Since passage of the Affordable Care Act (ACA) in 2010, politics and healthcare have taken center stage in a national discussion. Some have considered the ACA government intrusion; others find it to be necessary reform to achieve better population health.
Yet this fusion of politics and healthcare is nothing new. The federal and state governments have been involved in healthcare since the founding of our country.
Bridging the gap between inpatient care and off-site clinics, health systems are experimenting with cost-effective, short-stay settings to treat and stabilize “frequent flyer” patients with multiple chronic conditions.
Today’s rehabilitation spaces are designed to be motivating, welcoming, safe, and accessible. Everything from the layout and equipment to a mix of open and private areas are created with an eye on contributing to and promoting accomplishment and inspiration.
In September 2015, the blog “Union Village: Introducing a First” examined the design phase of what’s being called the largest healthcare project in the world, the Union Village health village in Henderson, Nev.
Serving as a juror for the annual Healthcare Design Showcase this past year, I saw several submissions that contained a host of excellent work related to hospitals and traditional health facilities. A number of other entries, however, captured a category not seen at this scale before: the multispecialty ambulatory facility.
One of the newest programs and building types being developed within the healthcare industry is the freestanding emergency department (FSED). These projects are growing in popularity as hospitals and healthcare systems strategize ways to provide improved, responsive care in the most cost-effective physical environment possible.
It’s April and with that comes spring, traditionally associated with new beginnings.
In 2004, as part of nationally coordinated antiterrorism efforts, Nebraska Medicine brought online a first-of-its-kind unit for the safe treatment of deadly infectious diseases. Early involvement of frontline staff with the design team of Leo A Daly was crucial to creating a unit that met the complex safety, operational, and psychological needs of clinicians working in this challenging environment.
Sometimes the best ideas are the most obvious. For example, if you want to make cancer patients comfortable during treatments, ask them how.
When designing cancer facilities, architects must keep the physical, psychological, and emotional needs of patients at the forefront of their process. To help guide this, Francis Cauffman’s design team surveys cancer survivors about their experience with treatment and the environment in which they receive care.
In 2008, leadership at Parkland Hospital in Dallas realized that the facility built in 1954 had reached its useful life and it was time to embrace the future. So began a journey that lasted nine years. The new $1.3 billion, 2.1 million-square-foot New Parkland Hospital broke ground in 2010 and opened to the public on Aug. 20, 2015. What did it take to move staff, patients, and equipment literally across a highway from old location to new? An extreme amount of planning, persistence, and patience.
A group of well-meaning politicians crafted the federal No Child Left Behind Act of 2001 (NCLB), in an effort to make schools accountable for improving student performance. The law required all schools to test the reading and math skills of 2nd through 12th graders. How well the students progressed year after year toward proficiency in these subjects was directly tied to the federal funding the schools received, with other punitive actions potentially coming into play if schools continued to underperform.
Many types of patients no longer meet inpatient admission criteria but still need to remain in a hospital bed for significant amounts of time, even though reimbursed as outpatients. So what’s the most appropriate setting for these patients that promotes the best clinical outcomes and patient/family experience, but doesn’t use the space and resources of an inpatient unit?
Some of these short-stay patients include:
