Healthcare Design - March 2020 - 9

EDITORIAL
EDITORIAL ADVISORY BOARD

Hank Adams

R I S K FA C T O R

China's coronavirus outbreak serves as a reminder
that our healthcare facilities must be designed to
control the spread of any virus or infectious disease
By Jennifer Kovacs Silvis

Wayne Barger
Carolyn BaRoss
Sam Burnette

HDR

SMITHGROUP

PERKINS AND WILL

EARL SWENSSON ASSOCIATES

Sheila F. Cahnman
JUMPGARDEN CONSULTING LLC

Thomas W. Chessum

CO ARCHITECTS

James Crispino
GENSLER

Christine Hester Devens
AT PRESS TIME for this issue, China reported more

than 40,000 confirmed cases of coronavirus, while
the death toll there reached 900-surpassing the
number killed by SARS in the early 2000s. To isolate
and treat patients, a field hospital was built in an astonishing 10 days, with a second opening just a few
days after that. Meanwhile, here in the U.S., 12 cases
have been confirmed in six states, according to the
Centers for Disease Control and Prevention (CDC).
And while the public health risk in the states is
still considered low (and the death rate comparatively lower than SARS so far), I was curious what someone on the forefront of
designing for infectious disease was thinking. After all, the headlines continue
to report a situation that-even if under control-is concerning. I reached out
to Robert Counter, healthcare director and senior associate at Leo A Daly.
Counter is currently leading the firm's Los Angeles studio in designing an
Ebola/Special Pathogen Unit that's part of a national CDC program.
Like many experts, Counter noted that the U.S. healthcare system will likely
see a much greater impact from this year's flu than a coronavirus outbreak and
that our stringent building codes as well as CDC guidance are primed to stem
the spread of just about any airborne infectious disease.
But how, exactly, can our facilities (and their designs) be responsive to any viral threat? Counter says it starts with evaluating available isolation units. For
example, he says, during flu season, occupancy can peak at over 100 percent,
even without something like coronavirus infecting patients, too. "There aren't
enough respiratory isolation rooms to accommodate a large influx of infectious patients, but each hospital does have an emergency response plan in case
of a large number of new patients," he says. "In the future, hospitals may want
to re-evaluate their isolation ICU unit designs to allow for acuity-adaptive
rooms capable of handling higher-acuity patients when the need arrives."
In fact, acuity-adaptable rooms already have the infrastructure necessary to
flex from a standard med/surg space to an isolation ICU room, he says, including everything from medical gasses to space for specialized equipment to materials specified for enhanced cleanability. Counter even suggests that future
ICUs might be designed more like a special pathogens unit-for example, with
considerations for how materials and staff enter and exit the space, more visualization of patients, and extra sterilization capabilities.
As we watch what unfolds in China and brace for what could escalate at
home, take a look at my interview with Counter (HCDmagazine.com/riskfactor) as well as all of our infection control and biocontainment coverage
over the years at HCDmagazine.com. 

Mary Frazier

AECOM

EWINGCOLE

Jocelyn Lum Frederick
HC TANGRAM DESIGN

Catherine L. Gow

FRANCIS CAUFFMAN

Natalie Miovski Hagerty
THE CHILDREN'S HOSPITAL OF PHILADELPHIA

Erik Hanson STANTEC

ARCHITECTURE

Suzen L. Heeley
MEMORIAL SLOAN KETTERING CANCER CENTER

Scott Holmes
Walter Jones

BWBR

METROHEALTH SYSTEM

Randy Keiser TURNER
Julie Kent

CONSTRUCTION CO.

TRINITY HEALTH

Bryan Langlands

NBBJ

Tiana Lemons ORCUTT/WINSLOW
Michael Lied

GBBN ARCHITECTS

Mike McKay
Victoria Navarro

UW HEALTH

ADVOCATE AURORA HEALTH

Kurt Neubek PAGE
Don Orndoff

KAISER PERMANENTE

Diane R.K. Osan
Chris Powers

CANNONDESIGN

HCA HEALTHCARE

William D. Repichowskyj
E4H ARCHITECTURE

Kim Shinn
TLC ENGINEERING SOLUTIONS

Janet H. Sisolak
UT MD ANDERSON CANCER CENTER

Karl R. Sonnenberg
ZIMMER GUNSUL FRASCA ARCHITECTS LLP

Kurt Spiering
Steve Stokes

HGA

GRESHAM SMITH

Jeffrey C. Stouffer

HKS INC.

