Wednesday - November 16, 2011

Track: Innovations in Planning and Design
E57 Designing One of the Largest Radiology Departments in the U.S. with a Focus on Patient-Centered Care

8:00 - 9:00 a.m.

Dan Thomas, AIA, Senior Medical Planner, HDR Architecture
Jodi Donovan, RN, MSN, PMP, Program Director, Clinical Support Services, Parkland Health & Hospital System
Geoffrey Camp, MHA, Director, Radiology Services, Parkland Health & Hospital System

When the opportunity to build an entirely new 150,000-square-foot radiology department arose, Parkland Hospital wanted to create a patient-centered environment, efficient workflow processes, and an environment with flexibility for future growth. Learn about this exciting initative that resulted in a design that is flexible enough to embrace the latest technology as it becomes available, and evaluates and redefines the patient experience. You will hear how the design team clearly defined on-stage and off-stage areas for patients and staff to improve navigation, analyzed key adjacencies for inpatient and outpatient modalities to standardize patient care workflows, and strategically placed modalities to accommodate horizontal expansion and new equipment.

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Track: Integrated Project Delivery for High Performance
E58 Re-Designing Kumbaya—One Prominent Hospital System and the Brave New World of IPD

8:00 - 9:00 a.m.

Norman Morgan, AIA, Principal, HKS, Inc.
Tim Steigerwald, Senior Vice President, Messer Construction Co.
Donald Reed, Director of Operations, Riley Hospital for Children
Mark Voigtmann, Attorney at Law, Partner, Baker & Daniels LLP

Integrated project delivery (IPD), the idea that traditional design and construction barriers can be broken down in favor of a cooperative community approach, has been in vogue with construction industry thought leaders, but results have been mixed. In 2009, Riley Hospital for Children challenged a group of such thought leaders to re-think IPD from the group up and innovate in a new way. This case study outlines their story and shares IPD process benefits and advantages, pitfalls and problems faced, how IPD impacts the actual work of the design/build process, and how to navigate the unique legal risks presented by this approach.

Track: Employing New Technologies
E59 3D Visualization Techniques for Medical Facilities

8:00 - 9:00 a.m.

Donald Newlands, President, Newlands & Company, Inc.

This is your opportunity to learn about 3D visualization projects completed for multiple medical facilities, including Oregon Health Science University, Peace Health, and MultiCare Tacoma, and learn the techniques for planning and marketing hospital facilities using 3D graphics. Challenges in managing and re-using 3D CAD data for visualization will be discussed, and many visualization techniques will be demonstrated including photoreal 3D animation, “sketch” modeling, and interactive 3D “VR” and 2D flash animation and illustration. The cost, shelflife, and appropriateness of each technique will be explored, along with typical applications such as marketing, education, planning, design review, and neighborhood and public outreach.

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Track: Advancements Leading Change
E60 Creating a World-Class Healthcare Facility

8:00 - 9:00 a.m.

Bruce Komiske, MHA, FACHE, Chief, New Hospital Design and Construction, Children's Memorial Hospital

Undertaking the planning and construction of a new healthcare facility is one of the most important challenges facing any organization. This session will provide ten practical steps for not only completing a project on time and budget, but also creating a “World-Class” facility that becomes a new benchmark for others to follow. It will include specfic examples from the creation of the Lurie Children's Hospital, the world's tallest children's hospital, opening in June 2012. Participants will learn techniques to engage many in the process and create an enjoyable experience for the entire organization. Key success factors and their measurements will also be discussed.

Track: Materials and Methods Best Practices
E61 Lighting Design for Wellness—Integrating the Needs of Visual, Circadian, and Perceptual Systems

8:00 - 9:00 a.m.

Mariana Figueiro, PhD, Associate Professor, Lighting Research Center, Rensselaer Polytechnic Institute
Mark Rea, PhD, Professor and Director, Lighting Research Center, Rensselaer Polytechnic Institute

Track: Developments in Clinical Care
E62 The Nurse Executive, Nurse Architect, and Nurse Expert—Three Distinct Roles in Healthcare Design

8:00 - 9:00 a.m.

Julie Barkenbush, BSN, MHA, CEO, Devenney Group Architects
Marilyn Mariani, RN, MM, Chief Nursing Officer, Lakeview Hospital
Susie Faz-McCann, RN, System Clinical Director, Design & Construction, Banner Health

This presentation offers an invaluable perspective from three distinct nursing roles and their implications for healthcare design. A chief nurse executive will share her perspective of the value of nursing and ancillary participation in design from the owner's perspective. A nurse-turned-architectural-firm CEO will present the unique approach she offers to the design and construction process. Finally, a nurse who serves as a clinical expert to a healthcare system's design and construction service will present the successes she's demonstrated in driving functional planning and templating. You will hear first-hand how their experiences profoundly affect the healthcare design process and drive positive outcomes.

Track: Future-Focused Building Methods
E63 The Bariatric Patient—How Will New Guidelines Impact Health Facility Design?

8:00 - 9:00 a.m.

Debra Harris, PhD, CEO, RAD CONSULTANTS

Hospitals and healthcare facilities need to accommodate the rising number of obese patrons by providing dignified care that is effective and safe for both the patient and the provider. The 2010 Edition of the “Guidelines for Design and Construction of Health Care Facilities” (FGI Guidelines) presents new guidelines for designing bariatric patient environments. This session will introduce pertinent statistics on obesity and bariatric care as it relates to healthcare environments, present research on safe handling  and design implications for accommodating obese patients, and review new bariatric guidelines. Real solutions—including patient handling, space and environment considerations, equipment needs, and staff-related issues—will be explored.

