Healthcare Design - December 2018 - 29

IN FO C U S
S T R A T E G I C A P P R O A C H E S to D E S I G N C H A L L E N G E S

public hospital, The
MetroHealth System has long served the city's
most underserved population. However, its
existing campus, which includes a variety
of buildings constructed between 1912 and
2004 and totaling more than 2 million square
feet, has outlived its usefulness. The facility
can no longer accommodate fast-evolving
advancements in technology and patient care.
To address this reality, the organization is
building a new 11-story acute care hospital on its
52-acre site, which is scheduled for completion
by 2022. In partnership with HGA (Milwaukee),
the master architect and engineering firm responsible for planning, design, and delivery on
the project, the system is also working to innovate planning, design, and construction.
The goal is to create a healthcare facility that's
dynamic rather than static, resulting in a set of
best practices that use a Lean philosophy and
"process-neutral" design approach.
"Process-neutral design is achieved by delivering maximum flexibility now and 50 years
into the future," says Walter Jones, senior vice
president of campus transformation at MetroHealth. Traditionally, Lean methodology seeks
to eliminate waste by focusing on the way care is
delivered today and improving upon it. Broadening Lean to include potential future states,
the concept of process neutral looks toward the
number of different ways care might be provided going forward, as well.
The team's challenge, then, was to design a
high-performing hospital that supports present
needs without restricting the building's ability
to respond to what comes next.

AS CLEVELAND'S

G E T T I N G S TA R T E D

LEAN DESIGN

DAVID SENIOR

PIECE BY PIECE

A collaborative approach was used to create an entirely processneutral platform for The MetroHealth System in Cleveland,
offering adaptability far into its new hospital's future By Kurt
Spiering and Mark Bultman

The first step in this process was to assemble
an internal group of thought leaders, called
the Innovation Team or "I-Team," with core
competencies in such key areas as space
optimization, Lean operational improvement,
evidence-based design, environmental
sociology, and technology. Together, they
provided unique perspectives and challenged
conventional thinking.
The I-Team generated various
concepts and schemes about the
future in their respective areas of

DECEMBER 2018

29



Healthcare Design - December 2018

Table of Contents for the Digital Edition of Healthcare Design - December 2018

Healthcare Design - December 2018
Contents
Editorial
Show Talk
Daring Transformation
Days in the Sun
The Future Is Now
Lean Design Piece by Piece
Product Spotlight Seat Ing
The Center
Face Time
Healthcare Design - December 2018 - Healthcare Design - December 2018
Healthcare Design - December 2018 - Cover2
Healthcare Design - December 2018 - 1
Healthcare Design - December 2018 - 2
Healthcare Design - December 2018 - Contents
Healthcare Design - December 2018 - 4
Healthcare Design - December 2018 - 5
Healthcare Design - December 2018 - 6
Healthcare Design - December 2018 - Editorial
Healthcare Design - December 2018 - Show Talk
Healthcare Design - December 2018 - 9
Healthcare Design - December 2018 - 10
Healthcare Design - December 2018 - Daring Transformation
Healthcare Design - December 2018 - 12
Healthcare Design - December 2018 - 13
Healthcare Design - December 2018 - 14
Healthcare Design - December 2018 - 15
Healthcare Design - December 2018 - 16
Healthcare Design - December 2018 - Days in the Sun
Healthcare Design - December 2018 - 18
Healthcare Design - December 2018 - 19
Healthcare Design - December 2018 - 20
Healthcare Design - December 2018 - 21
Healthcare Design - December 2018 - 22
Healthcare Design - December 2018 - 23
Healthcare Design - December 2018 - The Future Is Now
Healthcare Design - December 2018 - 25
Healthcare Design - December 2018 - 26
Healthcare Design - December 2018 - 27
Healthcare Design - December 2018 - 28
Healthcare Design - December 2018 - 28a
Healthcare Design - December 2018 - 28b
Healthcare Design - December 2018 - Lean Design Piece by Piece
Healthcare Design - December 2018 - 30
Healthcare Design - December 2018 - Product Spotlight Seat Ing
Healthcare Design - December 2018 - 32
Healthcare Design - December 2018 - 33
Healthcare Design - December 2018 - The Center
Healthcare Design - December 2018 - 35
Healthcare Design - December 2018 - 36
Healthcare Design - December 2018 - 37
Healthcare Design - December 2018 - 38
Healthcare Design - December 2018 - 39
Healthcare Design - December 2018 - 40
Healthcare Design - December 2018 - 41
Healthcare Design - December 2018 - 42
Healthcare Design - December 2018 - 43
Healthcare Design - December 2018 - 44
Healthcare Design - December 2018 - 45
Healthcare Design - December 2018 - 46
Healthcare Design - December 2018 - 47
Healthcare Design - December 2018 - Face Time
Healthcare Design - December 2018 - Cover3
Healthcare Design - December 2018 - Cover4
https://www.nxtbook.com/emerald/healthcaredesign/202405
https://www.nxtbook.com/emerald/healthcaredesign/202404
https://www.nxtbook.com/emerald/healthcaredesign/202403
https://www.nxtbook.com/emerald/healthcaredesign/20240102
https://www.nxtbook.com/emerald/healthcaredesign/202312
https://www.nxtbook.com/emerald/healthcaredesign/202311
https://www.nxtbook.com/emerald/healthcaredesign/202310
https://www.nxtbook.com/emerald/healthcaredesign/202309
https://www.nxtbook.com/emerald/healthcaredesign/202308
https://www.nxtbook.com/emerald/healthcaredesign/20230607
https://www.nxtbook.com/emerald/healthcaredesign/202305
https://www.nxtbook.com/emerald/healthcaredesign/202304
https://www.nxtbook.com/emerald/healthcaredesign/202303
https://www.nxtbook.com/emerald/healthcaredesign/20230102
https://www.nxtbook.com/emerald/healthcaredesign/202212
https://www.nxtbook.com/emerald/healthcaredesign/202211
https://www.nxtbook.com/emerald/healthcaredesign/202210
https://www.nxtbook.com/emerald/healthcaredesign/202209
https://www.nxtbook.com/emerald/healthcaredesign/202208
https://www.nxtbook.com/emerald/healthcaredesign/20220607
https://www.nxtbook.com/emerald/healthcaredesign/202205
https://www.nxtbook.com/emerald/healthcaredesign/202204
https://www.nxtbook.com/emerald/healthcaredesign/202203
https://www.nxtbook.com/emerald/healthcaredesign/20220102
https://www.nxtbook.com/emerald/healthcaredesign/202112
https://www.nxtbook.com/emerald/healthcaredesign/202111
https://www.nxtbook.com/emerald/healthcaredesign/202110
https://www.nxtbook.com/emerald/healthcaredesign/202109
https://www.nxtbook.com/emerald/healthcaredesign/202108
https://www.nxtbook.com/emerald/healthcaredesign/202106
https://www.nxtbook.com/emerald/healthcaredesign/202105
https://www.nxtbook.com/emerald/healthcaredesign/healthcare-design-april-2021
https://www.nxtbook.com/nxtbooks/healthcaredesign/202103
https://www.nxtbook.com/nxtbooks/healthcaredesign/20210102
https://www.nxtbook.com/nxtbooks/healthcaredesign/202012
https://www.nxtbook.com/nxtbooks/healthcaredesign/202011
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/201411
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