Healthcare Design - August 2020 - 29

designers are considering what power, gas, and data connection needs
those temporary structures might require to operate. "There's a lot of
talk now, too, about expanding drive-through testing if that continues
to grow, and maybe even drive-through inoculations," Adams says.
"There's even an idea that maybe an emergency department has drivethrough capability where you're evaluated in your car, as a better way to
protect patients and caregivers."
RETHINKING INTERIORS

In concert with new facility layouts and site configurations, the coronavirus pandemic is driving organizations to reconsider infection control
strategies in interior spaces. Tiana Lemons, senior associate at Orcutt/
Winslow (Nashville), says she's rethinking materials choices and how
to declutter spaces to reduce build-up of dust and particles, which can
spread viruses. "Maybe we need to design more simplistically," she says.
"I love texture, but maybe in a healthcare setting texture isn't something we should be using." Rather, she says, smooth, curved surfaces
and edges may be more appropriate while also communicating an image of cleanliness.
She also anticipates more solid surface materials being used in furniture and casework, as well as a move toward more vinyl and polyurethane products to further support infection control measures while
being able to withstand strict cleaning protocols. "We had a lot of these
ideas already, but the clients didn't want to spend the money for it. So a
lot of those things got value engineered out," she says. "I think that's not
going to happen as much moving forward."
Along with additional signage that facilities have been adding to communicate safety reminders or direct patients and family members to
PPE stations where they can get face masks and gloves or wash their
hands, Lemons expects to see more demand for touchless technology
controls in acute care environments for doors, elevators, light switches, and window shades to reduce the number of shared surfaces people
touch. Within patient rooms, she says she'd also like to see more widespread adoption of communications technology, including cameras
and monitors, that could help address the issue of isolation that many
faced. This could allow patients to "visit" with loved ones while enabling family members to remotely monitor a patient's care. "I think it
could mean a lot to patients and their families," Lemons says.
L O O K I N G F O R WA R D

As some states continued to see surges of COVID-19 cases in the summer months, healthcare organizations are balancing finding the right
solutions for the current situation while also looking for long-term
solutions that answer needs well beyond what might be a second wave
in the fall, Adams says. "A lot of our clients have projects that are in
early stages of design right now and are eager to talk about the lessons
learned from the post-pandemic environment and how to apply those
to their new facilities," he says.
For example, he says there's a lot of interest in mechanical/electrical/
plumbing systems, specifically for air filtration, and using new technologies to minimize distribution of pathogens within the mechanical
ventilation systems. "It's a really good time to talk about engineering
design strategies to either convert a patient unit to negative pressure;
increase that kind of capacity; or consider filtration, UV light, and directional airflow to prevent airborne and aerosol contamination outside the patient care space," he says.

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Patient room layout is another area that
might be worth rethinking, Kent says. Converting private rooms to semiprivate represented nearly 25 percent of Trinity's surge plan
to increase inpatient capacity. "Based on what
we knew about the coronavirus at the time, a
semiprivate room could accommodate two
infected patients with adequate distance between beds. This may not be the case in the future," Kent says, "Designing future spaces for
flexibility will be critical to handling another
virus or pandemic. Is planning rooms to rapidly convert from private to semiprivate the right
approach? It's a toss-up."
Adams adds that some solutions to consider
are on a smaller scale. For example, in the wake
of COVID-19, healthcare facilities must address storage needs to house all the PPE supplies they may want to have on hand. "I think
the healthcare systems that have experienced
the real peak demand in the Northeast, they've
suddenly realized that in order to house the
extra supplies and make sure it's all current
and ready to be deployed, that requires a lot of
space," he says.
Another outcome of the pandemic has been a
rise in telehealth, with many organizations and
design professionals anticipating increased usage to continue post-pandemic. Hankin says
he's already having discussions with clients
about increased bandwidth needs, additional
server space and IT equipment, and on-site or
off-site data center spaces, in addition to providing office space with proper lighting and
acoustics to support virtual care sessions.
And while these concerns-and the solutions being sought to address them-add a
new layer of complexity to an already intricate design industry, many healthcare designers are embracing the moment to rethink
the status quo and improve facility design.
"It's a really good opportunity because the
truth is we should be using technology in a
better way, we should be using more touchless technology, we should be using telehealth," Adams says. "When patients show
up for appointments and procedures, they
shouldn't have to sit in waiting rooms for
hours on end and be exposed to large groups
of people. In a lot of ways, I think this is going
to force a better healthcare experience long
term, if we do it right." 
Anne DiNardo is executive editor of
Healthcare Design. She can be reached at
ANNE.DINARDO@EMERALDX.COM.

