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Q: Need the best in the world person(s) to help design a hospital chemotherapy cntr ( Answered 4 out of 5 stars,   1 Comment )
Question  
Subject: Need the best in the world person(s) to help design a hospital chemotherapy cntr
Category: Health
Asked by: berkindale-ga
List Price: $200.00
Posted: 19 Jun 2005 23:38 PDT
Expires: 19 Jul 2005 23:38 PDT
Question ID: 535007
I work as a board member with a charitable foundation.  The foundation
is donating the funding for the complete rebuilding and reconstruction
of a Chemotherapy Daycare Center and the associated Transfusion Center
in a major urban and regional hospital. The building itself is a
typical modern highrise hospital and research facility built in the
early 1990's.  The chemotherapy patient volume is about 25,000 per
year, expected to continue growing.  The board of the foundation has
agreed to fund the basic/industrial version of the project based on
the actual contruction and equipment costs.

The hospital has also been offered extra funding for both soft and
hard costs for creating an exceptional and best-in-class facility. 
This would go far beyond the original industrial version.  They have
been challenged to research, find and develop a facility which meets
three goals:

1. The patient will be provided with the best possible physical
environment during their treatments.  This could include special
seating or tables, airflow designed to remove smells faster, lighting
to reduce stress, unique psychological training for the staff,
personal video or music selections while receiving treatments, and any
other ideas which can be generated.
2. The design should have a functional life of ten years.  This
implies the newer pharmacological methods of patient specific
chemotherapy regimes should come into mainstream usage.  The facility
design should accomodate the best possible adaptability for the
upcoming changes.
3. If the actual facility works in a world class way, the intellectual
property and design details should be available to any other hospitals
which may be changing or remodeling their facility.

I need the names and contact information for potential consultant(s)
who are out of the box thinkers to assist in generating new and
innovative concepts for this facility.  Their areas of expertise might
encompass psychosocial oncology, facility design, or other patient
care areas.  I will also need to know why they are qualified for this
unique project.  The goal is to help the patients in an already good
facility which will become the best in the world.
Answer  
Subject: Re: Need the best in the world person(s) to help design a hospital chemotherapy cntr
Answered By: czh-ga on 22 Jun 2005 14:35 PDT
Rated:4 out of 5 stars
 
Hello berkindale-ga,

This was a very challenging research project because of the wealth of
information available. Your guidelines for what you?re looking for
were quite clear and I?ve located lots of information to help you make
your choices.

----------------------------------
1. The patient will be provided with the best possible physical
environment during their treatments.  This could include special
seating or tables, airflow designed to remove smells faster, lighting
to reduce stress, unique psychological training for the staff,
personal video or music selections while receiving treatments, and any
other ideas which can be generated.
----------------------------------

There is a lot happening in hospital design. I?ve collected a variety
of resources to help you with getting a good overview of the current
trends, thought leaders, and winning projects. These materials should
help you define the scope of your projects and to develop criteria for
selecting the appropriate designers, architects and project managers.


----------------------------------
2. The design should have a functional life of ten years.  This
implies the newer pharmacological methods of patient specific
chemotherapy regimes should come into mainstream usage.  The facility
design should accommodate the best possible adaptability for the
upcoming changes.
----------------------------------

My review of the literature shows that there are a lot of designers
and architects who are very aware of these trends and are committed to
flexible design that will grow with and accommodate changes in
technology and medical practice. I?ve included a variety of links to
help you get an overview of what is going on around these issues.


----------------------------------
3. If the actual facility works in a world class way, the intellectual
property and design details should be available to any other hospitals
which may be changing or remodeling their facility.
----------------------------------

There is no way to evaluate this requirement at this stage of the
research. It will be an issue that you will have to take up with the
various candidates you?re considering for your project as you proceed
through the qualification process.


