Page 21 - SFHN Dec 2020
P. 21

HEALTHCARE REAL ESTATE, CONSTRUCTION, DESIGN & FACILITY PLANNING

         Cover Story: LEO A DALY: Intentional Design Global Perspective, Local Insight



        Continued from previous page         ate built-in design options in preparation   efforts. After hurricane Maria, relief efforts   drone powered supply chain.”
                                             for the next disaster.               to deliver life-saving supplies were ham-  Over centuries, hospitals have evolved
        Evidence-based Design                  “Looking to the future, we recognize   pered due to washed out roads. Seeking a   from dark, poorly ventilated, unsanitary
          According to Egea, all LEO A DALY   how vital it is to design a workplace that   solution, the Miami studio designed a   buildings in which patients did not expect
        team experts take personal and profession-  takes care of both staff and patient needs   drone powered micro-hospital concept. It   to survive into today’s impressive facilities
        al pride in their experience with evidence-  during highly stressful health delivery   is intended to help hospitals not only   with life-saving technology and a patient-
        based research, Lean tactics and Six Sigma   periods. For example, we design court-  receive and deliver vital medications and   focused healing ambiance. This evolution
        concepts to create intentional design that   yards and balconies near surgical, trauma   transport supplies necessary in the after-  is due in large part to infusion of innova-
        encourages a collaborative approach with   and intensive care units to provide staff   math of weather disasters but even help   tive and intentional design of buildings
        clients, enhancing interaction and eliciting   with an opportunity to escape to catch a   hospitals in rural areas during normal   and operations.
        feedback on the whole patient care experi-  moment of nature’s healing powers amidst   times. Hospitals could be reinvented with   LEO A DALY does not design in a vacu-
        ence.                                anxiety-charged responsibilities,” Egea   drone ports and a smaller footprint with   um and shares ideas gained from their
          “We go to the source, like checking in as   noted.                      the benefit of a decentralized supply chain.   global presence. No matter where their
        a patient, shadowing providers, analyzing   Also, they track and modify design fea-  The plan would use technology to directly   home office is, top shelf specialists are ded-
        Hospital Consumer Assessment of      tures to retrofit the things they can control   deliver food and supplies instead of having   icated by expertise and geography to a
        Healthcare Providers and Systems     such as: air flow, biocontainment, win-  large costly warehouses or on-site space to   project. A full-service team response is
        (HCAHPS), and integrating patient    dows, lighting, temperature controls,   stock medications and equipment. The   SOP and clients rely on hands-on cus-
        thoughts into the team design process.   water and sink access. Predicting and   introduction of drone assisted delivery also   tomer service.
        This hands-on experience enables us to   accommodating staff, patient and family   opens doors to new partnerships with tech-  Thanks to a committed corporate mind-
        map the flow of the health delivery experi-  needs can soothe nerves in emotionally   nology, pharma companies, food distribu-  set with a no-holds approach on innova-
        ence and incorporate empathetic sensibili-  ridden units including birthing suites, hos-  tors and a host of business opportunities.    tion, flexibility or resourcefulness, the
        ties into the design to create a patient-  pice and palliative care settings.   Egea said “We envision benefits of treat-  LEO A DALY team exudes a confidence
        focused environment that will streamline   The firm had extensive experience deal-  ing more patients, with better care, for less   built on a foundation of experiential
        operations—from food delivery to sur-  ing with the Ebola biocontainment issues   money, and with better reliability by intro-  knowledge and innovative thinking that
        gery,” he explained.                 in recent years and transferred that knowl-  ducing health care services with minimal   prepares them to invent and implement
          They use HCAHPS scores to identify   edge to the current pandemic. During the   infrastructure in smaller communities   design to meet the inevitably changing
        dissatisfiers and then re-imagine things in   pandemic, hospitals were quickly at capac-  where traditional hospital economics   health care world.
        their control such as lighting, noise, air   ity census for quarantined infectious   would not be feasible. The healthcare
        flow, color, designated space, and staff   patients and had to extend beyond hospi-  industry is trending toward more ambula-  For more information, visit
        flow. They shadow nurses, administrators,   tal-defined Intensive care units to manage   tory care settings and a micro-hospital   www.leoadaly.com or call (305) 461-9480.
        and other service providers to identify and   the surge. As technology becomes more   could be easily assembled and introduced
        understand the barriers to care delivery   portable, ambulatory care settings can be   into any community with the support of a
        and work to eliminate them through   designed to expand and transform into
        design of a nursing unit, patient room, cor-  facilities to handle patient surges during
        ridor, or supply cabinet with a holistic   disasters. The team also creates designs to
        overview of workflow.                quickly transform dormitories or hotels to
          The design teams create 3-D models of   accommodate less acute patients and first
        scenarios and, with a full lineup of clinical   responders.