Track: AIA Forum
E64 Planning and Programming Forum

8:00 - 9:00 a.m.

Steve Langston, AIA, ACHA, EDAC, LEED AP, Design Director, RLF
Susan O'Hara, RN, BA, MPH, President, O'Hara Healthcare Consultants

Track: Innovations in Planning and Design
R36 Don't Try This At Work! 1,001 Planning Mistakes to Avoid

8:00 - 9:00 a.m.

Jennifer Aliber, AIA, ACHA, LEED AP, Principal, Shepley Bulfinch
Lari Diaz, AIA, LEED AP, EDAC, Principal, KMD Architects
Carson Shearon, EDAC, LEED AP, Senior Associate,Cannon Design

Track: LEAN Approaches and Tools
R37 Kaizen—A Deep Dive into Core Support Space on Inpatient Care Units

8:00 - 9:00 a.m.

Audrey Yates, BSE, MSIE, SSBB, Manager of Performance Improvement, UK HealthCare
Mary A. Miesle, MBA, MA, Senior Clinical Analyst, Office of Enterprise Quality & Safety  
Daniel Miesle, MHA, CHE, EDAC, Director of Facility Planning & Development, UK HealthCare

In developing a new facility, UK HealthCare established a set of guiding principles that respond to operational efficiency and performance improvement. As part of the design process, users prepared operational narratives that established the basis of patient-unit design. Before opening, teams participated in multiple Kaizen deep dives relating to supply chain and equipment management, resulting in the transformation of core support pods on inpatient care units to optimally respond to effective use of resources (staff, supplies, and equipment). Attendees will discuss the details of the operational planning and execution plans. Performance metrics for each floor and unit will also be shared.

Track: Advancements in Evidence-Based Design and Research
R38 The Road to Safety is Paved with Good Intentions—Improving Flow in Critical Care Environments

8:00 - 9:00 a.m.

Bill Rostenberg, FAIA, FACHA, ACHE, EDAC, FHFI, Senior Principal, Anshen+Allen, a part of Stantec Architecture
Paul Barach, MD, MPH, Senior Research Fellow, University of Utrecht, Netherlands

When patient flow isn't smooth, the effects resonate throughout the medical enterprise. This discussion will focus on the biggest barriers to optimal throughput—the ED, ICU, and OR—and review the evidenced-based design literature around the flow from the ED to OR to ICU continuum. Moderators will present their concept of Vision Zero as a long-term strategy. This concept draws from road safety injury epidemiology, where the system and its users are gradually integrated and the responsibility for safety gradually becomes shared by designers and users of the system. Attendees will discuss specific recommendations to improve the physical layout of the ED-OR-ICU continuum to improve flow and reduce harm.

Track: Strategies for Positive Outcomes
R39 World Health Organization (WHO) Prescription for Sustainable Healthcare

8:00 - 9:00 a.m.

Walt Vernon, PE, LEED AP, Principal, Mazzetti Nash Lipsey Burch
Seema Wadhwa, LEED AP, Director of Sustainability, Inova Health System

The World Health Organization released Health in Green Economy, a document that examines the health impact of various environmental health measures and recommends those that can provide financial or direct health benefits, together with mitigation of the sector's environmental impact. WHO is recommending adoption of these measures. This roundtable will examine the environmental impacts of the U.S. healthcare system in the context of the global health sector and the recommended measures to provide financial and health benefits while mitigating environmental impact. You will learn how the “Sustainability Roadmap” can help your organization develop a long-range plan to align with WHO recommendations.

Track: New Ideas Leading Change
R40  EBD Glossary, Metrics and Tools: Standardizing the Measurement of the Physical Environment and Outcomes

8:00 - 9:00 a.m.

Anjali Joseph, Ph.D, Director of Research,  The Center for Health Design
Xiaobo Quan, Ph.D, EDAC , Research Associate, The Center for Health Design

There is a critical need to standardize terms, metrics and measurement tools in healthcare design and research to facilitate effective communication between designers, researchers, owners, and end-users and enhance rigorous evaluation of design innovations and the quality of research.  In this roundtable participants of this workshop will learn about the Center for Health Design EBD glossary project—an indepth analysis of existing definitions, metrics, and tools in major EBD outcome areas. Through lively discussion, interaction and consensus, participants will not only gain the state-of-the-art EBD knowledge but will also contribute to the healthy development of the EBD field.
 

Track: Innovations in Planning and Design
E65 Interiors for Health and Healing

9:15 - 10:15 a.m.

Rosalyn Cama, President, CAMA Incorporated
Elizabeth Oshana, Designer, CAMA Incporated

Track: Integrated Project Delivery for High Performance
E66 Collaboration—The Key to Project Success

9:15 - 10:15 a.m.

