Healthcare Design - November 2016 - 64

64

NOVEMBER 2016

A B OV E : At Children's

Hospital Colorado's Multispecialty Clinic, designed
by FKP, a "fishbowl" work
area allows providers to
see the exam rooms in
surrounding hallways. The
design also helps families
be aware of where their
provider is within the clinic.
B E L OW: A staff work area
at Children's Hospital
Colorado's Multispecialty
Clinic includes a space
large enough for the various teams of specialists
who form the clinic. Access to technology, space
for conversations, as well
as visibility of the exam
rooms are all important
functions of this room.

HCDMAGAZINE.COM

to sacrifice too many exam rooms and so much
other space because of those common area
hallways," says Brett Ringler, senior director
of clinic operations at Scripps Clinic (LaJolla,
Calif.). The solution for that project is a singledoor exam room with open care team stations
located just outside the exam rooms.
"Onstage/offstage works well for a lot of
things, but there are also other cases where they
might have a teaming area that's not offstage,"
Vickery says. That's the route taken at Children's
Hospital Colorado's clinic, where the multidisciplinary staff collaborates in a central "fishbowl"
where care teams work together but are readily
available to patients and family members. "We
felt it was important for them to know where
their providers were, so if they step out of the
room they could easily see who was where," says
Janine Costantini, ambulatory practice director
for Children's Hospital Colorado. (Costantini
and Glasco will share more about the Children's
Hospital Colorado project in the session "Meeting Complex Needs of Multispecialty Patients"
[E75] at the 2016 Healthcare Design Expo &
Conference.)
And as building uses are likely to change over
time, designers are working to provide flexibility
and adaptability throughout. Shaw recommends
zoning spaces in the planning process, rather
than fitting a program into the space without an
overarching logic to it. "If it's purely that we've
maximized every inch of it but we've put spaces
in odd locations, then what happens in the future when you want to reallocate space? It becomes awkward and inflexible," he says.
With the future in mind, many clinics are
utilizing modular wall systems and common
plumbing walls so a consult room can easily
become an exam room or a team room might
be converted to four exam rooms. "There's a
higher price tag to be paid for that initally, but I

© BRAD FEINKNOPF

Also pushing square footage are group
exam rooms often used for chronic illness
management (diabetes, cardiac care) or OB/
GYN services, Vickery says, with patients
meeting collectively to discuss their conditions and receive health education while
taking turns getting checkups in an adjacent
exam space. It's one solution answering the
trend of more health and wellness education
being offered in clinical settings, too. "Even
clinics that aren't educational organizations
themselves are often tied to academic medical centers. This has a direct effect on the
design, because there's a greater need for collaboration space and larger exam and meeting areas," says Kevin Hinrichs, principal and director of Taylor Design's
San Francisco office.
For staff spaces, "clinic design today is moving away from dedicated
physicians' offices and offering more collaborative space for care team
members," says Randy Regier, president of Taylor Design (Irvine, Calif.).
Onstage/offstage layouts are becoming increasingly popular to support
that trend, with clinical staff housed in a central core, a solution Taylor
Design used at the UCSF Medical Center Heart & Vascular Center in San
Francisco, which opened in April. The method supports collaborative care
by creating group work areas where nurses and physicians work side by
side, but also establishes an attractive buffer between patients and staff.
"It's quieter, more private, and it feels better to a patient," Vickery says.
A consideration of the traditional onstage/offstage model is the space
required to support separate corridors on each side of exam rooms for
staff and patient circulation. After visiting a number of clinics with twodoor models (separate staff and patient doors into exam rooms from
those individual corridors), the project team at Scripps Clinic, John R.
Anderson V Medical Pavilion in San Diego, which opened in June and
was also designed by Taylor Design, opted for a variation. "We'd have


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Healthcare Design - November 2016

