Healthcare Design - May 2015 - 6

E EDITORIAL | 05.15
Editor-in-Chief Kristin D. Zeit
kristin.zeit@emeraldexpo.com; 513.717.1155
Executive Editor Jennifer Kovacs Silvis
Senior Editor Anne DiNardo
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Associate Editor, Reader Engagement Megan Combs
Contributing Editor Barbara Horwitz-Bennett
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Art Director Rebecca DeNeau
Vice President, Healthcare Design Ron Lowy
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Chief Financial Officer and Treasurer Philip Evans
Chief Information Officer Bill Charles
Vice President, General Counsel and Secretary David Gosling
Senior Vice President, Operations Lori Jenks
Senior Vice President, Digital Teresa Reilly
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Vice President, Corporate Operations Denise Bashem
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FOUNDING PUBLISHER

President and CEO Debra J. Levin

EDITORIAL BOARD
Sheila F. Cahnman JumpGarden Consulting, Wilmette, Ill.
Hamilton Espinosa DPR Construction, Phoenix
Thomas Gormley URS Corp., New York
Walter B. Jones The MetroHealth System, Cleveland
Jain Malkin healthcare designer, La Jolla, Calif.
Andrew S. Quirk Skanska USA Building, Nashville
Kim E. Shinn TLC Engineering, Brentwood, Tenn.
Joseph G. Sprague HKS Inc., Dallas
Roger S. Ulrich Chalmers University of Technology,
Sweden; and Aalborg University, Denmark
Gary Vance Vance Consulting, Indianapolis

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HCDmagazine.com 05.15
www.healthcaredesignmagazine.com 02.13

Evolutions, inside and out
Healthcare interiors have come a long way from the days when
the words "design" and "hospital" were rarely used in the
same sentence
By Kristin D. Zeit
This issue of Healthcare Design offers a lot in terms of lessons learned, on how the past informs
the future of healthcare systems and inspires buildings that better serve patients, staff, and communities. Whether it's designing for resiliency against acts of God ("Just in Time," page 28) or
harnessing the power of a challenging everyday climate ("Nature's Own," page 52), healthcare
architecture has evolved in extraordinary ways to define what a healing environment can really be.
And while exteriors have adapted over time, so too have healthcare interiors, serving those
same user groups in a way that would be unrecognizable to generations not that far removed
from our own.
I reached out to members of the International Interior Design Association to get some insight
into exactly how and why these changes have occurred. The most obvious shift has been from
overall sterile-feeling (often bright white) environments to more homelike, comfortable, and hospitable spaces-though even that has shifted, as designers are now more diligent about making
sure that operational efficiency and practical matters like maintenance aren't compromised for
the sake of style. In that way, the healthcare interior designer has significantly evolved from more
of a decorator role to that of a critical collaborative partner in the overall process.
Sonja Bochart, principal with SmithGroupJJR (Phoenix), and Jocelyn Stroupe, director of
healthcare interiors for Cannon Design (Chicago), note a few other significant changes over the
decades:
1) More input from more stakeholders. "While it's always been important to consider
many different constituents who influence design decisions, we're being asked to consider
additional voices," Stroupe says. "Infection control has taken the lead in influencing design
decisions. ... We also meet with more patient advisory groups."
2) Faster, sooner, cheaper. Healthcare providers need-and are demanding-more from
interior designers, including earlier involvement in the process and quicker turnaround times
on design concepts and documentation. Yet, Bochart says, they often want to pay lower fees:
"And if we aren't willing to do this, someone else will."
3) Changing patient populations. Designing spaces to accommodate families has become
the norm, Stroupe says, with larger patient and exam rooms and more amenities specifically for
visitors. The growth in the senior demographic means greater attention to design that reduces
slips and falls, while the trend toward heavier Americans has translated into a greater variety of
seating options and in-room bariatric accommodations.
Today's interior designer, says Bochart, "serves constituents in a meaningful way, contributing to wellness in a
thought-provoking manner and evidence-based approach,
and truly merging beauty, function, and wellness in the built
environment." As technology and changing care models
continue to challenge current building practices, those skills
are likely to be called on even more. HCD

Keep the conversation going: Follow me at @KDZeit on Twitter, read my blog
at HCDmagazine.com/blog/kristin-zeit, and interact with all the editors at The
Healthcare Design Connection on LinkedIn (HCDmagazine.com/LinkedIn) and on
Facebook (HealthcareDesignMag).

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Healthcare Design - May 2015

Table of Contents for the Digital Edition of Healthcare Design - May 2015