{"id":1004202005,"date":"2018-01-05T04:53:24","date_gmt":"2018-01-05T12:53:24","guid":{"rendered":"https:\/\/www.commercialsearch.com\/news\/?p=1004202005"},"modified":"2022-12-08T15:20:29","modified_gmt":"2022-12-08T23:20:29","slug":"2018-trends-micro-hospitals-to-gain-popularity","status":"publish","type":"post","link":"https:\/\/www.commercialsearch.com\/news\/2018-trends-micro-hospitals-to-gain-popularity\/","title":{"rendered":"2018 Trends: Micro-Hospitals to Gain Popularity"},"content":{"rendered":"

By Alex Ciorogar<\/p>\n

\"Jason<\/a>

Jason Carney, partner at E4H<\/p><\/div>\n

As Baby Boomers age\u201410,000 Americans will turn 65 every day for the next 20 years\u2014the total demand for inpatient care will witness enormous growth.\u00a0With the number of mental health\u00a0patients on the rise, micro-hospitals are steadily evolving into consumer-friendly environments, taking their cue from the hospitality industry.\u00a0<\/p>\n

In addition, architects are prone to further incorporate digital technologies into how both patients and employees interact with and within medical spaces.\u00a0So what features should health-care designers\u00a0watch out for in 2018? Architect Jason Carney, partner at Environments for Health Architecture, shared his views with Commercial Property Executive<\/em>, highlighting the industry’s top trends for 2018.<\/p>\n

What are the major trends impacting the health-care industry today?<\/strong><\/p>\n

Carney: <\/strong>The trend of health care as a commodity continues in many different markets across the country. It\u2019s driving the tailored placement of core services at convenient locations and in the design of consumer-friendly spaces that draw from the hospitality industry to attract patients. In these cases, market competition is driving providers to focus on building the \u201cright\u201d styles of facilities, with the \u201cright\u201d services, in the \u201cright\u201d places to attract patients, many of whom are increasingly making health-care provider decisions based on how close a facility is to mass transit, a highway off-ramp or a shopping center.\u00a0Technological innovation and medical breakthroughs are accelerating changes in the way care is delivered and spaces are configured.\u00a0<\/p>\n

It certainly seems that industry leaders are moving away from developing inpatient structures, while micro-hospitals are growing more popular. How does your vision fit in this general framework?<\/strong><\/p>\n

Carney: <\/strong>Long-term success of micro-hospitals requires flexibility. As growth occurs or markets change, micro-hospitals need to be able to adapt. It is important to understand the core medical services<\/a> that are needed in each market to sustain a micro-hospital and how that facility may grow and adapt over time as the market changes.<\/p>\n

How can outdated health-care facilities be upgraded and adapted to the needs of patients and staff in 2018?<\/strong><\/p>\n

Carney:\u00a0<\/strong>Space within an existing hospital campus comes at a premium and must be thoughtfully designed to provide an optimal experience, utilization and return on investment. In some cases, the best choice is to remove outdated buildings and provide for replacement within the existing campus structure.\u00a0<\/p>\n

One version we are seeing is the creation of the \u201chospital within a hospital\u201d\u2014essentially, a specialty hospital sited within the existing or reconfigured shell of a larger \u201chost\u201d hospital. These can include maternity hospitals, heart-focused hospitals or other specialty hospitals that sit inside a larger medical center. And whether it\u2019s expanding access to telehealth or creating spaces, where appropriate, that feel more like extended-stay hotels than inpatient hospitals, opportunities abound to reconfigure existing hospital spaces to better serve patients.<\/p>\n

\"Interview<\/a><\/p>\n

How can large-hospital services be integrated into smaller, off-campus facilities?<\/strong><\/p>\n

Carney: <\/strong>One leading solution we see health-care providers opting for is \u201cmicro-hospitals,\u201d which are typically 15,000 to 50,000 square feet in size, open 24\/7 and providing five to 15 inpatient beds for observation and short-stay use. Micro-hospitals<\/a> are an affordable, effective way to provide a large variety of big-hospital services in the community, including surgery, radiology, emergency departments and related services.<\/p>\n

At least 19 states now have at least one micro-hospital and many more are coming. Now that the Centers for Medicare and Medicaid Services have authorized micro-hospitals that have dedicated emergency departments as being eligible for both 340B discounted drug pricing and the Outpatient Prospective Payment System, we expect micro-hospitals will prove increasingly popular with providers and patients alike.<\/p>\n

How can new design features offer better solutions to efficiently accommodate cognitively impaired patients as opposed to older construction types?<\/strong><\/p>\n

Carney: <\/strong>Between the impacts of the national opioid abuse crisis and the rising awareness of mental health conditions, we\u2019re seeing more and more hospitals\u2013such as Connecticut\u2019s Waterbury Hospital and Newport Hospital in Rhode Island\u2013reconfigure their emergency departments (ED) to accommodate cognitively impaired patients more effectively and more sensitively. A big part of this is simply creating spaces for cognitively impaired people that are thoughtfully segregated from areas serving trauma victims or cardiac arrest patients, places where they can receive a behavioral health or addiction management intervention with compassion and dignity.<\/p>\n