Steve Wiser, AIA, Director of Healthcare Design, JRA Architects
Jennifer Christmann, FACHE, Assistant Director of Facilities Planning & Development, University of Kentucky
David Boome, Architect, Division Director of Facility Planning & Construction Management, Norton Healthcare

As projects continue to become more complex, involving numerious staff and stakeholders, the likelihood of problems in process and implementation are immense and collaborative methods are critical to success. This session will provide a framework for collaborative teaming as it outlines: successful collaborative methods; proven team consensus techniques that avoid costly problems; case studies that demonstrate how these proceedures work; and how collaboration results in better evidence-based design projects. Successes and pitfalls will be highlighted and actual project examples will be featured, including an academic medical center clinic renovation, emergency department expansion, and a surgical intensive care unit renovation.

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Track: Employing New Technologies
E67 Technology Integration and the Construction Schedule—4D BIM Is Not Enough

9:15 - 10:15 a.m.

Terry Miller, BSEE, EVP, GBA
Ted Hood, B.Arch., Senior Vice President and COO, GBA

Medical technology (IT and Medical Equipment) is advancing at an accelerated pace with new systems, devices, and applications appearing daily. 3D BIM enhanced the design process, allowing users to visualize spaces earlier, and providing coordination and clash detection tools with the promise of fewer RFIs. Builders see similar advances from 4D BIM, allowing sequencing of construction and completion. However, integration is critical to the success of these systems. This program will discuss real-life examples where technology decisions late in construction upset the completion schedule (and budget), and will include strategies for maintaining flexibility to minimize change impact while managing the decision-making process within the overall project schedule.

Track: Advancements Leading Change
E68 Environmental Influences That Improve Outcomes

9:15 - 10:15 a.m.

Susan Lorenz, RN, DrNP, NEA-BC, EDAC, Vice President of Patient Care Services, Princeton HealthCare System
Inez Brandon, BSN, RN, OCN, CHPN, Clinical Nurse Leader, Princeton HealthCare System
Kathleen Ryan, BSN, RN, BC, Nurse Manager, Princeton HealthCare System
Geralyn Karpiscak, MSN, RN, NEA-BC, Director of Professional Practice, Education and Customer Service, Princeton HealthCare System

This session presents findings from a study that compares the differences between a new hospital room— with specific design elements intended to improve patient outcomes—and an existing hospital room. The research focuses on care delivery, caregiver satisfaction, the patient experience, and the clinical outcomes of the patients, including falls, infections, medication errors, and the use of pain medicine. The research was conducted on a typical surgical unit, utilizing a live patient mock-up room and a traditional room. Findings of this research can be used to inform design of patient rooms as it relates to the healing properties of the space.

Track: Materials and Methods Best Practices
E69 Flooring Patterns in Healthcare Facilities—Friend or Foe?

9:15 - 10:15 a.m.

Barbara Lyons Stewart, AIA, EDAC, MArch, Healthcare Design Psychology Consultant

Patterns in every flooring material, from carpet to stone, are used to reinforce project design concepts that make each facility unique. But while some patterns help reduce patient/visitor stress and improve patient safety, other patterns actively contribute to stress and falling —despite the designer's best intentions. This presentation will show, through dozens of photographs and case studies, how to identify patterns that will help us (and those that will hurt us) through concepts from environmental and applied psychology, evolutionary biology and psychology, and evidence-based design. Patterns as they relate to vision, wayfinding, stress, and cultural imperatives will also be explored.

Track: Developments in Clinical Care
E70 Safety, Efficiency, and Flexibility—Convergent or Conflicting Goals of the Operating Room?

9:15 - 10:15 a.m.

Frank Zilm, D,Arch, FAIA, FACHA, President, Frank Zilm & Associates, Inc.
Paul Barach, MD, MPH, Senior Research Fellow, University of Utrecht, Netherlands
George Tingwald, MD,AIA, ACHA, Director of Medical Planning, Stanford University Medical Center

Operating rooms are among the most complex and costly patient-care environments in a healthcare facility. Patients are exposed to high-risk procedures that present immediate life-threatening physical trauma and post-procedure risks of infections and other complications. This presentation explores the physical, clinical, ergonomic, and cultural issues of the operating room environment, using cardiac surgery as the case study procedure. Presenters will explore room size as it relates to function and flexibility, development of a plan to incorporate EBD principles into OR design and dimensions, key criteria for room layout and function, and 3-D modeling tools to successfully design operating rooms.

Track: Future-Focused Building Methods
E71 Acoustic Design to Meet HIPAA and Sustainability Challenges

9:15 - 10:15 a.m.

Kenneth P. Roy, PhD, Senior Principal Research Scientist, ABP, Armstrong World Industries

Using the learning's from several field studies, this session focuses on architectural design decisions and their acoustic implications on the achievement of acceptable levels of speech intelligibility (treatment rooms), speech privacy (reception area), and quiet healing environments (patient room). Analysis of occupant perception surveys (subjective) and acoustic measurements (objective) that relate to acoustic performance will be discussed relative to HIPAA oral privacy requirements. Additionally, the speaker will consider how acoustical materials can be used to enhance sustainability, and combine acoustic with other performance attributes, to create improved indoor environmental quality.

Track: AIA Forum
E72 Health Environments Research Forum—The "Research Informed Practice Agenda"

9:15 - 10:15 a.m.

Mark Patterson, AIA, ACHA, LEED AP, EDAC, Vice President, Smith Group

Track: Innovations in Planning and Design
R41 The "Ribbon" ED—Design for Staffing Optimization

9:15 - 10:15 a.m.

James Harrell, FAIA, FACHA, LEED AP, Design Leader, Healthcare Group, GBBN Architects, Inc.