----------------------------------
I need the names and contact information for potential consultant(s)
who are out of the box thinkers to assist in generating new and
innovative concepts for this facility.  Their areas of expertise might
encompass psychosocial oncology, facility design, or other patient
care areas.  I will also need to know why they are qualified for this
unique project.  The goal is to help the patients in an already good
facility which will become the best in the world.
----------------------------------

Considering the scope and budget of your project it would be premature
to suggest specific names for consultants you should approach at this
point. Instead, I recommend that you review the research I?ve provided
paying special attention to the award winning designers and architects
that appear in the literature. Many of the articles include rich
illustrations as well as project budgets and other specifications.
These will help you with clarifying your needs and goals and
developing additional criteria for selecting your consultants,
designers, architects and program managers. At that point you can
start contacting the firms that seem suitable or post another question
to conduct another round of more focused research.

It sounds like you are going to build a wonderful healthcare facility. 

Wishing you well for your project.

~ czh ~


==================================================================
CHOOSING THE BEST CONSULTANT, DESIGNER, ARCHITECT, PROGRAM MANAGER
==================================================================

http://construction.ecnext.com/coms2/summary_0249-636_ITM
Top 10 Architects for Healthcare ranking based on Construction Start
Value 2000-2003 company, address, value, no. of projects, square feet
(table and bar chart)
Publication Date: 01-FEB-04
Pages:1
Format: PDF
Price: $150.00
Description 
Available electronically (downloadable in page-image format (PDF).This
is one sub-section of "Appendix F - Key Players in Healthcare
Construction" which is a component of an extensive Study prepared by
the Market Analysis and Consulting Solutions group of McGraw-Hill
Construction, entitled "Special Sector Study: The Steady Pulse of
Healthcare Construction."

----------------------------------


Special Sector Study: The Steady Pulse of Healthcare Construction
Publication Date: 01-FEB-04
Pages:	175
Price:	PDF document -- $3,700.00
Hardcopy Print + CDROM -- $4,600.00
Sections: from $35.00 

Description 
This exhaustive Study on the healthcare segment of the construction
industry is a must-have for anyone who needs comprehensive, accurate
and timely detail about the huge $16 billion healthcare construction
market. Buy the whole report or only the sections you need right now.

***** After you?ve done the preliminary research I?ve provided here
you may want to pay for more expensive market research to help you
make your decisions.

-------------------------------------------------


http://www.meta-usa.com/hire-architect.html
Before you hire a hospital or healthcare architect
Here?s why you need an experienced advocate?a Program Manager to
manage your total design & construction project scope & costs:

More?On Why Architects Need To Be Managed
If YOU do not control the project, SOMEONE ELSE will, and that is
often the Architect:

Every hospital building project needs a top-notch architectural firm
with significant healthcare experience, but architects need to be
managed in the same manner as any other employee or consultant.
Managing architects, though, is difficult due to the creative nature
of the design process and the specialized knowledge required in
renovating or constructing a hospital.

***** This is an interesting article by a company specializing in
healthcare construction program management.


==================================================================
DESIGNS FOR BEST PHYSICAL ENVIRONMENT ? DESIGN TRENDS, INNOVATIONS
==================================================================

http://www.contractmagazine.com/contract/images/pdf/04-hea-winners.pdf
2004 Healthcare Environment Award Competition Winners

***** This is a richly illustrated articles showing some of the newest
ideas in healthcare design.

-------------------------------------------------


http://www.healthcaredesignmagazine.com/Current_Issue.htm?ID=4015
Beyond the architecture: Five lessons from the Experience Economy

Imagining Healthcare
Now let?s have you try something in your own bailiwick. Imagine there
is a hospital built around this operating theme: ?Not just a place of
recovery, but of discovery.? Knowing only this theme and nothing else,
write down your description of a hospital conceptualized around the
theme of discovery (space is provided for your notes in the sidebar
called ?My Thoughts?). What would the hospital, this place of
discovery, look like? What about the main entrance? The elevator
lobbies? The patient rooms? What unique functions would the building
offer, and what unique functions would the staff perform?

***** This article presents some innovative ideas following the
principles set out in The Experience Economy: Work Is Theatre & Every
Business a Stage by B. Joseph Pine II and James H. Gilmore.

