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July 2018 — Health Care Properties Quarterly — Page 21 www.crej.com LEARN MORE AT: COLORADOSYMPHONY.ORG Colorado Symphony: Rachmaninoff Piano Concerto No. 2 MAY 31 THU 7:30 Brett Mitchell, conductor Natasha Paremski, piano Red Rocks Park & Amphitheatre AXS.COM Colorado Symphony Family Friendly Fourth of July JUL 4 WED 7:30 HalfNotes Christopher Dragon, conductor Fiddler’s Green Amphitheatre AXS.COM Mozart Under Moonlight JUL 6 FRI 7:30 Christopher Dragon, conductor Arvada Center Outdoor Amphitheatre ARVADACENTER.ORG Movie at the Symphony: JAWS in Concert JUL 11 WED 7:30 Brett Mitchell, conductor Boettcher Concert Hall COLORADOSYMPHONY.ORG Colorado Symphony 2018/19 Season Preview in Concert JUL 13 FRI 7:30 Brett Mitchell, conductor Boettcher Concert Hall COLORADOSYMPHONY.ORG Seal with the Colorado Symphony and special guest Corrine Bailey Rae JUL 15 SUN 7:30 Red Rocks Park & Amphitheatre AXS.COM Harry Potter and the Goblet of Fire™ in Concert JUL 20-22 FRI-SAT 7:30 Q SUN 1:00 HalfNotes Boettcher Concert Hall COLORADOSYMPHONY.ORG HARRY POTTER characters, names and related indicia are © & ™ Warner Bros. Entertainment Inc. J.K. ROWLING`S WIZARDING WORLD™ J.K. Rowling and Warner Bros. Entertainment Inc. PublishingRights© JKR. (s18) Sarah McLachlan with the Colorado Symphony JUL 26 THU 7:30 Red Rocks Park & Amphitheatre AXS.COM Wicked Divas with your Colorado Symphony JUL 28 SAT 7:30 Christopher Dragon, conductor Alli Maunzey and Nicole Parker, vocalists Arvada Center Outdoor Amphitheatre ARVADACENTER.ORG HalfNotes Please join us for family-friendly activities 1 hour before the concert. These performances include FULL SCREENING OFTHE FEATURE FILM! presenting sponsors also supported by ™&©UniversalStudios Photo:KharenHill SYMPHONY IN THE SUMMER • Housing is the No. 1 way to stabi- lize lives. The housing crisis in Colo- rado is impacting both urban and rural communities. How Successful Senior Leaders Manage Change Panelists represented Securisyn, Boulder Community Health, SCL Health and Penrose Hospital. • Understanding people do not like change, and often think of change only as it affects them, one of the panelists provided this memorable quote: “What does this mean to me, what does this mean to me, what does this mean to me you are not telling me?” • Mission, vision and values align- ment must follow with communica- tion and explanation. • Encourage participation and know the “why” behind your organization’s mission, vision and values; be able to clearly communicate in a consistent manner. • Too much strategy and not enough implementation is a common com- plaint among employees. • “Care mindset” transition to “busi- ness mindset;” train employees to think like consumers and understand costs. Balancing the ledger; savings to patients and income to the business. •What expertise do you need? You can’t know everything, so hire the best, and trust and rely on their expertise. • Dealing with burnout; lack of engagement, too much data input without meaningful output is creating burnout. Provider, Patient and Financial Implications: The Push from Inpatient to Outpatient Care Panelists represented Steadman Clin- ic, Cedar Investors and a retired CEO of Vail Health. •We are aware there is a huge shift in inpatient to outpatient services. But how is this different? Primarily reim- bursement and negotiated rates. • Patient convenience is a primary consideration in outpatient facilities. Bundling visits to save people time should be implemented. • Patient access to the facility from the parking lot is often not well designed, or sensitive to the needs of baby boomer patients. Facilities need to be planned with the needs of this population in mind; interior and exterior. It is estimated that 3 million boomers will hit retirement age every day for the next 15 years. • For older and mobility challenged patients, vertical circulation is pre- ferred over horizontal. • Determining services in outpatient facilities is important but can be tricky. Demographics are a large contributor, but change. Facilities need to be flex- ible and expansion planned for. • The facility design needs to consid- er the caretaker or family who attends visits. Different cultures impact square footage needs. • Teach staff to think as an outpa- tient. Be aware of the patients’ experi- ences. • Consider how operational functions impact square footage. For example, ambulatory surgery centers require ample space for intake and discharge processes. • Telehealth is anticipated to grow from a $14 billion a year business to $36 billion a year by 2020. This sig- nificant increase will fundamentally impact health care delivery and facility design. There are immense changes occur- ring in health care. Big picture and wholistic thinking must be applied to managing change.Whether patients, employees, communities or facilities, it will take the expertise of dedicated health care professionals to use their creativity, experiences and passion to keep the “care” in health care while providing affordable, quality care. ▲ Morissette Continued from Page 10 a time when the individual is in need of care or restoration and the visit in itself can be stressful. For many of us the fear and anxiety associated with clinical settings can make treatment more difficult or create barriers to seeking help in the first place, both of which can exacerbate health care issues.” Heath goes on to speculate that “connecting with nature can be a way to alleviate stress and anxiety (thus) improving the user experience in health care environments,” and he adds that the benefits of biophilic design would also spill over to families, visitors and health care workers. What one comes to quickly realize is that there is significant consensus among design professionals that incor- porating nature makes us feel better. Yeah, we get that. However, there appears to be an equally significant lack of empirical evidence that bio- philic design equals improved patient outcomes. A classic measure would be reduced hospital stays. In an article in Com- mercial Architecture (February 2016), Senior Editor Ken Betz, returns to the Ulrich study and wrote: Roger Ulrich, Ph.D., EDAC, a professor of architecture at the Center for Healthcare Build- ing Research at Chalmers University of Technology in Sweden didn’t use the term biophilia when he did a study in 1984 that suggested simply that surgery patients recovered bet- ter in rooms with a view through a window. But “what few realize is that Ulrich’s famous study was essentially about the impact of biophilic design on the built environment,” said David Navarrete, director, research initiatives, The Sky Factory, Fairfield, IA. Catie Ryan expanded on the impor- tance of Ulrich’s classic study, which measured the influence of natural and urban sceneries on patients recover- ing from gallbladder surgery. “Some patients were provided with views to nature, whereas others looked at brick walls.With all other variables equal, his findings revealed accelerated recovery rates and reduced stress for the patients who had views of nature. On average, patients whose windows overlooked a scene of nature were released after 7.96 days, compared with the 8.71 days it took for patients whose views were of the hospital’s exterior walls to recover sufficiently to be released – a decrease of 8.5 percent,” she said. Those are some impressive num- bers, to be sure. But Ullrich’s work is nearing 35 years old.What we would hope is for others in health care design to work at repeating or augment- ing Ulrich’s research; that is, bringing evidence-based rigor to the process of quantifying biophilic design’s impacts. Still, we feel confident in saying that utilizing nature as a healing distrac- tion benefits all ages of patients. By allowing the lines between interior and exterior to blur, the benefits of the outdoors can be brought inside. Simi- larly, accessible outdoor spaces that carefully address safety concerns can be calming, positive and therapeutic distractions. ▲ Bane Continued from Page 11