Materials and Resources

The design, construction, and operations of buildings, in general, use an enormous amount of materials that generate significant byproducts and waste. When designing a facility, considering the type of materials and resources that can reduce the impact of the materials' life cycle is essential. Historically, common criteria for selecting finishes for a facility include cost, aesthetics, durability, and maintenance, with little or no thought given to a product's life cycle or the impact it will...

Landscaping

As part of the LEED certification process, Metro Health Hospital adopted vegetative Best Management Practices (BMPs) not typically used in hospital landscaping to improve storm water management processes. The site employs three such BMPs A 48,500-square-foot vegetated green roof. Infiltration bioswales (rain gardens) in two parking lots. Two detention basins that outlet to an infiltration basin. Landscape planners incorporated native plants into developing rain gardens and bioswales to reduce...

Food Service

The National Society for Healthcare Foodservice Management estimates that the total U.S. healthcare market for food and beverages in 2007 was about 1.2 billion (2008). Because hospitals are places of healing, hospital administrators have a natural incentive to provide food that is healthy for people and the environment. Providing a food supply can be done in a variety of ways, all of which have consequences in terms of nutrition, disease risk, public health, environmental health, and social and...

Renovated Facility

During the planning process for the renovation of cardiology and radiology departments, a hospital in the Midwest decided to implement Lean planning. The process involved current and future flow charting for patients that were admitted with an acute myocardial infarction (MI) to Cardiology and patients who required a CT of the abdomen in the imaging department. They identified problems including lack of patient privacy, inefficient staff flow, and outdated departments that did not allow for...

Saint Alphonsus Regional Medical Center Patient Tower Boise Idaho

The Saint Alphonsus Regional Medical Center Patient Tower is a 9-story, 400,000-square-foot acute care facility. The project was conceived, designed, and constructed to reflect the growing national trend toward healthcare facilities that improve patient healing and provide privacy, comfort, and safety. It is also designed for the well-being of staff and patient families. From the start of planning and design, hospital administrators and staff agreed that the hospital needed to be both healing...

Indoor Air Quality

Environmental Protection Agency reports that Americans spend, on average, 90 of the day indoors. During that time, Americans breathe outdoor air that has been brought inside (already contaminated with numerous chemicals, formaldehyde, and ozone), which subsequently is combined with more chemicals and pollutants that are emitted from building materials and furniture, occupants' clothing and personal care products, and chemicals and ozone emitted from office equipment and cleaning...

Steve LaHood BS

Steve LaHood is vice president and director of Signage and Wayfinding and product development at HDR Architecture. He has provided leadership for the Signage and Wayfinding group and its integration into a variety of architectural project types. LaHood also serves as designer and project manager for HDR's collaborations in product designs for Milliken's Soul and Sense carpets, Architex International's Remed and Remed II collections, Peter Pepper, and the award-winning SYNC by Nurture...

Design Standardization

Hospital Patient Room Floor Plan

One of the trademarks of Lean processing is standardization. The more that processes and designs are standardized, the easier and more efficiently staff will find it to adapt and function in that environment. For example, in a standardized patient room, staff always know where to find equipment and supplies. Staff can also address the patient in the same manner and make observations assessments in the same order. Checking and administering medications occur in the same way, and documentation of...

Healthcare Design

Every industry leaves an indelible footprint on the environment in terms of what it extracts from the earth and what it releases in the form of waste. For the healthcare industry, the issue of environmental impact is especially paramount. The profession is committed to doing no harm, yet many issues related to the design and operation of healthcare facilities contradict this principle tenet. For example, healthcare facilities are among the largest U.S. consumers of energy, thus contributing to...

Case Study Metro Health Hospital Wyoming Michigan

In July 2002, during the planning for a replacement hospital, Metro Health Hospital administrators decided that just building a single green facility was not enough. They decided to pursue the creation of an entire complex to reflect the principles of sustainability. Thus, they began the development of Metro Health Village, a 170-acre campus located approximately 12 miles south of Grand Rapids, Michigan (see photos 7.1, 7.2, and 7.3). Even though the Health Village is currently home to only the...

Marcia Vanden Brink BFA

Marcia Vanden Brink is director of product development for HDR Architecture and an interior designer certified by the National Council for Interior Design Qualification (NCIDQ). She has been responsible for the interior design, space planning, and coordination with multidisciplinary design teams for various projects. In addition to traditional healthcare projects, she has developed an expertise in the design of facilities for women and children. Vanden Brink has served as a designer and project...

Same Handed Rooms Standardization

Same-handed rooms feature an identical, repeated layout, meaning the patient bed, technology, caregiver space, family space, bathroom, and handwashing sink are in the same location in every room. Based on standardization principles used in manufacturing and the airline industry, same-handed rooms encourage intuitive processes in patient care. The opposite of same-handed rooms are mirrored rooms. With mirrored rooms, the headwall of the patient in one room is shared with the headwall of the...

Spaghetti Diagrams

Spaghetti Diagram

An easy way to help staff understand flow within a department is to create a spaghetti diagram. The purpose of this tool is to identify and visualize inefficient layouts, unnecessary travel distances, and wasted time and movement for staff. The goal is to find the sweet spot for operational efficiency. To begin the process, create a diagram of the department or floor plan. Each time a staff member makes a trip, draw a different colored line. Typically, a single day of observation is recorded on...

Barbara Pille Rn Bs Mba Fache

Barbara Pille is a senior healthcare consultant with HDR Architecture. Her career includes serving as the chief nurse executive with Quality Living Inc. and Clarkson Hospital, as well as a management engineer with the University of Nebraska Medical Center. A 25-year veteran in the healthcare industry, Pille specializes in helping healthcare facilities in areas of product and service development, process improvement, project management, and team building. She is a fellow of the American College...