-------------------------------------------------


http://www.accc-cancer.org/publications/journalmar03/cahnmann.pdf
Current Trends in Cancer Center Design

***** This is a six page illustrated article on ways to renovate an
existing cancer care facility or build a new one. This same issue
contains several associated shorter articles:

Common Sense Aesthetics for Cancer Centers
http://www.accc-cancer.org/publications/journalmar03/herman.pdf

Designing an Efficient and Compassionate Cancer Care Environment
http://www.accc-cancer.org/publications/journalmar03/nestor.pdf

6 Questions to Answer Before You Build a New Cancer Center
http://www.accc-cancer.org/publications/journalmar03/jones.pdf

-------------------------------------------------


http://www.ewingcole.com/healthcare/pdf/CancerCenterWP.pdf
http://www.ewingcole.com/healthcare/default.html
Design Trends Cancer Centers



==============================================================
INNOVATIVE, AWARD WINNING HEALTHCARE OR CANCER CENTER PROJECTS
==============================================================

http://www.healthcaredesignmagazine.com/Showcase.htm
View our 2004 Architectural Showcase ProjectsClick on project name to view pdf file
Cancer Centers

D'Amour Center for Cancer Care?CITATION OF MERIT
Steffian Bradley Architects
 
Concord Hospital, Payson Center for Cancer Care and Hospital Expansion
TRO/The Ritchie Organization
 
David C. Pratt Cancer Center
Christner, Inc.
 
Helen F. Graham Cancer Center
HKS, Inc.
 
Morgan Hospital and Medical Center?Regional Cancer Center and Medical
Office Building
ARTEKNA
 
Mount Clemens General Hospital?Cancer Center
SSOE, Inc.
 
Nanticoke Cancer Care Center
SmithGroup
 
New Orleans Cancer Institute?Memorial Medical Center
Sizeler Architects
 
North Arundel Hospital Tate Cancer Center
Cannon Design
 
Sibley Memorial Hospital Cancer Center
Oudens + Knoop Architects, PC
 
Swedish Medical Center, Cancer Institute
NBBJ
 
Winship Cancer Research Institute
Stanley Beaman & Sears, Inc.

***** You can click on the names of the institutions and access the
richly illustrated brochures and descriptions of each project. Each
brochure includes a summary of key contacts (including phone numbers)
along with size and cost of the project.

-------------------------------------------------


http://modernhealthcare.com/page.cms?pageId=960
Design Awards - 2004

List of 2004 Winners: 

MIND Institute
Parker (Colo.) Adventist Hospital
Rumsey Community and Wellness Center
Central DuPage Health Integrative Medicine Centre
D'Amour Center for Cancer Care
Weinberg Building, University of Maryland System
CentraCare Health Plaza
St. Joseph Outpatient Center
Four exceptional projects 

View pictures from the 2004 event. 

Read about the 2003 Winners.
Read about the 2002 Winners.

***** You can click through and look at the descriptions of each
project which includes the following information.
 -- Type of facility: 
 -- Client:  
 -- Project architects:  
 -- Construction manager:  
 -- Completed:  
 -- Size:  
 -- Cost:  
 -- Cost per square foot:

-------------------------------------------------


http://www.contractmagazine.com/contract/search/article_display.jsp?vnu_content_id=1000884552
April 18, 2005 

Hospital Help 
Proteus Group, the Chicago-based architecture, engineering, and design
firm, recently completed a $19 million state-of-the-art surgery
addition at Provena Mercy Medical Center in Aurora, Ill. Provena Mercy
is part of the Provena Health System, based in Mokena, Ill. The firm
is additionally spearheading a $4.4 million Intensive Care Unit (ICU)
relocation/expansion scheduled to be completed by December 2005.

The design of the space is patient/family-focused. The short-stay
patient rooms all have private bathrooms and amenities that allow
family members to remain with the patient during most of their stay.
Patient rooms also feature wood-look floors, warm paint colors and
wall-sconce lighting to create a more home-like rather than
institutional feel. They also include amenities such as flat screen
televisions and comfortable furniture for guests.

In designing the space, special attention was given to separating
inpatient and outpatient functions and flow. Separate corridors,
entrances and exits were designed for outpatients and inpatients,
including a separate day-surgery patient discharge exit set away from
the newly-expanded main patient waiting area. A new registration area
seamlessly accommodates HIPPA, privacy and accessibility regulations
in a space that's comfortable for patients and efficient for
medical/administrative staff.

