Insights & Solutions

Enactment of the 2010 Patient Protection and Affordable Care Act (ACA) is transforming just about every aspect of healthcare delivery in order to achieve the Triple Aim goals of better care, healthier people and communities and affordable care. One of the law’s most striking and fundamental changes is the shift in reimbursement practices – moving volume to value. This presentation provides an overview of the design team implications of the ACA, such as the Hospital Consumer Assessment of the Healthcare Providers and Systems survey and the Partnership for Patients program. Learn how architects, designers and facility managers can contribute to solutions that achieve these outcomes.

This presentation provides information on the current incidence of healthcare-associated infections in U.S. hospitals and design & construction considerations that can help prevent these outcomes. Examples of published outbreaks related to design and construction activity are provided. In addition, specific examples of design options and construction risk mitigation measures will be reviewed. 

The webinar examines the latest strategies to use evidence-based design to strengthen hospital performance. Understand the basics of evidence-based design and the role that the built environment plays in improving the quality of care for patients and families, and how hospitals, architects and contractors can work together to evaluate, prioritize and apply design research in future projects.

As pressure mounts to increase efficiency, improve outcomes, and reduce costs and readmissions, the imperative to provide the right care at the right time in the right place is stronger than ever. While the staggering growth of ED volumes and the increasing complexity of inpatient care create delays and challenge throughput, an answer might be found somewhere in between the ED or outpatient visit and the traditional inpatient admission - The Observation Patient. A new CMS “2-Midnight” guideline that redefines inpatient care and with mounting pressure to reduce readmissions, the observation patient is at the center of many strategies aimed at making healthcare more efficient. 

In 2012, The Center for Health Design received a grant from the American Society of Interior Designers (ASID) to develop a standard evidence-based tool for inpatient room design. In a three-phase process, this grant will result in design and evaluation tools for inpatient room design in Medical/Surgical Units, Adult Intensive Care Units (ICU) and Labor Delivery Recovery (LDR) and Maternity Units. The first phase of this project has been completed, resulting in a Beta-test, paper-based version of the Inpatient Room Design Checklist and POE tool for the Med/Surg Room which are shared in this presentation.

Patient falls are the most common adverse event reported in acute care settings, affecting from between 2% to 10% of annual hospital admissions. Patient falls cause increased morbidity, mortality, length of stay, and have significant cost impacts. One recent study examined the relationship of design factors in patient rooms to falls in 30 units in 15 hospitals. Results indicate key factors associated with higher numbers of falls, including multi-person rooms, shared toilet rooms, number and location of grab bars, and others. Explore the intrinsic and extrinsic factors on fall risk and the role design plays in mitigating these factors through real design solutions. 

In 2011, The Center for Health Design published a glossary of healthcare environment terms and outcome measures commonly used in evidence-based design research for seven key healthcare topics, many of which are tied to CMS reimbursement formulas: health-care associated infections, medical errors, patient falls, patient satisfaction, patient waiting, staff efficiency and staff satisfaction. Learn about the methods used to create the EBD glossary, the work underway to expand the Glossary using the CHD Knowledge Repository, and how you might use this tool in your construction project, during your design education and with EBD research studies.

The era of accountable care has focused more attention on doing things right. Hospitals are no longer reimbursed for what are categorized as "never events," serious adverse events that are largely preventable. The Center for Health Design, with support from the Facility Guidelines Institute and a grant from the Agency for Healthcare Research and Quality (AHRQ), has been working toward a consensus-based tool to proactively assess safety and risk in the built environment during the design process. New language will be incorporated into the 2014 Guidelines for the Design and Construction of Healthcare Facilities.