Healthcare Design - November 2017 - 104

IN

FOCUS

8/10

Staffing and resource limitations make private patient rooms in Rwanda
impractical. The necessity of large, open patient wards made passive solutions to lighting and ventilation both more appropriate and more feasible.
In a reimagining of the traditional ward design, in which beds line the walls
and face inward, the MASS-Mazzetti team oriented beds to face outward,
providing patients with relaxing views of the green landscape.
L E S S O N S W I T H G L O B A L A P P L I C AT I O N S

Though it may seem counterintuitive to many U.S.-trained architects and
engineers, simpler solutions from Rwanda may offer real opportunities for
leveraging "reverse innovation"-applying smart (and, presumably, lowertech) solutions from the less developed world to our own context.
While the drivers for identifying simpler solutions in Rwanda may be different in the U.S., the
MICROGRIDS ARE LIKELY TO
applications here can be broad and financially
BECOME A STANDARD PART
important. For example, in Rwanda, where utility costs for electricity and water can consume
OF THE ENERGY SUPPLY
half of a hospital's operating budget, minimizing
FOR U.S. HOSPITALS.
a facility's carbon footprint is considered a necessity. The MASS-Mazzetti team relied on renewable energy sources as much as possible and designed systems to store
water underground for the long dry seasons. In North America, where
energy costs might run 3-4 percent, efficiency is more a bonus than an imperative. Even so, savings from simple, efficient designs can be significant

104

NOVEMBER 2017

HCDMAGAZINE.COM

over a facility's lifecycle and are worth pursuing
whether the underlying motive involves altruism, conservation, code compliance, or simply
total cost.
North Americans should also recognize that,
like Africans, they're not immune to interruptions in their power grid. After Hurricane
Katrina in 2005 and California's Loma Prieta
earthquake in 1989 increased awareness of
facilities' vulnerability, hospital design (especially in hurricane- and earthquake-prone
areas of the U.S.) showed greater focus on
reliability and redundancy. This year, two
earthquakes in Mexico and three devastating hurricanes have reinforced the value of
microgrids, which are likely to become a standard part of the energy supply for U.S. hospitals within the next two decades.
Microgrids involve a combination of an onsite energy source, storage capabilities, and a
mechanism to connect them. With the inconsistent power grid and the country's location
in an active seismic zone, Rwandans have accumulated several decades of experience with