-------------------------------------------------


http://www.bizjournals.com/milwaukee/stories/2005/06/06/focus3.html?page=1
June 3, 2005
Plans under way for new cancer center
Patient convenience, flexible use of space drive layout, design

John Balzer wouldn't mind if the new Froedtert & Medical College of
Wisconsin Cancer Center became obsolete soon after its completion.

Balzer, vice president of facility planning and development at
Froedtert Hospital, said the center's obsolescence would mean
discovery of cures for cancer within the next decade, and that many of
the patient care and research features planned for the $120 million,
173,000-square-foot facility on the Wauwatosa campus would need to be
altered.

Adaptability will be a focus for the cancer center as design plans are
completed in the coming months. The start of construction is scheduled
for fall 2005 with completion targeted for late 2007.
OWP&P Architects Inc., Chicago, is leading the design. The firm
specializes in designing health care buildings, particularly those
affiliated with academic research centers like the Medical College.

http://www.froedtert.com/SpecialtyAreas/CancerCenter/Highlights/CancerCenterPlansExpansion/CancerCenterPlansImportantExpansion.htm
New Cancer Center Designed Through the Eyes of Patients



========================================
MOST ADAPTABLE DESIGN ? DESIGN LIFE SPAN
========================================

http://www.aia.org/aah_a_jrnl_0401_article6
Concepts in Flexibility in Healthcare Facility Planning, Design, and Construction

Based on the exponential changes in clinical services, operational
trends, and new technologies, it is not surprising that many
facilities, hailed as state-of-the-art 20 or even 10 years ago, are
becoming functionally obsolete long before their physical life is
spent.

Why Flexibility?
The challenge to all involved in planning, construction, and
management of healthcare facilities is to anticipate, to the greatest
degree, where changes are most likely to happen and to consider
flexibility throughout all stages of the planning, design,
construction, and postoccupancy phases. Incorporating flexibility into
all phases can help to achieve the ultimate goals of client
satisfaction, desirable clinical outcomes, efficient work environment,
and effective use of limited capital dollars.

***** This is an excellent long article that discusses the current
issues involved in flexible design to anticipate and accommodate
future developments in medicine.

-------------------------------------------------


http://www.aia.org/nwsltr_print.cfm?pagename=aah_jrnl_metrics_102704
Bringing Metrics to the Table: Advancing the Metrics Trend to
Planning, Design, and Construction

Abstract
In the field of healthcare operations, the use of benchmarking is
commonplace. Hospitals measure benchmarks such as patient
satisfaction, patient length of stay, and staff retention. They
interpret the results and take action accordingly. The information
drives decision making and progress on a daily, weekly, and monthly
basis.

Our clients have mastered the art of measuring for results. Has the
healthcare planning and design industry done the same?

In the complex field of planning, design, and construction for
healthcare facilities, this progressive approach is a welcome addition
to the process. Whereas benchmarking involves operational and dynamic
data (e.g., nursing ratios, cost per patient, patient transfers, and
satisfaction rates), metrics are largely made up of fixed, static
data. These are the data that architects and planners can use to help
measure results for clients.

Data collected during planning?from square footage comparisons to
construction dollars?can be used in many ways. In addition to looking
at projects with similar scopes, the project team can review data that
illustrate trends and statistics of the facility, helping them
understand the project and make well-informed decisions. Facts and
figures can serve as visual comparisons to illustrate points and
project credibility to decision makers. Metrics could even be compared
to operational benchmarks to see whether related corollaries,
patterns, or stories exist. For example, does room square footage
drive patient satisfaction?

The evidence-based design approach explores and documents the
connection between design and operational and healing outcomes, and
metrics provide a foundation for quantifiable results. As
evidence-based design becomes integral, metrics will provide a
valuable tool to create optimally operational and effective
facilities.

***** This long article on evidence-based design should help you
consider the issues involved in life-cycle planning for your project.

