cancer care design innovations that really worked …€¦ · cancer care design innovations that...
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CANCER CARE DESIGN INNOVATIONS THAT REALLY WORKED(AND SOME THAT DIDN’T!)
George Mejias, AIADirector Of Design & Construction
l l
Andrew Jarvis, AIA, LEED APPrincipal, Director of Healthcare Architecture
lMemorial Sloan-KetteringCancer Center
EwingCole
NOVEMBER 14, 2010HEALTHCARE DESIGN 2010LAS VEGAS, NV
MSKCC at Phelps MemorialMSKCC at Phelps MemorialHospital Center Hospital Center Sleepy Hollow NYSleepy Hollow NY
MSKCC at Phelps MemorialMSKCC at Phelps MemorialHospital Center Hospital Center Sleepy Hollow NYSleepy Hollow NY
MSKCC Main Campus MSKCC Main Campus New York, NYNew York, NYMSKCC Main Campus MSKCC Main Campus New York, NYNew York, NY
Sleepy Hollow, NYSleepy Hollow, NYSleepy Hollow, NYSleepy Hollow, NY
MSKCC at MSKCC at Saint Clare’sSaint Clare’sDenville, NJDenville, NJ
MSKCC at MSKCC at Saint Clare’sSaint Clare’sDenville, NJDenville, NJ
MSKCC Skin MSKCC Skin Cancer CenterCancer CenterHauppauge, NYHauppauge, NY
MSKCC Skin MSKCC Skin Cancer CenterCancer CenterHauppauge, NYHauppauge, NY
MSKCC at MSKCC at Saint Clare’sSaint Clare’sDover, NJDover, NJ
MSKCC at MSKCC at Saint Clare’sSaint Clare’sDover, NJDover, NJ MSKCC Suffolk MSKCC Suffolk
Outpatient CenterOutpatient CenterCommack, NYCommack, NY
MSKCC Suffolk MSKCC Suffolk Outpatient CenterOutpatient CenterCommack, NYCommack, NY
MSKCC B ki RidMSKCC B ki RidMSKCC B ki RidMSKCC B ki RidMSKCC at MercyMSKCC at MercyMedical CenterMedical CenterRockville Centre, NYRockville Centre, NY
MSKCC at MercyMSKCC at MercyMedical CenterMedical CenterRockville Centre, NYRockville Centre, NY
MSKCC Basking RidgeMSKCC Basking RidgeOutpatient Cancer CenterOutpatient Cancer CenterBasking Ridge, NJBasking Ridge, NJ
MSKCC Basking RidgeMSKCC Basking RidgeOutpatient Cancer CenterOutpatient Cancer CenterBasking Ridge, NJBasking Ridge, NJ
MSKCC Brooklyn Infusion CenterMSKCC Brooklyn Infusion CenterBrooklyn NYBrooklyn NYMSKCC Brooklyn Infusion CenterMSKCC Brooklyn Infusion CenterBrooklyn NYBrooklyn NYBrooklyn, NYBrooklyn, NYBrooklyn, NYBrooklyn, NY
REGIONAL NETWORK: OUTPATIENT CANCER CARE
MEMORIAL SLOAN-KETTERING CANCER CENTER
WHY THE REGIONAL CARE NETWORKWHY THE REGIONAL CARE NETWORKDELIVER OUTPATIENT CARE CLOSER TO OUR PATIENTS’ HOMES
DEVELOP A STREAMLINED CARE DELIVERY MODEL
ENABLE EXPANSION TO MEET GROWING DEMAND FOR CANCER CARECANCER CARE
RELIEVE SCHEDULING PRESSURE ON THE MAIN CAMPUS
ARCHITECTURAL GOALSARCHITECTURAL GOALSDESIGN FOR FUTURE EXPANSION
CREATE AN UPLIFTING AND ENCOURAGING EXPERIENCE FOR CREATE AN UPLIFTING AND ENCOURAGING EXPERIENCE FOR OUR PATIENTS
DESIGN FOR THE COMFORT AND EFFICIENCY OF OUR CAREGIVERSCAREGIVERS
GIVE EVIDENCE THAT QUALITY OF CARE IS EQUIVALENT TO CARE ON MAIN CAMPUS IN MANHATTAN
INVENT NEW BEST PRACTICES
INVENT NEW BEST PRACTICESINTERVIEW CAREGIVERS/PATIENTS
SET DESIGN GOALS
PROGRAM PLAN DESIGNPROGRAM, PLAN, DESIGN
MOCK-UP KEY SPACES
EVALUATE REDESIGNEVALUATE, REDESIGN
DOCUMENT, CONSTRUCT
INTERVIEW CAREGIVERS/PATIENTSINTERVIEW CAREGIVERS/PATIENTS
