Mobile Vision: Perspectives of an AHJ and Manufacturer

Mar 27, 2018 2:00pm ‐ Mar 27, 2018 3:00pm

Identification: 1966

Credits: None available.

Mobile medical units are used throughout the country. The 2018 edition of the Facility Guidelines Institute’s Guidelines for hospitals and outpatient facilities completely revised the chapters on the design of these units; this presentation will explain the revisions, the precepts the revisions were based on, and how the revisions improve patient safety and make it possible for manufacturers to fully comply with the Guidelines. A coach manufacturer representative and an authority having jurisdiction present perspectives on applying the revised requirements.

Learning Objectives:

  • Explain the impetus and methodology for the major revisions to the chapter on mobile/transportable medical units in the 2018 Guidelines.
  • Apply the new tables for imaging and examination/procedure/operating rooms to the classification of mobile/transportable medical units.
  • Describe how these revisions will affect the design and construction of mobile/transportable medical units and maintain patient safety.
  • Describe how the new requirements make it possible for unit manufacturers to comply with the Guidelines to support the provision of safe, effective patient care in mobile/transportable medical units.

Ripple Effect: Creating a Community-Centric Health Hub

Mar 27, 2018 2:00pm ‐ Mar 27, 2018 3:00pm

Identification: 1935

Credits: None available.

Planning, design, and construction can create a ripple effect that begins with planning and extends well beyond a hospital’s grand opening. This presentation will discuss the catalytic effect a hospital can have on population health and make recommendations for strategies for participants to implement within their own organizations. The session will include improving the patient experience, safety, quality, brand awareness, economic impact, outreach efforts, population health and wellness, and opportunities for partnership.

Learning Objectives:

  • Explain the collaborative team mentality necessary for successful project planning and execution.
  • Assess how to identify guiding principles that affect population health and wellness.
  • Identify the short- and long-term effects a new facility can have on a community.
  • List opportunities for your organization to have a ripple effect.

Balancing Form and Function in Today’s Psychiatric Facilities

Mar 27, 2018 2:00pm ‐ Mar 27, 2018 3:00pm

Identification: 1838

Credits: None available.

The shortage of mental health beds for youth is a nationwide problem. One organization overcame legislative hurdles to fill the gap with a new psychiatric hospital. The hospital remains at 100% capacity and turns away five patients per day. PrairieCare used staff and parent input, product research, and best practices to create a highly secure setting that is aesthetically approachable, tailored to its population, and non-institutional. Patient and staff surveys provide lessons learned for care delivery and design innovations.

Learning Objectives:

  • Discuss the significant need for mental health services and facilities and the hurdles of navigating a specific legislative process.
  • Explain the shifts in design for today’s non-institutionalized psychiatric settings.
  • Apply specific architectural solutions that prioritize patient safety while balancing aesthetics and facility maintenance.
  • Describe examples of specific post-occupancy feedback from patients and staff.

Challenging the Status Quo in Surgery Design

Mar 27, 2018 2:00pm ‐ Mar 27, 2018 3:00pm

Identification: 1976

Credits: None available.

Medicine is advancing at breakneck speed. Healthcare facilities, however, often have a lifespan of 50+ years. The change in the practice of surgical medicine has been vast and fast, and there is an urgent need to challenge existing design practices. Designers accommodate this continuous change through flexibility and vision. This presentation highlights four different case studies that defy the current surgery design model. In addition to an overview of the traditional “clean core” concept, three project designs will be discussed.

Learning Objectives:

  • Identify a key strategy for surgery design.
  • Assess surgical flows in different operational models.
  • Describe pre/post area ratios.
  • Identify the need for and impact of future flexibility.

Achieving Creativity in Health Care Design

Mar 27, 2018 2:00pm ‐ Mar 27, 2018 3:00pm

Identification: 1834

Credits: None available.

Are we achieving creative solutions to our health care needs or rearranging deck chairs on the Titanic? This session looks at the question of creativity through research on the personality characteristics of healthcare architects. The profile of the sample architects is compared to other design team members and to a major study of creative architects conducted in the mid-twentieth century. Suggestions regarding the design process and team culture will also be presented.

Learning Objectives:

  • Evaluate personality strengths of successful healthcare architects.
  • Identify differences and common characteristics of design team members.
  • Assess the implications of personality strength in the design process.
  • Explore team culture and establishing trust in the process.

Legionella in Health Care: The Importance of Water Management

Mar 27, 2018 3:10pm ‐ Mar 27, 2018 4:10pm

Identification: 1949

Credits: None available.

