Healthcare Design - August 2015 - (Page 26)

C THE CENTER | 08.15 Form meets function Too often healthcare facilities are built to answer a specific need, but more longevity can be achieved if buildings respond to strategic initiatives instead By Debra Levin I recently attended a meeting of the Built Environment Network (BEN), a group of senior-level facility executives from around the U.S. and Canada who are dedicated to improving safety, quality, and sustainability in healthcare. During the meeting, the conversation turned to the connection between the high-level strategic plan of a healthcare organization and its building or renovation programs and how, more often than not, these two are completely disconnected. This disconnect provides an opportunity for the design community to build a bridge between the healthcare C-suite and the facility planning process that can have a significant and positive impact on an institution for decades to come. Often the decision to build new or to renovate is in response to a perceived need for additional capacity, updated facilities, or expanded service offerings. These are all legitimate reasons for a capital project and should position an organization to be prepared for the future. But how do you prepare for a future that's changing so rapidly that the healthcare system that existed when a building was designed will likely not be the system that exists when the facility opens its doors? We try to mitigate this impact by designing in flexibility or using modular systems to make adapting to change easier, but what if the shifts are more fundamental than incremental? BEN members felt that all too often projects get completed that don't necessarily have longevity, because they were designed to solve a single problem or fulfill a single need. Rather than strategy informing design, buildings are dictating organizations' strategy. Or worse yet, after a building is completed, a realization comes that it doesn't actually solve the problem it was meant to solve and the process starts all over again. The big question is, how do you design for a future care delivery model that hasn't yet been conceived? So many forces are pushing on the healthcare landscape. Take, for example, retail health. We have only begun to see the impact giants of the retail world like Walmart and CVS will have in the healthcare space. What started out as a convenient place to visit for common vaccinations, simple wellness services, routine lab tests, and the diagnosis and treatment of everyday ailments such as pinkeye and strep throat is now providing much more complex offerings, like infusion services. 26 HCDmagazine.com 08.15 It's no secret to the design community that the building is the largest capital investment an organization will make and the decisions made around the design will set the stage for fixed costs for years to come. In the best-case scenario, there's an overall strategic plan for the organization that then informs a campus design strategic plan, which then informs the building strategic plan. We try to design in flexibility or use modular systems to make adapting to change easier. But what if the shifts are more fundamental than incremental? This allows the building to be a direct outcome of the strategic plan, which helps define the building's size and location (on the main campus or out in the community, for example) and may even inspire a solution to not create a building at all. The organizational strategy should always drive the facility solution, but this best-case scenario isn't the status quo of our industry. As member Don Orndoff, senior vice president of national facilities services at Kaiser Permanente, said during the BEN meeting, "Strategy feeds function feeds form." HCD Debra Levin is president and CEO of The Center for Health Design. She can be reached at dlevin@ healthdesign.org. Debra Levin http://www.HCDmagazine.com

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

Healthcare Design - August 2015
Contents
HCDMAGAZINE.COM
Editorial
Show Talk
Monitor
The Center
Colossus of Care
Little Things
Under One Roof
Special Advertising Section: Art Gallery and Children's Hospital Portfolio
First Look

