clinic 20xx€¦ · technology technology boom, big data and sophisticated construction...
TRANSCRIPT
![Page 1: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/1.jpg)
20XX DESIGNING FOR AN EVER-CHANGING PRESENT
CLINIC
© CADRE, 2015
![Page 2: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/2.jpg)
![Page 3: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/3.jpg)
![Page 4: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/4.jpg)
![Page 5: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/5.jpg)
What is the clinic of the future?
![Page 6: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/6.jpg)
![Page 7: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/7.jpg)
How do we design not for a
faceless future but a dynamic,
ever-changing present?
![Page 8: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/8.jpg)
2016
![Page 9: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/9.jpg)
2030
![Page 10: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/10.jpg)
20XX DESIGNING FOR AN EVER-CHANGING PRESENT
![Page 11: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/11.jpg)
![Page 12: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/12.jpg)
[
[
[
[
![Page 13: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/13.jpg)
01 DRIVERS
SYSTEM | PATIENT | PROVIDER | FIELD | TECHNOLOGY
02 TRENDS
mHEALTH | TELEHEALTH | COORDINATED HEALTH POPULATION HEALTH | RETAIL HEALTH
![Page 14: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/14.jpg)
WHAT IS CHANGING TODAY?
D1 SYSTEM more access. more accountability.
D4 FIELD advanced diagnostics, precise & personalized medicine.
D2 PATIENT chronic conditions, consumer expectations.
D3 PROVIDER physician shortage, extender/team increase.
D5 TECHNOLOGY technology boom, big data and sophisticated construction
Drivers
Trends
mHealth/Telehealth
• eKiosks
• Wi-Fi and Video
Capabilities
• Patient Portals
• Provision for Call Centers
• Integrated Technology and
Mobile Furniture
Care Coordination
• Open Office
• Hoteling Spaces
• Touchdown Areas
• Proximity Across
Specialties
• On-Stage/Off-Stage
• Digital Integration
Population Health
• Consult Spaces
• Community Gardens
• On-Site Access
• Proximity to Wellness and
Fitness Amenities
• Community Engagement
Retail Health
• Modularity and Prototyping
• Prefabrication
• Hospitality Elements and
Branding
• Adaptive Reuse of Retail
Locations
01
SYSTEM more access. more accountability.
02
PATIENT chronic conditions, consumer expectations.
03
PROVIDER physician shortage, extender/team increase.
04
FIELD advanced diagnostics, precise & personalized medicine.
05
TECHNOLOGY technology boom, big data and sophisticated construction
mHealth/Telehealth health at hand,
remote access
Care Coordination coordination between patients,
providers and systems
Population Health community-based whole health
Retail Health demand-focused, choice-based
health
![Page 15: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/15.jpg)
THE NEW SYSTEM. MORE ACCESS, MORE ACCOUNTABILITY.
Accountable Care Organizations Patient-Centered Medical Homes
DRIVER
![Page 16: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/16.jpg)
THE NEW PATIENT. CHRONIC CONDITIONS, CONSUMER EXPECTATIONS, FOUR GENERATIONS
DRIVER
![Page 17: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/17.jpg)
THE FIELD. ADVANCED DIAGNOSTICS. PRECISE & PERSONALIZED MEDICINE.
DRIVER
![Page 18: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/18.jpg)
BIG DATA
―PRECISION MEDICINE IS AN INNOVATIVE APPROACH TO DISEASE
PREVENTION AND TREATMENT THAT TAKES INTO ACCOUNT
INDIVIDUAL DIFFERENCES IN PEOPLE’S GENES, ENVIRONMENTS,
AND LIFESTYLES‖
—White House Fact Sheet on President Obama’s Precision Medicine Initiative (2015) [30]
Electronic Health Records and Health Information
Exchanges
Electronic health records (EHRs) are one aspect of the
data revolution that we are currently going through. In
healthcare, this has resulted in the possibility of
personalized and precise medicine discussed earlier. By
definition, big data is data that exceeds the processing
capability of a conventional database system and is
characterized by three V’s: Volume, Velocity and
Variety[35].
Personalized and precise medicine, where patient
information can be continuously monitored and patterns
that predict care determined at the gene level, require
computational tools for big data. They also require access
to nuanced information, which is why EHRs are so critical.
