Case Studies & Resources 3.10.2017 over 100 master plans 100% - - PowerPoint PPT Presentation

Behavioral Health Design

Case Studies & Resources

3.10.2017

100% healthcare

healthcare design

• ver 5,000

projects

master plans

• ver 100

hospitals

• ver 250

behavioral health

• ver 60

projects

casestudy

Lifespan Newport Hospital

N E W P O R T , R H O D E I S L A N D

Facts

• 129 licensed beds
• 30,965 ED visits

Key issues

• Behavioral health
• Geriatrics
• Summer influx

VISION STATEMENT

• To be the best Emergency Department in Rhode Island

FUTURE STATE KEY FACILITY CONCEPTS / GOALS

• Behavioral Health Pod
• No designated rooms (except BH)
• Patient & family privacy (Family room)
• Facilitating optimal throughput
• Supports highest quality process engineering
• Efficient Low-acuity design
• Pediatric ready design
• Geriatric-friendly design
• Flexible to support swings in patient volume
• Support staff collaboration
• Process to enhance capture at ED Registration

BACKGROUND: lean 3P event charter

success criteria – flow diagrams

bubble diagrams

floor plan diagrams

spaghetti diagrams to test flow

grade solutions against criteria for success

Key criteria Accomodates increased patient volumes Accomodates Increased security presence Private and Secure Behavioral Health Unit Enhanced Privacy at Triage Improved in - out workflow enhances dignity and privacy for patients Encourages a cohesive treatment team Allows for optimal flow for Critial Decision Unit (CDU) Provides family room / greiving space Accomodates space for results waiting Potential to flex Integration of Natural Light Minimize noise Staff Satisfaction Totals Weight Factor 9 5 9 9 9 5 5 3 5 3 5 3 5 9 Gold 9 81 5 25 5 45 9 81 5 45 9 45 9 45 5 15 9 45 9 27 5 25 5 15 9 45 9 81 620 Blue 5 45 5 25 5 45 5 45 3 27 5 25 9 45 5 15 9 45 5 15 5 25 9 27 5 25 5 45 454 Green 3 27 5 25 5 45 3 27 3 27 5 25 9 45 9 27 3 15 5 15 5 25 9 27 5 25 3 27 382 Pink 3 27 5 25 5 45 5 45 3 27 5 25 9 45 5 15 5 25 5 15 3 15 9 27 3 15 9 81 432 Purple 3 27 5 25 5 45 5 45 3 27 5 25 9 45 5 15 5 25 5 15 3 15 9 27 3 15 5 45 396

resulting plan

resulting plan

• S e c u r e S t a f f O b s e r v a t i o n

& M o n i t o r i n g A r e a

• S m a l l A r e a f o r S e c u r i t y a s

p a r t o f S t a f f O b s e r v a t i o n

• 4 S e c u r e H o l d i n g o r

T r e a t m e n t

• T o i l e t & S h o w e r A r e a

w i t h i n t h e B e h a v i o r a l H e a l t h P o d

casestudy

Cohen Children’s Hospital

N E W H Y D E P A R K , N E W Y O R K

Cohen Children’s Hospital

N E W H Y D E P A R K , N E W Y O R K

ED floor plan

behavioral health pod

• D i s c r e e t

W a i t i n g A r e a

• C o u n s e l i n g

O f f i c e

• 3 S e c u r e

H o l d i n g o r T r e a t m e n t

• T o i l e t w i t h i n

t h e B e h a v i o r a l H e a l t h P o d

podbest practices

K e y P o i n t s :

• T w o w a y s o u t
• S e c u r i t y p r e s e n c e
• D i r e c t r o o m s u p e r v i s i o n
• W a n d e r i n g s p a c e
• D e d i c a t e d u n i t
• M u l t i p l e w a y s o u t

K e y P o i n t s :

• T w o w a y s o u t
• N e u t r a l c o l o r s
• W i d e c o r r i d o r s
• W a n d e r i n g

s p a c e

• M u l t i p l e w a y s
• u t

“A patient room in a healthcare facility will not become calming when it is painted blue, because human beings are not structured to simply be aroused or calmed down just because of the color of their surroundings.” Color in Healthcare Environments -2004

usefulresources

DPH – Com pl iance Che ckl is t s for B e hav ioral He al t h Are as

h t t p : / / w w w . m a s s . g o v / e o h h s / g o v / d e p a r t m e n t s / d p h / p r o g r a m s / h c q / h e a l t h c a r e - q u a l i t y / h e a l t h - c a r e - f a c i l i t i e s / p l a n - r e v i e w / f o r m s /