INTEGRATE LESSONS LEARNED
COMMON DESIGN PROBLEMS IN CANCER CAREIN CANCER CAREDESIGN PRINCIPLESRADIATION THERAPY INNOVATIONSCHEMOTHERAPY INNOVATIONSWHAT DIDN’T WORKWHAT DID WORKWHAT DID WORK
COMMON RADONC DESIGN PROBLEMS
GOWNED PATIENTS WAITING WITH OTHER PATIENTS’ FAMILY MEMBERS
TELEVISION NOISE
FOOD ODORS
VISUAL CLUTTER
ORDINARY LEVEL OF FINISHES
NO DAYLIGHT SUNLIGHTNO DAYLIGHT, SUNLIGHT
COMMON RADONC DESIGN PROBLEMS
LINAC CONTROL
LAYOUT PUTS STAFF WITH LAYOUT PUTS STAFF WITH BACK TO PATIENT
PATIENT HAS VIEW OF MONITORSMONITORS
NO DAYLIGHT, SUNLIGHT
COMMON RADONC DESIGN PROBLEMS
VISUAL CLUTTER
UTILITARIAN FURNISHINGSUTILITARIAN FURNISHINGS
STAFF PHOTOS
EXPOSED LINAC DEVICESEXPOSED LINAC DEVICES
DESIGN PRINCIPLES FOR DESIGN PRINCIPLES FOR CANCER PATIENTSCONTACT WITH NATURE, SUN & SKYCONTACT 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
TREATMENTPLANNING
GOWNEXAM/ LINACSCONSULT
• Fewest Steps
REC WAIT• Gowned Privacy• Exterior Views
EXTERIOR
SHORT TRAVEL PATHS
RADIATION ONCOLOGY
TREATMENTPLANNING
MD
GOWN LINACSEXAM/
ADMCONSULT
• Fewest Steps
REC WAIT• Patient Interface• Interdisciplinary
Consultation
EXTERIOR
SHORT TRAVEL PATHS
RADIATION ONCOLOGY
EXTERIOR
CHEMOTHERAPY
EXTERIOR
• Fewest Steps• Exterior Views• Visibility By NursePY
NURSE
LAB
• Visibility By Nurse
WAIT
REC
LAB
EXAM/ CONSULT
SHORT TRAVEL PATHS
CHEMOTHERAPY
EXTERIOR
• Visual Control Of Patients By Nurses
EXTERIOR
CHEMOTHERAPY
NURSE
LAB
• Fewest Steps To Patients
• Fewest Steps To Pharmacy
PY
WAITREC
LABPHARM
ADMIN SU
PP
OR
T
MD
Pharmacy• Fewest Steps To
Supplies
EXAM/ CONSULT
ADMIN
SHORT TRAVEL PATHS
CHEMOTHERAPY
SURGICAL ONCOLOGY
RECEPTION
ADMINISTRATIONSTAIR
ADMINISTRATION
ELEVATOR
RADIATION THERAPYPATIENT
EDUCATION
COMMACK, NY
MEMORIAL SLOAN-KETTERING CANCER CENTER
DESIGN PRINCIPLES FOR CAREGIVERSEYE CONTACT
SHORT TRAVEL PATHS
PLACES FOR COLLABORATION
OFFSTAGE AMENITIES
“Introducing cancer care so advanced even the building is therapeutic.”Memorial Sloan-Kettering Cancer Center
“Introducing cancer care so advanced even the building is therapeutic.”Memorial Sloan-Kettering Cancer CenterNew York Times AdNew 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 .”President, Memorial Sloan-Kettering
“It gives us a lot of satisfaction to see something as beautiful, patient-friendly and doctor-friendly built in our name .”President, Memorial Sloan-Kettering , gCancer Center
, gCancer 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
“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 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
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 Site Administrator Memorial Sloan-KetteringCancer Center
Site Administrator Memorial Sloan-KetteringCancer Center
WHAT DID WORK
“The flow for the patients has been well thought out, not only to reduce patient apprehension,
“The flow for the patients has been well thought out, not only to reduce patient apprehension, p pp ,but also to help the staff coordinate their care.” Chief, Radiation OncologyMemorial Sloan-Kettering
p pp ,but also to help the staff coordinate their care.” Chief, Radiation OncologyMemorial Sloan-Kettering Cancer CenterCancer Center
