associates Architects
David Croston, Chief Technology Officer and Vice President of Facilities and Construction, Kaleida Health
Robert Shibley, AIA AICP, Dean of the School of Architecture and Planning, University of Buffalo Explore the development of a 15-year master plan that includes a 1.3 million square-foot, fast-track renovation in the circa-1850 Buffalo General Hospital (BGH) campus. The demands of an ever-changing dynamic program required a paradigm shift in the fundamental management model to meet the aggressive budget and schedule. A self-performing structure was the solution. Acting as its own developer and general contractor, BGH obtained quick deliverables, more control, and reduced fees. Attendees will learn how each team self-adjusted to streamline the design, management, and communications processes while keeping the master plan vision in focus. N |
Roundtable Discussions — 4:45 - 5:45 p.m. |
Track: Innovations in Planning and Design
R31 Total Health—A Human-Centered Research and Design Initiative at Kaiser Permanente 4:45 - 5:45 p.m. Barbara P Denton, BA Design, University of California, Berkeley; Certified Interior Designer, State of CA, Assoc. AIA, National Team Manager, National Facilities Services, Strategy Planning and Design, Kaiser Permanente
Jacob Simons, Research + Design Lead, NBBJ Participants in this discussion will hear how Kaiser Permanente and NBBJ created a research-based, human-focused initiative to infuse its brand, Total Health, into the built environment. You will benefit by learning how a unique multi-disciplinary team and collaborative project process worked to create facility and service elements as brand differentiators, by responding to the voice of the patient. Expand your point of view by discussing critial process elements including the Experience Equation, the Health Care Journey; design solutions, and how typical institutional health care design and architectural norms are being challenged and changed across all eight Kaiser Permanente regions. |
Track: Post-Occupancy Evaluations and Other Lessons Learned
R32 Facility and Operational Challenges of Physician Practice Integration into Hospital Ownership 4:45 - 5:45 p.m. Ronald Menze, AIA, ACHA, EDAC, Partner, Morrison Kattman Menze, Inc.
Joel Sauer, MBA, Healthcare Consultant, Joel Sauer, LLC The private practice physician model continues to buckle under increased financial pressures as physician practice expenses continue to escalate and reimbursement continues to drop. Physicians in unprecedented numbers are partnering with hospitals as part of an integrated delivery system. This roundtable will explore integration from both the physician and hospital perspectives, analyzing negotiating acquisitions and compensation, and establishing governance structure. Moderators will address the approach to the conversion of ancillary services to Hospital Outpatient Departments , the connectivity of IT systems,and functional and programmatic facility needs. State-level regulatory issues and licensing body conflicts will also be discussed. |
Track: Developments in Clinical Care
R33 Transforming Care Through Design—The Nurses' Role 4:45 - 5:45 p.m. Terri Zborowsky, PhD, Director of Healthcare Education & Research, Ellerbe Becket, an AECOM company
Debbie Gregory, RN, BSN, Senior Clinical Consultant, Smith Seckman Reid, Inc. Nurses possess the clinical and patient care background to shape the future of healthcare, and have the leadership and teamwork to bring these ideas to life. This roundtable will provide nurses with the necessary tools to help them affect important healthcare design decisions during the building process. Targeting specific initiatives— such as patient safety, infection control, process improvement, healing environments, evidence-based design, and IT integration— you will explore the use of a matrix to identify when and how to address these issues during the different phases of design. Resources, educational opportunities, and tools for leading interdisciplinary teams through the building process will be also be shared. |
Track: Strategies for Positive Outcomes
R34 Master Planning and Facility Investment Prioritization—A New Analytic Tool 4:45 - 5:45 p.m. Cheryl Howe, Associate, The Innova Group
John Osborne, Consulting Manager, Delivery System Planning, Kaiser Permanente Kaiser Permanente has developed a set of analytical tools to help evaluate capital prioritization. The tool set includes analyzing aspects such as market attractiveness, as well as the functional and aesthetic qualities of a building. The tools have become a key element in master planning and facility planning prioritization, and are critical in evaluating the facility portfolio and strategic priorities. Moderators will share this tool and its application, and discuss ways to add analytical tools to master planning and capital planning decision. You will learn how to make consistent and informed capital and building prioritization decisions, define methods to quantify the effectiveness of a building to deliver care and support brand, and be able to objectively compare buildings across a portfolio.
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Track: Employing New Technologies
R35 TRANSFORM Instead of TRANSITION at Palomar Pomerado Health 4:45 - 5:45 p.m. Carolyn Pfude, Vice President, Director of Transistion Planning and Management, Gilbane Building Company
Marcia Jackson, Director of Facilities Planning & Transformation, Palomar Pomerado Health Throughout the design of this new hospital,its staff, physicians, and management were challenged to design for the future of healthcare, be innovative, and anticipate future technologies. PPH views this new hospital as not only a new physical structure, but an impetus to transform its culture and radically change patient care delivery. This discussion will explore the difference between "transformation" and "transition," the challenges in positioning for "transformation" on a capital project, bridging the gap between design and operational planning, protecting design intent while pushing the organization to strive for efficiency, and ensuring that the construction turnover of the facility is aligned with the customer's readiness to operate the facility.
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