Spatial arrangements and interior design elements that improve a patient\u2019s understanding and awareness of their environment while working to reduce anxiety are important components of this design. Also, because patients with cognitive impairment and behavioral issues often require longer stays than the general\u00a0ED population, a definite emerging best design practice is adding features for them such as bathroom showers, places to securely store belongings and access to decompression space.<\/p>\n

What can the health-care industry learn from the hospitality sector in terms of design trends? <\/strong><\/p>\n

Carney: <\/strong>We see many hospitals embracing the trend of removing outpatient services from traditional, larger hospitals and moving them into more consumer-friendly, hospitality-influenced environments, like new medical buildings<\/a> near shopping malls or transportation nodes. These aren\u2019t just spaces that feel more hospitality than hospital\u2014they create operational efficiencies, improve clinical outcomes and reduce readmission rates. There\u2019s also a growing recognition that larger parts of the inpatient hospital experience can be accommodated in less hospital-like environments, which patients prefer.<\/p>\n

Could you give us an example of such a project?<\/strong><\/p>\n

Carney:\u00a0<\/strong>A great example is E4H\u2019s recent work with a New York hospital to create a long-term space for immunocompromised patients going through a procedure such as a bone-marrow transplant (BMT). The first phase of a BMT\u2014surgery and initial recuperation\u2014obviously must take place in an inpatient hospital setting. But in later phases, when patients are recovering and need mainly to be monitored closely for infections or complications, they don\u2019t require a standard inpatient hospital room and can enjoy a much better, less costly experience in a specially designed, hotel-like space.<\/p>\n

For our client, we created a space for this \u201cin-between\u201d population that has private, suite-style rooms; specialized water filtration systems to protect immune-suppressed patients; and more of a hotel aesthetic. Patients are served by a concierge instead of a charge-desk nurse. If any of them develop complications, of course, they are quickly detected and patients can rapidly be brought back into the hospital for treatment. But if their recovery proceeds without incident, they can enjoy the equivalent of a long-term hotel stay, instead of long-term hospitalization, after their BMT.<\/p>\n

\"Interview<\/a><\/p>\n

How will telehealth affect the industry in 2018?<\/strong><\/p>\n

Carney: <\/strong>Numbers we\u2019ve seen from the health-care consulting firm Sg2 project that just in the next two years, the volume of virtual health-care patients will rise 7 percent and in-home health-care services will rise 13 percent. Ever-more-sophisticated patient monitors and ever-more-robust communications platforms are allowing more and more patients to enjoy telehealth consults with physicians and care-team professionals. Increasingly, we see telehealth being used to consult with specialists like dermatologists, radiologists, psychiatrists and others without patients having to schedule a second appointment or hospital visit.<\/p>\n

How does it impact the actual design of a facility?<\/strong><\/p>\n

Carney:<\/strong> Telehealth is absolutely continuing to grow, and health-care facilities need to be thinking about how to incorporate\u00a0more of it in their master facility plans. That can mean everything from configuring treatment rooms to accommodate remote consultation and providing infrastructure for broadband video links to heightened attention to the lighting, aesthetics and privacy of rooms in which telehealth consultations will occur.<\/p>\n

Telehealth technology is also transforming lobbies, common spaces and admissions areas. Increasingly, these areas are being designed to include accessible areas for kiosks or tablets from which patients can register, view their records or videoconference with a provider.\u00a0As telehealth continues to expand, we will see changes to staffing models and reduction of provider support space at care locations.<\/p>\n

What about\u00a0augmented reality?<\/strong><\/p>\n

Carney:\u00a0<\/strong>As we look even further into the future, the use of augmented reality will change the way that patients interact with providers and how providers collaborate, research and plan their delivery of care.\u00a0<\/p>\n

What can we expect beyond 2018 in terms of trends and challenges in health care?<\/strong><\/p>\n

Carney: <\/strong>Pressures to manage costs, accommodate continued medical and technological breakthroughs and meet the preferences and desires of health-care consumers and practitioners will only grow.\u00a0New developments in approaches such as gene therapy and bioprinting will drive a greater need for specialized laboratory functions as a component of treatment. Further miniaturization of robotic systems will mean changes in surgery and the way that operating rooms are configured, with a growing emphasis on support for technology-assisted procedures.<\/p>\n

Image courtesy of\u00a0E4H<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

E4H’s Jason Carney explains why micro-hospitals are preferred by health-care providers and how telehealth will continue to transform the industry. The architect also talks about what kind of projects meet the needs of patients and medical staff in 2018.<\/p>\n","protected":false},"author":928,"featured_media":1004202018,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[21808,21754,23891,21742,21744],"tags":[36232],"class_list":["post-1004202005","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-featured","category-medical-office","category-national","category-latest","category-people","tag-e4h-environments-for-health-architecture"],"acf":[],"yoast_head":"\n2018 Trends: Micro-Hospitals to Gain Popularity - Commercial Property Executive<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.commercialsearch.com\/news\/2018-trends-micro-hospitals-to-gain-popularity\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"2018 Trends: Micro-Hospitals to Gain Popularity\" \/>\n<meta property=\"og:description\" content=\"E4H's Jason Carney explains why micro-hospitals are preferred by health-care providers and how telehealth will continue to transform the industry. 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