Healthcare architects and designers have a unique opportunity to unite architecture and technology by creating dynamic and engaging settings that cater to the individualized needs of patients and identifying opportunities for staff and administrators that broaden treatment options as well as where that treatment is provided.
As such, planning for technology must be at the forefront of any new facility project to ensure it will be relevant to future care delivery. For example, at the new Winthrop University Hospital Research and Academic Center, located on Long Island in Mineola, N.Y., and slated to open in December, this approach was taken by exploring various technologies, ranging from interactive media to medical simulation to Web-based doctor/patient interactions.
However, visitors to the building—a translational research facility designed to bring together patient care, research, education, and community outreach focused on diabetes and other endocrinology issues—will experience the benefits of future-focused technologies most significantly on the clinical floor of the building.
Winthrop will provide patients a digital portal for secure, 24-hour access to electronic medical records, scheduling, billing, registration, and educational materials from any connective device. The patient portal is the core resource that facilitates many of the building’s other technological features and provides data that unifies the efforts of doctors, researchers, and patients to plan and discover the best prevention and treatment options for each illness.
Connectivity should be considered at the very beginning of a project and utilized as a planning resource to help direct the program and, ultimately, the design. For example, at Winthrop’s new facility, multiple seating clusters seamlessly incorporate bariatric seating in a casual and comfortable lounge-like waiting environment that’s coordinated with floor outlets to provide power connections.
Hybrid exam/consult modulesAs technology allows healthcare designers to add or expand options for diagnostic, clinical, and customer services, technology also allows the opportunity to rethink standard spaces to create a streamlined, optimized environment. For instance, careful planning can allow for flexibility between departments; the development of exam/consult modules can eliminate assigned, or physician-specified, rooms, creating overlap between different clinical spaces. This overlap allows the use of a digital scheduling system to flex between available rooms, thus optimizing usage and reducing wait times.
Winthrop’s hybrid exam/consult rooms—interconnecting the adult and pediatric clinical spaces—are designed to increase patient comfort and personalize doctor-patient interaction. Organized into a patient zone and a healthcare provider zone, the system eliminates the need to move a patient to an office with the physical barrier of a formalized desk for the physician. Instead, a “P-top” work surface organizes the doctor, patient, and family members around a wall-mounted screen for information sharing, while caregivers can chart on a portable computer docked on the work surface, allowing them to face the patient and simultaneously enter information.
Staff also has the ability to select specific information to shift onto the patient-doctor shared screen. Connection to the patient’s personal folder on the patient portal allows the doctor to easily drop in instructional videos, documents, or other important information that the patient can access later.
Education zonesEducation zones dispersed throughout clinical areas can introduce patients to the use of devices that monitor their condition, teaching them how to interpret and utilize real-time device-generated information. At Winthrop, with its focus on diabetes care, research, and education, this manifests in technology training rooms and insulin pump education rooms specifically designed to introduce patients to new technologies available to help them as they live with their disease.
Home scales and glucose monitors connected to the patient portal will update patient records daily and alert doctors of any important issues. Likewise, the information collected from the monitors is well documented in order to keep the option of retro analysis available to patients and doctors.
TelemedicineCurrent technology enables doctors and patients to connect remotely and share information in a variety of ways, through two-way video, email, smart phones, wireless tools, and more. All classrooms and conference rooms at Winthrop’s new facility are designed with interactive video conference capability, giving physicians the opportunity to work remotely with patients or provide information to family members, while both callers view the same information on their individual screens.
These same building resources can be used to enhance a patient consultation by connecting remotely with a specialist at an affiliate institution or by allowing a family member to conference-in on an education session. Additionally, devices that upload information to the patient’s records allow the healthcare provider to monitor a patient’s progress between visits and can provide an early indication of any alarming developments and conditions.
However, planning for telemedicine must go beyond current uses to anticipate future applications, such as travelling nurses connecting to doctors in real-time or “robot doctor” specialists incorporated into care facilities.