-------------------------------------------------


http://www.healthcaredesignmagazine.com/Past_Issues.htm?ID=1645
COMBINING OUTPATIENT WELLNESS/REHAB SERVICES WITH RETAIL FITNESS IS A
HEALTHY STRATEGY

It is in the interest of institutions to contribute to this good
health trend with specific building responses that reinforce the
wellness philosophy. Integrating therapeutic services with retail
fitness facilities represents a paradigm shift in healthcare and thus
requires unique, responsive building solutions. Under this premise,
strategic design themes can be used to achieve quality design
solutions, as well as to meet objectives essential to the success of a
wellness center. These design themes include:
Flexibility/Modularity?minimizes future renovation, improves staff
integration, and reduces space requirements.
 -- Spatial and Sequential Hierarchy?facilitates user operations and
allows appropriate allocation of construction dollars.
 -- Universal Grid and Clinical Core?allows building adaptation to
ease future modification.
 -- Creative Problem Solving?capitalizes on technology integration,
resulting in improved products.

***** The principles discussed in this long article can be applied to
many kinds of healthcare facilities, including cancer centers.

-------------------------------------------------


https://engineering.purdue.edu/BME/Facilities/BME_Building/Adaptability
Adaptability

Flexible response to the continuous, fast-paced, changing needs of the
medical industry and healthcare is critical to successful biomedical
engineering, and to the education of tomorrow?s biomedical engineers.
This new facility is designed to enhance this capability for both
teaching and research activities.

One example of this adaptability is the design of the ?Flex Lab?
instructional laboratory space. This centralized space for engineering
design courses has been provided with a ?dance floor? arrangement that
easily allows benches and other mobile equipment to be quickly
reconfigured for the varied aspects of prototype design and testing.

-------------------------------------------------


http://www.wbdg.org/design/hospital.php
Hospital
by Robert F. Carr
NIKA Technologies, Inc. for VA Office of Facilities Management

In addition to the wide range of services that must be accommodated,
hospitals must serve and support many different users and
stakeholders. Ideally, the design process incorporates direct input
from the owner and from key hospital staff early on in the process.
The designer also has to be an advocate for the patients, visitors,
support staff, volunteers, and suppliers who do not generally have
direct input into the design. Good hospital design integrates
functional requirements with the human needs of its varied users.

***** This is a good article on the necessity for adaptability in
design. It includes an outstanding and long bibliography.



==================================================
HEALTH DESIGN ?THOUGHT LEADERS, RESEARCH, ARTICLES
==================================================

http://www.hcaredesign.com/
The 18th Annual Symposium on Healthcare Design
Hyatt Regency Atlanta
Atlanta, GA
September 26-28, 2005 
The Defining Event for Designers, Architects, Facility Managers and
Healthcare Executives

The Symposium on Healthcare Design is the longest-running conference
and exhibition dedicated to the improvement of the overall health and
welfare of patients and successful business outcomes through the
design element. The event provides an educational forum that addresses
the practical applications and solutions for all industry
professionals who work in the healthcare environment and the largest
expo in the industry that attracts qualified attendees who have money
to spend and the authority to spend it.

***** You, or someone on your team, might want o review the program
for this conference and decide if it would be worth the time and
effort to attend.

-------------------------------------------------


http://www.healthdesign.org/aboutus/
The Center for Health Design

The Center for Health Design is a leading research and advocacy
organization of forward-thinking healthcare and design professionals
who are leading the quest to improve the quality of healthcare through
building architecture and design.

Our mission is to transform healthcare settings - including hospitals,
clinics, physician offices, and nursing homes - into healing
environments that contribute to health and improve outcomes through
the creative use of evidence-based design.

***** This is a wonderful resource for researching all the issues
you?ve raised in your question. Be sure to review the Research and
Resources sections. There is a great wealth of relevant materials
available here.

-------------------------------------------------


http://www.healthdesign.org/research/reports/
Research Reports
Click on the report title for Executive Summary, Table of Contents and
ordering information.

 -- The Role of the Physical Environment in the Hospital of the 21st
Century: A Once-in-a-Lifetime Opportunity

 -- An Investigation to Determine Whether the Built Environment
Affects Patient's Medical Outcomes

 -- Consumer Perceptions of the Healthcare Environment -- An
Investigation to Determine What Matters

 -- Gardens in Healthcare Facilities: Uses, Therapeutic Benefits, and
Design Recommendations

 -- A Guide to Conducting Healthcare Facility Visits

 -- Design Evaluation of Six Primary Care Facilities for the Purpose
of Informing Future Design Decisions

***** All of these papers are available for download for a nominal
price. Some are free. The first one is particularly relevant to your
project.