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

Healthcare Design - November 2017
Contents
Editorial
From the Publisher
Show Talk
Photo Tour
Photo Tour
Maine Stage
Preserving an Icon
Magic Moment
Time to Shine
All Together Now
Operations Delivering a New Experience
Engineering Lessons From Rwanda
Product Spotlight Outdoor Furniture
The Center
Aia-Aah
Project Watch
Product Gallery
Face Time
Healthcare Design - November 2017 - Healthcare Design - November 2017
Healthcare Design - November 2017 - Cover2
Healthcare Design - November 2017 - 1
Healthcare Design - November 2017 - 2
Healthcare Design - November 2017 - Contents
Healthcare Design - November 2017 - 4
Healthcare Design - November 2017 - 5
Healthcare Design - November 2017 - 6
Healthcare Design - November 2017 - 7
Healthcare Design - November 2017 - 8
Healthcare Design - November 2017 - Editorial
Healthcare Design - November 2017 - 10
Healthcare Design - November 2017 - 11
Healthcare Design - November 2017 - 12
Healthcare Design - November 2017 - From the Publisher
Healthcare Design - November 2017 - Show Talk
Healthcare Design - November 2017 - 15
Healthcare Design - November 2017 - Photo Tour
Healthcare Design - November 2017 - 17
Healthcare Design - November 2017 - 18
Healthcare Design - November 2017 - 19
Healthcare Design - November 2017 - 20
Healthcare Design - November 2017 - 21
Healthcare Design - November 2017 - 22
Healthcare Design - November 2017 - 23
Healthcare Design - November 2017 - 24
Healthcare Design - November 2017 - 25
Healthcare Design - November 2017 - Photo Tour
Healthcare Design - November 2017 - 27
Healthcare Design - November 2017 - 28
Healthcare Design - November 2017 - 29
Healthcare Design - November 2017 - 30
Healthcare Design - November 2017 - 31
Healthcare Design - November 2017 - 32
Healthcare Design - November 2017 - Maine Stage
Healthcare Design - November 2017 - 34
Healthcare Design - November 2017 - 35
Healthcare Design - November 2017 - 36
Healthcare Design - November 2017 - 37
Healthcare Design - November 2017 - Preserving an Icon
Healthcare Design - November 2017 - 39
Healthcare Design - November 2017 - 40
Healthcare Design - November 2017 - 41
Healthcare Design - November 2017 - Magic Moment
Healthcare Design - November 2017 - 43
Healthcare Design - November 2017 - 44
Healthcare Design - November 2017 - 45
Healthcare Design - November 2017 - 46
Healthcare Design - November 2017 - 47
Healthcare Design - November 2017 - 48
Healthcare Design - November 2017 - 49
Healthcare Design - November 2017 - 50
Healthcare Design - November 2017 - 51
Healthcare Design - November 2017 - 52
Healthcare Design - November 2017 - 53
Healthcare Design - November 2017 - 54
Healthcare Design - November 2017 - 55
Healthcare Design - November 2017 - Time to Shine
Healthcare Design - November 2017 - 57
Healthcare Design - November 2017 - 58
Healthcare Design - November 2017 - 59
Healthcare Design - November 2017 - 60
Healthcare Design - November 2017 - 61
Healthcare Design - November 2017 - 62
Healthcare Design - November 2017 - 63
Healthcare Design - November 2017 - 64
Healthcare Design - November 2017 - 65
Healthcare Design - November 2017 - 66
Healthcare Design - November 2017 - 67
Healthcare Design - November 2017 - 68
Healthcare Design - November 2017 - 69
Healthcare Design - November 2017 - 70
Healthcare Design - November 2017 - 71
Healthcare Design - November 2017 - 72
Healthcare Design - November 2017 - 73
Healthcare Design - November 2017 - All Together Now
Healthcare Design - November 2017 - 75
Healthcare Design - November 2017 - 76
Healthcare Design - November 2017 - 77
Healthcare Design - November 2017 - 78
Healthcare Design - November 2017 - 79
Healthcare Design - November 2017 - 80
Healthcare Design - November 2017 - 81
Healthcare Design - November 2017 - 82
Healthcare Design - November 2017 - 83
Healthcare Design - November 2017 - 84
Healthcare Design - November 2017 - 85
Healthcare Design - November 2017 - 86
Healthcare Design - November 2017 - 87
Healthcare Design - November 2017 - 88
Healthcare Design - November 2017 - 89
Healthcare Design - November 2017 - 90
Healthcare Design - November 2017 - Operations Delivering a New Experience
Healthcare Design - November 2017 - 92
Healthcare Design - November 2017 - 93
Healthcare Design - November 2017 - 94
Healthcare Design - November 2017 - 95
Healthcare Design - November 2017 - 96
Healthcare Design - November 2017 - 97
Healthcare Design - November 2017 - 98
Healthcare Design - November 2017 - 99
Healthcare Design - November 2017 - Engineering Lessons From Rwanda
Healthcare Design - November 2017 - 101
Healthcare Design - November 2017 - 102
Healthcare Design - November 2017 - 103
Healthcare Design - November 2017 - 104
Healthcare Design - November 2017 - 105
Healthcare Design - November 2017 - Product Spotlight Outdoor Furniture
Healthcare Design - November 2017 - 107
Healthcare Design - November 2017 - The Center
Healthcare Design - November 2017 - 109
Healthcare Design - November 2017 - 110
Healthcare Design - November 2017 - Aia-Aah
Healthcare Design - November 2017 - 112
Healthcare Design - November 2017 - 113
Healthcare Design - November 2017 - 114
Healthcare Design - November 2017 - 115
Healthcare Design - November 2017 - 116
Healthcare Design - November 2017 - Project Watch
Healthcare Design - November 2017 - 118
Healthcare Design - November 2017 - 119
Healthcare Design - November 2017 - 120
Healthcare Design - November 2017 - 121
Healthcare Design - November 2017 - 122
Healthcare Design - November 2017 - 123
Healthcare Design - November 2017 - 124
Healthcare Design - November 2017 - 125
Healthcare Design - November 2017 - 126
Healthcare Design - November 2017 - Product Gallery
Healthcare Design - November 2017 - 128
Healthcare Design - November 2017 - 129
Healthcare Design - November 2017 - 130
Healthcare Design - November 2017 - 131
Healthcare Design - November 2017 - 132
Healthcare Design - November 2017 - 133
Healthcare Design - November 2017 - 134
Healthcare Design - November 2017 - 135
Healthcare Design - November 2017 - Face Time
Healthcare Design - November 2017 - Cover3
Healthcare Design - November 2017 - Cover4
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