Facility Planning Part 2

Pamela Jackson

HCS/446

September 28, 2015
Rachel Rivera

Facility Planning – Part II

Facility planning for a health care organization or outpatient clinic takes on its own unique regulatory requirements. Regulatory requirements are requirements that have been mandated by various federal, states, and local municipalities regarding the operation and safety of business operations as well as services provided. They are the legal fence between education and catastrophe.”The basic regulatory frameworks and acts that govern the present business operations include Sarbanes Oxley Act ([SOX], 2002), Gramm-Leach-Bliley Act (1999), and Health Insurance Portability and Accountability Act ([HIPAA], 1996).” (Ezinearticles.com 2012) The main purpose of these regulatory requirements and tools is to ensure that society as a whole reap the benefits through accountability, integrity and confidentiality. The impact on regulatory requirements is based on how they are implemented.
Regulatory Requirements Effect on the Design and Equipment Many times when planning a facility for use in an outpatient clinic it is important to research the regulatory requirements for equipment utilized in the care of patients and how it will impact the over all care, safety and wellness of the organization. The design of health care facilities is governed by many regulations and technical requirements. It is also affected by many less defined needs and pressures. The facility must comply with state and local building codes, which are based on the International Building Codes. The other factors that impact regulation and the design elements of a facility are the National Fire Protection Agency (NFPA), The National Electric Code and The Architectural Barriers Act Accessibility Guidelines (ABAAG). Clinics that serve the outpatients must meet the standards of the Joint Commission on the Accreditation of Health care organizations as well as the Americans with Disability Act. It is because of these regulatory standards the needs of outpatient facilities re affected through their schematic designs and functional areas, which minimize the distance between frequently used places. This concept assists in “controlling the flow of people and goods, providing adequate housekeeping and record-keeping areas, maintaining adequate security for the building, and addressing aging and disability issues. The comprehensive schematic design enables designers to create efficient, cost-effective, therapeutic and accessible facilities.”
Color Selection Implications and Noise Issues The design aspect of facility planning does require looking at color and how certain colors affect the healing process, but color has a tendency to affect mood and morale as well. The color selection process should be kept neutral with the idea and concept that color choices are soothing and calming. The perception of the space color is to provide the perception that the wait time is mitigated by positive distractions. By choosing rich colors that can support the therapeutic environment of reducing stressors, give the patient a sense of control and enable social support for their visits. The same concept should be applied to noise reduction as well. Reducing noise in most health care environments requires carefully balancing competing design priorities. The design for noise reduction is meant to embrace many criteria’s for a project, including storage, ventilation and lighting, and then still have a quiet facility that provides a restful environment. This type of concept will reduce noise and sounds in a health care environment while enhancing patients' recovery and health.
List of the type of equipment needed
Private patient rooms (acuity-adaptable)
Small procedure rooms (ultrasound and EKG)
Large imaging and procedure rooms (CT, PET, and nuclear medicine)
Interventional and surgical procedure rooms (catheterization,
EP, angiography, peripheral vascular, and invasive and minimally invasive surgery)
Medical procedure cubicles (transfusions, chemotherapy, liver biopsies, recovery from conscious sedation, and fast-track emergency treatment)
Administrative workstations, cubicles, private offices, and conference rooms
Electronic items needed
Imaging Center, including radiology; ultrasound; CT; MRI; and optionally, check-in for Nuclear Medicine, PET, and noninvasive cardiology
Medical Procedures, including same-day medical, pulmonary, endoscopy, and related services
Express Services, including phlebotomy specimen collection, multipurpose consultation Exam rooms, simple x-rays, EKGs, and other Routine, quick-turnaround services
Surgery Center (existing surgery check-in and waiting area)
Rehabilitation Center (existing intake and treatment area)
Emergency (existing ED triage and waiting area)
Televisions, Stereos, Computers, EMR/EHR
Examination of Budget Planning and Cost Estimates The concept and idea for this health care organization’s cancer center are to focus on a facility investment penetrating target markets and increasing market share. The project requires looking at a budget, planning the budget and estimating the overall costs related to the facility plan. In order for Cancer Center’s financial situation to improve it requires a combination of strategies to reduce costs and make the most cost-effective choices regarding acquiring new equipment with the latest technologies. Savvy financial planning for maintaining their expansion plans. The next phase of expansion for the center was to help them best determine and decide if purchasing or leasing was in the best interest of the organizations growth and expansion. It is through knowing and having experience in procurement that made solving this problem very easy. There were four choices to choose from, and they were a new loan, refurbished loan, operating lease or capital lease. The most cost effective equipment acquisition for the center would be an Operating Lease for their Ultrasound, a Refurbished Loan for their High-Sped CT Scanner and a Capital Lease for their X-Ray Machine. The capital lease is a great idea and concept for the X-Ray machine because it gives the organization the benefits of ownership, and since, it is considered an asset it can be depreciated.
The Role of Stakeholders in Facility Planning and Development The stakeholders in facility planning are anyone who has some form of vested interest in the project, which may include members of a design team, a client, the contractor, the architect, the vendors, the doctors, nurses and the patients them selves who will ultimately utilize the facility. These are the important stakeholders that should be involved in the design, construction, and installation of products to be sure that the design decisions meet the aesthetic goals of the client and adhere to building, life safety, and accessibility standards and codes that apply to the particular type of facility. “The first step towards achieving meaningful and effective involvement in a facility project development involves identifying the individuals and groups likely to be affected by the project, those who have a stake in its outcome.” (Contextsensitivesolutions.org 2010) The interior design of a healthcare facility is a complex and extensive, which requires considerable research and preparation by the professionals involved.
Gantt Chart
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The facility planning process is complex and has its dichotomy. The objective is to develop comprehensive evaluation tools that are useable is to find a balance that realizes every given design and plan is pregnant with possibilities to enhance and improve the overall safety to the general public. It is also a good concept and idea to embrace the challenges that will surely arise and the barriers that need to be addressed as the plan develops. The concept of good planning has not over- bureaucratized the process, which many stakeholders have a tendency to do. The problem or the issue when over formalizing a policy is that too often the effort and development are ineffective approaches that stifles a plan and becomes a detriment to evaluation. To assist in the process advisory groups are essential to help the facility planning process and the evaluation process along smoothly. The group could handle overseeing a policy audit and making recommendations for the facility that need to be developed. The facility planning of all stakeholders potentially can be shared with others in their organization and might form the basis of a more organization-wide subsequent policy effort. It is imperative to remember that policy making and the policy process guides policy practice, which in turn influences evaluation and provides compelling analysis for improving public policies and program’s is one of the best ways we can enhance our society. According to Whole Building Design Guide (2010) “Health care facilities, in fact, do encompass a wide range of types, from small and relatively simple medical clinics to large, complex, and costly, teaching and research hospitals. These regulations put emphasis on acoustic and visual privacy regulates facilities design, its implications for healthcare facilities may affect location and layout of workstations that handle medical records and other patient information, paper and electronic, as well as patient accommodations.” (Para, 1)

