Healthcare Design - April 2014 - 34
ing to the poor health of its surrounding community-
thinking about it programmatically to draw in a mix of
uses with a focus on the community interface.
"Many are starting to think about how they do that.
Do they bring the farmers' market onto their property?
Do they put in walking trails? What are the right ways
to turn things around in their sphere of influence? You
need to have a larger sphere of influence; you need to
take a stake," Harper says.
And, as opposed to the new-build models that essentially create communities from scratch, this type of
approach instead evaluates existing neighborhoods,
specifically what urban components exist and what
need improved upon.
On Chicago's southwest side, for example, St.
Anthony Hospital is in the process of building a
new hospital and mixed-use campus in an effort to
revitalize an existing economically challenged community. The hospital-anchored development offers
wellness-inspired programming that the area was
lacking, from soccer fields to healthy food options to
public transportation. HDR Architecture Inc., which
is designing the St. Anthony Focal Point project, is
also trying to take the concept to critical-access care,
thinking about how even a small town hospital can be
a part of its town's revitalization, says Tom Trenolone,
vice president and design director for HDR's Great
Plains Studios (Omaha, Neb.). "I think these are true
hallmarks of where things are going. The missions of
hospitals have always been about that, but for some
reason we've built them in a way that they're on the
periphery," he says.
The Cleveland Clinic has made strides in working
with its surrounding community over the years, partnering with local stakeholder organizations to develop
transit lines in the area of its downtown campus, which
has bolstered business and residential offerings. It
also turned to its internal common spaces to bring the
community in through events like farmers' markets
and health fairs, says Bill Peacock, chief of operations
for Cleveland Clinic. Basing its facilities projects on government-mandated community needs assessments,
internal data, and conversations with civic leaders, the
organization has also re-evaluated existing spaces for
better uses.
For example, Peacock says, though the closing
of its Huron Hospital in 2011 was hotly contested locally, the system found that replacing it with the new
Stephanie Tubbs Jones Health Center better served
the disease profiles of the community, allowing the offering of healthy cooking classes, cancer management
programming, and post-surgery rehab. "That facility, I
think, is an example of how going forward healthcare
has to flex and be responsive. Systems have to think
about how they can best serve," Peacock says.
34
HCDmagazine.com 04.14
To start to effect change, it will be critical
for designers to be involved earlier than their
traditional inclusion when a program has been
chosen or a site has been purchased.
Opportunity knocks
While models for expanding support of population health
through healthcare campus planning exist, there's no
one-size-fits-all approach. "What you need in each project
will be different based on what's driving that project,"
HKS's Patil says.
For Florida Hospital, Barry says he turns to his planning
and design partners to bring his health village's drivers
to life. "What are the objectives? Do you want to develop
a community that's inviting and feels good, and has vibrancy to it? You come up with these words like 'vibrancy'
and give it to the planners and say, 'Here's what we want,
here are the words that describe the project. Now what
does it look like in concrete and steel?'" he says.
However, there are plenty of providers that have yet
to pursue this initiative. To start to effect change, Harper
says it will be critical for designers to be involved earlier
than their traditional inclusion when a program has
been chosen or a site has been purchased. "We're not
far enough upstream to have that conversation about
how you need to think about all of your facilities within
the community as a comprehensive whole, what your
interface is, who your collaborators are, and what can be
affected due to the overall scale healthcare systems operate at," Harper says.
HKS's Carpenter suggests architects initiate those conversations. "Reaching out to clients, it can make a difference. Architects can be agents of change and champion
those causes ourselves," he says. Colleague Patil agrees:
"A lot of times we're educating our clients, asking hard
questions, or instigating some of these thoughts with our
clients. It's not limited to putting buildings on a campus;
it's about thinking of a bigger picture, a bigger vision, and
providing leadership."
It's a transition Harper thinks will happen naturally, too,
as providers start thinking more about influencing the
behavior of the populations they serve. "It's so crucial for
them to find a way to reduce costs. They don't quite have
the incentive to do that; most are still chasing where the
reimbursement dollars are, where the money is, where
the most return on investment is. It's going to take a while
to get there, but I think it will accelerate as the incentives
start to change, because people will see the economic
benefit of investing in that way, rather than in the next
MRI," Harper says. HCD
Jennifer Kovacs Silvis is managing editor of Healthcare
Design. She can be reached at jsilvis@vendomegrp.com.
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
Healthcare Design - April 2014 - Cover2
Healthcare Design - April 2014 - 1
Healthcare Design - April 2014 - 2
Healthcare Design - April 2014 - 3
Healthcare Design - April 2014 - Contents
Healthcare Design - April 2014 - 5
Healthcare Design - April 2014 - 6
Healthcare Design - April 2014 - 7
Healthcare Design - April 2014 - 8
Healthcare Design - April 2014 - 9
Healthcare Design - April 2014 - 10
Healthcare Design - April 2014 - 11
Healthcare Design - April 2014 - 12
Healthcare Design - April 2014 - 13
Healthcare Design - April 2014 - 14
Healthcare Design - April 2014 - 15
Healthcare Design - April 2014 - 16
Healthcare Design - April 2014 - 17
Healthcare Design - April 2014 - 18
Healthcare Design - April 2014 - 19
Healthcare Design - April 2014 - 20
Healthcare Design - April 2014 - 21
Healthcare Design - April 2014 - 22
Healthcare Design - April 2014 - 23
Healthcare Design - April 2014 - 24
Healthcare Design - April 2014 - 25
Healthcare Design - April 2014 - 26
Healthcare Design - April 2014 - 27
Healthcare Design - April 2014 - 28
Healthcare Design - April 2014 - 29
Healthcare Design - April 2014 - 30
Healthcare Design - April 2014 - 31
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Healthcare Design - April 2014 - 33
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Healthcare Design - April 2014 - 38
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Healthcare Design - April 2014 - 43
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Healthcare Design - April 2014 - 45
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Healthcare Design - April 2014 - 48
Healthcare Design - April 2014 - Cover3
Healthcare Design - April 2014 - Cover4
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