AUGUST 2020

29


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Healthcare Design - August 2020

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

Healthcare Design - August 2020
Editorial
Show Talk
Remote Impact
Signs of the Times
Design Inspiration
Photo Tour
Acute Condition
Holistic Hospitality
Operations Resetting T H E S Tage
Product Spotlight Surfaces
The Center
Welcome
2020 Design Show Case Jury / Award Winners and Finalists
Award of Merit: Trend Setter
Award of Merit: Southern Charm
Honorablemention : Water - Front Wonder
Honorablemention : Iconic Innovation
Honorablemention: Coastal Hero
Right Spots
Project Directory
Healthcare Design Showcase
Face Time
Healthcare Design - August 2020 - Healthcare Design - August 2020
Healthcare Design - August 2020 - Cover2
Healthcare Design - August 2020 - 1
Healthcare Design - August 2020 - 2
Healthcare Design - August 2020 - 3
Healthcare Design - August 2020 - 4
Healthcare Design - August 2020 - 5
Healthcare Design - August 2020 - 6
Healthcare Design - August 2020 - 7
Healthcare Design - August 2020 - 8
Healthcare Design - August 2020 - 9
Healthcare Design - August 2020 - 10
Healthcare Design - August 2020 - Editorial
Healthcare Design - August 2020 - Show Talk
Healthcare Design - August 2020 - 13
Healthcare Design - August 2020 - 14
Healthcare Design - August 2020 - Remote Impact
Healthcare Design - August 2020 - 16
Healthcare Design - August 2020 - Signs of the Times
Healthcare Design - August 2020 - Design Inspiration
Healthcare Design - August 2020 - 19
Healthcare Design - August 2020 - Photo Tour
Healthcare Design - August 2020 - 21
Healthcare Design - August 2020 - 22
Healthcare Design - August 2020 - 23
Healthcare Design - August 2020 - 24
Healthcare Design - August 2020 - 25
Healthcare Design - August 2020 - Acute Condition
Healthcare Design - August 2020 - 27
Healthcare Design - August 2020 - 28
Healthcare Design - August 2020 - 29
Healthcare Design - August 2020 - Holistic Hospitality
Healthcare Design - August 2020 - 31
Healthcare Design - August 2020 - 32
Healthcare Design - August 2020 - 33
Healthcare Design - August 2020 - 34
Healthcare Design - August 2020 - 35
Healthcare Design - August 2020 - 36
Healthcare Design - August 2020 - Operations Resetting T H E S Tage
Healthcare Design - August 2020 - 38
Healthcare Design - August 2020 - Product Spotlight Surfaces
Healthcare Design - August 2020 - 40
Healthcare Design - August 2020 - The Center
Healthcare Design - August 2020 - Welcome
Healthcare Design - August 2020 - 43
Healthcare Design - August 2020 - 44
Healthcare Design - August 2020 - 2020 Design Show Case Jury / Award Winners and Finalists
Healthcare Design - August 2020 - Award of Merit: Trend Setter
Healthcare Design - August 2020 - 47
Healthcare Design - August 2020 - Award of Merit: Southern Charm
Healthcare Design - August 2020 - 49
Healthcare Design - August 2020 - Honorablemention : Water - Front Wonder
Healthcare Design - August 2020 - Honorablemention : Iconic Innovation
Healthcare Design - August 2020 - 52
Healthcare Design - August 2020 - Honorablemention: Coastal Hero
Healthcare Design - August 2020 - Right Spots
Healthcare Design - August 2020 - 55
Healthcare Design - August 2020 - 56
Healthcare Design - August 2020 - 57
Healthcare Design - August 2020 - Project Directory
Healthcare Design - August 2020 - 59
Healthcare Design - August 2020 - Healthcare Design Showcase
Healthcare Design - August 2020 - 61
Healthcare Design - August 2020 - 62
Healthcare Design - August 2020 - 63
Healthcare Design - August 2020 - 64
Healthcare Design - August 2020 - 65
Healthcare Design - August 2020 - 66
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Healthcare Design - August 2020 - Face Time
Healthcare Design - August 2020 - Cover3
Healthcare Design - August 2020 - Cover4
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