CANCER CARE DESIGN INNOVATIONS THAT REALLY WORKED

Transcription

CANCER CARE DESIGN
INNOVATIONS THAT
REALLY WORKED
(AND SOME THAT DIDN’T!)
George Mejias, AIA
Director Of Design
& Construction
Memoriall Sloan-Kettering
l
Cancer Center
NOVEMBER 14, 2010
HEALTHCARE DESIGN 2010
LAS VEGAS, NV
Andrew Jarvis, AIA, LEED AP
Principal, Director of
Healthcare Architecture
EwingCole
l
MSKCC at Phelps Memorial
Hospital Center
Sleepy Hollow,
Hollow NY
MSKCC Main Campus
New York, NY
MSKCC at
Saint Clare’s
Denville, NJ
MSKCC Skin
Cancer Center
Hauppauge, NY
MSKCC at
Saint Clare’s
Dover, NJ
MSKCC B
Basking
ki
Rid
Ridge
Outpatient Cancer Center
Basking Ridge, NJ
MSKCC Brooklyn Infusion Center
Brooklyn NY
Brooklyn,
MEMORIAL SLOAN-KETTERING CANCER CENTER
REGIONAL NETWORK: OUTPATIENT CANCER CARE
MSKCC Suffolk
Outpatient Center
Commack, NY
MSKCC at Mercy
Medical Center
Rockville Centre, NY
WHY THE REGIONAL CARE NETWORK
DELIVER OUTPATIENT CARE CLOSER TO
OUR PATIENTS’ HOMES
DEVELOP A STREAMLINED CARE DELIVERY MODEL
ENABLE EXPANSION TO MEET GROWING DEMAND FOR
CANCER CARE
RELIEVE SCHEDULING PRESSURE ON THE MAIN CAMPUS
ARCHITECTURAL GOALS
DESIGN FOR FUTURE EXPANSION
CREATE AN UPLIFTING AND ENCOURAGING EXPERIENCE FOR
OUR PATIENTS
DESIGN FOR THE COMFORT AND EFFICIENCY OF OUR
CAREGIVERS
GIVE EVIDENCE THAT QUALITY OF CARE IS EQUIVALENT TO
CARE ON MAIN CAMPUS IN MANHATTAN
INVENT NEW BEST PRACTICES
SLEEPY HOLLOW, NY - 2000
COMMACK, NY - 2002
ROCKVILLE CENTRE, NY - 2005
BASKING RIDGE, NJ - 2007
INVENT NEW BEST PRACTICES
INTERVIEW CAREGIVERS/PATIENTS
SET DESIGN GOALS
PROGRAM PLAN
PROGRAM,
PLAN, DESIGN
MOCK-UP KEY SPACES
EVALUATE REDESIGN
EVALUATE,
DOCUMENT, CONSTRUCT
INTERVIEW CAREGIVERS/PATIENTS
INTEGRATE LESSONS LEARNED
COMMON DESIGN PROBLEMS
IN CANCER CARE
DESIGN PRINCIPLES
RADIATION THERAPY INNOVATIONS
CHEMOTHERAPY INNOVATIONS
WHAT DIDN’T WORK
WHAT DID WORK
RADIATION ONCOLOGY
COMMON RADONC
DESIGN PROBLEMS
GOWNED PATIENTS WAITING
WITH OTHER PATIENTS’ FAMILY
MEMBERS
TELEVISION NOISE
FOOD ODORS
VISUAL CLUTTER
ORDINARY LEVEL OF FINISHES
NO DAYLIGHT,
DAYLIGHT SUNLIGHT
COMMON RADONC
DESIGN PROBLEMS
EXPOSED WASTE CONTAINERS,
LINEN HAMPERS
UTILITARIAN LOCKERS
COMMON RADONC
DESIGN PROBLEMS
LINAC CONTROL
LAYOUT PUTS STAFF WITH
BACK TO PATIENT
PATIENT HAS VIEW OF
MONITORS
NO DAYLIGHT, SUNLIGHT
COMMON RADONC
DESIGN PROBLEMS
VISUAL CLUTTER
“HOSPITAL” FINISHES
DIRECT LIGHTING
COMMON RADONC
DESIGN PROBLEMS
VISUAL CLUTTER
UTILITARIAN FURNISHINGS
STAFF PHOTOS
EXPOSED LINAC DEVICES
COMMON RADONC
DESIGN PROBLEMS