This session will illustrate the “Ribbon” design for the Emergency Department (ED). The “Ribbon,”  or continuous, closed-loop layout of exam rooms, enables minimal staff to manage peak patient excess for a short period of time and keeps operating costs in line. The moderator will discuss the “Ribbon” layout, and how the concept promotes effective staff operations in low as well as high census. Participants will examine how decentralization of supplies and support can improve staff efficiency and see how the open-planned ED can promote and maximize visualization throughout, enhancing patient and staff safety.

Track: LEAN Approaches and Tools
R42 Lean and Green

9:15 - 10:15 a.m.

Dave Hagan, LEED AP, Member of the Advisory Board for the Los Angeles Chapter of the Lean Construction Institute, Director of Project Development–Healthcare, Bernards
Stanley Chiu, Vice President, RTKL Associates Inc.

Sustainability is well served by Lean Design and Construction techniques. Focusing on early involvement of critical team members, Lean teams are better able to meet the challenges of sustainable design and construction, while reducing overall costs and providing enchanced control over troublesome issues. This discussion will provide attendees with a clear look at the advantages of Lean techniques as they relate to, and support, sustainable design. You receive methods to incorporate Lean techniques into your sustainability efforts, and learn about the tools and knowledge that are necessary for a Lean and Green approach, including how and where to obtain them.

Track: Advancements in Evidence-Based Design and Research
R43 Innovation and Evidence —Are They Compatible?

9:15 - 10:15 a.m.

Peter Bardwell, FAIA, FACHA, Principal, BARDWELL+associates, LLC
Cheryl Herbert, RN, MBA, FACHE, EDAC, President, Dublin Methodist Hospital

Back by popular demand, this standing–room-only roundtable discussion from HEALTHCAREDESIGN.10 promises to expand the spirited dialogue among moderators and participants, and explore the elements of innovation and evidence-based design, and their perceived incompatibility and potential intersection. The conversation will begin within the context of the historic skill sets of design professions relative to the current Evidence-Based Design movement. Then, resting on pre-solicited questions from the audience, the conversation will tackle why innovation and evidence are perceived to be incompatible, approaches for the planning and design process that accommodate both and outcome measures that predict long-term success. This session is a “don't miss!”

Track: Strategies for Positive Outcomes
R44 Managing Your Technology Budget

9:15 - 10:15 a.m.

Grant Ramsay, Principal, X-nth
Scott Bell, Director, Major Capital Projects–Strategy, Planning and Design, Kaiser Permanente
Brian McFarlane, Director of Healthcare for North America, HKS

As technology systems become more integrated with everyday hospital functions, the infrastructure and design aspects that support these systems are critical. When it comes to estimating the cost impact of low-voltage systems, this session will demonstrate actual proven budget techniques that make planning for these systems much less frightening, even if you're not a technology guru. Moderators will share perspectives on how technology impacts costs (both directly and indirectly), and discuss methods to devise low-voltage budgets, and quickly and accurately plan for cost, thus saving money in the end. You will leave with resources to start your own low-voltage budget baseline.

Track: New Ideas Leading Change
R45 Partnering by Design—Keeping Team Romance Alive

9:15 - 10:15 a.m. 

Philip LiBassi, AIA, ACHA, Principal, Westlake Reed Leskosky
James Senick, Administrative Director of Support Services and Construction, Cleveland Clinic Hillcrest Hospital

After the honeymoon of partnering sessions is over, team excitement fades and process falls apart. How do you keep the romance of collaboration alive to ensure both flawless product and process? The Cleveland Clinic’s Hillcrest Hospital represents how an integrated, organized approach and high-level engagement delivered a 4-year phased project involving every area of the existing hospital on budget, ahead of schedule -- and in a successful, smooth process. This discussion will tell the story of their process and factors that led to effective redevelopment through planning, design, and collaboration. This project applies the best of today’s collective thinking and state-of-the-art technologies to an existing armature to successfully position for current and future needs.

Track: Innovations in Planning and Design
E73 The Evolution of the Cardiovascular Hybrid Operating Room

10:30 - 11:30 a.m.

Louis Meilink, AIA, ACHA, Principal, Ballinger
Dwight Smith, AIA, Senior Healthcare Planner, Balllinger
Johannes Bonatti, MD, Cardiothoracic Vascular Surgeon, University of Maryland Medical Center

In the race to become less invasive, the hybrid operating room has become a distinguishing component in today's surgical suite. This session will focus on the cardiovascular (CV) hybrid room and look at changes in technology and surgical techniques that justify this major investment, while projecting probable next steps that will have an impact on today's planning. Specific examples from leading health systems will delineate a timeline of hybrid development and illustrate planning implications. In addition to the designer's viewpoint, a surgeon's perspective will highlight what makes a successful CV hybrid room, and outline key cultural and operational paradigm shifts that guide anticipated next steps.

Track: Integrated Project Delivery for High Performance
E74 Teaming Up—Does Unit Decentralization Impact Teamwork and Operational Efficiencies?

10:30 - 11:30 a.m.

