CANCER CARE DESIGN INNOVATIONS THAT REALLY WORKED …€¦ · cancer care design innovations that really worked ... hospital center ... design problems linac control layout puts staff

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

SLEEPY HOLLOW, NY - 2000


COMMACK, NY - 2002


ROCKVILLE CENTRE, NY - 2005


BASKING RIDGE, NJ - 2007


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

RADIATION ONCOLOGYCOMMON DESIGN PROBLEMS

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


EXPOSED WASTE CONTAINERS, LINEN HAMPERS

UTILITARIAN LOCKERS


LINAC CONTROL

LAYOUT PUTS STAFF WITH LAYOUT PUTS STAFF WITH BACK TO PATIENT

PATIENT HAS VIEW OF MONITORSMONITORS

NO DAYLIGHT, SUNLIGHT


VISUAL CLUTTER

“HOSPITAL” FINISHES“HOSPITAL” FINISHES

DIRECT LIGHTING


VISUAL CLUTTER

UTILITARIAN FURNISHINGSUTILITARIAN FURNISHINGS

STAFF PHOTOS

EXPOSED LINAC DEVICESEXPOSED LINAC DEVICES


INTIMIDATING OBJECTS ON DISPLAY

CHEMOTHERAPY

COMMON DESIGN PROBLEMS

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

CONTACT WITH NATURE CONTACT WITH 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

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

SIMPLICITY OF NAVIGATION

SURGICAL ONCOLOGY

RECEPTION

ADMINISTRATIONSTAIR

ADMINISTRATION

ELEVATOR

RADIATION THERAPYPATIENT

EDUCATION

COMMACK, NY


CANCER CARE INNOVATIONS

MEMORIAL SLOAN-KETTERING CANCER CENTERCOMMACK, 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 CAREGIVERSEYE CONTACT

SHORT TRAVEL PATHS

PLACES FOR COLLABORATION

OFFSTAGE AMENITIES

EYE CONTACT

COMMACK, NJ


BASKING RIDGE, NJ


BASKING RIDGE, NJ


SHORT TRAVEL PATHS

WAITWAIT

LAB

NURSEPHARM

CHEMO

BASKING RIDGE, NJ

SHORT TRAVEL PATHS 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


MEMORIAL SLOAN-KETTERING | BASKING RIDGE, NJ

LINEAR ACCELERATOR VAULT

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

“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

QUESTIONS

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

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CANCER CARE DESIGN INNOVATIONS THAT REALLY WORKED …€¦ · cancer care design innovations that really worked ... hospital center ... design problems linac control layout puts staff