Healthcare Design - November 2016 - 66

PAT I E N T S F I R S T

Dedicated office space
in the Scripps Clinic
John R. Anderson V
Medical Pavilion in La
Jolla, Calif., designed
by Taylor Design and
opened in June, is
concealed from the
main flow of patients,
separating the offstage
support areas from
the onstage patient
environment.

But if there's any one driver inspiring clinic design today, it's the patient
experience. At Children's Hospital Colorado, that came in realizing patients were traveling long distances to see multiple providers, often in
disjointed visits throughout the course of a day-hours dictated by physicians' schedules. Instead, the hospital wanted to turn the tables. "It's not
that the patient is going to go see the provider, but the provider is now going to come see the patient," Glasco says. "That was the germ of the idea
for how to make it more patient-centric."
It was a model the team didn't quite find in a review of peer facilities
across the country, with similar complex care clinics set up around a single
provider as opposed to supporting multidisciplinary teams-so they created it. The clinic hosts teams from various specialty clinics (e.g., ear, nose
and throat; gastrointestinal; and endocrinology) who create multidisciplinary teams (e.g., treating cleft palate and spina bifida) to ensure that care
team members are on hand to visit with patients and discuss treatment
plans collectively. Its 40-plus clinics then rotate days in the space, with
most meeting once a month or every two weeks for two to eight hours, depending on the complexity of the disease. "That's the biggest value of this is
that it's a shared space and utilized all the time," Glasco says.
To design it, the team held a visioning session with about 50 stakeholders
(including physicians, nurses, and IT and administrative staff ) to establish
guiding principles, figuring out how the space
would look similar to traditional clinic models
"IF YOU GIVE THE
and where it might diverge, like the centralized
"fishbowl" and larger exam rooms (140 square
DOCTORS ENOUGH
feet). "It was truly a good collaboration between
SPACE, YOU CAN MAKE
all the providers giving their thoughts on the difTHE EXPERIENCE FOR THE
ficulties they were facing and what might be solutions for how we'd resolve it," Glasco says.
PATIENT MUCH MORE
A s i m i l a r a p p r o a c h wa s t a ke n a t t h e
PLEASANT."
175,000-square-foot John R. Anderson V Medi- BRETT RINGLER, SCRIPPS CLINIC
cal Pavilion, where Scripps was able to centralize

66

NOVEMBER 2016

HCDMAGAZINE.COM

BEYOND BUILDINGS

Just as hospitals brace for a future where only
the highest acuity patients will likely be admitted as more care is delivered in outpatient
settings, clinics will likely face a similar fate as
more conditions are able to be managed right
at home-a trend influencing the built environment in its own way. "People aren't going to go
to clinics as much; they're not going to have to
because they're going to be able to email, FaceTime, or communicate in other ways without
being present," Vickery says.
For example, at Scripps, patients with automatic implantable cardioverter-defibrillators that require regular checkups can instead walk in front
of a wand at home that "reads" the device and creates a digital file that's sent to physicians remotely. "All those patients-into the hundreds in any
given month-they don't have to come in now and
so you can more efficiently use the space," Ringler
says of the overall higher volume the provider is
able to achieve thanks to the program.
At Children's Hospital Colorado's Multidisciplinary Clinic, telehealth has been beneficial

ASSASSI PRODUCTIONS, COURTESY OF TAYLOR DESIGN

think it's the way of the future," Vickery says of modular solutions.
To stay nimble, providers are also requesting exam rooms that are
as standardized as possible. At John R. Anderson V Medical Pavilion,
110 standardized exam rooms allow surgeons to practice in the same
area as other physicians, and when they're in surgery (40-60 percent of
the time) those rooms don't sit empty like they traditionally would. "Any
doctor on any day can easily move from one set of exam rooms to the next,
depending on volume," Ringler says.

its 12 outpatient cardiovascular specialties (from
diabetes to pulmonary care) adjacent to its Prebys Cardiovascular Institute, with two bridges between the two buildings. The setting has allowed
the provider to offer cardiac catheterizations in a
less costly environment and include two general
surgery suites and a c-arm-capable procedure
room with a recovery bay, meaning physicians
can easily balance their clinic practices with procedures simply by traveling between floors, or
across the bridges to the hospital, if necessary.
The move frees up highly valuable time on the
schedule so patients can be seen more quickly.
"The idea is, if you give the doctors enough space,
you can make the experience for the patient much
more pleasant," Ringler says.
Additional solutions for the patient experience
include convenient parking, intuitive wayfinding,
and a non-stressful and welcoming feel, Vickery
says. "The patient journey is critical. Patients are
demanding that, and providers are responding
and understanding that if they're not convenient,
people aren't going to come," she says. The overall feeling conveyed, Shaw adds, should be that
the patient is taken care of, and designs should
assuage feelings of anxiety with views outside or
a glazed wall between waiting and clinical areas,
for example. "These base, subliminal emotions
are real for people, especially when in vulnerable
places, and we need to do everything we can to
create a complete antithesis of that," he says.


http://www.HCDMAGAZINE.COM

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
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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
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