References

Carr Robert F. Whole Building Design Guide 2010 Health Facilities Retrieved from

http://wbdg.org/design/health_care.php

Context Sensitive Solutions (2010) Retrieved from http://www.contextsensitivesolutions,org

Gordon, Alexander (2006) Regulatory Requirements and Their Impact on Your Business

Retrieved from http://EzineArticles.com

Hayward, C. (2006) Healthcare facility planning (1st Ed.) Chicago, IL: Health Administration Press Piotrowski, C. M., & Rogers, E, A (2007) Designing commercial interiors (2nd Ed.) Hoboken, NJ: Wiley

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Get ready

Designing A Facility

Meet the Needs

Decisions Based On Information

Decisions Based On Information

Based On Cost Functionality

Develop A Vision And Mission

Qualified People

Collaborative Planning Partnerships

Analyze the Strengths And Weaknesses

Accomplish the Vision

Strategic Planning

Accreditation, Federal, State and Local Regulations

Analyze The Data And Present It To The Group.

Specific Goals with Measurement, Timing, and Budge

External Marketplace Environment

Environmental

Knowing The Standards

Regulatory Rules ad Standards

Geographic, Legal and Trend Data

Internal Organization Environment

Implementation

Specifics Planned For The Next 12 Months

Specific Plans to Accomplish the Objectives

Coordinate

Track Progress

Updating

Determine Systems and Equipment Are Operational

Vibrant, Efficient, Economical

Reviewing These Early Planning Statements

Progress Is Periodically Reviewed.

Evaluate

Involve People

Identify the Purposes

Determine the Critical Issues

Celebrate Accomplishments