Healthcare Design - August 2015

https://www.nxtbook.com/nxtbooks/healthcaredesign/202010
https://www.nxtbook.com/nxtbooks/healthcaredesign/202009
https://www.nxtbook.com/nxtbooks/healthcaredesign/202008
https://www.nxtbook.com/nxtbooks/healthcaredesign/20200607
https://www.nxtbook.com/nxtbooks/healthcaredesign/202005
https://www.nxtbook.com/nxtbooks/healthcaredesign/202004
https://www.nxtbook.com/nxtbooks/healthcaredesign/202003
https://www.nxtbook.com/nxtbooks/healthcaredesign/20200102
https://www.nxtbook.com/nxtbooks/healthcaredesign/201912
https://www.nxtbook.com/nxtbooks/healthcaredesign/201911
https://www.nxtbook.com/nxtbooks/healthcaredesign/201910
https://www.nxtbook.com/nxtbooks/healthcaredesign/201909
https://www.nxtbook.com/nxtbooks/healthcaredesign/201908
https://www.nxtbook.com/nxtbooks/healthcaredesign/20190607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201905
https://www.nxtbook.com/nxtbooks/healthcaredesign/201904
https://www.nxtbook.com/nxtbooks/healthcaredesign/201903
https://www.nxtbook.com/nxtbooks/healthcaredesign/201902
https://www.nxtbook.com/nxtbooks/healthcaredesign/201901
https://www.nxtbook.com/nxtbooks/healthcaredesign/201812
https://www.nxtbook.com/nxtbooks/healthcaredesign/201811
https://www.nxtbook.com/nxtbooks/healthcaredesign/201810
https://www.nxtbook.com/nxtbooks/healthcaredesign/201809
https://www.nxtbook.com/nxtbooks/healthcaredesign/201808
https://www.nxtbook.com/nxtbooks/healthcaredesign/20180607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201805
https://www.nxtbook.com/nxtbooks/healthcaredesign/201804
https://www.nxtbook.com/nxtbooks/healthcaredesign/201803
https://www.nxtbook.com/nxtbooks/healthcaredesign/201802
https://www.nxtbook.com/nxtbooks/healthcaredesign/201801
https://www.nxtbook.com/nxtbooks/healthcaredesign/201712
https://www.nxtbook.com/nxtbooks/healthcaredesign/201711
https://www.nxtbook.com/nxtbooks/healthcaredesign/201710
https://www.nxtbook.com/nxtbooks/healthcaredesign/201709
https://www.nxtbook.com/nxtbooks/healthcaredesign/201708
https://www.nxtbook.com/nxtbooks/healthcaredesign/201706
https://www.nxtbook.com/nxtbooks/healthcaredesign/201705
https://www.nxtbook.com/nxtbooks/healthcaredesign/201704
https://www.nxtbook.com/nxtbooks/healthcaredesign/201703
https://www.nxtbook.com/nxtbooks/healthcaredesign/201702
https://www.nxtbook.com/nxtbooks/healthcaredesign/201701
https://www.nxtbook.com/nxtbooks/healthcaredesign/201612
https://www.nxtbook.com/nxtbooks/healthcaredesign/201611
https://www.nxtbook.com/nxtbooks/healthcaredesign/201610
https://www.nxtbook.com/nxtbooks/healthcaredesign/201609
https://www.nxtbook.com/nxtbooks/healthcaredesign/201608
https://www.nxtbook.com/nxtbooks/healthcaredesign/20160607
https://www.nxtbook.com/nxtbooks/healthcaredesign/201605
https://www.nxtbook.com/nxtbooks/healthcaredesign/201604
https://www.nxtbook.com/nxtbooks/healthcaredesign/201603
https://www.nxtbook.com/nxtbooks/healthcaredesign/20160102
https://www.nxtbook.com/nxtbooks/healthcaredesign/201512
https://www.nxtbook.com/nxtbooks/healthcaredesign/201511
https://www.nxtbook.com/nxtbooks/healthcaredesign/201510
https://www.nxtbook.com/nxtbooks/healthcaredesign/201509
https://www.nxtbook.com/nxtbooks/healthcaredesign/201508
https://www.nxtbook.com/nxtbooks/healthcaredesign/201506
https://www.nxtbook.com/nxtbooks/healthcaredesign/201505
https://www.nxtbook.com/nxtbooks/healthcaredesign/201504
https://www.nxtbook.com/nxtbooks/healthcaredesign/201503
https://www.nxtbook.com/nxtbooks/healthcaredesign/201501
https://www.nxtbook.com/nxtbooks/healthcaredesign/201412
https://www.nxtbook.com/nxtbooks/healthcaredesign/201410
https://www.nxtbook.com/nxtbooks/healthcaredesign/201409
https://www.nxtbook.com/nxtbooks/healthcaredesign/201408
https://www.nxtbook.com/nxtbooks/healthcaredesign/201407
https://www.nxtbook.com/nxtbooks/healthcaredesign/201405
https://www.nxtbook.com/nxtbooks/healthcaredesign/201404
https://www.nxtbook.com/nxtbooks/healthcaredesign/201403
https://www.nxtbook.com/nxtbooks/healthcaredesign/201401
https://www.nxtbook.com/nxtbooks/healthcaredesign/201312
https://www.nxtbook.com/nxtbooks/healthcaredesign/201311
https://www.nxtbook.com/nxtbooks/healthcaredesign/201310
https://www.nxtbook.com/nxtbooks/healthcaredesign/201309
https://www.nxtbook.com/nxtbooks/healthcaredesign/201308
https://www.nxtbookmedia.com