![Page 19: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/19.jpg)
mHEALTH. HEALTH AT HAND.
Ingestible Technology: smart pills that are swallowed
with medication to track and photograph the patient
from within Wearable Technology: allows consumers to track their
health and fitness and remotely share that data with
their physician
Smartphone Attachments: Patients can attach modules
to their smartphone to record and share biometrics like
heart rate and blood pressure
Patient portals
TREND
![Page 20: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/20.jpg)
TELEHEALTH. REMOTE ACCESS.
local clinic larger health system
TREND
![Page 21: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/21.jpg)
COORDINATED HEALTH. COORDINATION BETWEEN PATIENTS, PROVIDERS AND SYSTEMS.
[49
]
TREND
![Page 22: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/22.jpg)
POPULATION HEALTH. COMMUNITY-BASED HEALTH.
TREND
![Page 23: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/23.jpg)
RETAIL HEALTH. DEMAND-FOCUSED, CHOICE-BASED HEALTH.
[71]
[72]
TREND
![Page 24: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/24.jpg)
02 TRENDS 03 CASE STUDIES
![Page 25: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/25.jpg)
HKS Health
Kaysville Creekside Clinic, Intermountain
Healthcare (Utah)
Architect: HKS, Inc.
CASE
STUDY
![Page 26: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/26.jpg)
COORDINATED HEALTH. FACILITY IMPLICATIONS.
• Open Office
• Hoteling Spaces
• Touchdown Areas
• Proximity Across Specialties
• On-Stage/Off-Stage
• Digital Integration
![Page 27: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/27.jpg)
―CLINICS MUST BE DESIGNED AROUND
THE MOST EFFICIENT WORKFLOW.‖
-Tim Hatch, Director of Strategic Planning, Intermountain Healthcare
![Page 28: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/28.jpg)
HKS Health
Adelante Healthcare Mesa, Adelante
Healthcare (Arizona)
Architect: Adelante Facilities
CASE
STUDY
![Page 29: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/29.jpg)
POPULATION HEALTH.
• Flex education spaces
• Community gardens
• On-site access
• Proximity to Wellness and
Fitness Amenities
• Community Engagement
• Multipurpose rooms that
host meetings for various
community organizations
![Page 30: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/30.jpg)
RETAIL HEALTH. DEMAND-FOCUSED, CHOICE-BASED HEALTH.
[71]
[72]
TREND
05
![Page 31: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/31.jpg)
RETAIL HEALTH. FACILITY IMPLICATIONS.
• Speed to Market
• Modularity and Prototyping
• Prefabrication
• Hospitality Elements and
Branding
• Adaptive Reuse of Retail
Locations
![Page 32: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/32.jpg)
HKS Health
MGC Family Medicine - Five Forks, Medical
Group of the Carolinas (South Carolina)
Architect: McMillan Pazda Smith
CASE
STUDY
![Page 33: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/33.jpg)
RETAIL HEALTH. MGC FAMILY MEDICINE – FIVE FORKS
• Integrated Technology
• Music Buffer
• In-Room-Out
• Wait as the Visit
• On-Stage/Off-Stage
• Standardization
• Flexible and Moveable Furniture
• Family Room, Not Exam Room
![Page 34: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/34.jpg)
WHAT WILL CHANGE? WHAT WILL NOT CHANGE?
• Patient-provider
need for contact
• Challenges with
physician buy-in
• Connection to real
people versus
machine
• Issues with
reimbursement
• Patient-provider
time/type of contact
• Type of nursing talent to
respond to EHR needs
• Shift to health
management in family
practice
More connectivity to the
system
• More team based, managed
care
• More reliance on
technology
CLINIC LEADERSHIP PERSPECTIVE
![Page 35: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/35.jpg)
04 SURVEYS: KEY STAKEHOLDER PERSPECTIVE
IDEA DU JOUR VS. SUSTAINABLE IDEAS
![Page 36: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/36.jpg)
HKS Health
AGE GROUP 1946 - 1964
![Page 37: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/37.jpg)
Patient vs. Consumer
Patients First! The clinic patient is not the typical consumer
![Page 38: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/38.jpg)
Experience vs. Service
Experience is important, especially for millennials
![Page 39: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/39.jpg)
People vs. Information
People trust people
![Page 40: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/40.jpg)
Phone vs. Portal
Times are changing- millennials see their phones as the portal
![Page 41: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/41.jpg)
What made patients select their clinic?
