Healthcare Design - April 2014 - 28

Design drivers
There are a number of factors influencing the shift.
The first is a trend toward urbanization: For the first
time in history, the majority of the world's population lives in urban areas. Here in the U.S., the urban
population increased 12 percent between 2000 and
2010, outpacing the nation's overall growth rate of
9.7 percent, according to the U.S. Census Bureau.
The path of suburban sprawl is reversing. "This
whole new trend of urbanization is thinking about a
live/work/play environment. It's a paradigm shift in how
people want to live," says Yogi Patil, practice leader of
healthcare urbanism at HKS Architects Inc. (Dallas).
At the same time, as a culture we're embracing
wellness more than ever, from wearing self-monitoring devices like Fitbits to eating locally sourced food.
"It's just looking at [wellness] from a new perspective,
because we stopped looking at it for the last 1,500
years of the Industrial Revolution. Now we're realizing
we need to go back to the basics and do things right
in the first place," Patil says.
And doing things right in the first place is exactly
the course the healthcare industry is on, too. Thanks
to reform and new reimbursement models that
reward hospitals for value over volume, the idea of
prevention as a business model is connecting the
latest trend to providers' bottom lines.

28

HCDmagazine.com 04.14

While one solution to this new challenge is seen in
providers expanding reach and access to preventive
care through ambulatory sites, another piece is the
re-evaluation of healthcare campuses of old in favor
of new models. Frequently dubbed health districts or
health villages, the concept of a healthcare component serving as a community anchor that influences
an overall wellness-focused lifestyle is picking up
plenty of steam.
What exactly that means in execution, though,
can vary greatly. "It's a facility or an environment
that's an extrovert rather than being an introvert,"
Patil says. "It's not working in isolation; it's engaging the community and city in context and making
it a part of the future. It's not just a place where you
go when you break your hand or are having a heart
attack, or where you're living the most stressful
moments of your life. It's a place where you can be
engaged in day-to-day activity. In what fashion and
in which way, that's still being defined."
From the ground up
Though still somewhat rare, new-build healthcare
village models in progress are garnering plenty of
national attention. Either healthcare system-driven or
developer-driven, they include mixed-use components like retail and housing in addition to healthcare

Above: For Kaiser
Permanente's Small Hospital,
Big Idea competition,
the winning Mazzetti/
Perkins+Will team envisioned
the future of healthcare
facilities as "total health"
environments, including
physical activity-promoting
spaces for patients, staff,
and the public. Bottom:
This master plan for a
25-acre mixed-use campus
in Columbia, Md., takes a
comprehensive approach to
community development.
Phase 1 comprises a
mixed-use space with
event areas, a concert
hall, hospitality, retail, and
office space. Additional
phases include a 200-unit
residential component
and community amenities,
a 605,000-square-foot
hospital, 120,000-squarefoot ambulatory surgery
center, 80,000-square-foot
cancer center, 120,000
square feet of medical
office buildings, and a
100,000-square-foot science
and technology center.

COURTESY OF KAISER PERMANENTE (KAISER PERMANENTE); COURTESY OF HKS INC. (MASTER PLAN)

But times are changing and organizations around
the country are reconsidering the campus planning
of old in favor of models that place their facilities as
anchors of communities rather than outliers, opening
doors to neighbors and supporting healthy initiatives-all in an effort to keep people well rather than
treat illness.


http://www.HCDmagazine.com

Healthcare Design - April 2014

Table of Contents for the Digital Edition of Healthcare Design - April 2014

Contents
Healthcare Design - April 2014 - Cover1
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Healthcare Design - April 2014 - 1
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