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n health care design, it is criti-

cal for project stakeholders to

participate in development of

the functional space program,

articulating required adjacen-

cies and how facility use and opera-

tions must be integrated with space

planning. Defining how spaces will

be used, how they relate with other

spaces and ultimately how they will

be designed, are necessary initial

conversations in the project pro-

cess. Key contributors must have

the opportunity to be involved in

initial planning discussions and

review the design as it evolves from

conceptual to detailed. It is impor-

tant that experienced health care

architects guide conversations to

obtain operational information from

the stakeholders that will influence

the design.

A collaborative approach with

the following key stakeholders,

detailed knowl-

edge of health

care facilities and

operations, along

with careful plan-

ning can expedite

the design and

construction pro-

cess, reduce costs,

improve opera-

tions and create a

valuable consen-

sus among those

who will be utiliz-

ing the spaces.

Key stakehold-

ers include patients/family, owners,

operations, administration, clini-

cians, facilities staff, clinicians and


Understanding and including

facility operations and patient flow

in initial programming discussions

helps the design team address

critical issues that might be missed

without experience and detailed

knowledge of health care planning

and design. As an example, critical

to the design of successful contem-

porary facilities is the enormous

impact of information technology

and electronic medical records.

The space required to support and

accommodate these essential sys-

tems must be addressed early in

the design phase so that adequate

square footage is allocated. Sup-

porting infrastructure requirements,

such as power, cooling and cable

lengths also must be identified

in the initial stages with physical

requirements addressed. In addition

to identifying the physical space

requirements to support these IT

systems, the design team must

understand how work flows may

change due to the use of technology

by the health care delivery team,

as these changes impact physical

space. Through the use of technolo-

gy, we have seen that rooms can be

truly multifunctional, eliminating

the need to build redundant spaces.

Once the programming, planning

and design are advanced to a degree

that room layouts, infrastructure

and equipment are defined, we

like to utilize digital technology for

visualization as a helpful tool in the

design process. Our goal is to help

stakeholder groups envision and

evaluate how the space will look,

flow and function long before it’s

built. We find 3-D graphics, anima-

tion and virtual reality are all excel-

lent methods to evaluate and test

the design.

In today’s design process, 3-D

renderings and animations are

fairly common. However, the use

A look at trends impacting the design and construction of the MOB market Trending PAGE 10 Balancing electrical design considerations and patient needs A quarterly snapshot of Colorado's senior housing sales, starts and construction Lighting the way Activity PAGE 12 PAGE 16

Hord Coplan Macht

When using virtual reality equipment this rendering of the new, HCM-designed MidMichigan Medical Center-Midland Campus Cardiovascular Center can be experienced in immersive 3-D views.

Optimizing efficiencies in design

Mary Morissette,


Principal, Hord

Coplan Macht,


Please see Optimization, Page 15 October 2017