Paul E. Strohm
Jocelyn Stroupe

Joshua A. Theodore
Anthony Treu SKIDMORE,
Travis Tyson
Gary L. Vance

HOK

CANNONDESIGN
LEO A DALY

OWINGS & MERRILL

CLEVELAND CLINIC
VANCE CONSULTING

MARCH 2020

09


https://www.healthcaredesignmagazine.com/risk-factor https://www.healthcaredesignmagazine.com/risk-factor http://www.HCDmagazine.com

Healthcare Design - March 2020

Table of Contents for the Digital Edition of Healthcare Design - March 2020

Healthcare Design - March 2020
Editorial
Show Talk
Fuel for Change
Hospital Hotspots
Listen Up, Quiet Down
Special Report: Introduction
Special Report: Elevate & Evolve
Special Report: Support Network
Planning and Design
Product Spotlight
The Center
Supplement to Healthcare Design
Face Time
Healthcare Design - March 2020 - Healthcare Design - March 2020
Healthcare Design - March 2020 - Cover2
Healthcare Design - March 2020 - 1
Healthcare Design - March 2020 - 2
Healthcare Design - March 2020 - 3
Healthcare Design - March 2020 - 4
Healthcare Design - March 2020 - 5
Healthcare Design - March 2020 - 6
Healthcare Design - March 2020 - 7
Healthcare Design - March 2020 - 8
Healthcare Design - March 2020 - Editorial
Healthcare Design - March 2020 - Show Talk
Healthcare Design - March 2020 - 11
Healthcare Design - March 2020 - 12
Healthcare Design - March 2020 - Fuel for Change
Healthcare Design - March 2020 - 14
Healthcare Design - March 2020 - 15
Healthcare Design - March 2020 - Hospital Hotspots
Healthcare Design - March 2020 - Listen Up, Quiet Down
Healthcare Design - March 2020 - Special Report: Introduction
Healthcare Design - March 2020 - 19
Healthcare Design - March 2020 - Special Report: Elevate & Evolve
Healthcare Design - March 2020 - 21
Healthcare Design - March 2020 - 22
Healthcare Design - March 2020 - 23
Healthcare Design - March 2020 - 24
Healthcare Design - March 2020 - 25
Healthcare Design - March 2020 - Special Report: Support Network
Healthcare Design - March 2020 - 27
Healthcare Design - March 2020 - 28
Healthcare Design - March 2020 - 29
Healthcare Design - March 2020 - 30
Healthcare Design - March 2020 - Planning and Design
Healthcare Design - March 2020 - 32
Healthcare Design - March 2020 - 33
Healthcare Design - March 2020 - Product Spotlight
Healthcare Design - March 2020 - 35
Healthcare Design - March 2020 - 36
Healthcare Design - March 2020 - 37
Healthcare Design - March 2020 - The Center
Healthcare Design - March 2020 - 39
Healthcare Design - March 2020 - 40
Healthcare Design - March 2020 - Supplement to Healthcare Design
Healthcare Design - March 2020 - 42
Healthcare Design - March 2020 - 43
Healthcare Design - March 2020 - 44
Healthcare Design - March 2020 - 45
Healthcare Design - March 2020 - 46
Healthcare Design - March 2020 - 47
Healthcare Design - March 2020 - 48
Healthcare Design - March 2020 - 49
Healthcare Design - March 2020 - 50
Healthcare Design - March 2020 - 51
Healthcare Design - March 2020 - 52
Healthcare Design - March 2020 - 53
Healthcare Design - March 2020 - 54
Healthcare Design - March 2020 - 55
Healthcare Design - March 2020 - Face Time
Healthcare Design - March 2020 - Cover3
Healthcare Design - March 2020 - Cover4
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