Healthcare coverage & perception of cleanliness are
important for boomers and millennials
![Page 42: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/42.jpg)
What features make a clinic more appealing?
Boomers have more streamlined and pragmatic priorities
Millennials want more. Use of apps, and a ―spa-like‖ environment
are much higher for millennials compared to boomers.
[
![Page 43: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/43.jpg)
![Page 44: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/44.jpg)
According to physicians, what are the top considerations for better patient experience?
Cleanliness, privacy and comfort are the top three facility
considerations that can improve patient experience
![Page 45: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/45.jpg)
What facility features help physicians run a successful practice?
Availability of the exam room, first!
Physicians also want ease, efficiency, and space for interaction.
The Exam Room holds the key to a successful practice
![Page 46: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/46.jpg)
How do physicians utilize their exam rooms?
A majority of the physicians are assigned between 1-3 rooms.
More than half the physicians state that they use the exam table
more than 75% of the time.
![Page 47: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/47.jpg)
What constitutes the ―Ideal‖ Exam Room?
The ideal exam room has an exam table, chairs, a desk, a computer;
is well-lit and roomy; and allows convenient face-to-face interactions.
It should also accommodate limited mobility patients
![Page 48: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/48.jpg)
Where do physicians work today? Where would they prefer to work?
Physicians who work in
shared offices are more
open to collaborative
spaces.
![Page 49: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/49.jpg)
What devices do physicians use? What do they use them for?
Physicians use multiple devices, especially for patient engagement.
Desktop in the office is still the most common device.
![Page 50: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/50.jpg)
05 CHANGE-READY FACILITIES
![Page 51: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/51.jpg)
OUTPATIENT CLINIC DESIGN HKS POINT OF VIEW
Clinics will be the first point of contact between a patient and health
system, with the most reach into a community.
Facilities have to facilitate this connection. They will serve as the
conduit between the cloud and the community.
![Page 52: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/52.jpg)
CLINIC 20XX THE PATIENT
87% of people see themselves as
patients, not consumers
Cleanliness is a priority
Overall satisfaction, follow-up care
and Wi-Fi connectivity predict the
return to a clinic
I am a patient…
Who wants a meaningful interaction…
With somebody I trust…
At a reasonable cost…
In a clean and convenient location…
Connected to my wider social network…
Where I am the priority.
I don’t want to shop for healthcare, but I
want to be taken care of in the best way
possible.
![Page 53: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/53.jpg)
CLINIC 20XX THE PHYSICIAN
I am a physician…
Who wants to spend time with my patients…
Who wants to have meaningful interactions…
At the right time, with the right tools, in the right
place with the right information.
I don’t want to waste time documenting.
I can work in a team with the best technology and
the best information to empower my patients’
health.
60% of physicians believe time
would be better utilized with less
documentation and better EMR
Patient relationships are
the top priority
Physicians who work with case
managers are more satisfied with
their practice
![Page 54: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/54.jpg)
1. Physicians and millennials are ready for telehealth;
boomers — not so much! “Trust” in technology is an issue.
2. Population health: Just getting started
3. Coordinated health: Integral and co-dependent
4. Retail health: All about Experience- but not necessarily being a “consumer”
Mobile and
Tele-health:
A question of Trust
and Connectivity
Population
health: Just getting
started
Coordinated
health: Integral and co-
dependent
Physicians not
completely on board
Patients still
consider physician
interactions the most
meaningful
Retail health: All about Experience-
but not necessarily
being a “consumer”
Speed to market is key
Physicians and
millennials are ready
for telehealth;
boomers — not so much!
![Page 55: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/55.jpg)
BLURRING BOUNDARIES
Understanding the shifting boundary between cloud-space and facility footprint.
Understanding the connections between clinic spaces, and preparing for the
shape-shift that may occur in the future .
