Healthcare Design - June/July 2020 - 33

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

THANKS TO THE ease of access to healthcare professionals, hospital emergency departments
(EDs) have become a primary location where
behavioral health patients seek help when their
conditions require immediate care. However,
EDs are generally designed and operated to
treat only a small number of behavioral health
patients at a given time. As behavioral health patient counts and severity of conditions increase,
ED resources such as beds and staff are quickly
depleted, causing many facilities to have larger
capacity issues and longer wait times to provide
emergency attention to all patients.
One emerging solution is the creation of specialized behavioral health crisis stabilization
units (CSUs). These separate units in a hospital
are designed and staffed to treat patients with
emergency behavioral health conditions and
are proving to increase the operational safety,
efficiency, and healing outcomes of this growing
population by providing the proper environment of care.
C A S E S T U D Y: U N I V E R S I T Y O F I O WA
H O S P I TA L S A N D C L I N I C S

P L A N N I N G A N D O P E R AT I O N S

DAVID SENIOR

D E C O M P R E S S I O N S PA C E

Behavioral health crisis stabilization units relieve pressure on
emergency department resources while providing a specialized care
area for patients in need By Scott Hansche and Hannah Roush

In the main ED at the University of Iowa Hospitals and Clinics (UIHC) in Iowa City, Iowa,
8 percent of patients need behavioral health
attention. With an average length of stay of
14 hours, this patient type requires three times
the typical ED occupancy duration. Additionally, behavioral health patients who are admitted
to the hospital extend their time in the ED, with
the wait period averaging 18 hours for an open
inpatient bed. These longer stays require more
attentive staff and lead to reduced turnover of ED
rooms, resulting in an increased number of other
ED patients leaving the department without being seen. Press Ganey patient satisfaction surveys from UIHC's ED patient population showed
lower quality of care, delays in critical treatment,
prolonged discomfort, and increased stress.
The escalating performance deficiencies and
strain on this ED led to the recommendation
of creating a separate behavioral health CSU.
The hospital identified a vacated pediatric intensive care unit that could be
renovated into the CSU and would
provide access to natural daylight
and existing support spaces already

J U N E /J U LY 2 0 2 0

33



Healthcare Design - June/July 2020

Table of Contents for the Digital Edition of Healthcare Design - June/July 2020

Healthcare Design - June/july 2020
Editorial
Show Talk
Homeward Bound
Take Five With Tammy Felker
First Look
Into the Light
Difference Maker
Planning and Operations Decompression Space
Staff Spaces Building Alignment
Productspotlight Behavioral Health
Product Spotlight Artwork
The Center
Face Time
Healthcare Design - June/July 2020 - Healthcare Design - June/july 2020
Healthcare Design - June/July 2020 - Cover2
Healthcare Design - June/July 2020 - 1
Healthcare Design - June/July 2020 - 2
Healthcare Design - June/July 2020 - 3
Healthcare Design - June/July 2020 - 4
Healthcare Design - June/July 2020 - 5
Healthcare Design - June/July 2020 - 6
Healthcare Design - June/July 2020 - 7
Healthcare Design - June/July 2020 - 8
Healthcare Design - June/July 2020 - Editorial
Healthcare Design - June/July 2020 - Show Talk
Healthcare Design - June/July 2020 - 11
Healthcare Design - June/July 2020 - 12
Healthcare Design - June/July 2020 - Homeward Bound
Healthcare Design - June/July 2020 - 14
Healthcare Design - June/July 2020 - 15
Healthcare Design - June/July 2020 - First Look
Healthcare Design - June/July 2020 - 17
Healthcare Design - June/July 2020 - Into the Light
Healthcare Design - June/July 2020 - 19
Healthcare Design - June/July 2020 - 20
Healthcare Design - June/July 2020 - 21
Healthcare Design - June/July 2020 - 22
Healthcare Design - June/July 2020 - 23
Healthcare Design - June/July 2020 - 24
Healthcare Design - June/July 2020 - 25
Healthcare Design - June/July 2020 - Difference Maker
Healthcare Design - June/July 2020 - 27
Healthcare Design - June/July 2020 - 28
Healthcare Design - June/July 2020 - 29
Healthcare Design - June/July 2020 - 30
Healthcare Design - June/July 2020 - 31
Healthcare Design - June/July 2020 - 32
Healthcare Design - June/July 2020 - Planning and Operations Decompression Space
Healthcare Design - June/July 2020 - 34
Healthcare Design - June/July 2020 - 35
Healthcare Design - June/July 2020 - Staff Spaces Building Alignment
Healthcare Design - June/July 2020 - 37
Healthcare Design - June/July 2020 - Productspotlight Behavioral Health
Healthcare Design - June/July 2020 - 39
Healthcare Design - June/July 2020 - 40
Healthcare Design - June/July 2020 - 41
Healthcare Design - June/July 2020 - Product Spotlight Artwork
Healthcare Design - June/July 2020 - 43
Healthcare Design - June/July 2020 - 44
Healthcare Design - June/July 2020 - 45
Healthcare Design - June/July 2020 - 46
Healthcare Design - June/July 2020 - The Center
Healthcare Design - June/July 2020 - Face Time
Healthcare Design - June/July 2020 - Cover3
Healthcare Design - June/July 2020 - Cover4
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