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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MCDM AG.COM | J U LY/AUGUST 2018 | Medical Construction & Design 49 patient-centered care and fostering the development of the integrated care model, also known as collaborative care or medical home. Traditional clinics that operate a silo- based practice model are not conducive to supporting fundamental principles of collaboration and team-based en- gagement, hallmarks of the new era of integrated care. The planning thought process must be changed to accommo- date this new trend and should include four key considerations: collaboration, fl exibility, versatility and modularity. These considerations are leading to new terminology being used when discussing outpatient clinics with healthcare provid- ers, such as team center, pod and on- stage/off -stage spaces. It therefore makes sense to be familiar with these concepts of integrated care related to clinic design. Linear team center model The linear team center model is an evolu- tion of traditional space planning in its foundational layout and fl ow. It features a linear layout with exam rooms sur- rounding a core support and charting area. Patients are escorted to exam rooms through a corridor shared by staff and patients. The major diff erence between the traditional clinic model and the linear team center model is the reduction in the physical separation of the provider from the support staff . Rather than the provider having a private offi ce, they move to a shared open work area, known as a team center. The team center is incorporated as a highly accessible and centrally located primary charting and workstation for all integrated team members. The clinic's shared open work area promotes more face-to-face interac- tion between providers, nurses and ancillary care team, while allowing easy access to patients and family members. The new model for clinic plan- ning strives to create a modular layout to allow for fl exibility and versatility. A standardized exam room within a modular layout ultimately provides fl exibility to ebb and fl ow between providers as needs shift. The linear team center model meets the four principle considerations — collabo- ration, fl exibility, versatility and modu- larity — for a multidisciplinary clinic, while maintaining the familiarity of a traditional clinic design. The linear team-centered model is conducive to value-based care because: > Visibility and proximity among the care team facilitate communication, lead- ing to increased opportunity for knowl- edge sharing > Shared open spaces can accommodate rotating or visiting specialist support and consultations > Co-location of clinical staff and pro- viders in a central location reduces travel distances, increasing effi ciency > Open layout enhanced by centrally located team center facilitates access by patients and family members, increasing interaction and minimizing the feeling of alienation that can exacerbate stress levels > Single-linear circulation, along with increased shared spaces, results in ef- fi cient use of space Pod model The fundamental, scalable concept of a pod model is the ability to break down a larger organization into smaller units, and then replicate each wholly contained unit into a standardized planning module for fl exibility. Each pod consists of a clus- ter of exam rooms along with team work and support areas, yet retains a separate internal circulation shared by staff and patients. Essentially, the pod becomes a clinic within a clinic and is an exemplary model that supports the integration of multiple disciplines in a single setting. A shared open workstation centrally located in the pod allows multidisci- plinary team collaboration while being readily available to patients and family members. Pending placement, it can further facilitate collaboration be- tween teams of adjacent pods. Although circulation is shared between staff and patients, a separation of internal pod circulation from the primary circulation provides some degree of privacy while reducing noise level. When pods of similar modular spaces are organized in a standardized plan- ning module, it provides opportunities for fl exibility and versatility. Modularity of the pods allows for easy recon- fi guration of functions or change in use between disciplines. It also provides the

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