Barbara Summers, PhD, RN, NEA-BC, FAAN, Professor and Chair, Department of Nursing, Vice President and Chief Nursing Officer, Head, Division of Nursing, MD Anderson Cancer Center
Pamela Redden, MS, BSN,RN, EDAC, Director, Clinical Facilities Development, The University of Texas MD Anderson Cancer Center
Debajyoti Pati, PhD, FIIA, LEED AP, Executive Director, CADRE
Mahbub Rashid, PhD, RA, Associate Professor, University of Kansas

The impact of inpatient unit decentralization on teamwork and operational efficiencies is a hotly debated topic without a robust body of empirical evidence. Recently, MD Anderson Cancer Center added several floors to its existing bed tower, offering an outstanding opportunity to scientifically examine outcomes of decentralization. This study examines the same patient caregiver population and the before-data collection that is currently in progress. After-data and cross-sectional data are scheduled to be concluded in September 2011. Outcomes being measured include collaboration, time distribution of nurses' tasks using pre-programmed PDAs, walking distance, acute stress, alertness, and presenteeism. Attend this session for up-to-the-minute key findings.

Track: Employing New Technologies
E75 Sustainable Design Technologies—Process Integration and Impact on Hospital Design

10:30 - 11:30 a.m.

Chris Bradley, MS Eng, RA/AIA, LEED AP, Director of Sustainability, gkkworks
Jason Bone, LEED™ AP, Senior Designer, gkkworks
Scott Lewis, LEED AP BD+C, CEO, Brightworks

New and evolving sustainable design tools and technologies were recently integrated into the delivery of a major hospital expansion project. This presentation depicts how the design process leveraged these technologies to enhance decision-making strategies and outlines lessons learned. Specific technologies will be discussed including Revit, Ecotect, Green Building Studio, eQuest, and other BIM-related tools. Understand their impact on the architectural process, site development, massing studies, building envelope, and the development of specific design features resulting in enhanced building performance and energy savings. Finally, speakers will provide a glimpse into how sustainable design technologies are evolving and what the future will bring.

Track: Advancements Leading Change
E76 Improving Staff and Patient Outcomes—The Canadian Context

10:30 - 11:30 a.m.

Juliet Nishimura, MSc, MEng, Consultant, Quality Improvement
Pattie Cochrane, RN, MHSc, Vice President, Patient Services and Quality; Chief Nursing Officer, Trillium Health Center

Medicine has increasingly moved towards an evidence-based approach where clinical research links a hospital's physical environments to patient outcomes. While the body of literature supporting evidence-based healthcare design is growing, few empirical studies have been conducted in the Canadian context. This session will discuss how the evidence based-design features of Trillium Health Centre's new wing were evaluated, considering a bundle of design features, such as decentralization, wireless paging, and increased patient privacy. More than a dozen measures were used to evaluate the statistical significance of changes, including response times, infections rates, noise, worker injuries, length of stay, and overall patient and staff satisfaction (among others).

Track: Materials and Methods Best Practices
E77 American vs. Korean Pediatric Patients—Room Color Perceptions

10:30 - 11:30 a.m.

Jin Gyu Phillip Park, PhD, Assistant Professor, University of North Texas
Changbae Park, AIA, Assistant Professor, Pusan National University

Changing the color in patient rooms is a relatively inexpensive process, and finding better colors for healthcare settings is a cost-effective method for improving them. Because color is one of the primary visual stimulations in physical environments, its implications for pediatric environments are important. This presentation outlines the findings of a recent study of approximately 50 American and 50 Korean pediatric patients to test cultural and gender color impacts and preferences. The knowledge generated from this study is a body of empirical evidence that design professionals and healthcare providers can use for selecting the most appropriate colors for pediatric patient populations.

Track: TAMU First Look Colloquium
E78 Target Value Design—Making Evidence-Based Design Financially Feasible

10:30 - 11:30 a.m.

Zofia K Rybkowski, PhD, Assistant Professor of Construction Science, Fellow, Center for Health Systems and Design, Texas A&M University

Evidence-based design interventions can be financially lucrative long term, according to life-cycle cost analysis calculations. Despite favorable internal rates of returns, a number of facility owners are finding it difficult to overcome the hurdle of initial capital cost.This workshop presents a means to address these challenges by applying the Target Value Design concept, and outlines strategies from Lean construction theory that minimize the hurdle of first cost by reducing waste and adding value during the initial stages of project development. Participants should come prepared with an open mind and a willingness to think outside the box during this highly interactive presentation.

Track: Future-Focused Building Methods
E79 The Real World of IPD at Palomar Medical Center West

10:30 - 11:30 a.m.

Wendy Cohen, Director, Facilities Construction, Palomar Pomerado Health
Frances Moore, AIA, LEED AP, Associate Principal, CO Architects
Brian Gracz, ASCE, LEED AP, Project Executive, DPR Construction

One of the largest hospital projects under construction in the U.S. and the first of its size to employ the concepts of Integrated Project Delivery, Palomar Medical Center West is a nationally recognized, award-winning project that employs innovative healthcare planning and design concepts with a focus on human relationship as central to its process. It is a pilot project with the Green Guide for Healthcare, and optimizes the use of BIM in an IPD process to create a high-performing, healing environment. Nearing completion, this team is poised to share critical lessons learned and important principles for a successful IPD process, from design through construction.

Track: AIA Forum
E80 Technology Forum – Hybrid Operating Rooms & Interventional Suites

10:30 - 11:30 a.m.