• I P 1 2 :

E m e r g e n c y S e r v i c e s

• I P 1 0 :

P s y c h i a t r i c N u r s i n g U n i t

• O P 1 3 :

O u t p a t i e n t P s y c h i a t r i c C e n t e r s

• O P 1 2 :

M e n t a l H e a l t h C o u n s e l i n g C l i n i c s

DPH – Emergency Services

• I P 1 2 : C o m p l i a n c e

C h e c k l i s t S u m m a r y S e c u r e H o l d i n g R o o m

• S t a f f O b s e r v a t i o n &

M o n i t o r i n g o f P a t i e n t s

• M i n F l o o r A r e a 6 0 s f
• M i n W a l l l e n g t h 7 ’ - 0 ” /

M a x W a l l L e n g t h 1 1 ’ - 0 ”

• M i n C e i l i n g H e i g h t 9 ’ -

0 ”

DPH – Emergency Services

• I P 1 2 : C o m p l i a n c e C h e c k l i s t S u m m a r y

S e c u r e H o l d i n g R o o m – C o n t .

• D e s i g n e d T o P r e v e n t I n j u r y T o P a t i e n t s :
• t a m p e r r e s i s t a n t f i n i s h e s , l i g h t f i x t u r e s ,

g r i l l e s & d i f f u s e r s , s p r i n k l e r s

• n o e l e c t r i c a l o u t l e t s
• n o m e d i c a l g a s o u t l e t s
• n o s h a r p c o r n e r s , e d g e s , p r o t r u s i o n s
• w a l l s f r e e o f o b j e c t s o r a c c e s s o r i e s
• p a t i e n t r o o m d o o r s s w i n g o u t
• d o o r h a r d w a r e o n e x t e r i o r s i d e o n l y
• m i n . d o o r w i d t h 4 4 ”
• s m a l l i m p a c t - r e s i s t a n t v i e w p a n e l i n
• d o o r f o r d i s c r e e t s t a f f o b s e r v a t i o n o f

p a t i e n t s

Behavioral Health Facilities References:

“ D e s i g n G u i d e f o r t h e B u i l t E n v i r o n m e n t ” p u b l i s h e d b y t h e N a t i o n a l A s s o c i a t i o n o f P s y c h i a t r i c H e a l t h S y s t e m ( N A P H S )

Behavioral Health Facilities References:

“ P a t i e n t S a f e t y S t a n d a r d s , M a t e r i a l s a n d S y s t e m G u i d e l i n e s ”

p u b l i s h e d b y t h e N e w Y o r k S t a t e O f f i c e o f M e n t a l H e a l t h ( O M H )

Behavioral Health Facilities References:

“ P a t i e n t S a f e t y S t a n d a r d s , M a t e r i a l s a n d S y s t e m G u i d e l i n e s ”

p u b l i s h e d b y t h e N e w Y o r k S t a t e O f f i c e o f M e n t a l H e a l t h ( O M H )

Behavioral Health Facilities References:

“ M e n t a l H e a l t h F a c i l i t i e s D e s i g n G u i d e ” p u b l i s h e d b y t h e D e p a r t m e n t o f V e t e r a n s A f f a i r s ( V A ) , O f f i c e o f C o n s t r u c t i o n & F a c i l i t i e s M a n a g e m e n t

Guiding Principles – Department of Veterans Affairs:

T e n F u n d a m e n t a l C o m p o n e n t s

• f R e c o v e r y
• S e l f - d i r e c t i o n
• I n d i v i d u a l i z e d a n d p e r s o n - c e n t e r e d
• E m p o w e r m e n t
• H o l i s t i c
• A c h i e v e m e n t o f f u l l p o t e n t i a l
• S t r e n g t h - b a s e d
• P e e r S u p p o r t
• R e s p e c t
• R e s p o n s i b i l i t y
• H o p e

thank you!

For more information please contact: Bill Repichowskyj, AIA Partner 888.781.8441 brepichowskyj@e4harchitecture.com e4harchitecture.com