Medical Construction & Design

JAN-FEB 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 | JA N UA RY/ F EBRUA RY 2018 | Medical Construction & Design 41 related to social determinants of health and then selecting the appropriate partnerships to combat these, health sys- tems need to embrace design as a catalyst for success in addressing population health. Design decisions about how and where diff erent partner- ship entities are located, how they share space and resources and what types of spaces are included in outpatient facilities can encourage positive out- comes. For example, fi nding ways to infuse program elements like conference rooms, teach- ing spaces, demonstration kitchens, workspaces and multipurpose rooms for fi tness activities, can allow outpatient facilities to double as com- munity centers. Equipped with a strategic mix of these amenities, ambulatory clinics can do more than just heal the sick and injured, they can also educate individuals and communities about the social determinants of health and promote education and preven- tion during times of wellness. A strong example of how building design can work to en- sure community partnerships thrive can be found at Niagara Falls Memorial Medical Center and its Golisano Center for Community Health in New York, a building focused on ensuring the local special needs' population doesn't "slip through the cracks" of the healthcare system. The Golisano Center is purposely sited adjacent to the NFMMC to create a direct and physical link to the hospital — helping to increase access to appropri- ate care settings and reduce unnecessary ED utilization — and off ers integrated care to adults and children who are developmentally and intellec- tually disabled or facing other unique high risks. The building is designed to empower the Golisano Center's integrative care approach by connecting primary and behavioral healthcare; health home care management and care coordination services; the Child Advocacy Center of Niagara, a new headquarters for Rivershore, Inc. and a commu- nity services suite. The design also departs from an institu- tional environment off ering spaces more akin to residential living with a lobby off ering comfortable seating, a café and computer workstations. The building is a paragon for how space can encourage successful community partnerships and help improve health outcomes. Creating success with community partnerships As health systems seek to respond to this shift toward population health and embrace community partnerships, it's key they focus on best aligning their priorities with their community's health challenges. The Center for Health Care Strategies outlines several key steps systems can take to encourage success: > Select community partners with aligned missions and common values > Seek out partners that off er complementary areas of expertise and balanced collaboration > Create a well-structured referral process > Establish systems to ensure open communication across each strategic partner As a recent report from Sg2 indicates, the key to success in the era of population health is for health networks and outpatient facilities to rely on partners and CBOs more and more, not just to manage fi scal risk but also to pull expertise from new specialties and deliver better population health coverage. Several health systems are already leading this charge — forging exciting new partnerships and embracing design's ability to empower this success — and it will be exciting to see how the trend advances into the future. Stephen Winikoff , AIA, EDAC, LEED AP, is health market leader in CannonDesign's Pittsburgh, Pennsylvania offi ce. Steven Staff ord, MBA, MPH, is a vice president within CannonDesign's Advisory Services division. The Golisano Center for Commu- nity Health connects back to the adjacent emergency department lobby. $3.5M Gift amount from Tom Golisano that supports the Golisano Center for Community Health. It is the largest gift in Niagara Falls Memorial Medical Center's history. — 2 Number of stories/ building size of Golisano Center for Community Health —

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