Contract - October 2015 - (Page 102)

BOOK REVI EW Modern Clinic Design: Strategies for an Era of Change by Christine Guzzo Vickery, Gary Nyberg, and Douglas Whiteaker (Wiley, 2015) Architects and Designers at HGA Coauthor Authoritative Book on the Design of Clinics By Sara O. Marberry, EDAC Keeping up with changes in healthcare delivery is not easy. Social, economic, and political forces are constantly reshaping the healthcare "landscape" and challenging design professionals to find new solutions for delivering quality care environments. That's why "Modern Clinic Design: Strategies for an Era of Change" (Wiley, 2015) by Christine Guzzo Vickery, Gary Nyberg, and Douglas Whiteaker is timely. Those who have Jain Malkin's classic, "Medical and Dental Space Planning" (Wiley, fourth edition, 2014), on their shelves may not think they need another book on this subject. And the detail in Malkin's 688-page volume is more comprehensive than any other book about healthcare design. But the 336-page "Modern Clinic Design" offers a fresh, condensed look at ambulatory care design and the trends shaping it now and in the future. A collaborative process, this book was written by a team of veteran healthcare interior designers and architects with HGA Architects and Engineers, with colleagues as contributors. So, most of the many project examples and diagrams in the book are HGA's work, but the book is not about HGA. From clinic planning to lean design Organized into 10 chapters, the book is a thoughtful exploration of topics such as the patient experience, lean design, designing for flexibility, clinic planning concepts, exam room design, politics and healthcare, retail healthcare, medical home model, and nontraditional clinic models. The impact of evolving legislation, changing technologies, aging populations in the U.S., and other cultural factors are thread throughout the book, with each contributing author offering his or her perspective on how those forces are shaping clinic design. In his introduction, healthcare design expert Frank Zilm describes the design of clinics as the "heart of ambulatory care." The heart of the book itself may be the chapter on exam room design written by retired HGA Healthcare Principal Gary Nyberg, who points out that "who does what, when, and where" in the clinic environment is changing. "As more health services flow toward the point-of-care, the exam room is becoming the place where most of the work 102 is accomplished," Nyberg writes. The chapter also includes 10 exam room prototypes with diagrams and a very useful comparison table. Notably, the authors include a whole chapter devoted to politics and healthcare. Written by HGA Healthcare Principal Douglas Whiteaker, the chapter is a fascinating analysis of how politics and healthcare influence each other in the U.S., starting with the Pilgrims of Plymouth colony that provided care for wounded soldiers in the 1600s. Whiteaker frames the description by era, providing an overview of major political and medical events that shaped U.S. healthcare, from Typhoid Mary to Florence Nightingale, Medicare and Medicaid, COBRA, HMOs, and more. In this chapter, Whiteaker discusses how design professionals have "addressed the constantly changing challenges presented by political forces and other factors." Suggestions for how designers act on new opportunities and "maintain and enhance their valued position as trusted advisors for their clients" can also be found within the chapter. But placing this information at the front of the book instead of the seventh chapter would have been more impactful. Readers will learn from HGA Principal Jennifer Klund's description of the history of the medical home model and the challenges facing it today. She explores the seven key characteristics of medical homes- continuity, team-based care, whole-person orientation, coordination, quality and safety, enhanced access, and payment reform-and the trends influencing design. A strong section on the impact of technology and its use in the medical home model is included. The chapter ends, as many in the book do, with project examples accompanied by detailed floor plans. Seasoned healthcare design professionals may learn a thing or two from the book, and mid-career designers, students, and healthcare managers will find it to be a very useful resource. Sara O. Marberry, EDAC, is a healthcare design writer, blogger, speaker, and strategic marketing and business consultant in Evanston, Illinois. OCTOBER 2015

Table of Contents for the Digital Edition of Contract - October 2015

Contract - October 2015
Industry News
Columnist: Building a Purpose-driven Practice
Product Focus: Waiting Patiently
Healthcare Design Expo Product Preview
Healthcare Design Expo Product Preview
Kaiser Permanente Kraemer Radiation Oncology Center
UNC Hospitals Hillsborough Campus
Palo Alto Medical Foundation San Carlos Center
2015 Healthcare Environment Awards
Ambulatory Care Winner
Ambulatory Care Honorable Mention
Acute Care Winner: Meander Medisch Centrum
Acute Care Winner: Roberts Pavilion Floors 8 and 9
Long-Term Care Winner
Conceptual Design Honorable Mention
Student Winner and Honorable Mention
Book Review: Modern Clinic Design: Strategies for an Era of Change
Designers Select: Healthcare
Ad Index
Installation: Vibrant Mosaics Greet Visitors to the Newest New York Subway Entrance

Contract - October 2015