Healthcare Design - September 2019 - 48
IN
FOCUS
2/4
patient and family satisfaction and provide comfort to loved ones who
are reassured knowing there are multiple layers of monitoring and care
in place.
D E S I G N C O N S I D E R AT I O N S
When deciding where to locate a hospital command center, it's important
to keep in mind that these facilities don't require expensive hospital-grade
space. This can create flexibility, as both on-site and off-site locations are
suitable. For a large hospital network, an off-site command center outside
the urban core may help lower costs because it's less expensive to build and
can free up space for clinical care on campus.
However, a smaller rural hospital may choose to
COMMAND CENTERS
keep a single-room command center on-site for
ARE PAVING THE WAY
integrated access and cross-utilization of staff.
Another key issue to consider is the scope and
FOR FUTURE SMART
type of command center. Will it serve a single
INNOVATIONS.
hospital or a whole system? Will the command
center include one site or multiple sites with
collocation and remote collaboration? Generally, a command center
that monitors patient flow would be about 1,500-2,000 square feet, but
the overall size depends on the amount of services a hospital plans to incorporate. For example, a command center that intends to include centralized physiological monitoring for a hospital, or for several hospitals,
would need at least double or triple the space requirement noted above.
Services like remote patient sitters and emergency and disaster response
will also require additional square footage. In all respects, command centers should be designed to expand to accommodate future technology and
added services, as well.
These variables will also impact the number of staff members who
need to be accommodated in the center as well as the size and layout of
workstations. For example, while a typical workstation in a medical facility is 6 feet by 8 feet (48 square feet) per person, many other details need
to be considered for a command center, such as the number of monitors
per station, acoustical or visual privacy, ceiling heights to accommodate
large hanging computer screens, and lighting controls that ensure proper
screen readability and minimize glare. This means the workstation could
be smaller or larger, depending on services and equipment requirements.
Other space needs may need to be accommodated, as well. For example,
command centers that incorporate telemedicine capabilities will need
private rooms with monitors so the practitioner can have private conversations with patients, much like what occurs in an exam room. Having
respite spaces that allow command center staff who work with frequent
auditory alarms and visual alerts to get quiet off-screen time is also important to prevent fatigue and burnout. Testing different layout scenarios and building mockups of the physical space to gather feedback from
a variety of key stakeholders and decision-makers can help maximize
space and lead to more efficient design solutions that work for everyone.
ACCOUNTING FOR COSTS
The main factors that drive the cost of command centers are construction fees to build the facility, the initial expense of equipment to outfit
the center, and then technology upkeep. Selecting an appropriate site
for a command center is critical, as the cost to build can hinge on several
factors, such as off-site versus on-site locations and urban versus suburban versus rural settings. Backfilling unused, older hospital space with a
command center can often be more costly than new construction in non-
48
SEPTEMBER 2019
hospital space due to the difficulties in retrofitting modern technology into old, ill-configured
space. Once all the requirements have been
established, it's vital to consider the business
case for both options (backfill and new construction) to determine a cost-effective choice
that fulfills not only immediate needs but the
long-term evolution of the command center.
Additionally, equipment costs, as well as
technology maintenance and staff training,
need to be considered. Command center designs must support powerful systems that harness the algorithms, predictive analytics, and
artificial intelligence that can help command
center staff coordinate logistics and monitor
patients. Therefore, the command center will
need emergency power, highly efficient Wi-Fi
technology, its own data center, and integration
into the system's back-up data storage.
W H AT ' S N E X T ?
As healthcare undergoes a technological revolution, hospital command centers, still in their
infancy, are paving the way for other smart innovations. For example, with assistance from a
command center, what if every hospital could
employ artificial intelligence-driven patient
monitoring to assist caregivers to create a
customized precision medicine plan that's tailored to a specific patient, and then adjust it in
real time?
Additionally, other technologies could be
supported via command centers, such as transport robots that deliver automated medical
supplies and patient medications throughout
a hospital. Cloud-based remote monitoring
could provide closer communication between
hospitals and patients across the full treatment
timeline-from pre-admission to treatment to
recovery and long-term care.
Hospital command centers can improve patient outcomes and experiences, optimize care
delivery, and lower operational costs. By designing spaces that host real-time hospital data
and machine learning and unite staff across
hospital departments, command centers can
improve the ability of staff to care for patients,
predict and flag medical risks, and streamline
patient care.