![Page 56: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/56.jpg)
CHANGE-READINESS
THE CHANGE-READY CORE
3 2 Spaces
Distinct
Characteristics Strategic location | Easy access to site (physically + virtually) |
Connectivity between key spaces (physical + digital connectivity)
that allow optimum workflow | Connectivity between key team
members (physical + digital) | Connectivity between patient and
provider (physical + digital) | Easy access to information |
Connectivity to cloud, team and community. | Wi-Fi access
Ability to expand and contract based on varying needs |
Ability to rotate functionality | Ability to accommodate
rapidly changing technology
Materials, finishes and configurations that promote
cleanliness + perception of cleanliness | Configurations
and ambience that support meaningful interactions
between patient and provider | Comfort (sensory) |
Quietness | Visual appeal
CONNECTIVITY
FLEXIBILITY
SENSE OF PLACE
CONSULT SPACE
WORKSPACE
![Page 57: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/57.jpg)
THE PATIENT EXPERIENCE
WAITING
Always engaged
Remove ―waiting‖ room from the vocabulary
Use the time spent waiting education and preparation
Name rooms based on purpose. Waiting has no purpose.
![Page 58: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/58.jpg)
Consult Space
Exam/consult family-
friendly room set up for
meaningful face-to-face
interaction between
patient and provider.
Community consults
Patient/ family/ case
manager/ wellness coach
consults
Consult Space Workspace
Connectivity
Flexibility
Sense of Place
![Page 59: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/59.jpg)
Connectivity • Physical and virtual access to site
• Strategic location
• Connectivity between:
• key spaces
• key team members
• patient and provider
• healthcare system
• Easy access to information
• Wi-Fi access
![Page 60: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/60.jpg)
Flexibility
• Expand and contract in size
• Rotate functionality
• Accommodate rapidly changing
technology
• Modular approach
Photo credit: DIRTT, BLOX, McMillan Pazdan Smith
![Page 61: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/61.jpg)
Sense of Place
• Materials and finishes that promote
cleanliness and perception of
cleanliness
• Configurations that support
meaningful interactions between
patient and provider
• Comfort (sensory)
• Quiet
• Visual Appeal
![Page 62: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/62.jpg)
![Page 63: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/63.jpg)
• COMMUNITY LEVEL PLANNING
• EARLY I.T. INPUT
• EARLY COORDINATION TEAM INPUT
• SIMPLE APPROACH
CHANGE-READINESS: IT’S ABOUT
FLEXIBILITY, CONNECTIVITY AND
CREATING A SENSE OF PLACE THAT
SUPPORTS PATIENT-PROVIDER
RELATIONSHIPS
![Page 64: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/64.jpg)
NEXT STEPS
This study is just the first step of many in understanding how we can design for change, without being consumed by the myriad trends we see today. Our intent was to distill the findings to a few key principles that can stand the test of time. As with any study that tries to capture the pulse of the industry, by the time the report is written, it is already dated. It is important to remember that our review of the literature continued until the end of 2014, and this literature needs to be revisited periodically to keep it current. We are, therefore, considering Clinic 20XX a living document that will continue to be updated. Our sample size was also quite low (300 patients and 100 physicians) and did not include staff members who are a key part of the care team. In the next cycle of the report, we will poll staff members. The database of surveys will continue to be built upon, and updates to the surveys will be published at regular intervals as well. Finally, the report did not address the intricacies of different care team structures that are emerging. In being a broad-based study, many opportunities for deep dive research have been identified, and will be a focus for the research team going forward. This is a collaborative project and we would welcome participation from both industry
and academic partners as we forge ahead.
• Consider Clinic 20XX as a living
document- a pulse check on how
clinics evolve
o Continue polling clinics
o Invest in deeper dives on the 5
core principles that have emerged
o Invest in deeper dives on “inter-
generational” spaces and “precise,
personalized care coordination”
• Right-size clinic programs, lean out
design, integrate project delivery
and construction
![Page 65: CLINIC 20XX€¦ · TECHNOLOGY technology boom, big data and sophisticated construction mHealth/Telehealth health at hand, community remote access Care Coordination coordination between](https://reader034.vdocuments.net/reader034/viewer/2022050513/5f9de3c08141f55c8650f5ed/html5/thumbnails/65.jpg)
ACKNOWLEDGEMENTS