Healthcare Design - November 2015 - 58

HCDmagazine.com 11.15

tions. Memorial Sloan Kettering Cancer Center
(MSK) was experiencing a capacity issue when
it decided to shift its outpatient operative cases
off its main campus to a new freestanding
outpatient surgery center in Manhattan, which
will open in early 2016. Dr. Brett A. Simon,
director of Memorial Sloan Kettering's Josie
Robertson Surgery Center, says the building is
designed for short-stay populations, with the
case mix expected to be about 70 percent traditional outpatient and 30 percent ambulatory
extended-recovery patients who may need to
spend more time in recovery but don't require
a full inpatient stay. "If patients don't need to
stay in the hospital, they are better off at home.
Secondarily, shorter stays reduce costs for
those procedures," he says.
The approach required a new care model,
so MSK worked with Perkins Eastman (New
York) and Icrave (New York) to replace its

Top: ProHealth Care wanted to
create an upgraded experience
for patients by relocating from
a 25-year-old facility into a
new building that would house
primary cancer care and support
services under one roof. The
UW Cancer Center at ProHealth
Care in Pewaukee, Wis., which
opened in August, also provided
space to unify and expand
cancer rehabilitation services.
Above: The UW Cancer Center
provides access to the outdoors
via a healing garden on the
second floor (shown) and a patio
in the oncology department,
where patients can receive
infusion treatments.

GILBANE BUILDING CO.

Likewise, the UW Cancer Center at ProHealth
Care in Pewaukee, Wis., opened in August with
medical and radiation oncology, lab, pharmacy,
and cancer rehabilitation services. The design
team, which included CannonDesign (Baltimore),
consulted with a patient advisory council to get
input on patient wants and needs for a modern,
patient-centered cancer facility. One of the ideas
that came out of that process was an interconnected exam and consultation room that would allow
private consultations between patients, families,
caregivers, and the support team. Then, if a patient
requires an exam, the family can stay in the consult
room while the patient and caregiver go into the
adjoining room. "On the provider side, we wanted
to have nonclinical space to have a conversation
with a patient, because not all visits have an exam,"
says Pam Kleba, construction project manager for
ProHealth Care. "It also recognizes that patients
want to be close to their support system."
Jason Schroer, principal and office director at
HKS (Houston), says he's also seeing a need for
hybrid consult spaces where multidisciplinary
teams can meet, whether in person or using
telemedicine. "When you begin to integrate things
like a nutritionist or social care, you have teams of
four, five, or six different caregivers. So you need
enough space to accommodate those people and
the technology to have conversations in real time,"
he says.
Providers are also using new building projects
to free up space within their main hospitals by
consolidating cancer services in outpatient loca-

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Healthcare Design - November 2015

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