Bob Gesing, AIA, National Healthcare Practice Leader, Trinity:NAC
Michael Pinto, Trinity:NAC

The healthcare industry has struggled to address the social determinants of health within an economic model focused on episodic treatment. Los Angeles reached a point where the cost of treatment was so extreme that a radical shift was the only answer. The LAC+USC Restorative Care Village is an innovative solution to provide LA County residents with access to a comprehensive, whole-person approach to address the interrelated issues of homelessness, substance abuse, mental illness, job training/housing, and medical comorbidities. This will be the nation’s first mental health and well-being campus to address the continuum of needs for the most vulnerable. Come hear their story.

Alicia Wachtel, Cedars-Sinai Health System
Ruchira Banerjee, Enstoa

The Cedars-Sinai Health System’s Facilities Planning, Design, and Construction (FPDC) department conducted a robust post-occupancy evaluation program on a collection of recently completed and occupied projects. The resulting body of knowledge needed to be shared at a rapid pace for the benefit of a new generation of projects. What started as a searchable database became a fertile field for the application of a machine learning algorithm. This analysis resulted in the identification of high-frequency issues. FPDC is now able to be more strategic in their approach to plan for risks on future projects and make modifications to existing standards.

Sally Augustin, Design With Science, Research Design Connections

Neuroscientists and other researchers have determined that fundamental design qualities influence the healing process, as well as health and well-being generally. Symmetry, visual complexity/orderliness, harmony, balance, and line/shape, for example, all have an important effect on the physical, emotional, and cognitive implications of being in a particular environment, whether they are present due to architecture, art, or something else. In this presentation, case studies and reports on best practices will be used to integrate research findings and to illustrate how research on design fundamentals should be applied in practice in different areas within healthcare facilities to overcome design challenges.

Lynnette Tedder, Perkins&Will
Russell Triplett, Perkins&Will
Sierra Peterson, Perkins&Will

As patient care changes and organizations change the way providers work with users, facilities are adapted and designed to provide the best care and efficient operations. The Kaiser Carson MOB was the first facility within Kaiser to incorporate the new Re-imagining Ambulatory Care (RAD) concepts within an existing operating facility. The project team phased the work carefully to maintain operations and minimize interferences with the staff and members, as well as help their transition to the new process. Cohesion between existing spaces and the new buildout was key, as well as the addition of an ambulatory surgery center and a new prototype women’s center.

Laurie Stolen, Larimer County
Valerie Williams, Page

Behavioral health is the root of all health, affecting lives at every stage and circumstance. When Larimer County decided to improve the quality of services provided, they created a community master plan, identified gaps in the continuum of care, addressed challenges requiring fundamental change, and rallied the community for support and funding. Ultimately, they chose to create a new Larimer County Behavioral Health Campus. This session will discuss the process and elements of the community master plan, the resulting initiatives taken prior to the campus project inception, and how the team created a new and innovative campus of behavioral health.

Ben Sousa, Turner Construction
Channing McLeod, tvsdesign
Matt Gaskin, DPR Construction
Thomas Lemieux, Grady Health System

In December 2019, a catastrophic flood at The Grady Hospital left 675,000 square feet and over 220 patient beds out of service. This team was immediately engaged to provide design services on multiple remediation projects, including the redesign of three inpatient floors, with a seven-month turnaround deadline. Adding to the challenge, the hospital was operational during construction and providing care for the COVID-19 pandemic. Come hear how they accomplished their goal, using Integrated Project Delivery methods, Lean prioritization, expedited stakeholder decision-making, and a 24-hour construction schedule. The outcome, guided by the modernization priorities, is helping to fortify Grady’s position as a leading academic medical center and teaching hospital.

Dave Redemske, HDR

With more healthcare being provided behind secured fencing than ever before, many correctional organizations struggle with the question, “Is it a hospital with security or a jail with healthcare?” Using real-world examples, as well as the results from a year-long research fellowship, this presentation will describe the differences and design constraints from each end of the spectrum and how we can meet in the middle to reduce healthcare costs while still maintaining safety and security. It will also discuss the lack of standards on medical spaces within corrections, the proposed changes to inmate healthcare funding, and how these issues drive differences in facility design and operations.

Jeff Morneault, Director of Surgical Services, Riverside Methodist Hospital
Sherm Moreland, DesignGroup

Health systems are striving for greater value in their design solutions, particularly when renovating. Architects and planners have traditionally relied on standard formulas to calculate space needs. However, times have changed and planning tools must also change. Alternative planning strategies such as simulation modeling and user-engaged innovation are critical to help hospitals understand current utilization and test it against future goals. New, innovative tools will be shared to understand the difference between widely accepted, historical metrics and how to determine real, volume-based need. A large hospital surgery department case study will demonstrate how these strategies right-sized the footprint to create operational efficiencies and 10 percent savings on the overall project budget.

Carolyn Blake, Gresham Smith
Lesa Lorusso, Gresham Smith
Linda Lawson, UF Health North
Robin Maddalena, Steelcase

Attracting and retaining qualified nursing staff has been a critical concern for some time, and the increased demands on nursing due to COVID-19 has contributed to rising nursing shortages and high rates of turnover. To mitigate strain, healthcare systems are creating spaces specifically designed to help nursing staff relax and recharge. This presentation shares how one academic medical center infused evidence-based design principles into break lounges for nurses and then utilized cutting-edge technology to study their impact. Participants will hear from research and design professionals, as well as nursing senior leadership, about lessons learned regarding the role of cultural influences and the impact of the built environment on nurse respite.

PANEL MODERATOR:
Sascha Wagner, FIIDA, AIA, President/CEO, Huntsman Architectural Group

PANELISTS:
Annie Bevan, Executive Director, Mindful Materials
Tori Wickard, Project Architect/Associate, Perkins + Will
Diana Hart, Manager, Architectural Sales + Business Development, Rockfon

A discussion about transparency and intersectionality of health, planet, society, the concept of agile facilities and their impact on communities and equity around health/well-being and healthcare.

PANEL MODERATOR:
Whitney Hendrickson, Interior Designer, RN, IIDA

PANELISTS:
Beth Rosa, Principal & Design Director for ArtHouse in Denver, CO
Wendy Lane, Child Life Coordinator 619-11, UR Medicine Golisano Children’s Hospital
Heidi Paris, Senior Facilities Planner, Medical Center Facilities Organization

Knowledge sharing and discussion on pediatric art + theming between a multidisciplinary team post-occupancy from Golisano Children’s Hospital, Rochester, NY.