 Lisa Charrin, AIA, ACHA, Vice President, Mitchell Planning Associates, Facilitator
Tom McLaren, RN – Director of Surgical Services, Florida Hospital Orlando
Drew Krecicki, AIA, Project Manager & Associate, Hunton Brady Architects

The Technology Forum is a platform for the interaction and conversation about leading-edge technology among owners, architects, contractors, engineers, equipment and technology planners, and vendors. High-tech operating rooms, interventional suites and hybrid suites continue to challenge design teams as numerous scenarios must be studied to meet each client’s clinical needs, even if unknown at the time of design.  As planning evolves an extensive number of details require innovation, attention to detail and collaboration among the entire design team and equipment vendors.   The recently opened Advanced Neurosurgical Center at Florida Hospital Orlando will be presented as a case study.  The project includes a three-room IMRI suite with a ceiling hung 3 Tesla magnet, a two-room IOCT on floor rails, 4 high tech neurosurgical operating rooms and related image viewing, case consultation and control spaces.  An introduction to the range of options of planning for one room and multi-room applications of IMRI and IOCT will be provided.

Track: Innovations in Planning and Design
R46 Meet the HERD Editors

10:30 - 11:30 a.m.

Jaynelle F. Stichler, DNSc, RN, FACHE, FAAN, Professor, San Diego State University; Co-Editor, HERD Journal 

HERD (Health Environments Research & Design) Journal is an interdisciplinary, peer-reviewed journal whose mission is to enhance the knowledge and practice of evidence-based healthcare design by disseminating research findings, discussing issues and trends, and translating research into practice. Meet the co-editors during an open forum discussion and learn what HERD is all about. The editors are always looking for original manuscripts, so here is your chance to discuss manuscript submissions, upcoming topics, and to subscribe. Don't miss this chance to get the inside scoop on the newest industry journal.

 

Track: LEAN Approaches and Tools
R47 Lean Design Pneumatic Tube System—Greater Safety and Effiency

10:30 - 11:30 a.m.

Ron Rohlfing, RRT, MBA, Six Sigma Black Belt, Vice President, Hospital Operations, UC Health West Chester Medical Center

West Chester Hospital (WCH) created a new paradigm in Pneumatic Tube System (PTS) transport by implementing lean design systems that focus on lab and pharmacy transport with direct carrier routes. This smart, state-of-the-art system is designed to grow with the hospital's needs well into the future. This roundtable highights key features of this case study. Participants will examine how Lean design systems actually do save money and help create a safer practice environment. Additionally, the moderator will share how WCH's team design and “barn-raising” mentality helped challenge the status quo and create a better system.

Track: Advancements in Evidence-Based Design and Research
R48 Patient-Centered Psychiatric Care at the VA

10:30 - 11:30 a.m.

Marc Schweitzer, MArch, AIA, NCARB, Senior Architect, Director, The Design Partnership LLP
Bradley Karlin, PhD, National Mental Health Director for Psychotherapy and Psychogeriatrics, U.S. Department of Veterans Affairs Central Office
Deborah Grizzard, MN, RN, Associate Chief Nurse Mental Health, VA Medical Center Cleveland

Moderators for this session were end-users and architects for a new Mental Health Facility for the VA Palo Health Care System, which formed the basis of the VA's 2010 Design Guide for Mental Health Facilities. Using this project as a model, they will help participants explore: an interdisciplinary, integrated design team approach; a design process guided by comprehensive literature review and benchmarks in psychiatric hospital design; the VA's best practice approach and principles of care;  and clinical and process issues in psychiatric hospital design.

Track: Strategies for Positive Outcomes
R49 Patient Empowerment—The Inpatient Room from the Patient's Perspective

10:30 - 11:30 a.m.

Tammy Thompson, Architect/Medical Planner, Stanley Beaman & Sears; Founder, Institute for Patient-Centered Design, Inc.
LaShawna Heflin, RN, Co-Founder, Trinity Staffing Resources, LLC; Advisor, Institute for Patient-Centered Design, Inc.

This thoughtful discussion illuminates the patient's perspective on design features. Attendees will discuss how the designer's understanding of inpatient care can result in a facility flexible enough to accommodate the needs of various patients and their care partners. The conversation will highlight patient privacy concerns and the design solutions that address them. It will explore design methods for improving the patient's control of the room environment and access to necessities from the bed. Participants will also analyze design methods for improving patient safety (and the patient's perception of safety) and strategies for promoting trust between patients and caregivers.

Presented by Institute for Patient-Centered Design, Inc. 

Track: New Ideas Leading Change
R50  A Design for A Community Health Center: Preparing Design Students for the Challenges

10:30 - 11:30 a.m.

Hans Peter Wachter, Professor, University of Oklahoma
George Mann, Professor, Texas A&M University

This rountable will discuss the need to engage the medical community in the programming and design process of community health facilities. Through case study, the discussion will focus on interdisciplinary design collaboration between architecture students and interior design students, clinical program development, and community colloaboration. Moderators will specificially discuss how one project developed a communication concept and built a bridge through the web as public interface (Wiki and Blog), a project steering committee comprised of public service organizations and focus groups lead by neighborhood organizations. Attendees will discuss implications for lessons learned and applications for the future.                

Track: Innovations in Planning and Design
E81 The Playbook—Essential Tool for Successful Transition Planning at UK HealthCare

2:00 - 3:00 p.m.

