SPACE PROGRAM
This section documents the space program deliverables for the project, including industry best practices and future state designs for UCDH.
BEST PRACTICE
UNIVERSAL CARE EXAM ROOM/CLINIC LAYOUT: WORKSHOP
The following Universal Clinic designs were presented at a workshop with BluePacific staff and faculty.
FUTURE STATE
UNIVERSAL CARE CLINIC LAYOUT
PREFERRED CLINIC MODULES
During the Rapid Scout for evaluation of the scenarios presented, the participants provided input regarding each option presented. The goal of this exercise was to quickly eliminate options that did not support the vision of a “Universal” Clinic Concept, or any that did not promote streamlined processes. The feedback from the BluePacific Team indicated that the models that best fit their idea of a future clinic were the 2-Sided Module and the Hybrid-Convergent Module.
SUMMARY
The Hybrid-Convergent Module was preferred for the following reasons:
-
This is the only option with a mix of 120 SF, one-sided and two-sided (2 door) exam room models
-
The plan achieves high density/efficiency in patient treatment areas
-
The plan allows for 'A-typical' rooms and clinical specialties
-
Great daylighting for team spaces
-
Changes the layout for use – could be specialized quickly
-
Potential to massage the care teams along the window wall to provide ease of access to care team area
-
Works well at capacity, but can be more challenging when the space is underutilized
-
Can adapt to non-typical room types / special needs
-
Pain does acupuncture and needs specialized space for gurney
-
As commented on in the meeting: For Pain Medicine – will there be a need for non-clinical room / consult room to meet with behavioral health patients
-
STATS
Clinic
20-21 Exam/Procedure rooms per clinic module
x 3 Modules per side per floor = 60-63
x 6 per floor = 120-126
30 workstations per clinic module
3.3 offices per clinic module
Central Core Waiting
Faculty Academic Center and/or MOSCS
- 20 offices
- 30 workstations
One sided and two sided entry to exam rooms
Can flex for typical and specialty/procedure
Center daylit staff work cores
SUMMARY
Users preferred the 2-Sided Module for the following reasons:
-
Exam rooms in this option are 120 SF with 6' wide circulation
-
Patient circulation in a separate corridor from staff who are located in a central team core area
-
The plan achieves high density/efficiency in patient treatment areas, and clear circulation for patients
-
The plan allows for 'A-typical' rooms and clinical specialties in the center module where there is a 5th module per half floor with procedure rooms
-
Side-to-side flexibility is somewhat limited though staff assignment within the staff core area is flexible
-
Daylighting of staff and potentially patient corridors is available
STATS
Clinic
10 Exam/Procedure rooms per clinic module
x 8 Modules per floor =80
+ 12 Procedure rooms per floor=92
30 workstations per clinic module
3 offices per clinic module
Central Core Waiting
Faculty Academic Center and/or MOSCS
- 20 offices (120 NSF)
- 64 workstations (56 NSF) or 90 workstations (40 NSF)
- 4,750 NSF waiting
- 1,000 NSF check-in
- x2 staff lounge/lockers
- x2 conference/education
SIMULATIONS
SIMULATION METRICS
ADJACENCIES AND AFFINITIES
The following adjacency and affinity matrices were assembled during the clinic design workshop with the BluePacific user group. The adjacency matrix describes desired primary and secondary departmental adjacency, as well as undesirable adjacencies. The affinity matrix describes relationships between departments that may have similar exam room equipment needs.
Client Responses
Primary
Secondary
Undesirable
NBBJ Suggestions
Primary
Secondary
Undesirable
Adult IV Infusion
Cafe
Cardiology
Central Storage
Dental
Ear, Nose, Throat/Oto
Employee Health
Entrance
Family Medicine
Imaging- Br Health
Imaging- CT/US/MR
Imaging- Gen Rad/Dx
Internal Medicine
Lab
Loading Dock
OB-GYN
Ophthalmology
Orthopaedics
Pain Mgmt
Peds
Pharmacy
Physical Med & Rehab
Primary Care
Rehab
Security
Surgery
Transplant
Urology
Vascular Clinic
Primary Care | |||||||||||||||||||||||||||||
Employee Health | |||||||||||||||||||||||||||||
Adult IV Infusion | |||||||||||||||||||||||||||||
Cardiology | |||||||||||||||||||||||||||||
Dental | |||||||||||||||||||||||||||||
Ear, Nose, Throat/Oto | |||||||||||||||||||||||||||||
Family Medicine | |||||||||||||||||||||||||||||
OB-GYN | |||||||||||||||||||||||||||||
Internal Medicine | |||||||||||||||||||||||||||||
Ophthalmology | |||||||||||||||||||||||||||||
Orthopaedics | |||||||||||||||||||||||||||||
Pain Mgmt | |||||||||||||||||||||||||||||
Peds | |||||||||||||||||||||||||||||
Physical Med and Rehab | |||||||||||||||||||||||||||||
Rehab | |||||||||||||||||||||||||||||
Surgery | |||||||||||||||||||||||||||||
Transplant | |||||||||||||||||||||||||||||
Urology | |||||||||||||||||||||||||||||
Vascular Clinic | |||||||||||||||||||||||||||||
Imaging - Br. Health | |||||||||||||||||||||||||||||
Imaging - Gen Rad/Dx | |||||||||||||||||||||||||||||
Imaging - CT/US/MR | |||||||||||||||||||||||||||||
Lab | |||||||||||||||||||||||||||||
Pharmacy | |||||||||||||||||||||||||||||
Loading Dock | |||||||||||||||||||||||||||||
Central Storage | |||||||||||||||||||||||||||||
Cafe | |||||||||||||||||||||||||||||
Security |
Using the data collected from BluePacific staff, and supplemented by NBBJ, the below diagrams illustrate the important departmental cohorts to consider for future campus development. Arrows indicate the direction of affinity or adjacency, ie which department wants to be close to another. The thickness of the arrow indicates level of desirability: thicker indicates primary desired adjacency or affinity, while the finer arrows indicate a secondary desire. Hover over the arrows to highlight the relationships. Drag the circles to reorganize the graphics.