Hospitals are increasingly in need of water risk management planning to reduce and eliminate the possibility of waterborne illness such as Legionella. ASHRAE published the new standard ASHRAE 188-2015 to establish minimum requirements for building water systems. This session offers a review of the ASHE water management monograph to assist members in complying with the standard and demonstrate why a water management plan ensures patient and facility safety.

Learning Objectives:

  • Develop a water management program to protect patients, visitors, and staff from waterborne pathogens.
  • Meet the water system requirements of CMS Condition of Participation 482.42 Infection Control, Joint Commission Environment of Care, and the ASHRAE Standard 188.
  • Reduce waterborne hospital-acquired infections (HAIs).
  • Identify case examples of waterborne pathogens and scenarios.

The 2018 Guidelines: Demystifying Imaging, Operating, and Procedure Rooms

Mar 27, 2018 3:10pm ‐ Mar 27, 2018 4:10pm

Identification: 2030

Credits: None available.

This presentation will review revisions to the 2018 FGI Guidelines for Design and Construction of hospitals and outpatient facilities, focusing on the sections that address exam/treatment, procedure, operating, and imaging rooms. The 2018 Guidelines clarify the definition and application of requirements for hospital and outpatient facility room types where procedures take place based on the level of invasiveness and the perceived risk to the patient. The presenters will discuss a new imaging room classification system and revised operating room space requirements.

Learning Objectives:

  • Predict procedure room needs based on the procedures a healthcare organization plans to perform.
  • Explain the new imaging room classification system and how it can be applied to the design of imaging facilities.
  • Describe how the minimum operating room size can be determined for a project and when minimum requirements may not meet a client’s needs for the procedures to be performed.
  • Discuss the clearances needed to accommodate the provision of anesthesia and other staff in a procedure or operating room.

The Health Facilitator

Mar 27, 2018 3:10pm ‐ Mar 27, 2018 4:10pm

Identification: 2058

Credits: None available.

What if the new paradigm for a hospital was that of a proactive health facilitator rather than the more traditional, reactive role? Inherently, this would imply a foundational shift to the programming, design, and operational assumptions associated with a hospital. The Texas Health Resources campus in Frisco will serve as a case study with the objective to exploit this building project’s potential and evolve the current hospital model to more closely reflect a transition toward health, wellness, and preventative care.

Learning Objectives:

  • Explore the community impact potential of a health facilitator by evaluating site selection and design, place-making architecture, and campus strategies, and a hospital’s reach outward.
  • Identify the responsible design impact of the health facilitator.
  • Assess the user impact opportunity of a health facilitator from the perspectives of the staff, patient, and visitor.
  • Hypothesize the anticipated long-term impact of a health facilitator in a neighborhood.

From Old Med/Surge to New Behavioral Health–How Hard is it Really?

Mar 27, 2018 3:10pm ‐ Mar 27, 2018 4:10pm

Identification: 1980

Credits: None available.

The conversion of a dated inpatient unit to behavioral health can seem simple, given the assumption of a “low acuity patient,” but the challenges range from concept to fit out. This session presents a case study of an expanded and altered inpatient behavioral health unit from start through post-occupancy feedback. The challenges of renovation for behavioral health can be underestimated, yet there are compelling opportunities for shaping focused and effective behavioral health environments and responding to increased community needs.

Learning Objectives:

  • Shape space that addresses key design priorities, including clear sightlines, social interaction space, and patient and staff safety.
  • Identify essential design and fit-out elements in shaping a safe and comfortable environment for at-risk patients.
  • Identify key issues with complex patient groups, including acuity range and co-morbidity patients.
  • Describe key lessons learned based on post-occupancy observations.

Impact of Connected Care on the Built Environment

Mar 27, 2018 3:10pm ‐ Mar 27, 2018 4:10pm

Identification: 2027

Credits: None available.

More than 8.3 million people receive support from long-term care services. At the same time, the continued focus for hospitals on reducing readmissions is forcing systemic changes. Some health systems are adding aftercare facilities to their own campuses and recognize that communication can improve patient outcomes. Moving communication and monitoring beyond the physical walls of the hospital requires significant changes inside the hospital walls. As health systems push the boundaries of care, the built environment must support this growth.

Learning Objectives:

  • Identify new monitoring technologies that will affect workflow and the built environment.
  • Explore examples where health systems are implementing integrated solutions.
  • Discuss industry changes and challenges that are creating the need for new solutions.
  • Assess options facilities should consider in preparation for these technology challenges.