Medical Construction & Design

JUL-AUG 2018

Medical Construction & Design (MCD) is the industry's leading source for news and information and reaches all disciplines involved in the healthcare construction and design process.

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46 Medical Construction & Design | J U LY/AUGUST 2018 | MCDM AG.COM patients alike led to a deep understanding of the unique require- ments of an inpatient unit. The design approach to CIHA's inpatient unit transcends even the usual accomplishments of ligature-resistant construction. A patient-centered care model will give nurses the ability to sit out in the unit for decentralized care or inside of dedicated, private yet highly visible centralized work areas as situations dictate. Treatment rooms will be integral to the unit, providing maximum safety and access. This hybrid model was thoughtfully selected af- ter a thorough collaborative study that included the key stakehold- ers in treatment. Considerable thought was given to the entire experience from the perspective of patients, staff and family. Movement onto and through the unit and the fl ow of traffi c throughout the facility was studied to establish optimal sightlines and eliminate all blind corners. In addition to an off -unit respite area for staff , an enclosed staff corridor between care team work spaces provides emergency refuge. Social interaction zones are scattered throughout the unit, including near high-acuity rooms. A serenity/sensory room and therapy rooms on the inpatient unit provide easy access for pa- tients, while a centralized wellness room off ers exercise, training and additional therapy options. Connections to nature are impor- tant to patients and outdoor therapy sessions are often requested. A rooftop deck with raised-bed planters will provide patients opportunities to engage in gardening and enjoy scenic mountain views. Similarly, McMillan Pazdan Smith worked with South Carolina's Department of Mental Health to rewrite its Design Guidelines for Outpatient Facilities statewide. Throughout the course of this project, the team discovered that while certain room types can be standard in design, the variation in services across unique demographics means that no two buildings will be alike. Designing within the immediate context and culture of the end users is vitally important to ensure respect and dignity for every patient. At CIHA, these revelations were applied to create a stigma- free design approach across the model of care. In designing its new spaces, it became critically important that the Cherokee culture is refl ected truthfully through the use of stories, colors and symbology. Furthermore, these new facilities needed to integrate seamlessly with the rest of the hospital facility, and other facilities across the spectrum of care. The result: stigma-free design In much of modern society, mental illness and behavioral health treatments are accompanied by stigma. To fully embrace the spirit of CIHA's guiding principles, it was necessary to elevate the avail- ability and accessibility of its behavioral health services. Much of this is accomplished in how the newly renovated facility relates to the adjacent primary hospital. The main spine of the behavioral health facility connects into the main spine of the existing hospital, establishing a sense of equality among all departments. Entry into the Outpatient Clinic and Recovery Center is designed to off er adequate privacy without sacrifi cing equality of access. A protected semi-private entry with dedicated parking on the north side of the hospital gives behavioral health patients an op- tion to reduce interactions with the general public. A dedicated patient transport elevator, adjacent to the ED, opens directly onto the second fl oor crisis stabilization unit. Across the entire behavioral health facility, the design inten- tionally relates to the existing hospital in ways that promote a sense of equality of treatment. Because the same attention to detail is being given to the material selection, color palette and cultural context of this space, the team is able to create decorum of care that empowers patients to embrace their treatment. The Cherokee people believe deeply in the value of family and community. Through this harmonious approach to behavioral healthc are, they can deliver excellent treatment that fully refl ects their culture and values. Christie Adams, EDAC, is a healthcare project manager at McMillan Pazdan Smith Architecture. Libby Laguta, CHID, EDAC, ACHE, is lead interior designer at McMillan Pazdan Smith Architecture. Damon Lambert is director of engineering for Cherokee Indian Hospital Authority. A semi-private entrance and dedicated parking for clients visiting the Analenisgi Outpatient Clinic and Recovery center offer immediate access while still providing a direct connection to primary care clinics and pharmacy services. > > > > >

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