INTIMIDATING OBJECTS ON
DISPLAY
CHEMOTHERAPY
DESIGN PRINCIPLES FOR
CANCER PATIENTS
CONTACT WITH NATURE, SUN & SKY
SHORT TRAVEL PATHS
SIMPLICITY OF NAVIGATION
CONTROL OF CHOICES
ACOUSTIC TRANQUILITY
HIDE MEDICAL ARTIFACTS
DIGNITY WHEN GOWNED
NON-MEDICAL ARCHITECTURAL PRECEDENTS
CONTACT WITH NATURE,
NATURE
SUN & SKY
BASKING RIDGE, NJ
BASKING RIDGE, NJ
BASKING RIDGE, NJ
BASKING RIDGE, NJ
BASKING RIDGE, NJ
COMMACK, NY
COMMACK, NJ
COMMACK, NY
COMMACK, NY
SHORT TRAVEL PATHS
TREATMENT
PLANNING
EXAM/
CONSULT
REC
WAIT
EXTERIOR
RADIATION ONCOLOGY
SHORT TRAVEL PATHS
GOWN
LINACS
• Fewest Steps
• Gowned Privacy
• Exterior Views
TREATMENT
PLANNING
MD
EXAM/
CONSULT
GOWN
LINACS
ADM
REC
WAIT
EXTERIOR
RADIATION ONCOLOGY
SHORT TRAVEL PATHS
• Fewest Steps
• Patient Interface
• Interdisciplinary
Consultation
EXTERIOR
CHEMOTHERA
PY
NURSE
LAB
WAIT
REC
EXAM/ CONSULT
CHEMOTHERAPY
SHORT TRAVEL PATHS
• Fewest Steps
• Exterior Views
• Visibility By Nurse
EXTERIOR
CHEMOTHERA
PY
LAB
PHARM
WAIT
MD
REC
ADMIN
EXAM/ CONSULT
CHEMOTHERAPY
SHORT TRAVEL PATHS
SUPPORT
NURSE
• Visual Control Of
Patients By
Nurses
• Fewest Steps To
Patients
• Fewest Steps To
Pharmacy
• Fewest Steps To
Supplies
SIMPLICITY OF NAVIGATION
SURGICAL
ONCOLOGY
RECEPTION
STAIR
ADMINISTRATION
ELEVATOR
PATIENT
EDUCATION
RADIATION
THERAPY
COMMACK, NY
CANCER CARE INNOVATIONS
COMMACK, NY
CHEMOTHERAPY
IMAGING
COMMACK, NY
COMMACK, NY
DIGNITY WHEN GOWNED
BASKING RIDGE, NJ
COMMACK, NJ
COMMACK, NJ
COMMACK, NJ
COMMACK, NJ
COMMACK, NJ
NON-MEDICAL ARCHITECTURAL
PRECEDENTS
BASKING RIDGE, NJ
COMMACK, NJ
COMMACK, NJ
COMMACK, NJ
BASKING RIDGE, NJ
DESIGN PRINCIPLES FOR
CAREGIVERS
EYE CONTACT
SHORT TRAVEL PATHS
PLACES FOR COLLABORATION
OFFSTAGE AMENITIES
EYE CONTACT
COMMACK, NJ
BASKING RIDGE, NJ
BASKING RIDGE, NJ
SHORT TRAVEL PATHS
WAIT
LAB
PHARM
NURSE
CHEMO
SHORT TRAVEL PATHS
BASKING RIDGE, NJ
EXTERIOR
BASKING RIDGE, NJ
BASKING RIDGE, NJ
PLACES FOR COLLABORATION
BASKING RIDGE, NJ
BASKING RIDGE, NJ
BASKING RIDGE, NJ
BASKING RIDGE, NJ
OFFSTAGE AMENITIES
BASKING RIDGE, NJ
RADIATION ONCOLOGY:
PATIENT EXPERIENCE
BASKING RIDGE, NJ
BASKING RIDGE, NJ
BASKING RIDGE, NJ
BASKING RIDGE, NJ
BASKING RIDGE, NJ
BASKING RIDGE, NJ
LINEAR ACCELERATOR VAULT
MEMORIAL SLOAN-KETTERING | BASKING RIDGE, NJ
Option 1
Option 2
Option 3
BASKING RIDGE, NJ
BASKING RIDGE, NJ
BASKING RIDGE, NJ
BASKING RIDGE, NJ
BASKING RIDGE, NJ
WHAT DIDN’T WORK
BASKING RIDGE, NJ
BASKING RIDGE, NJ
BASKING RIDGE, NJ
BASKING RIDGE, NJ
WHAT DID WORK
“Introducing cancer care so advanced
even the building is therapeutic.”