WHAT DID WORK
“It’s thought out from a patient perspective, but
“It’s thought out from a patient perspective, but its also a nicer working environment forthe staff.”Chief The apist
its also a nicer working environment forthe staff.”Chief The apist Chief Therapist, Radiation OncologyMemorial Sloan-Kettering Cancer Center
Chief Therapist, Radiation OncologyMemorial Sloan-Kettering Cancer CenterCenterCenter
WHAT DID WORK
“What I need to do my work is “What I need to do my work is convenient to me. I turn around and convenient to me. I turn around and there’s my supplies, my computer, there’s my supplies, my computer,
“What I need to do my work is “What I need to do my work is convenient to me. I turn around and convenient to me. I turn around and there’s my supplies, my computer, there’s my supplies, my computer, y pp , y p ,y pp , y p ,my pharmacy, my patients.” my pharmacy, my patients.” Chemotherapy Nurse Chemotherapy Nurse Memorial SloanMemorial Sloan--Kettering Cancer CenterKettering Cancer Center
y pp , y p ,y pp , y p ,my pharmacy, my patients.” my pharmacy, my patients.” Chemotherapy Nurse Chemotherapy Nurse Memorial SloanMemorial Sloan--Kettering Cancer CenterKettering Cancer Center
WHAT DID WORK
“It feels like someone cared about “It feels like someone cared about me - everything from the parking to the wireless internet. ”Cancer Patient Memorial Sloan-Kettering Cancer
me - everything from the parking to the wireless internet. ”Cancer Patient Memorial Sloan-Kettering Cancer CenterCenter
WHAT DID WORK
“Just being able to sit here and see trees is just beautiful. It’s an easier commute here;
“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 h th
it’s easier to park. And when you’re going through such stress that’s involved in h th chemotherapy, your
body doesn’t want to work any harder than it has to.” Cancer Patient
chemotherapy, your body doesn’t want to work any harder than it has to.” Cancer Patient Cancer Patient Memorial Sloan-Kettering Cancer Center
Cancer Patient Memorial Sloan-Kettering Cancer Center
WHAT DID WORK
“I think my blood pressure drops10 points when I come here.” Cancer Patient Memorial Sloan Kettering Cancer Center
“I think my blood pressure drops10 points when I come here.” Cancer Patient Memorial Sloan Kettering Cancer CenterMemorial Sloan-Kettering Cancer CenterMemorial 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
“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 I somehow feel better about myself, my disease and my future.” Cancer Patient Memorial Sloan-Kettering Cancer Center
I somehow feel better about myself, my disease and my future.” Cancer Patient Memorial Sloan-Kettering Cancer Center
DESIGN FOR THE PATIENT & CAREGIVER
WHAT DID WORK
Basking Ridge, NJ
Sleepy Hollow, NY
Rockville Centre, NY
Hauppauge, NY
Commack, NYg , , ,
Medical Oncology x x x xRadiation Oncology x x x x
Brachytherapy x xBreast Surgery x xS C ltSurgery Consults x xDermatology, Mohs x x
Mammography x xMammography x xIntegrative Medicine x x
Imaging x xg g x xGenetics x xClinical Trials x x x x x