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SPACE PLANNING: How to determine number of ORs needed

Tips for the planning process for a new surgical suite are given in this brief newsletter article by an experienced health care architect.  There are some interesting facts that are otherwise difficult to find in the literature:

  • What is the difference between an operating room and a procedure room?
  • What is a hybrid operating room?
  • How are some of the metrics used defined – room time, room turnaround time, throughput?
  • What is a target room turnaround time? (“…usually 15 to 20 minutes”)
  • How many hours are procedure rooms open? (“Most procedure rooms are available eight hours per day for a total of 480 minutes per day”)

Scheduling efficiency: A scheduling efficiency factor is multiplied by the annual minutes available per procedure room to account for periods of time that a case cannot be scheduled.  This factor may range from 70 percent for ORs or procedure rooms used for complex (and sometimes unscheduled) procedures — such as cardiothoracic, neurosurgery, and trauma/orthopedics — to 90 percent for an outpatient suite where all procedures are scheduled.”  (page 3)

Source:  Hayward, C. (2017, Winter). How many operating rooms? It’s complicated. Click here for newsletter: https://www.spacemed.com/newsletter/news101.html  Posted by AHA Resource Center (312) 422-2050 rc@aha.org

DESIGN: Innovative bed placement in patient rooms

Florida Hospital Waterman (Tavares, FL) experimented with a new patient room furniture arrangement when moving a 30-bed unit into some shelled space.  The idea was that patient satisfaction would increase if the headwalls of patient beds were NOT visible from the corridor.  This configuration was thought to increase privacy and decrease noise.  The architects studied the results on an existing unit and then on the new unit and found mixed results.  The patients did find the new unit quieter but caregivers were neutral about recommending the new design.

Sources:

Ferenc, J. (2016, July 20). Study tests one way to change patient room design and satisfaction. Health Facilities Management.  Click here:  http://www.hfmmagazine.com/articles/2342-study-tests-one-way-to-change-patient-room-design-and-satisfaction

GS&P wins Certificate of Research Excellence for study on patient room orientation. (2015, Oct. 16). Press release.  Click here: http://www.greshamsmith.com/news/awards/gs-amp-p-wins-core-award-for-study-on-patient-room   Posted by AHA Resource Center (312) 422-2050, rc@aha.org

ACOs may break up the ‘one stop shop’ provider model

Although the accountable care organization (ACO) concept, by incentivizing providers to keep patients healthy, could be viewed as threatening to the traditional acute care hospital, the coming influx of older patients is likely to keep inpatient beds full.  However, this author argues that there may be a shift in the locale of non-hospital services.  The advent of ACOs may mean that there will be less of a conglomeration of services around the acute care hospital.  Rather, following the ‘active living’ model, non-inpatient facilities and services may be increasingly found closer to other normal day-to-day destinations, like libraries or business districts.  An example of this is the retail clinic.

Why I like this article:  1. The author is a VP and director of research at HKS, Inc., a global architectural firm.  2. It’s nice to see an exploration of the implications of health care reform on bricks and mortar.

Source: Debajyoti, P.  ACOs: how ACOs will influence a sweeping change in the physical environment of healthcare settingsHealthcare Design;11(6):67-72, June 2011.  Posted by AHA Resource Center, (312) 422-2050, rc@aha.org