INFL

UENCE OF ARCHITECTURE, PLANNING, + DESIGN

LEGISLATION

PO

PULATION HEALTH

TECHNOLOGY

CONSUMERIS

M

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AGIL

IT

YEFFICIENCY

DIVERSITY

FULLY DEVELOPED NATIONAL HEALTH SERVICE

PRIVATIZED FEEFOR SERVICEBALANCE

resources + services are largely provided by the public sector + consumed free at point of use

resources + services are provided at varying cost + quality;

access determined unequally

Population Health Management is

fundamental to comprehensive change in

healthcare delivery. Effectively managing the data exchange

across new networks, and enabling real

time analytics will allow providers to

automatically and proactively achieve the best patient outcomes.

Medical technologies have an impact on scale of space and infrastructure in a way that no one can predict. Planning for flexibility in the floor plate allows an institution to remain agile to respond to future needs and advances.

Evidence-Based Design of

health facilities illustrates the importance

of principles such as quality of care and patient safety on

Population Health.

The Electronic Health Record (EHR),

mandated for meaningful use adoption by 2015

as part of the ACA, is driving technology upgrades

and increasing the reach for efficiency in healthcare delivery models.

Well defined zones of

pre-investment for infrastructure

allow for future flexibility where it is most needed.

It is cost prohibitive and ineffective

to design all spaces with 100%

flexibility.

Health system networks and

interconnectivity allow for greater patient outreach. Comprehensive

planning maps out an institution’s

long-term needs.

Today’s patients and their families

have access to information and choice

about their care. Providing a

greater level of comfort and amenities keeps

institutions competitive. Hospital

leaders are looking for innovative

ways to replace outdated

inpatient facilities, repurpose existing buildings and upgrade in place.

The American Affordable Care Act is

tightening the reins on reimbursements through several

initiatives (eg: Value-Based Purchasing program,

Hospital Readmissions Reduction Program).

Hospital Consumer Assessment of Healthcare

Providers and Systems scores are also affecting

reimbursements. Quality of facilities has a positive impact on these

legislated initiatives.

The direct relationship between the

patient experience and HCAHPS

scores drives institutions to

strive for efficient and effective care. Planning

concepts such as patient flow and

materials management play a part

in this equation.

Navigating the changing landscape of an evolving industry.

Delivering the RIGHT CARE for the RIGHT PRICE at the RIGHT TIME – in the RIGHT PLACE

As the healthcare industry evolves, institutions must be AGILE, EFFICIENT, and DIVERSE to maintain relevance in the marketplace. A robust planning + design strategy paves the way for institutional growth.

COST / ACCESS / CARE

$

BIG DATA

ADAPTABLEINFRASTRUCTUREMAXIMIZE

FLEXIBILITY FOR FUTURENEEDS

PATIENT CENTERED RECORDS

PERFORMANCEBASED FUNDING

PATIENTSATISFACTION

CHOICE + ACCESS

HEALTH + PREVENTATIVE CARE

DISTRIBUTED NETWORKSHEALTH

FACTOR

20%CLINICALCARE

80%LIFESTYLE CHOICESSOCIO-ECONOMIC +ENVIRONMENTAL FACTORS

= $+–+–+

COMPREHENSIVE +INTERCONNECTED

CARE

PATIENT CENTERED +

INCLUSIVE

HOLISTIC +ACCESSIBLE

Specialized, higher acuity, and more invasive care remains rooted in the larger, urban research institutions.

Often affiliated with a larger health system, regional hospitals offer comprehensive, interconnected care.

Outpatient capabilities have increased because of technological and procedural advances. These environments are more convenient for patients.

Holistic, digital and easily accessible on demand healthcare environments accommodate the immediacies of today’s population.

ACADEMIC MEDICAL CENTER REGIONAL HOSPITAL COMMUNITY / SPECIALTY HOSPITAL URGENT CARE / RETAIL

Louis A. Meilink, Jr. AIA, ACHAPrincipal, Ballingerlmeilink@ballinger.com

Christina Grimes, AIA, LEED BD+C, EDACSenior Associate, Ballingercgrimes@ballinger.com

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