gha hcd 11_97
TRANSCRIPT
Enhancing the Patient Experience: Design Drivers for
Urban Hospital Ambulatory Care
HEALTHCARE DESIGN 11Nashville, TN
Tim GramannCEO, GHA
James Harrell, FAIA, FACHAGBBN Architects, Inc
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TriHealthCincinnati, Ohio Two acute-care hospitals
with nearly 900 beds Good Samaritan (GSH) has
the highest market share in TriHealth’s four-county care, and Bethesda North (BNH) is #3
Over 10,500 births per year GSH is #1 in Ohio; BNH is #7
One of the largest robotic surgery programs in the U.S.
Over 50 outpatient service locations
Over 250 employed physicians
Over 1,700 physicians on medical staff
Over 10,000 employees 2
MAP
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GROUP HEALTH ASSOCIATES (GHA) Founded 1974 with 3
physicians 135 physician today Medical Center Model vs.
MOB Primary Care and 18
specialties working collaboratively
Connected with the Epic EMR
Integrated ancillaries on site
Coordinated scheduling to maximize convenience
Centralized practice management
Acquired by TriHealth in 2005 4
DRIVERS FOR A NEW FACILITY
Flagship in shambles Emergence from hospital to healthcare
system Support growth of hospital based
specialties
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65,000 SF Flagship in Shambles 50 years old Build as a concrete structure motel Extremely high operating costs No room for growth Inconsistent with group & system
aspirations Inadequate parking and vehicle drop-off
area
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DRIVERS FOR A NEW FACILITY
1977 Lincoln Continental
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And Mom Wonders why I don’t Bring my Friends Over…
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Emergence from Hospital to Healthcare System Support programs of care that cross
hospital & practice settings- Skin Cancer Center- Sinus Center- Weight Center
Reduction in Duplicate Services- mammography, dexascan- outpatient pharmacy- physical therapy
Greater integration with hospital based resources- radiologists & PACs
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DRIVERS FOR A NEW FACILITY
Support Growth of Hospital based Specialties Dermatology Otolaryngologist Sinus surgeon GI General GI ESRP Fellow Minimally Invasive Bariatric Surgeon Colorectal Surgeon Oncology Surgeon Breast Surgeon Orthopedic Surgeon (x2) Procedural Physiatrist
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DRIVERS FOR A NEW FACILITY
Separate yet Connected Building Identity Convenient interior vehicle drop-off,
parking and seamless entry Security & privacy A ‘sense of arrival’ Intuitive patient flow Branding entry points of complementary
specialties
Urban Hospital Campus Ambulatory Facility
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DESIGN CHALLENGES
Urban Hospital Campus Ambulatory Facility Planning for the immediate while preparing
for the future Balancing vision and reality Incorporation of a care team module suite
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DESIGN CHALLENGES
Exam Room Design Arrangement - permits flexibility in
practice patterns. Team Approach - afford patients a more
comprehensive care.
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DESIGNING THE PATIENT CARE SUITEStandardization
DESIGNING THE PATIENT CARE SUITE
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PATIENTS / FAMILIES WANT QUICK AND CONVENIENT SERVICE
CLARITY OF ORGANIZATIONPARK CLOSE TO DOOR
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URBAN CAMPUSACCESS TO COMPREHENSIVE DIAGNOSTICSSAFETY NET OF HOSPITAL SERVICESCONVENIENCE FOR PHYSICIANS
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URBAN CAMPUSCOMPLEXITYMULTIPLE ACCESS POINTSMULTIPLE TRANSPORTATION CHOICES
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DESIGN GOALS
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Optimizing Patient Convenience Clarify Entrance Choices Rapid Check-in Welcoming, Hospitality-type Environment Positive Distractions
Coffee Shop Access to Nature Access to Artwork
DESIGN GOALS
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Immediate Access to Ancillary Services Pharmacy Physical Therapy Optometry Hospital Amenities
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GHA ENTRYHOSPITAL MAIN ENTRY HOSPITAL
GARAGE ENTRY & EXIT
BUS STOP
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SIXTH FLOOR
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SIXTH FLOOR
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SIXTH FLOOR
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SEVENTHFLOOR
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EIGHTH FLOOR
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SIXTH FLOOR
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MED-MALL
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MED-MALL
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MED-MALL
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CLINIC RECEPTION
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CLINIC WAITING
GHA GRADE ENTRY
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PEDESTRIAN ENTRY AUTOMOBILE ENTRY
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GHA GRADE ENTRY
PEDESTRIAN ENTRY ELEVATORS
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