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rooms, CT, ultrasound, general X-ray and MRI — similar to the technology of a traditional hospital emergency room. Diagnostic imaging and lab services are also available for both emergency and outpatient needs. The MOB features a concourse-type circulation with open waiting areas for each practice and an integrated connector to the adjacent freestanding ED. Clear, direct circulation achieves Mount Carmel's goal of a convenient and smooth patient experience and allows all departments to be fully integrated and easily accessible. Christiana Care Health System, Middletown, Delaware FSED Christiana Care Health System's freestanding ED is located on a 108-acre parcel of land for future expansion into a full hospital and medical campus in Middletown, Delaware. The 60,000-square-foot facility contains six triage and super-track rooms, 12 universal exam/ treatment rooms, one major resuscitation room, CT, ultrasound, general X-ray and full lab. The second fl oor of the building features a community center with the remainder comprised of medical of ces. Since its opening, the Middletown FSED has experienced greater patient volumes than originally anticipated and now approaches 25,000 annual visits. On occasion, patients may enter the FSED requiring a greater level of care. In those instances, patients can either be transferred or admitted to Christiana Care's Christiana Hospital in Newark, Delaware, or to other appropriate healthcare facilities where, according to Linda Laskowski-Jones, vice president of emergency and trauma services, Christiana Care Health System, "approximately 10 percent of our patients are admitted each month." While FSEDs are not the answer to all problems facing traditional hospital EDs, they are an attractive option for increasing patient access to emergency services care in the community. FSEDs' more streamlined processes can help to promote faster, more ef cient patient volume throughput and higher satisfaction. Combined with the realizing of downstream admissions and being anchors to future growth, FSEDs are a viable alternative to hospitals in an increasingly competitive environment. Patrick Schultz, AIA, EDAC, LEED AP, is vice president and healthcare practice leader for HKS' Mid-Atlantic region and an MCD board member. He can be reached at pschultz@hksinc.com. David R. Vincent, AIA, ACHA, LEED AP, is principal and director of HKS' Team ED. He can be reached at dvincent@hksinc.com. This waiting area in Christiana Care Health System's freestanding ED evokes residential warmth by incorporating a fi replace and natural materials, with access to natural light. Multi-Functional Performance. Entire Serenity family at visalighting.com or contact us at 800.877.VISA Transforming the Patient Experience SERENITY S H O W N I N N I G H T L I G H T O P T I O N T M MCDM AG.COM | M A RCH /A PR IL 2015 | Medical Construction & Design 35