-------------------------------------------------


http://www.healthleaders.com/homepages.php?contentid=aboutus
HEALTHLEADERS INC. HealthLeaders is a leading multi-platform media
company dedicated to meeting the business information needs of
healthcare executives and professionals. As an integrated media
company, HealthLeaders consists of the following entities:
HealthLeaders Magazine, Online News, HealthLeaders Research,
HealthLeaders Healthcare Market Overviews, and California HealthFax.
All available on the Web at www.healthleaders.com


=================================================================
HEALTH DESIGN ? ORGANIZATIONS, ASSOCIATIONS, PORTALS, DIRECTORIES
=================================================================

http://www.healthcaredesignmagazine.com/Default.htm
EDITORIAL PREMISE

A major portion of the physical infrastructure of the American
healthcare system is obsolete. Buildings designed 50 years ago are
inadequate to meet the challenges of delivering care in the 21st
century. To meet ever-increasing demands placed upon them, modern
healthcare institutions must retool and rebuild. Unlike their
monolithic predecessors, new healthcare institutions have diverse
master plans, specialized centers of excellence devoted to inpatient
and ambulatory services, research and education facilities, and
satellite facilities serving the varied needs of large populations.
Combining these factors with a growing elderly population, a shrinking
workforce, and tighter revenue streams makes facility design a
critical component in the survival and eventual success of the
healthcare institution.
EDITORIAL MISSION
HEALTHCARE DESIGN intends specifically to fulfill the informational
needs of architects, designers, administrators, facility managers,
consultants, and key members of the construction community who are
responsible for designing, building and renovating healthcare
buildings. Articles, architectural and design portfolios, designing,
building, and renovating healthcare buildings, opinion pieces, and
other compelling editorial from credible and noteworthy authors are
presented in an easy-to-read format. HEALTHCARE DESIGN is the central
resource that reaches, informs, and influences these key decision
makers.

***** This is a wonderful portal for all aspects of the healthcare
design field. Both the Current Issue and Archives provide lots of
interesting articles. The Architectural Showcase is wonderful and the
Specialty Directory may prove extremely useful.

-------------------------------------------------


http://www.aia.org/aah_default
Academy of Architecture for Health (AAH)

http://www.aia.org/pia/gateway/PIA_Home_Pages/aah_default
AIA Academy of Architecture for Health (AAH)
Contains AAH newsletters, reports, and other documents related to
health care design

http://www.aia.org/aah_gd_hospcons
Guidelines for Design and Construction of Hospital and Health Care Facilities

-------------------------------------------------


http://www.healtharchitects.org/
American College of Healthcare Architects (ACHA)

The American College of Healthcare Architects provides Board
Certification for Architects who practice as healthcare specialists.
Our membership includes healthcare architects throughout the United
States and Canada with specialized skills and proven expertise.

-------------------------------------------------


http://www.aahid.org
American Academy of Healthcare Interior Design



===============
SEARCH STRATEGY
===============

Winner HEALTHCARE ENVIRONMENT AWARDS COMPETITION
best "health care" architect OR design
"innovative OR best OR winning design"  "cancer center"
trends cancer center design
trends "cancer center" design
cancer center winning design
Healthcare Architecture
choose OR choosing "healthcare designer OR architect"
berkindale-ga rated this answer:4 out of 5 stars

Comments  
Subject: Re: Need the best in the world person(s) to help design a hospital chemotherapy
From: alexiss-ga on 30 Jun 2005 08:28 PDT
 
I was treated for cancer at the UCSF CA Ctr.  One of the best things
they did was to hand me a small tape recorder and a blank tape--  so I
could tape record the conversations with the doc.  "because everybody
is too stressed out to remember everything that happens"  They also,
of course, encouraged me to bring someone along to act as an advocate
and another set of ears and questions...

Patient education, autonomy, advocacy!  

The docs & all staff have to be on board with this--   later, I went
to MSK / NY to do a clinical trial for a Ca vaccine:  when I asked the
PI / doc if I could tape our sessions she looked at me with horror, as
if I had said "can I sue you?"  Everyone has to be on board.

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