        and support players, navigate through a   Theodore explained, “In addition to
        virtual experience to map trajectories,   evidence-based research orchestrating
        eliminate waste, and test spatial and opera-  design to improve staff functionality, we
        tional hypotheses to create the optimal   think outside the box and create robust
        design - both functionally and aesthetically.   patient personas, considering genera-
          According to Theodore, it doesn’t end   tional, cultural, religious, and lifestyle



        there. “Each design must also be flexible to   influences in addition to geographic and
        adapt to tomorrow’s needs. We constantly   disease specific trends and include tech-
        search for innovative, affordable, sustain-  nology like iPhone and online appoint-
        able, and efficient materials and adaptable   menting to adapt configurations that will
        schemes to design a facility from top to   foster medical compliance and healing.”
        bottom. It must offer clinicians and staff   Large ambulatory waiting rooms may

        the most efficient and responsive space   be a thing of the past utilizing such tech-                                              #     &    .  " * (   '    ) "

        resulting in the highest patient satisfaction   nology, but it is built into a concierge-                         & #    #          !
                                                                                                                                  !

        today; along with the essential inherent   type service, noting the value of person-
        structure to transform into another pur-  al greeters for patients not adept at cur-
        pose tomorrow,” he said. “Exceptional   rent technology.                                    % (    #               * %   ) (   " # # &          &      1  ) (        & " *                             %                 " !          )   / # !                        0 " #   "     '  % " #     " , (  %                           )
        health care doesn’t happen by chance, it                                         + )  ' '' '    * ( &          &              $    * * "           *            $    (                ) ) &                   # +       '  + ( *    $ &
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        must be intentionally designed,” he said.   Hurricane and Disaster                   (    *                            * )   #          )          " , (   )                             (                  %              ! *               -             + * *   # #               & *    &       / # * %           * ) %
          He explained that orchestrating an envi-  Preparedness                            % % " " , , # # & & , ,                      % % / /                                          $ $     ! ! * *     & &                  ) )     " "             / / ( ( * *                                 ! !               & &     ) ) + +  ! !  ! ! * *      ( (          (       - -           % % " "     ( (         ! ! * * # #
        ronment is important, and that is accom-  Most hospitals deal with flu season


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        plished through design. “Starting from the   annually, and as COVID-19 rages, hospi-  & /    (   +        (     ! * #          % %               %          - %          , % "   (                  '                ( & *   ( (
        smallest feature like accessible outlets we   tals are now more mindful of the need to   ( &          & #                       !        )       &      ,      " # #     ! *                   (   '    ) (                        & " ) )  %           ) " * (     & ( '                ' .                   " , & & ( '                       #                    & *
        incorporate evidence-based design ele-  plan for pandemic events. Additionally,   +     & /  !                              * " -    ! *         (       '        & ( '              ) "        "                   ) &  !  ' #         %                   %          , # & )   (       %        & /               ,      $  * )   (              &     +
        ments into the big picture, to accelerate   Florida’s institutions weather the annual   &    $  .   # '               *                 ! * #                 *   * )   #              #   (     (             %           )                (              !
        our clients forward on their mission; and,   hurricane season. In yet another nod to
        as healthcare changes, they’re also able to   the future, Egea points to the firm’s readi-
        adjust without starting over,” Theodore   ness to incorporate drones into hospital
        said.                                design and operations to potentially deliv-
                                             er medications, blood, food, or material
        Designing for a Pandemic             supplies.
          With all its horrendous consequences   “Drones are going to be part of our day-
        Covid-19 also gave them pause to strate-  to-day tools in the near future,” Egea said.
        gize and pique their innovative energies to   A native of Puerto Rico with family still
        solve issues. The pandemic highlighted   there, he is acutely aware of the implica-
        the stressors which put up barriers to a   tions that weather disasters, including
        healthy environment, even in an infectious   hurricanes and tornadoes, have on trans-
        disease epidemic. The team sought to cre-  portation, food supplies and recovery
        South Florida Hospital News                                                              southfloridahospitalnews.com                                                       December 2020                          21
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