John Phillips, Director of Transition Planning, UK HealthCare
Daniel Miesle, Director of Facility Planning & Development, UK HealthCare

As part of the design process for this new facility, users prepared operational narratives that established the basis of patient unit design. In preparation for a May 2011 opening, these detailed plans and narratives were transformed into a “Playbook” that describes the work of patient-care units as the organization transitioned from a semi-private platform to all-private rooms with team stations, support cores, and advanced technologies. This presentation will detail the progression of plans, execution of the move, and report on the effectiveness of the Playbook in facilitating operational and cultural change, while serving as an orientation and training guide.

Track: Integrated Project Delivery for High Performance
E82 Innovations in Medical Facilities Delivery at Naval Hospital Camp Pendleton

2:00 - 3:00 p.m.

James Williams

The $563 million Replacement Naval Hospital project at U.S. Marine Corps Base Camp Pendleton provides a unique case study of the sudden leap forward in effectiveness of a long-standing, traditional process when confronted with unavoidable challenges at a national and local level. The session will describe the innovations achieved—from source of funding and budgeting, to adaptation of the traditional Navy Design Build delivery method, application of evidence-based design, and sustainability principles to the initial design. Presenters will highlight goals, decisions, and results of this accelerated hospital project. The project is currently under construction and scheduled for completion in December 2013.

Track: Employing New Technologies
E83 Advanced Multimodality Image-Guided Operating Suite Design—An In-Depth Examination

2:00 - 3:00 p.m.

Ahin Handa, BArch, Rensselaer Polytechnic Institute; Project Manager/Designer, Payette
Brendan Whalen, BArch, Pratt Institute; Project Manager, Partners HealthCare, Inc.
Dan Kacher, MS, Engineering, Boston University; Image Guided Therapy Program Senior Engineer, Brigham and Women's Hospital

This year, Boston's Brigham and Women's Hospital opens one of the world's most advanced surgical facilities, offering surgeons and interventional specialists immediate access to a full array of imaging modalities in a hybrid clinical and research setting. This in-depth case study will present the new Advanced Multimodality Image Guided Operating Suite, the first three-bay operating suite to house MRI, PET/CT, 3D Ultrasound, X-Ray Flouroscopy, and advanced surgical navigation systems together. A unique feat of architectural engineering, this renovation project represents significant advancements in infection control.

Track: Advancements Leading Change
E84 Creating Greatness Through Spatial Stories—The End of the Old Play on a New Stage

2:00 - 3:00 p.m.

Gary Adamson, Chief Experience Officer, Starizon Studio
Ed Goodman, Principal Innovator, Spiral Experiences

For healthcare design, it is the best of times and the worst of times. The best is the revolution in design that envisions the healthcare facility as a powerful instrument of healing. The worst is that, after all the time, money, and expertise are spent, people move in and an “old play is performed on a new stage.”  By combining cutting-edge experience design and staging techniques with Disney Imagineering approaches, presenters will illustrate a ground-breaking new method that will take your new facility beyond an inanimate physical structure to a vibrant story structure, upon which a patient and staff experience required for greatness can be performed.

Track: Materials and Methods Best Practices
E85 Lighting Rx—Uncommon Design Solutions for De-Institutionalizing Hospital Facilities

2:00 - 3:00 p.m.

Steven L. Klein, IALD, LC, LEED Ap, Principal, Klein Lighting
Ardis Hutchins, AAHID, AIA, IIDA, Interior Architect, University of Wisconsin Hospitals and Clinics

At the University of Wisconsin Hospitals and Clinics, teaming together architecture, design, and lighting design ensures that facilities are attractive, calming, appropriate, and effective for a diverse population. Session participants will explore what type of design is most satisfactory and stress reducing based on research in actual settings. You'll see examples of “pretend daylighting ” and learn techniques to “bring the outside in.” See examples of technologically advanced lighting that is both energy efficient and easy to maintain, and understand how accurate budgets, standardized components, and streamlined maintenance contribute to a successful finished project.

Track: TAMU First Look Colloquium
E86 Texas A&M EBD Process Workshop

2:00 - 3:00 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
D. Kirk Hamilton, FAIA, FACHA, Associate Professor of Architecture, Texas A&M University; Founding Principal, WHR Architects
Debra Harris, PhD, RID, AAHID, President and CEO, RAD Consultants

This session will focus on critical issues associated with evidence-based design research, including reviewing literature, developing hypotheses, and the relative merits of qualitative and quantitative study designs. Participants will be encouraged to raise research methodology questions, which will be fielded by the panel. The Texas A&M EBD bootcamp will be described. The session will be particularly useful to firms and organizations that are actively contemplating EBD research.

Track: Future-Focused Building Methods
E87 New Life Safety Code—Can the New 2012 Edition of NFPA 101 Help?

2:00 - 3:00 p.m.

Michael Crowley, PE, FSFPE, SASHE, Senior Vice President, Rolf Jensen & Associates, Inc.

The NFPA 101 2012 edition is complete and ready for use. This presentation will discuss the major changes and their application to both new and existing healthcare facilities. Among the revisions, hear about changes in corridor clutter, hazardous areas, cooking facilities, and exiting arrangements. We will discuss the changes and review the impacts on design and operations. The CMS and The Joint Commission direction on adoption will also be discussed, as well as time for adoption and use of this new addition.

2:00 - 3:00 p.m.