Memorial Sloan-Kettering Cancer Center
New York Times Ad
WHAT DID WORK
“It gives us a lot of satisfaction to see
something as beautiful, patient-friendly
and doctor-friendly built in our name .”
g
President,, Memorial Sloan-Kettering
Cancer Center
WHAT DID WORK
“The moment a patient enters, the person
who greets them is able to move each
patient efficiently to his or her first
appointment – whether it’s a physician’s
office, chemotherapy or radiation therapy.
So when you walk into the building, it’s
calm, comforting and peaceful.”
Site Administrator
Memorial Sloan-Kettering
Cancer Center
WHAT DID WORK
“The flow for the patients has
been well thought out, not only
to reduce p
patient apprehension,
pp
,
but also to help the staff
coordinate their care.”
Chief, Radiation Oncology
Cancer Center
WHAT DID WORK
“It’s thought out
from a patient
perspective, but
its also a nicer
working
environment for
the staff.”
Chief Therapist,
The apist
Radiation Oncology
Memorial SloanKettering Cancer
Center
WHAT DID WORK
“What I need to do my work is
convenient to me. I turn around and
there’s my
y supplies,
pp
, my
y computer,
p
,
my pharmacy, my patients.”
Chemotherapy Nurse
Memorial SloanSloan-Kettering Cancer Center
WHAT DID WORK
“It feels like someone cared about
me - everything from the parking
to the wireless internet. ”
Cancer Patient
Memorial Sloan-Kettering Cancer
Center
WHAT DID WORK
“Just being able to sit
here and see trees is
just beautiful. It’s an
easier commute here;
it’s easier to park. And
when you’re going
through such stress
that’s involved in
chemotherapy,
h
th
your
body doesn’t want to
work any harder than it
has to.”
Cancer Patient
Cancer Center
WHAT DID WORK
“I think my blood pressure drops
10 points when I come here.”
Cancer Patient
Sloan Kettering Cancer Center
WHAT DID WORK
“When I’m here I feel like I don’t have cancer.
I mean, I know I have cancer, but when I’m here
I somehow feel better about myself, my disease
and my future.”
Cancer Patient
Memorial Sloan-Kettering Cancer Center
WHAT DID WORK
DESIGN FOR THE PATIENT & CAREGIVER
QUESTIONS
Basking
Ridge,
g , NJ
Sleepy
Hollow,, NY
Rockville
Centre,, NY
Medical Oncology
x
x
x
x
Radiation
Oncology
x
x
x
x
x
x
Brachytherapy
Hauppauge,
NY
Commack,
NY
Breast Surgery
x
x
S
Surgery
Consults
C
lt
x
x
Dermatology,
Mohs
x
Mammography
x
Integrative
Medicine
x
Imaging
g g
x
x
Genetics
x
x
Clinical Trials
x
x
x
x
x
x
x
x

CANCER CARE DESIGN INNOVATIONS THAT REALLY WORKED

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