Behavioral Health Design Case Studies & Resources

Transcription

1 Behavioral Health Design Case Studies & Resources

2 over 100 master plans 100% healthcare over 5,000 healthcare design projects over 250 hospitals behavioral health over 60 projects

3 casestudy

4 Lifespan Newport Hospital N E W P O R T, R H O D E I S L A N D

5 Facts 129 licensed beds 30,965 ED visits Key issues Behavioral health Geriatrics Summer influx

6 BACKGROUND: lean 3P event charter 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

7 success criteria flow diagrams

8 bubble diagrams

9 floor plan diagrams

10 spaghetti diagrams to test flow

11 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 grade solutions against criteria for success Weight Factor Gold Blue Green Pink Purple

12 resulting plan

13 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

14 casestudy

15 Cohen Children s Hospital N E W H Y D E P A R K, N E W Y O R K

16 Cohen Children s Hospital N E W H Y D E P A R K, N E W Y O R K

17 ED floor plan

18 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

19 podbest practices

20 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

21 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 o 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

22 usefulresources

23 D P H C o m p l i a n c e C h e c k l i s t s f o r B e h a v i o r a l H e a l t h A r e a s 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

24 D P H E m e r g e n c y S e r v i c e s 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 M i n C e i l i n g H e i g h t 9-0

25 D P H E m e r g e n c y S e r v i c e s 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 : o 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 o n o e l e c t r i c a l o u t l e t s o n o m e d i c a l g a s o u t l e t s o 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 o 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 o p a t i e n t r o o m d o o r s s w i n g o u t o 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 o m i n. d o o r w i d t h 4 4 o 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

26 B e h a v i o r a l H e a l t h F a c i l i t i e s R e f e r e n c e s : 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 )

27 B e h a v i o r a l H e a l t h F a c i l i t i e s R e f e r e n c e s : 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 )

28 B e h a v i o r a l H e a l t h F a c i l i t i e s R e f e r e n c e s : 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 )

29 B e h a v i o r a l H e a l t h F a c i l i t i e s R e f e r e n c e s : 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

30 G u i d i n g P r i n c i p l e s D e p a r t m e n t o f Ve t e r a n s 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 o 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

31 thank you! For more information please contact: Bill Repichowskyj, AIA Partner e4harchitecture.com