John Pangrazio, Architect, Consulting Partner, NBBJ
Phillip Duff, Principal, NBBJ

Healthcare public spaces critically influence the healthcare experience, provide the conduit and organizational hierarchy of all spaces within the facility, and present an opportunity to link a new facility to the personality and culture of the institution. This conversation aims to clarify the connections between great space and great opportunity. Through case studies of state-of-the-art public spaces, participants will explore the relationship between memorable public spaces and its relevance to healthcare, learn how this relationship can be applied in planning and design, and discover how to reinvent, justify, and use ideas discussed in current and future projects!

Track: Innovations in Planning and Design
R51 Knowledge Management Strategies for a Research-Based Design Practice

2:00 - 3:00 p.m.

Paul Stefanski, Registered Architect, LEED AP, EDAC, Project Architect, Eppstein Uhen Architects
Kristin Dufek, Registered Architect, LEED AP, EDAC, Principal, Senior Design Architect, Eppstein Uhen Architects

The discipline of evidence-based design presents new challenges for healthcare architecture firms, but through knowledge management systems, organizations can maximize their effectiveness in applying evidence to their current projects. This roundtable examines the deployment of an enterprise wiki as part of a knowledge management solution that tracks the process from initiation through start-up, development, and normalization. Benefits of this system include effective workload distribution, early implementation without universal buy-in, and broad staff engagement. Challenges to be overcome include administration, slow adoption, and design considerations. Case studies in the application of knowledge management systems will be shared, with ample time for discussion.

Track: LEAN Approaches and Tools
R52 Lean Design Transformations in the Emergency Department and Pharmacy

2:00 - 3:00 p.m.

Whitney Haller, Project Coordinator, WellStar Paulding Hospital
Vicky Hogue, AVP Patient Services/CNO, WellStar Paulding Hospital

Increasing volume demands on modern-day Emergency Departments force the need for a “fast-track area” to divert lower acuity patients for quick and effective treatment. This increased volume also increases the workload in the pharmacy, an area that thrives on efficiency and accuracy. In WellStar Paulding Hospital, both the ED and the pharmacy embraced Lean concepts and redesigned their departments to increase patient throughput and improve overall patient satisfaction. This discussion delves into this case study and reveals the process that led to positive outcomes, and explores future opportunities for new construction of emergency departments and pharmacies.

Track: Advancements in Evidence-Based Design and Research
R53 Evidence for Designing Patient Rooms at Northwest Community Hospital

2:00 - 3:00 p.m.

Zhe Wang, PhD, RA, LEED AP, EDAC, Senior Researcher and Architect, Cannon Design
Jocelyn Stroupe, AAHID, IIDA, ASID, EDAC, Principal, Cannon Design

At Northwest Community Hospital, a before-and-after study, with an emphasis on postsurgical recovery, was conducted to investigate the impact of EBD on patients. Findings from this research reveal to what extent evidence-based patient room design improves patient care. This case study will allow participants to discuss design elements that are important to patients, the impact of design decisions on patient recovery, and how decisions during space programming and design should be informed by research. Explore credible findings for decision makers to determine if the added costs for EBD are justified.

Track: Strategies for Positive Outcomes
R54 Embracing the Tension Between Sustainability and Practicality at Peace Island Medical Center

2:00 - 3:00 p.m.

Rachel Jenner, Associate, Mahlum
Ben Coon, Capital Projects Manager, PeaceHealth

The team at the Peace Island Medical Center, while striving to advance the boundaries of sustainable healthcare design, faced tough challenges in balancing the competing needs between sustainability and downright practicality. Balancing these needs drove tough decisions. This discussion shares these challenges and the tools the team used to help the project succeed. Participants will discuss strategies and techniques to balance the goals of sustainability, first cost, maintenance, and system standards. They will learn how hybrid mechanical systems were used to drive energy usage down, and explore how sustainability goals were overlaid with life-cycle costing to select systems and finishes.

Track: New Ideas Leading Change
R55  Optimizing High Performance Teams for Healthcare

2:00 - 3:00 p.m.

Panelists:
Patrick Duke, Senior Vice President, Business Development (KLMK Group)
Jerry A. Oksner, Director, ADAMS (need to confirm)
John Koulestis, Executive Director, Strategy, Planning and Design at Kaiser Foundation Health Plan, Inc.

Facilitator:
Sara Marberry, EDAC, Executive Vice President, The Center for Health Design

Organizers:
Julie Kent, EDAC, Senior Healthcare Planner, Eppstein Uhen Architects (Representing EDAC)
Linda Gabel, AAHID, IIDA, Director of Design, Mosaic Design Studio (Representing AAHID)
Carlos Amato, AIA, ACHA, LEED AP, EDAC, Principal, Cannon Design (Representing ACHA)
Jeff Tafel, CAE, Director of Councils and Membership, International Facility Management Association (IFMA)
Stephen Nutt, AIA, NCARB, CAE, Vice President, Programs, The National Council of Architectural Registration Boards (Representing NCARB)
 

Accreditation, certification, licensure…What’s the difference?  Are you trying to decide who to include on your high-performance project team? What value does each person add? Are you trying to decide whether you should obtain additional credentials? Currently, there are several certification and accreditation programs available for individuals in the healthcare and design industry. This roundtable will review several scenarios to clear up the confusion about the various programs and their benefits. This will assist you in selecting a well-rounded project team. In addition, as attendees you will learn which pathway to take to meet your own personal and professional career objectives.