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 49 low-voltage systems, including local building automation control, cable televi- sion and nurse-call communications, are integrated into a patient-friendly plat- form. On one recent project, a leading healthcare provider wanted to create modern, private infusion spaces for its patients. Each bay was designed with an electrical, adjustable infu- sion chair with an integrated screen for patients to control lighting and multi-media displays, and a dedicated VAV terminal that, through an integrator, provided patients with individual climate control. As this healthcare pro- vider recognizes, patients may not have control over their illness, but technologi- cal advances can give them a little more control over their environment and allow for a more pleasant visit. TREND #2: Onsite genomic research centers Over 10 years ago, the Human Genome Project laid out the sequence of nucleotides that make up human DNA, or an individual's genetic code. Through scientifi c research, doctors are beginning to further understand that pat- tern and identify and understand abnor- malities that indicate diseases. Continued genomic research can help predict cancer risk, prognosis, response to treatment and even identify alternative treatments. Though this research is typically found in government and university laboratories, as these clinical applications were identifi ed, genomic research has spread to teaching hospitals and is now being placed in regional and specialty care centers. This branch of scientifi c research requires specifi c and unique facilities with behind-the-scenes infrastructure that is in the realm of engineers. By clos- ing the gap between the research and clinical setting, these innovative solutions can be delivered faster and more effi cient- ly to the patient. With genomic research facilities on- site, scientists and doctors can more easily study patients' unique sequencing and determine individualized therapies and alternatives to traditional cancer treat- ments, like chemotherapy. Innovations in research can also lead to improvements in patient care which, in turn, can lead to less invasive treatments, more personal- ized care and, possibly, quicker recovery time. As this trend continues, engineers are proud to support this game-changing research through ongoing innovations. TREND #3: Bring care closer to home Many healthcare partners are building regional cancer, ambulatory and surgical care centers to bring quality treatment and care closer to their patients. Traditionally, leading hospitals have been built in urban areas and on uni- versity campuses, and have provided a breadth of specialty services and research functions. The associated regional centers off ered only routine or limited care, forc- ing patients to travel to the city or campus for more complete care. In the past few years, however, health- care networks have begun to build re- gional, suburban facilities that off er more advanced services, diagnostic and testing and research facilities under one roof. By bringing these key services, technologies and treatments closer to the patients, patients can save time and avoid unneces- sary stress. In one example, a major teaching hospital in Philadelphia, Pennsylvania is providing full-service patient care at a regional facility in southern New Jersey. This regional facility also off ers specialty care, radiology services and a comprehen- sive cancer care center. In 2016, one major healthcare network opened an outpatient treatment center in central New Jersey. This facility was fi rst of its kind to feature an outpatient surgical suite outside the hospital's main campus. The project team developed a reliable, highly effi cient and sustainable design. To guarantee continuity of service and the ability to maintain the major systems, redundancy (N+1) was integrated in all engineered systems — chillers, boilers, domestic water heaters, pumps, electrical and medical gas systems — especially for those systems that support critical care areas, such as the surgical platform and PACU spaces where patients are sedated and in recovery. This level of redundancy was also incorporated into the design of the air systems serving spaces like the USP-800 Pharmacy to ensure uninter- rupted service and associated pressuriza- tion within these critical areas, which house the infusion treatments delivered to the patients. In addition to being closer to its pa- tients, this regional facility also provides the same level of world-class treatment, access to advanced technology and superior building performance as the main campus facility. It also attains the standards of sustainability and energy ef- fi ciency off ered by its urban counterparts. Following the success of this facility, the hospital is opening more regional centers in New Jersey and New York to con- tinue bringing care closer to even more patients. Cancer treatments have undergone ma- jor advances in the past few years, as have the facilities where the treatment is deliv- ered. The three trends described above are cases in point. As these developments gain popularity, engineers will continue to play a role in their implementation, partnering with healthcare organizations to improve the prospects for convenience, comfort and, potentially, cures. Thomas Ford and John Bilotta lead Syska Hennessy Group's healthcare practice in New Jersey and sup- port the fi rm's East Coast healthcare portfolio. $80.2B Estimated direct medical costs (total of all healthcare expenditures) for cancer in the U.S. — The Agency for Healthcare Research and Quality 15.5M Americans living with a history of cancer. Another 1.7 million new cancer cases are expected to be diagnosed in 2018. — American Cancer Society Nadeshda Goettmann/Dreamstime

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