Healthcare Design - October 2015 - 22


| 10.15

instance, integrates four specialty clinics (orthopedics, cardiology, dermatology, and neurology)
with a 17-bed inpatient hospital to promote flexible
space utilization and workflow efficiency. Common
spaces are grouped within a centrally located commons, from which all programming radiates. The
laboratory is next to outpatient clinics at one end
to streamline patient flow from exam room to lab,
while ED, imaging, and surgery are adjacent to one
another on the opposite end of the plan to accommodate common patient/caregiver flow. Likewise,
specialty clinics are adjacent to surgery to address
patient/caregiver flow, while the ED and birthing
and patient units flex back and forth according to
need.
Adaptability, on the other hand, serves long-term
programming changes, such as converting a medical office building into an outpatient surgery center
or planning for future expansion.
For instance, Essentia Health's 90,000-squarefoot ambulatory care building in Fargo, N.D., is
designed to convert to an office building with the
vertical addition of two floors, if needs change. The
outpatient clinics are stacked to provide optimal
horizontal adjacencies for providers, while diagnostic and treatment spaces are centrally located.
22

HCDmagazine.com 10.15

Function and flow
Technology is also fueling the need to balance flexibility and adaptability. For instance, technological
advances are making it easier for medical equipment,
supplies, and services to flow toward the patients so
that they no longer have to move to different points
within a clinic. Additionally, technology is affecting
the way spaces are designed to support multiple advanced uses, from telemedicine and private consultations via Skype to group meetings with teleconferencing and educational webinar presentations.
Likewise, with different doctors sharing space
within the same clinic, flexible work spaces need to
support collaborative care models. Clinics are taking
their cues from the corporate world to eliminate private offices for free-address spaces within an open
plan. Because these spaces have no permanent
walls, the layout can easily adapt to changing programming needs, such as converting a primary care
clinic to a specialty clinic if long-term needs arise.
Through this all, Lean planning promotes optimal
workflows and operational processes to move systems and people.
At HealthEast's Midway Clinic in St. Paul, Minn.,
Lean planning strategies created separate intake,
exam, and checkout rooms to improve efficiency

All programming at the
Sioux Center facility
radiates off a centrally
located commons to
increase patient flow
between clinic services.

PAUL CROSBY PHOTOGRAPHY

I


http://www.HCDmagazine.com

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

Healthcare Design - October 2015
Contents
hcdmagazine.com
Editorial
Show Talk
Monitor
Interiors
The Center
Adapt and Overcome
Seeds of Change
Site Seeing
State of Mind
Research
Special Advertising Section: 2015 Landscape Design Portfolio
First Look
Healthcare Design - October 2015 - Healthcare Design - October 2015
Healthcare Design - October 2015 - Cover2
Healthcare Design - October 2015 - 1
Healthcare Design - October 2015 - Contents
Healthcare Design - October 2015 - 3
Healthcare Design - October 2015 - hcdmagazine.com
Healthcare Design - October 2015 - 5
Healthcare Design - October 2015 - Editorial
Healthcare Design - October 2015 - 7
Healthcare Design - October 2015 - Show Talk
Healthcare Design - October 2015 - 9
Healthcare Design - October 2015 - Monitor
Healthcare Design - October 2015 - 11
Healthcare Design - October 2015 - 12
Healthcare Design - October 2015 - 13
Healthcare Design - October 2015 - 14
Healthcare Design - October 2015 - 15
Healthcare Design - October 2015 - 16
Healthcare Design - October 2015 - 17
Healthcare Design - October 2015 - 18
Healthcare Design - October 2015 - 19
Healthcare Design - October 2015 - Interiors
Healthcare Design - October 2015 - 21
Healthcare Design - October 2015 - 22
Healthcare Design - October 2015 - 23
Healthcare Design - October 2015 - 24
Healthcare Design - October 2015 - 25
Healthcare Design - October 2015 - The Center
Healthcare Design - October 2015 - 27
Healthcare Design - October 2015 - Adapt and Overcome
Healthcare Design - October 2015 - 29
Healthcare Design - October 2015 - 30
Healthcare Design - October 2015 - 31
Healthcare Design - October 2015 - 32
Healthcare Design - October 2015 - 33
Healthcare Design - October 2015 - 34
Healthcare Design - October 2015 - 35
Healthcare Design - October 2015 - Seeds of Change
Healthcare Design - October 2015 - 37
Healthcare Design - October 2015 - 38
Healthcare Design - October 2015 - 39
Healthcare Design - October 2015 - 40
Healthcare Design - October 2015 - 41
Healthcare Design - October 2015 - Site Seeing
Healthcare Design - October 2015 - 43
Healthcare Design - October 2015 - State of Mind
Healthcare Design - October 2015 - 45
Healthcare Design - October 2015 - 46
Healthcare Design - October 2015 - 47
Healthcare Design - October 2015 - 48
Healthcare Design - October 2015 - 49
Healthcare Design - October 2015 - 50
Healthcare Design - October 2015 - 51
Healthcare Design - October 2015 - 52
Healthcare Design - October 2015 - 53
Healthcare Design - October 2015 - Research
Healthcare Design - October 2015 - 55
Healthcare Design - October 2015 - 56
Healthcare Design - October 2015 - 57
Healthcare Design - October 2015 - Special Advertising Section: 2015 Landscape Design Portfolio
Healthcare Design - October 2015 - 59
Healthcare Design - October 2015 - 60
Healthcare Design - October 2015 - 61
Healthcare Design - October 2015 - 62
Healthcare Design - October 2015 - 63
Healthcare Design - October 2015 - First Look
Healthcare Design - October 2015 - Cover3
Healthcare Design - October 2015 - Cover4
Healthcare Design - October 2015 - SCover1
Healthcare Design - October 2015 - S1
Healthcare Design - October 2015 - S2
Healthcare Design - October 2015 - S3
Healthcare Design - October 2015 - S4
Healthcare Design - October 2015 - S5
Healthcare Design - October 2015 - S6
Healthcare Design - October 2015 - S7
Healthcare Design - October 2015 - S8
Healthcare Design - October 2015 - S9
Healthcare Design - October 2015 - SCover3
Healthcare Design - October 2015 - SCover4
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