Medical Construction & Design

MAR-APR 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 | M A RCH /A PR IL 2018 | Medical Construction & Design 45 and exit points should be provided whenever possible. Fortunately, there are space-saving elements that can be incorporated, while still meeting patient privacy standards. For example, a swing door can be installed off the patient corridor with a reverse swing for patient privacy. In addition, swing doors allow for a handrail to be installed along the patient corridor. Sliding doors are ideal for staff entry and exit points to maximize fl oorspace and allow for the ease of moving carts and equipment. This also allows the PACT team to collaborate in the same work area and minimizes travel distance to patients. While it's important to maintain patient and staff fl ow separation in the clinical areas of a PACT module, patients and caregivers are encouraged to have more eye contact. Various studies and focus groups have found that eye-to- eye contact on the same level helps create a sense of ease for veterans. Patient check-in areas, for example, may employ an encounter specialist strictly focused on patient engagement and not computer data intake in order to reduce the stress levels veterans might face in their care delivery. HIPPA compliance is increased because this model reduces cross-traffi c between patients and staff in intake and patient information transfer areas. DESIGN CONSIDERATION #3: Plan around functionality of facility There are three prototype programs for design templates that can be used in the planning of a CBOC facility: One PACT CBOC, Two PACT CBOC and Three PACT CBOC. The latter two templates incorporate the same over-arching layout as the One PACT CBOC and are scalable in response to the facility's future needs and growth. In each of the prototype designs, the net square feet listed in the PFD for the most common rooms are similar due primarily to the possibility of future "fl ex" spaces. The prototype design establishes that these spaces can readily change from exam rooms to consult rooms to offi ces in order to accommodate multiple clinical modalities. Inclusion of these spaces in the prototype design supports adaptable use in clinical areas and allows for general ease of space planning and systematizing. Also consider that CBOC programs are relying on increased telemedicine space to be integrated into the plan. The VA is looking to expand telemedicine by allowing providers to deliver care across state lines. Ultimately, using the established CBOC layouts in the planning process helps the project team understand the typical clinical fl ow (patient/staff /service/supply), and identifi es potential bottlenecks that, when addressed, improve patient experience, staff workfl ow and overall clinic effi ciency. Rob Forney, AIA, LEED AP, is the national director of government/ healthcare for Oculus, Inc. He is based in the St. Louis, Missouri corporate offi ce. Kim Ward, R A, is a licensed architect and the director of healthcare – south and based at Oculus Inc.'s Dallas, Texas offi ce. Although these clinics are scalable, the design of the clinic creates a sense of familiarity for the patient and fl ows are intended to be the same despite the larger size.

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