As an emerging professional in the field of architecture, I find that the most rewarding experiences come from the ability to make a difference in the lives we serve and the future of the architecture profession, students and recent graduates.
In my professional experience, I've come across numerous office cultures and ways of doing things. I've always wondered how hundreds of hours might be spent developing documentation and procedural standards, only to have a firm "come up short" in terms of adoption.
With this in mind, I've developed a few educated conclusions as to why a lack of adherence typically occurs:
As part of a multi-site Behavioral Health Initiative (BHI) for Mercy Health, Array converted a shuttered med/surg floor at Lourdes Hospital in Paducah, Kentucky. This project was not without the inherent challenges of making a non-behavioral health space compliant, safe and comfortable for patients and staff. What made it rewarding was the cooperative effort of the design team to make this renovated space as ideal a setting as the other BHI endeavors for Mercy (Batavia and Oregon, OH), which included new construction and a larger footprint.
There are a variety of factors informing a healthcare system's decision to expand its outpatient service offering.
There are unique aspects to healthcare design, pediatric design and in particular, the design of world-class academic institutions in urban environments. In the past, I’ve discussed my top 10 list for pediatric waiting room design. Pediatric inpatient units of the future must not only respond to known, documented evidence-based design attributes, but planning considerations and design must be visionary in response to a rapidly changing future.
Array recently co-sponsored an event about how healthcare institutions in New England, primarily the Boston Area, are approaching ambulatory care. We invited a cross section of developers, property owners, facility leaders, real estate leaders and designers; all who have a great understanding of this particular market. It was enlightening to hear what stakeholders are facing these days, and a great forum to get challenges out on the table for the participants to work through and tackle together as a team.
I recently read on the National Rural Health Association (NRHA) website that 66 rural hospitals have closed since 2010. The closure rate is increasing. It was six times higher in 2015 than in 2010. A study the NRHA commissioned revealed that 673 rural hospitals are “vulnerable or at risk for closure.” Of this group, a large number are Critical Access Hospitals (CAH).
Topics: critical access
As the healthcare landscape shifts, many providers are delivering care in innovative ways. With the goal of integrating into their patients daily lives, providers are also searching for new, conveniently-located facilities capable of accommodating a wide array of ambulatory services ranging from a simple exam, consultation or blood draw room to more complex procedures, including surgery and imaging. Procedural spaces may require significant adjustment to existing building infrastructure and incur substantial capital construction cost. Developing a rigorous site selection process provides a framework for data-driven decision-making.
Often when we are working with a client to design their space, we have a number of meetings in which we review renderings, materials, etc. While we always like to go to the client with a polished presentation, sometimes clients can struggle to articulate their design goals for a project. A great way to help clients think outside the box is to have a work session in our office.