Healthcare Design - September 2017 - 14

W

2/5

HEN JEANI NATWICK, principal at NAC Archi-

tecture (Spokane, Wash.), started designing
the Spokane Teaching Health Clinic, she realized a standard approach to clinic layout
wouldn't work. A partnership between Washington State University (WSU), Empire Health
Foundation, and not-for-profit health system
Providence Health & Services, the clinic delivers care to an underserved population in Spokane, Wash., while also
serving as a training facility for Providence's residents in family medicine,
internal medicine, and psychiatry.
The building that previously housed the program was being demolished
to make room for a new psychiatric hospital on WSU's Spokane campus.
This provided an opportunity to create a new facility, also on campus, that's
designed to support resident training as well as multispecialty care. "Their
goal is to teach and learn to work collaboratively," says Natwick, who
served as principal medical planner on the project that opened in August
2016. "Creating an environment where the residents can learn from each
other as well as the staff was our most important task."
To facilitate this, Natwick and her colleagues designed the 42,000-squarefoot building with 53 exam rooms and three procedure spaces for treatments such as skin biopsies and circumcisions. These rooms are spread out
into four hallways that radiate off a large preceptor area on the first floor,
where residents can consult on patient care plans with their supervisors as
well as other trainees and instructors from nursing, pharmacy, social work,
and physical and occupational therapy. Residents can enter from any of the
hallways into the preceptor area and immediately see who is available to help
them, says Terri Ahlf, residency clinic manager at Spokane Teaching Health
Clinic. "They never have to wander around looking for anyone."
The staff area has desks and computers but no walls or divisions, to foster collaboration and provide for future flexibility as the clinic's needs
change or teaching models evolve. "It can be reworked in any number of
ways in the future," Natwick says. Since many of the staff members spend
most of their days here, the room features a wall of windows to provide access to natural light. The building's second floor houses occupational and
physical therapy, imaging/lab services, and administrative offices.

14

SEPTEMBER 2017

ABOVE: A large, open
space in the center of
the clinic serves as a
preceptor area where
residents can consult
with their supervisors
and one another about
patients. ABOVE, RIGHT:
The check-in area was
designed to be bright
and airy, with multiple
stations to assist about
250 patients per day.
BELOW: Neutral, timeless
finishes were chosen
for the exam rooms,
including solid surface
countertops and maple
laminate casework.

Because the facility is not-for-profit, the
project budget was very tight, Natwick says.
"However, since it's in a visible part of WSU's
Spokane campus, it was important that we used
building materials that respected the campus
context while staying within our budget," she
says. The team brainstormed ways to keep costs
down but achieve the desired look, including
using a mix of metal panels and brick veneers in
key areas where they'd be most noticeable and
incorporating corbeling, particularly around
the windows, to add visual interest.
Inside, the materials palette includes lighttoned woods, neutral wall and floor coverings,
and artwork that provides pops of color in the
lobby and hallways. "Our patients really appreciate how comfortable the new facility is,
and the residents love that they can always find
someone to help them with their cases when
they need them," Ahlf says. "There is a great energy that you can see when everyone is working
together."-Beth Hertz, freelance writer
LARA SWIMMER (PRECEP TOR AREA, LOBBY ); BENJAMIN BENS CHNEIDER (E XAM ROOM)

monitor

HCDMAGAZINE.COM


http://www.HCDMAGAZINE.COM

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

Healthcare Design - September 2017
Contents
Editorial
The HCD 10
From the Publisher
Class Project
5 Strategies for Ambulatory Facility Planning
Making Room for Wound Care
First Look
Breath of Fresh Air
Engineering Winds of Change
Product Spotlight Wayfinding
The Center
Face Time
HCD Expo 2017
Healthcare Design - September 2017 - Healthcare Design - September 2017
Healthcare Design - September 2017 - Cover2
Healthcare Design - September 2017 - 1
Healthcare Design - September 2017 - Contents
Healthcare Design - September 2017 - 3
Healthcare Design - September 2017 - 4
Healthcare Design - September 2017 - 5
Healthcare Design - September 2017 - 6
Healthcare Design - September 2017 - 7
Healthcare Design - September 2017 - 8
Healthcare Design - September 2017 - Editorial
Healthcare Design - September 2017 - The HCD 10
Healthcare Design - September 2017 - From the Publisher
Healthcare Design - September 2017 - 12
Healthcare Design - September 2017 - Class Project
Healthcare Design - September 2017 - 14
Healthcare Design - September 2017 - 15
Healthcare Design - September 2017 - 5 Strategies for Ambulatory Facility Planning
Healthcare Design - September 2017 - Making Room for Wound Care
Healthcare Design - September 2017 - 18
Healthcare Design - September 2017 - First Look
Healthcare Design - September 2017 - 20
Healthcare Design - September 2017 - 21
Healthcare Design - September 2017 - 22
Healthcare Design - September 2017 - 23
Healthcare Design - September 2017 - 24
Healthcare Design - September 2017 - 25
Healthcare Design - September 2017 - 26
Healthcare Design - September 2017 - 27
Healthcare Design - September 2017 - 28
Healthcare Design - September 2017 - 29
Healthcare Design - September 2017 - 30
Healthcare Design - September 2017 - 31
Healthcare Design - September 2017 - 32
Healthcare Design - September 2017 - 33
Healthcare Design - September 2017 - 34
Healthcare Design - September 2017 - 35
Healthcare Design - September 2017 - 36
Healthcare Design - September 2017 - 37
Healthcare Design - September 2017 - Breath of Fresh Air
Healthcare Design - September 2017 - 39
Healthcare Design - September 2017 - 40
Healthcare Design - September 2017 - 41
Healthcare Design - September 2017 - 42
Healthcare Design - September 2017 - 43
Healthcare Design - September 2017 - 44
Healthcare Design - September 2017 - 45
Healthcare Design - September 2017 - 46
Healthcare Design - September 2017 - Engineering Winds of Change
Healthcare Design - September 2017 - 48
Healthcare Design - September 2017 - 49
Healthcare Design - September 2017 - Product Spotlight Wayfinding
Healthcare Design - September 2017 - 51
Healthcare Design - September 2017 - The Center
Healthcare Design - September 2017 - 53
Healthcare Design - September 2017 - 54
Healthcare Design - September 2017 - 55
Healthcare Design - September 2017 - Face Time
Healthcare Design - September 2017 - Cover3
Healthcare Design - September 2017 - Cover4
Healthcare Design - September 2017 - HCD Expo 2017
Healthcare Design - September 2017 - Expo2
Healthcare Design - September 2017 - Expo3
Healthcare Design - September 2017 - Expo4
Healthcare Design - September 2017 - Expo5
Healthcare Design - September 2017 - Expo6
Healthcare Design - September 2017 - Expo7
Healthcare Design - September 2017 - Expo8
Healthcare Design - September 2017 - Expo9
Healthcare Design - September 2017 - Expo10
Healthcare Design - September 2017 - Expo11
Healthcare Design - September 2017 - Expo12
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