ALL CORRECT ANSWERS
What questions should be asked at the core of the visioning process to establish
preliminary goals and objectives that link the design to the desired outcomes? - Answer-
What is the project trying to achieve?
What is the problem?
What design concepts should be considered to meet these goals and objectives?
As the team begins to develop its design guidelines - rules of thumb summary
statements that designers turn to for guiding aesthetic, functional or compositional
decisions what else begins? - Answer-The search for evidence.
What must be linked when creating and innovating evidence - based design concepts? -
Answer-careful documentation of these design concepts and strategies and how they
link to project goals and outcomes are essential parts of the EBD process.
What should the hypotheses include? - Answer-the design concept or strategy and its
desired outcomes.
Why has the construction of a new building been viewed as a sunk cost? - Answer-
There is little association between investment and outcomes.
Which one of the following clinical and safety outcomes are typically NOT affected by
the design of the physical healthcare environment? - Answer-Adverse Reactions to
drugs.
What is the primary goal of writing a business case? - Answer-to demonstrate how
facility investments can enhance safety
To make the business case for design innovations, what needs to be balanced against
ongoing operation savings and enhanced revenue? - Answer-one-time construction
cost.
To make informed decisions the Business case should include?: - Answer-facilities
costs:
*first cost: what it costs to build (capital dollars)
*multi-year costs: what it costs to maintain (operational costs)
*life-cycle costs: What it costs over the lifespan of the project.
Business costs and revenue:
,*operations improvements: operational cost savings related to reduces staff turnover,
bed transfer rates, medication errors, etc.
*endowment development: potential increase in philanthropy donations
*market share: increase in market share based on volume capacity, quality of service,
and space amenities
When are functional and space programming defined? - Answer-During pre-design. The
quantitative space requirements needed to support future operation model, service
volumes, staffing and physical adjacency.
What is the purpose of the functional narrative? - Answer-1. The design team will use
the functional narrative during the design process as a road-map that describes how
space needs to be configured to promote efficient and effective operational flow.
2. Administrative transition team will use the functional narrative to identify the process,
people and technology changes that need to be further developed during the design
phase and implemented prior to occupying the new facility.
why is it important to establish an interdisciplinary project team at the beginning of the
EBD Process. - Answer-Forming the project team at the beginning ensures that all the
stakeholders participate in the creation of, and collectively understand, the project
visions and goals.
What expectations are important to clarify among the members of the team, and why? -
Answer-Expectations should be clear regarding how long team members should
participate, their decision-making authority and process, and project deliverable
responsibilities. Establishing and managing expectations will go a long way toward
keeping the lines of communication open and fostering a collaborative working
environment.
What can staff and front line managers contribute to the interdisciplinary project team? -
Answer-Ideas derived from hands-on experience
What are the 10 current trends influencing healthcare in the United States? - Answer-1.
Focus on quality, safety, and satisfaction.
2. Healthcare cost and reimbursement.
3. Environmental safety and sustainability.
4. Healthcare worker safety and caregiver shortages.
5. Aging population.
6. Health information and emerging technology.
7. Healthy living and wellness.
8. Decentralized healthcare, ambulatory care, and care at home.
9. Disaster preparedness and emergency department saturation.
10. Genomics and predictive health.
,How can EBD positively influence the challenges represented by the current trends? -
Answer-EBD can positively influence these challenges by designing healing and
therapeutic environments that help reduce errors, improve patient ad staff satisfaction,
enhance efficiency and support the latest technological advances such as HIT and
genomics.
What is the definition of evidence-based design? - Answer-The process of basing
decisions about the built environment on credible research to achieve the best possible
outcomes.
What are the eight steps of the EBD process? - Answer-1. Define evidence-based goals
and objectives
2. Find sources for relevant evidence.
3. Critically interpret relevant evidence.
4. Create and innovate EBD concepts.
5. Develop a hypothesis.
6. Collect baseline performance measures.
7. Monitor implementation of design and construction.
8. Measure post-occupancy performance results.
What are the six typical classifications for inpatient hospitals? - Answer-1. ownership
2. length of stay
3. type of service
4. public access
5. location
6. size
What are the five other types of inpatient hospitals? - Answer-1. teaching or academic
hospitals
2. critical access hospitals
3. doctor-owned specialty hospitals
4. healthcare systems
5. healthcare networks
Name five types of hospital-based outpatient services. - Answer-clinical services
surgical services
women's health centers
emergency services
home healthcare centers
Name five types of freestanding facilities. - Answer-walk-in clinics
urgent-care centers and emergicenters
surgicenters
mobile, medical, diagnostic, and screening services
emergency medial technicians
, List the nine key stakeholders in healthcare facilities. - Answer-board of trustees and
leadership
researchers and designers
vendor/suppliers
patients
caregivers/family/visitors
staff
community partners
community organizations
donors
Why is it important to consider the perspective(s) of hospital staff when designing a
healthcare facility? - Answer-Staff can provide insight into the design of effective and
efficient facilities based on their day-to day experience of what does and does not work.
Fro example, housekeeping staff are intimately aware of what colors and textures show
dirt easily and wear prematurely, while clinical staff can provide input about the effective
layout of supply and equipment spaces, work-surface heights and locations, as well as
actual care provision areas; information technology staff can help forecast space
requirements for future equipment needs.
Why is it important to consider the perspective(s) of community-based organizations or
associations in the design of healthcare facility? - Answer-Many associations are in a
position to provide expert advice for the care of their constituencies. For example, the
national Association of the Deaf is available to consult on design interventions that help
to accommodate the needs of the hearing impaired. Public institutions such as libraries,
historical societies, and disaster committees can also provide important insights that
benefit facility design.
Which professionals might comprise a hospital design research team? - Answer-A
research team may included individuals with research degrees, students, or those with
experience in research related TO THE BUILT ENVIRONMENT. OTHER KEY
MEMBERS OF A RESEARCH TEAM MAY INCLUDE THE HOSPITAL'S quality
improvement, rewords, finance, and information systems managers, as well as
clinicians who will aid in identifying, taking, and monitoring clinical and financial
indicators significant to the project goals.
What are the six components that make up the Environment of Care (EOC)? - Answer-
Delivery of care model (concepts)
facility and service users (people)
systems design
layout and operations planning
physical environment
design process and implementation