Table of Contents for the Digital Edition of Healthcare Design - November 2016

HEALTHCARE DESIGN - NOVEMBER 2016
CONTENTS
EDITORIAL
SHOW TALK
PHOTO TOUR
MEETING OF THE MINDS
POWER TRIO
GET SMART
WHAT ARE WE WAITING FOR?
HAVING IT ALL
HERE & NOW
WELCOME ADDITION
FIVE BUILDING BLOCKS OF WAYFINDING
FINANCIAL MATTERS HEALTHY SAV-INGS
PRODUCT SPOTLIGHT DINING
THE CENTER
AIA-AAH
Healthcare Design - November 2016 - HEALTHCARE DESIGN - NOVEMBER 2016
Healthcare Design - November 2016 - Cover2
Healthcare Design - November 2016 - 1
Healthcare Design - November 2016 - 2
Healthcare Design - November 2016 - CONTENTS
Healthcare Design - November 2016 - 4
Healthcare Design - November 2016 - 5
Healthcare Design - November 2016 - 6
Healthcare Design - November 2016 - 7
Healthcare Design - November 2016 - 8
Healthcare Design - November 2016 - EDITORIAL
Healthcare Design - November 2016 - SHOW TALK
Healthcare Design - November 2016 - 11
Healthcare Design - November 2016 - PHOTO TOUR
Healthcare Design - November 2016 - 13
Healthcare Design - November 2016 - 14
Healthcare Design - November 2016 - 15
Healthcare Design - November 2016 - 16
Healthcare Design - November 2016 - 17
Healthcare Design - November 2016 - 18
Healthcare Design - November 2016 - 19
Healthcare Design - November 2016 - 20
Healthcare Design - November 2016 - MEETING OF THE MINDS
Healthcare Design - November 2016 - 22
Healthcare Design - November 2016 - 23
Healthcare Design - November 2016 - POWER TRIO
Healthcare Design - November 2016 - 25
Healthcare Design - November 2016 - 26
Healthcare Design - November 2016 - 27
Healthcare Design - November 2016 - 28
Healthcare Design - November 2016 - 29
Healthcare Design - November 2016 - 30
Healthcare Design - November 2016 - 31
Healthcare Design - November 2016 - 32
Healthcare Design - November 2016 - 33
Healthcare Design - November 2016 - GET SMART
Healthcare Design - November 2016 - 35
Healthcare Design - November 2016 - 36
Healthcare Design - November 2016 - 37
Healthcare Design - November 2016 - 38
Healthcare Design - November 2016 - 39
Healthcare Design - November 2016 - 40
Healthcare Design - November 2016 - 41
Healthcare Design - November 2016 - 42
Healthcare Design - November 2016 - 43
Healthcare Design - November 2016 - WHAT ARE WE WAITING FOR?
Healthcare Design - November 2016 - 45
Healthcare Design - November 2016 - 46
Healthcare Design - November 2016 - 47
Healthcare Design - November 2016 - 48
Healthcare Design - November 2016 - 49
Healthcare Design - November 2016 - 50
Healthcare Design - November 2016 - 51
Healthcare Design - November 2016 - 52
Healthcare Design - November 2016 - 53
Healthcare Design - November 2016 - 54
Healthcare Design - November 2016 - 55
Healthcare Design - November 2016 - 56
Healthcare Design - November 2016 - 57
Healthcare Design - November 2016 - HAVING IT ALL
Healthcare Design - November 2016 - 59
Healthcare Design - November 2016 - 60
Healthcare Design - November 2016 - 61
Healthcare Design - November 2016 - 62
Healthcare Design - November 2016 - 63
Healthcare Design - November 2016 - 64
Healthcare Design - November 2016 - 65
Healthcare Design - November 2016 - 66
Healthcare Design - November 2016 - 67
Healthcare Design - November 2016 - 68
Healthcare Design - November 2016 - 69
Healthcare Design - November 2016 - HERE & NOW
Healthcare Design - November 2016 - 71
Healthcare Design - November 2016 - 72
Healthcare Design - November 2016 - 73
Healthcare Design - November 2016 - 74
Healthcare Design - November 2016 - 75
Healthcare Design - November 2016 - 76
Healthcare Design - November 2016 - 77
Healthcare Design - November 2016 - 78
Healthcare Design - November 2016 - 79
Healthcare Design - November 2016 - 80
Healthcare Design - November 2016 - 81
Healthcare Design - November 2016 - 82
Healthcare Design - November 2016 - 83
Healthcare Design - November 2016 - 84
Healthcare Design - November 2016 - 85
Healthcare Design - November 2016 - 86
Healthcare Design - November 2016 - 87
Healthcare Design - November 2016 - 88
Healthcare Design - November 2016 - 89
Healthcare Design - November 2016 - 90
Healthcare Design - November 2016 - 91
Healthcare Design - November 2016 - WELCOME ADDITION
Healthcare Design - November 2016 - 93
Healthcare Design - November 2016 - 94
Healthcare Design - November 2016 - 95
Healthcare Design - November 2016 - 96
Healthcare Design - November 2016 - 97
Healthcare Design - November 2016 - FIVE BUILDING BLOCKS OF WAYFINDING
Healthcare Design - November 2016 - 99
Healthcare Design - November 2016 - 100
Healthcare Design - November 2016 - 101
Healthcare Design - November 2016 - 102
Healthcare Design - November 2016 - 103
Healthcare Design - November 2016 - 104
Healthcare Design - November 2016 - 105
Healthcare Design - November 2016 - 106
Healthcare Design - November 2016 - 107
Healthcare Design - November 2016 - 108
Healthcare Design - November 2016 - FINANCIAL MATTERS HEALTHY SAV-INGS
Healthcare Design - November 2016 - 110
Healthcare Design - November 2016 - 111
Healthcare Design - November 2016 - 112
Healthcare Design - November 2016 - 113
Healthcare Design - November 2016 - PRODUCT SPOTLIGHT DINING
Healthcare Design - November 2016 - 115
Healthcare Design - November 2016 - 116
Healthcare Design - November 2016 - 117
Healthcare Design - November 2016 - 118
Healthcare Design - November 2016 - 119
Healthcare Design - November 2016 - 120
Healthcare Design - November 2016 - 121
Healthcare Design - November 2016 - 122
Healthcare Design - November 2016 - THE CENTER
Healthcare Design - November 2016 - 124
Healthcare Design - November 2016 - AIA-AAH
Healthcare Design - November 2016 - 126
Healthcare Design - November 2016 - 127
Healthcare Design - November 2016 - 128
Healthcare Design - November 2016 - 129
Healthcare Design - November 2016 - 130
Healthcare Design - November 2016 - 131
Healthcare Design - November 2016 - 132
Healthcare Design - November 2016 - 133
Healthcare Design - November 2016 - 134
Healthcare Design - November 2016 - 135
Healthcare Design - November 2016 - 136
Healthcare Design - November 2016 - 137
Healthcare Design - November 2016 - 138
Healthcare Design - November 2016 - 139
Healthcare Design - November 2016 - 140
Healthcare Design - November 2016 - 141
Healthcare Design - November 2016 - 142
Healthcare Design - November 2016 - 143
Healthcare Design - November 2016 - 144
Healthcare Design - November 2016 - Cover3
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