Healthcare Design - May 2017 - 30

CHUCK SICONOLFI

Title: Medical Master Planner, Principal
Firm: Perkins+Will (New York)
Number of employees: 2,284
Healthcare revenue in 2016: $90.1 million

BUSINESS CHALLENGE: SUPPORTING CLIENTS
I N U N C E R TA I N T I M E S

Funding structures for the provision of healthcare services are
changing, yet no one can say how or what the ultimate impact
will be. As the need to control cost persists, healthcare systems
face unprecedented challenges in planning how to serve their
communities. For healthcare design firms, this translates into
the challenge of how to best serve clients. In some cases, new or
renovated facilities will be the answer; for others, new service
models. The solution must be determined by the assessment of
a health facility's physical infrastructure.
Recent attempts to change the way healthcare services are funded have
left many questioning what the future holds. But it's important to look at
what's to come: New technologies will deliver new treatments, the population will continue to age, and the demand for services will be strong. Hospitals and healthcare networks will need to develop new, advanced strategies
to meet those needs and provide quality care, and make facility and real estate decisions that support those strategies. The design community must
support them with these efforts.
W H AT ' S B E H I N D I T

We are, in a sense, in a good position to reinvent the future of healthcare.
Science is progressing every day and delivering more effective treatments
than ever before. This is due to advanced technologies that are providing
new ways to interact with and discover treatment patterns buried in all the
data that patients generate during the receipt of care. Additionally, population health strategies (or value-based strategies) have the potential to realign incentives toward disease prevention. These trends are complementary and will help to control providers' costs.
In the short term, there's concern that a large percentage of those who
gained insurance coverage through the Affordable Care Act -especially
in states that accepted the Medicaid expansion-will lose that coverage as
the federal government curtails or withdraws health insurance subsidies.
When coverage is lost, neither illness nor wellness are managed. People
present at emergency departments with chronic episodes of what would
otherwise be manageable conditions, and they present in a much worse
state. This uncompensated care delivered by providers is associated with
an increase in costs to hospitals, taxpayers, and those with insurance.
Conditions like these make it difficult for healthcare providers to move
forward and plan new healthcare facilities. The immediate challenges for
healthcare providers are to understand new and emerging healthcare
models, the incentives that are created or eliminated, and the programs
that must be supported.

30

MAY 2017

HCDMAGAZINE.COM

THE SOLUTION

Consider the intersection of healthcare and payment models. In markets with a high percentage
of revenue in fee-for-service models, inpatient
days per 100,000 people equates to about 120
days. In markets with a high percentage of valuebased healthcare arrangements, the number of
inpatient days for the same population equates
to about 60 days.
As designers and planners, we must be prepared to understand the effects of these changes
on our clients, to assist in the quantification of
those impacts, to evaluate the suitability of the
physical assets of a health network, and to develop new design solutions. In this, we can offer
solutions to our provider clients that respond
to the changes in their business and healthcare
models. A new building may not always be the
answer, but a combination of health strategy assessment, facilities assessment, and future scenario testing can provide our clients with the
best match between their goals and the tools
they use to deliver them.
To quantify the effects of these changes, utilization studies of key service modalities and
demand studies can be conducted. The latter
often requires close cooperation between the
design team and strategic planners. A facilities
assessment process can inform the client and
the design team about the extent to which current facilities support their evolving mission and
needs.
Considerations today include the need for
more ambulatory care services with greater interventional capabilities and virtual connectivity to be located closer to the communities they
serve. Additionally, inpatient environments will
continue to require replacement because existing facilities don't provide single patient rooms
and high degrees of safety and efficiency. Facilities will also be needed to house staff who manage remotely monitored patients, and these
spaces may also evolve to support the staff who
supervises and renders in-home care.
WORDS OF WISDOM

Designers and strategic planners working in
concert with healthcare providers can answer
the reductive forces of wellness, improved
healthcare models, technology, and value-based
compensation. This is contingent upon the
growth of insured individuals, the overall population, and the aging population. They can also
match that balance to the physical structures in
which a health system operates.


http://www.HCDMAGAZINE.COM

Table of Contents for the Digital Edition of Healthcare Design - May 2017

Healthcare Design - May 2017
Contents
Editorial
Photo Tour
Uplifting Design
Healthy Outlook for Green Design
Inside Story
Renovation Experience Reimagined
Product Spotlight Flooring
The Center
Special Supplement
Special Advertising Section
Face Time
Healthcare Design - May 2017 - Intro
Healthcare Design - May 2017 - Healthcare Design - May 2017
Healthcare Design - May 2017 - Cover2
Healthcare Design - May 2017 - 1
Healthcare Design - May 2017 - 2
Healthcare Design - May 2017 - Contents
Healthcare Design - May 2017 - 4
Healthcare Design - May 2017 - 5
Healthcare Design - May 2017 - 6
Healthcare Design - May 2017 - 7
Healthcare Design - May 2017 - 8
Healthcare Design - May 2017 - Editorial
Healthcare Design - May 2017 - Photo Tour
Healthcare Design - May 2017 - 11
Healthcare Design - May 2017 - 12
Healthcare Design - May 2017 - 13
Healthcare Design - May 2017 - 14
Healthcare Design - May 2017 - Uplifting Design
Healthcare Design - May 2017 - 16
Healthcare Design - May 2017 - 17
Healthcare Design - May 2017 - 18
Healthcare Design - May 2017 - 19
Healthcare Design - May 2017 - Healthy Outlook for Green Design
Healthcare Design - May 2017 - 21
Healthcare Design - May 2017 - Inside Story
Healthcare Design - May 2017 - 23
Healthcare Design - May 2017 - 24
Healthcare Design - May 2017 - 25
Healthcare Design - May 2017 - 26
Healthcare Design - May 2017 - 27
Healthcare Design - May 2017 - 28
Healthcare Design - May 2017 - 29
Healthcare Design - May 2017 - 30
Healthcare Design - May 2017 - 31
Healthcare Design - May 2017 - 32
Healthcare Design - May 2017 - 33
Healthcare Design - May 2017 - 34
Healthcare Design - May 2017 - 35
Healthcare Design - May 2017 - 36
Healthcare Design - May 2017 - Renovation Experience Reimagined
Healthcare Design - May 2017 - 38
Healthcare Design - May 2017 - 39
Healthcare Design - May 2017 - 40
Healthcare Design - May 2017 - 41
Healthcare Design - May 2017 - Product Spotlight Flooring
Healthcare Design - May 2017 - 43
Healthcare Design - May 2017 - 44
Healthcare Design - May 2017 - 45
Healthcare Design - May 2017 - 46
Healthcare Design - May 2017 - 47
Healthcare Design - May 2017 - The Center
Healthcare Design - May 2017 - Special Supplement
Healthcare Design - May 2017 - 50
Healthcare Design - May 2017 - 51
Healthcare Design - May 2017 - 52
Healthcare Design - May 2017 - 53
Healthcare Design - May 2017 - 54
Healthcare Design - May 2017 - Special Advertising Section
Healthcare Design - May 2017 - 56
Healthcare Design - May 2017 - 57
Healthcare Design - May 2017 - 58
Healthcare Design - May 2017 - 59
Healthcare Design - May 2017 - 60
Healthcare Design - May 2017 - 61
Healthcare Design - May 2017 - 62
Healthcare Design - May 2017 - 63
Healthcare Design - May 2017 - Face Time
Healthcare Design - May 2017 - Cover3
Healthcare Design - May 2017 - Cover4
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