While we are all aware of the potential that precision medicine promises, can we effectively design facilities to accommodate these novel therapies? This session will present HDR's research on this topic. We will review how the question our City of Hope client asked about Car-T cell therapy impact on inpatient volume turned into a six-month-long research study. During this session you will be provided with case studies from prominent cancer institutions on their facility responses. Also, HDR will demonstrate our analytical tools that quantify the impact that Cytokine Release Syndrome has on immunotherapy readmission and how this impacts the metrics for inpatient bed need.

Learning Objectives:

• Produce an informed response to a difficult programming question
  
• Evaluate built facilities' responses to novel therapies
• Assess how parametric modeling can assist in analyzing inpatient metrics
• View how future patient pathways impact facility design

In the U.S., hospitals rank highest in water intensity and second-highest in energy intensity of all commercial building types, and the health care industry contributes to 8% of greenhouse gas emissions. The World Health Organization declared climate change to be the greatest threat to public health. In 2016, air pollution took around 7 million lives worldwide. Health care organizations across the globe are making commitments and taking action to reduce the environmental impact of their facilities and improve the health of the communities they serve.

Join this session to learn how the Living Building Challenge, the world’s most rigorous green building standard, could be applied to reach new heights in human and environmental health outcomes in health care projects.

Learning Objectives:

• Explore how the Living Building Challenge philosophy aligns with the fundamental values of the health care industry
  
• Engage in an interactive discussion on how the Living Building Challenge can be adapted to the health care context
• Explain the structure and certification process, and how the Living Building Challenge can be applied to your next health care project
• Discover how to use the Living Community Challenge as a launching pad for community collaboration to improve population health

Successful design solutions require collaboration with expert end users to clarify needs and evaluate design options. The recent emergence of virtual reality (VR) applications for architecture has the potential to enhance collaboration by allowing users to more easily visualize and interact (virtually) with a proposed design or alternate solutions. This presentation first examines available VR tools and assessments given varying user group dynamics. The second section focuses on an observational research study that compares traditional and VR supported user group work sessions from both a designer as well as user perspective.

Learning Objectives:

• Make informed decisions on the type of virtual reality tool and its incorporation into current practice
  
• Evaluate current practices for meaningful opportunities to implement virtual reality
• Identify the impact and value of virtual reality on the design process from both user and designer perspective
• Anticipate advantages and challenges associated with incorporation of virtual reality into current practices

The decision and opportunity to move central sterile supply operations off campus can present many challenges, but when done correctly it can optimize efficiency and save money for a health care system. The design team and owner who collaborated on such a facility for the University of Iowa Hospital and Clinics (UIHC) will present a case study on their project – one of only a handful of off-campus CSS facilities in the nation. The project engineer, architect, health care process consultant and owner will share their perspectives on the challenges, solutions, and process of designing and constructing a successful, consolidated off-campus CSS.

Learning Objectives:

• Identify the key decision points when evaluating whether to have your central sterile department on campus or to relocate to an off-site location
  
• Explain how to determine the optimum flow and process for an off-site central sterile department
• Describe the transportation, logistics, contingency planning and redundancies needed for an off-site CSS
• List central sterile design solutions to meet current needs with the flexibility to achieve future surgical forecasts

The Reimagining Critical Care workshop, organized by the Sextant Foundation and supported by FGI and SCCM, was held in September 2019. Ideas to meet challenges faced by ICU clinicians were developed prototyped and tested. Dr. Neil Halpern and Dr. Elizabeth Scruth were among the clinicians that participated. In March 2020 (and beyond), Dr. Halpern and Dr. Scruth were leading the fight against COVID-19; Dr. Halpern as an ICU clinician at Memorial Sloan Kettering in New York City and Dr. Scruth helping lead telemedicine for her organization. This session will explore the challenges and resulting ideas developed at Reimagining Critical Care and will reconsider them in light of COVID-19. Then Dr. Halpern, co-author of SCCM’s seminal report Configuring ICUs in the COVID-19 Era, and Dr. Scruth will share their experience of the ICU and tele-critical care response to COVID. Healthcare simulation experts and healthcare architects will explore how building design might make near term and long-term changes to support lessons learned from the COVID-19 pandemic. Dr. Halpern has noted that the general public doesn’t fully understand what happened on the front lines of COVID. This session serves to illuminate the picture and healthcare architecture’s response to emerging ideas.

Learning Objectives:

• Identify the basic principles of design thinking and process mapping
  
• Review how FGI is evolving and how it is using design thinking and clinical expertise to improve future Guidelines content
• Gain exposure to new ideas for critical care design
• Have fun shaping a further research agenda for the FGI by helping to pick a best topic

Learning Objectives:

• Effectively translate security risk into business-friendly terms
  
• Practice techniques for communicating security risk
• Develop skills for improving planning and design coordination
• Improve communication skills

As health care buildings become smarter and more connected to the network, our cyber risk expands with added exposure for the loss (or corruption) of data, reputation or life safety building systems. This presentation provides education to both the facility and IT groups, introduces the cyber risk to building equipment and cyber mitigation strategies. As with most successful endeavors, it is a team approach, so expectations of each project team member are identified and tasks are scheduled throughout the design and construction schedule.

Learning Objectives:

• List the Operational Technology systems in your facility
  
• Explain cyber risk of Operational Technology
• Assess the risk for your facility
• Identify responsibilities during project design and construction

As cancer treatment evolves, why aren’t our treatment facilities? At a time when this service line is growing and health systems are expanding their programs, the planning, design and construction industry cannot afford a business as usual approach. Accommodating technology while providing nice aesthetics is no hallmark of success when fragmented treatment sites and siloed care leave patients and clinicians feeling isolated and frustrated. It’s time for oncology facilities to reflect treatment’s evolution towards integration. In this session, we will explore how to leverage a multidisciplinary care platform to create a comprehensive care setting. Learn how to develop a comprehensive space strategy that supports a spectrum of services from early detection through treatment and survivorship. Using TriHealth’s recently opened Thomas Center for Comprehensive Care as an example, we will explore the business model for The Cancer Institute and how the new facility design defines a new standard for patient care.

Learning Objectives:

• Define multidisciplinary care and the impacts it can have in oncology settings
  
• Distinguish when free-standing or hospital campus settings are most appropriate for the program
• Identify physical environment factors that impact staff collaboration within and across service lines
• List strategies to connect the built environment with wellbeing for patients and staff

When disaster strikes, hospitals and health care systems are on the front line of ensuring the safety of the community and the existing vulnerable patient population. Power outages, water shortages, major accidents and natural disasters can’t be allowed to stop your facility from providing lifesaving care to those who need it. This purpose can only be served if your hospital is resilient.

This presentation provides an outline for the first step in the resiliency process: assessing your facility’s vulnerability. A cross-section of health care stakeholders – an owner, risk manager, architect, and MEP engineer – will discuss the six stages of a thorough vulnerability assessment to determine where your facility may be at risk and the steps required for mitigation.

By taking proactive steps and making concrete plans to further the disaster preparedness of your facility, you’ll be better equipped to answer the call of your community when the worst occurs.

Learning Objectives:

• Explain the risks associated with an outdated or incomplete disaster preparedness plan
  
• Prepare the components of a comprehensive vulnerability assessment
• Identify the four key areas your vulnerability assessment team should include to cover the full spectrum of threats
• List the tools and resources available for conducting a comprehensive vulnerability assessment