Healthcare Design - June/July 2016 - 6

E EDITORIAL | 07.16
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48
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07.16
07.15

See the trees

While we love to consider the "forest" of trends in healthcare
design, it doesn't tell the whole story By Kristin D. Zeit
A busy travel schedule over the past month allowed me the opportunity to sit down with
multiple groups of architects, designers, and providers in person. I love these conversations,
because for whatever reason, the participants don't seem to hold back. And I always walk
away with new insights, which sometimes call into question the concept of "trends."
For example, from a roundtable discussion we put together for our first Healthcare Design
CitySCENE event (see page 16) in Dallas, the assembled professionals had a lot to say about the
notion that it's all about ambulatory from here on out. As one provider said, "People keep saying,
'No one's adding beds.' But that's just not the case."
Not only are plenty of bed towers going up in Texas (and Ohio, and many other areas), the
participants agreed, but there are years' worth of big renovation projects still on the table.
"Hospitals were way behind in their facilities," an architect reminded us. "And lots are just now
catching up"-getting rid of double-loaded corridors, converting to single rooms, and more.
Meanwhile, in Chicago for the May jury meeting for the 2016 Healthcare Design Showcase
competition, the judges spent a lot of time discussing the impressive batch of entries we'd
all just scrutinized. Women's and pediatric hospital projects showed up en masse, along
with another sector: "Last year it was all about MOBs," said one juror. "This year, it's cancer
centers." Again, echoing the Dallas group's conversation, the jury found it noteworthy that
there were so many large-scale projects in the competition. (We'll share more details about
themes that emerged in the Healthcare Design Showcase issue in August.)
And just to bring this full circle, I'll point to a feature we have in this issue on Merrifield Center
in Fairfax, Va. (page 54), which brought a number of its countywide behavioral health services
under one roof. This unique project combines everything from an alternative school for
children to emergency care for high-risk individuals arriving in police custody. A big-footprint,
centrally located behavioral healthcare facility serving a wide
range of populations may sound like it's going against the grain.
But Fairfax County is ecstatic about Merrifield, and looking to
replicate its format elsewhere in the region.
We're all watching for trends, which are certainly important to
identify as we strategize for the future. But it's just as important
to pull back from the broad view regularly, talking to individuals
in the field and considering the unique needs and constraints of
a specific region, or specialty, or health system. Do any of the
recent trends you're always hearing about make you shake your
head in disagreement? I'd love to hear about it. HCD

EDITORIAL ADVISORY BOARD
Hank Adams HDR John W. Andrews Leo A Daly Carolyn BaRoss Perkins+Will Jody Barry Adventist Care
Centers Jeffrey Brand Perkins Eastman Sam Burnette Earl Swensson Associates Sheila F. Cahnman
JumpGarden Consulting LLC Thomas W. Chessum CO Architects James Crispino Francis Cauffman
Christine Hester Devens AECOM Mary Frazier EwingCole Jocelyn Lum Frederick Tsoi/Kobus & Associates
Natalie Miovski Hagerty The Children's Hospital of Philadelphia Laurel Harrison Stantec Kari Houser
Gundersen Tri-County Hospital and Clinics Walter Jones MetroHealth System Julie Kent Trinity Health
Michael Lied GBBN Architects Jain Malkin Jain Malkin Inc. Mike McKay Erdman Don Orndoff Kaiser
Permanente Diane R.K. Osan FKP Architects Mark Patterson SmithGroupJJR Andrew Quirk Skanska
USA Building Pamela H. Redden University of Texas, Dell Medical School William D. Repichowskyj
MorrisSwitzer Environments for Health Joan Saba NBBJ Kim Shinn TLC Engineering for Architecture
Janet H. Sisolak UT MD Anderson Cancer Center Karl R. Sonnenberg Zimmer Gunsul Frasca Architects LLP
Steve Stokes CallisonRTKL Jeffrey C. Stouffer HKS Inc. Joseph Strauss Cleveland Clinic
Paul E. Strohm HOK Jocelyn Stroupe CannonDesign Don Thomas BWBR Roger S. Ulrich Chalmers
University of Technology Gary L. Vance Vance Consulting Christine Guzzo Vickery HGA Inc.

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Healthcare Design - June/July 2016

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