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5 Environmental Issues in Health Care Design--Derek Parker
Pages 44-51

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From page 44...
... A legitimate question to ask in this time of crisis in health care is why any health care administrator should spend any time at all thinking about the built environment. When they are dealing with severe staffing shortages, declining revenues, poor balance sheets, and falling bond ratings, why spend any time at all thinking about issues in the built environment?
From page 45...
... Figure 5.1 shows where interaction with the health care system rates as a hazardous activity. On a perinteraction basis, it is almost as dangerous as bungee jumping and mountain climbing and, because of the much higher participation rates, claims a thousand times more lives annually.
From page 46...
... CHILDREN'S HOSPITAL HEALTH CENTER Children's Hospital Health Center in San Diego was the Center for Health Design's first "pebble." From that beginning, we now have 18 projects around the country as shown below: · San Diego Children's Hospital · Karmanos Cancer Institute · Clarian Methodist Hospital · Bronson Methodist Hospital · Southwest Washington Memorial Hospital · St. Alphonsus Regional Medical Center
From page 47...
... Stress on patients, their families, and the staff has been an important focus. We are facing a very serious staff shortage in American health care at every level, but particularly nurses, and all indications are that the situation is going to get worse before it gets better.
From page 48...
... Some of the early results are as follows: · 7 fewer nosocomial infections per 1,000 patients, · Savings due to fewer patient transfers, · 1 percent market share increase, · 80 percent occupancy rate since opening (5 percent increase) , · Nurse turnover rates below 12 percent, · Increased employee satisfaction, and · Patient satisfaction 95.2 percent.
From page 49...
... In this country alone, we are currently spending $15 billion a year in capital expenditures for health care facilities, and that is expected to rise to $25 billion by 2010. Now is the time to build a business case for better health care facilities and a logical case for evidence-based design.
From page 50...
... Our design innovations included large oversized windows to provide lots of natural light in single rooms set up for variable-acuity patients. Variable acuity means that the patient can be admitted to one room and, for the most part, stay in that room under varying health conditions before being discharged.
From page 51...
... Mr. Parker has made significant contributions to health care and university architecture in the United States, as well as nine technologically and culturally diverse nations including the United Kingdom, Australia, Canada, the Peoples Republic of China, the former Soviet Union, Turkey, Japan, Italy, and the Philippines.


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