Teri Oelrich, BSN, MBA, is a partner at NBBJ (Seattle).
She can be reached at T O E L R I C H @ N B B J . C O M .
Donald Bellefeuille is the director of healthcare strategy at NBBJ (Boston). He can be reached at D B E L L E
FEUILLE@NBBJ.COM.
HCDMAGAZINE.COM
http://www.HCDMAGAZINE.COM
Healthcare Design - September 2019
Table of Contents for the Digital Edition of Healthcare Design - September 2019
Healthcare Design - September 2019
Contents
E D I T O R I A L
SHOW TALK
CIVIC MINDED
BRIGHT IDEAS
THE HCD 10
SIGHTS TO SEE
OPERATIONS
PRODUCT SPOTLIGHT
THE CENTER
FACE TIME
Healthcare Design - September 2019 - Healthcare Design - September 2019
Healthcare Design - September 2019 - Cover2
Healthcare Design - September 2019 - 1
Healthcare Design - September 2019 - 2
Healthcare Design - September 2019 - Contents
Healthcare Design - September 2019 - 4
Healthcare Design - September 2019 - 5
Healthcare Design - September 2019 - 6
Healthcare Design - September 2019 - 7
Healthcare Design - September 2019 - 8
Healthcare Design - September 2019 - E D I T O R I A L
Healthcare Design - September 2019 - SHOW TALK
Healthcare Design - September 2019 - 11
Healthcare Design - September 2019 - 12
Healthcare Design - September 2019 - CIVIC MINDED
Healthcare Design - September 2019 - 14
Healthcare Design - September 2019 - 15
Healthcare Design - September 2019 - BRIGHT IDEAS
Healthcare Design - September 2019 - 17
Healthcare Design - September 2019 - THE HCD 10
Healthcare Design - September 2019 - 19
Healthcare Design - September 2019 - 20
Healthcare Design - September 2019 - 21
Healthcare Design - September 2019 - 22
Healthcare Design - September 2019 - 23
Healthcare Design - September 2019 - 24
Healthcare Design - September 2019 - 25
Healthcare Design - September 2019 - 26
Healthcare Design - September 2019 - 27
Healthcare Design - September 2019 - 28
Healthcare Design - September 2019 - 29
Healthcare Design - September 2019 - 30
Healthcare Design - September 2019 - 31
Healthcare Design - September 2019 - 32
Healthcare Design - September 2019 - 33
Healthcare Design - September 2019 - 34
Healthcare Design - September 2019 - 35
Healthcare Design - September 2019 - 36
Healthcare Design - September 2019 - 37
Healthcare Design - September 2019 - SIGHTS TO SEE
Healthcare Design - September 2019 - 39
Healthcare Design - September 2019 - 40
Healthcare Design - September 2019 - 41
Healthcare Design - September 2019 - 42
Healthcare Design - September 2019 - 43
Healthcare Design - September 2019 - 44
Healthcare Design - September 2019 - 45
Healthcare Design - September 2019 - 46
Healthcare Design - September 2019 - OPERATIONS
Healthcare Design - September 2019 - 48
Healthcare Design - September 2019 - 49
Healthcare Design - September 2019 - 50
Healthcare Design - September 2019 - PRODUCT SPOTLIGHT
Healthcare Design - September 2019 - 52
Healthcare Design - September 2019 - 53
Healthcare Design - September 2019 - 54
Healthcare Design - September 2019 - THE CENTER
Healthcare Design - September 2019 - FACE TIME
Healthcare Design - September 2019 - Cover3
Healthcare Design - September 2019 - Cover4
Healthcare Design - September 2019 - HCD1
Healthcare Design - September 2019 - HCD2
Healthcare Design - September 2019 - HCD3
Healthcare Design - September 2019 - HCD4
Healthcare Design - September 2019 - HCD5
Healthcare Design - September 2019 - HCD6
Healthcare Design - September 2019 - HCD7
Healthcare Design - September 2019 - HCD8
Healthcare Design - September 2019 - HCD9
Healthcare Design - September 2019 - HCD10
Healthcare Design - September 2019 - HCD11
Healthcare Design - September 2019 - HCD12
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