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Design for Resiliency

How will COVID-19 Change Healthcare Design?

January 1, 2021 / Dochitect / Design for Infection Control, Design for Resiliency

Commentaries

Publication: Design Museum Magazine
Date: Published in print and online Winter 2020
Author: Diana Anderson, MD, ACHA & Matthew Holmes, ARB, RIBA
View article

Globally, the COVID-19 pandemic has tested the overall resilience of our health system infrastructure to cope with increased demand. It has also brought the importance of design and the built environment to the forefront when considering emergency preparedness and infection control.

Now, nine months into the pandemic, there have been lessons learned from the immediate challenges of medical facility design, in addition to ongoing discussions of the long-term changes which are likely to impact how, where, and when we access our care.

Read the full article HERE.

Commentaries

JHD Editorial – Widening the lens: Clinical perspectives on design thinking for public health

November 25, 2020 / Dochitect / Design for Clinical Staff, Design for Patient Safety, Design for Resiliency

Peer-reviewed publication

Publication: The Journal of Health Design
Publication Reference: Vol 5, No 3 (2020): The Year Like No Other
Authors: Bassin BS, Nagappan B, Sozener CB, Kota SS, Anderson DC

Abstract
The COVID-19 pandemic has created opportunities for innovation, ingenuity, and system reengineering. The next big investment in health care should be intentional and embedded partnerships between clinicians, designers, and architects who can collaborate to help solve health care’s greatest challenges.

“We think it is time to support a paradigm change and advocate for healthcare’s next big investment: intentional and embedded partnerships between clinicians, designers, and architects with dedicated resources to ensure an effective collaborative environment to help solve healthcare’s greatest challenges.”

Read the full editorial HERE.

Listen to the podcast with the authors HERE.

Peer-Reviewed Publications

Nursing Home Design and COVID-19: Balancing Infection Control,Quality of Life, and Resilience

October 31, 2020 / Dochitect / Design for Geriatrics, Design for Infection Control, Design for Resiliency

Peer-reviewed publication

Publication: JAMDA – The Journal of Post-Acute and Long Term Care Medicine
Publication Reference: COVID-19 Special Article| Volume 21, ISSUE 11, P1519-1524, November 01, 2020
Authors: Anderson DC, Grey T, Kennelly S, O’Neill D

Abstract
Many nursing home design models can have a negative impact on older people and these flaws have been compounded by Coronavirus Disease 2019 and related infection control failures. This article proposes that there is now an urgent need to examine these architectural design models and provide alternative and holistic models that balance infection control and quality of life at multiple spatial scales in existing and proposed settings. Moreover, this article argues that there is a convergence on many fronts between these issues and that certain design models and approaches that improve quality of life, will also benefit infection control, support greater resilience, and in turn improve overall pandemic preparedness.

Access the full article HERE.

Peer-Reviewed Publications

Doctor Hustle Podcast – Episode 12

October 1, 2020 / Dochitect / Design for Resiliency, The Physician-Architect Model

Presentations

Title: Doctor Hustle Podcast – Episode 12
Podcast: Doctor Hustle
Date: September 22, 2020

Doctor Hustle Podcast
Episode 12 – Dr. Diana Anderson

Today’s guest is an accomplished, multi-talented clinician that made me think a lot about the design of the buildings of where I work after our conversation.

Dr. Diana Anderson is a healthcare architect and a board-certified internist. As a “dochitect”, Dr. Anderson combines educational and professional experience in both medicine and architecture. She has worked on hospital design projects globally and is widely published in both architectural and medical journals, books, and the popular press. She is a frequent speaker about the impacts of healthcare design on patient outcomes and staff satisfaction. And as the co-founder of the Clinicians for Design group, she seeks to inspire clinicians to improve the design of their environments and systems.

Listen to her ideas and I am sure you’ll look at the place you work, the clinic or hospital, a little bit differently. I know I do.

Listen to Episode 12 HERE.

Podcasts

A New Peace of Mind – a podcast episode on the changing meaning of security in 2020, including our health

September 22, 2020 / Dochitect / Design for Clinical Staff, Design for Patient Safety, Design for Resiliency

Presentations

Title: A New Peace of Mind
Podcast: Pacific Content
Date: September 22, 2020

Episode Summary

2020 has been a year of instability and upheaval, so it’s no surprise many of us have been especially focused on our security. And that comes in many forms – securing our health, our homes, our finances, and even our digital lives. We used to talk about ‘safety in numbers’ – but during the pandemic as we’ve been in quarantine and isolation, we’ve had to rethink what security looks and feels like today. In this episode, hosts Shannon Murphy and Erin Shea explore how this need for fortification has been accelerated by work-from-home orders and lockdowns, and how this year has changed our idea of security for good.

Episode Notes

2020 has been a year of instability and upheaval, so it’s no surprise many of us have been especially focused on our security. And that comes in many forms – securing our health, our homes, our finances, and even our digital lives. We used to talk about ‘safety in numbers’ – but during the pandemic as we’ve been in quarantine and isolation, we’ve had to rethink what security looks and feels like today.

In this episode, hosts Shannon Murphy and Erin Shea explore how this need for fortification has been accelerated by work-from-home orders and lockdowns, and how this year has changed our idea of security for good.

Featuring Dominic Lester, Jefferies’ European Head of Investment Banking, and Ramin Safai, Jefferies’ Global Head of Information Security.

Also featuring:

  • Christian Cerda is the CEO of Simplisafe.
  • Thomas Smyth is the founder and CEO of Trim.
  • Diana Anderson is a “dochitect,” a MD and M.Arch who specializes in the design of healthcare spaces.

Listen to the full podcast HERE.

Podcasts

Physician Engagement and Perspective in the Lean Facility Design Process

September 16, 2020 / Dochitect / Design for Clinical Staff, Design for Resiliency

Presentations

Event: 6th European Healthcare Design 2020 Congress, Awards & Exhibition
Presentation type: Poster presentation, Lean Design
Presenters: Ben Bassin, MD, Cemal Sozener, MD, MEng, Diana Anderson, MD, M.Arch, Juliet Rogers, PhD, MPH
Date: September 16, 2020

Clinician involvement is essential to the success of any healthcare design project centered around patient care delivery. Practicing physicians can contribute valuable clinical knowledge to healthcare design projects to ensure the final product meets desired patient care goals.

There are many challenges in obtaining optimal physician engagement in longitudinal design projects, including time constraints, differing priorities, competing interests, insufficient knowledge of design and development process and understanding the value of their contribution.

Because many challenges exist to optimizing physician participation in the process, balancing the perspectives of both the practicing clinician and the healthcare administrator and healthcare consultants are paramount in creating successful healing environments.

Conference Presentations

Resilient Design in Healthcare Will Affect Pandemic Response

September 11, 2020 / Dochitect / Design for Infection Control, Design for Resiliency

Commentaries

Publication: HealthTech Magazine
Publication Date: September 11, 2020
Author: Diana Anderson
View article

“Has your company implemented safety strategies when returning to work? One of the most important strategies is to make room for safe socializing and distancing, reducing risks while maintaining comfort. Thank you for sharing, @dochitect!”
– Cindy Dunnavant, SVP of Sales & Marketing, EMI Health

Excerpt: Hospitals have always been places of healing, and the challenges of COVID-19 further underscore the value of evidence-based design to ensure care and continuity. This practice relies on empirical data to inform changes that better position physical and technological infrastructures to handle an evolving pandemic.

Simply put, buildings can protect our health.

https://www.dochitect.com/wp-content/uploads/2020/09/article-audio-44186.mp3

Read the full article.

Commentaries

AdvantAge Ontario: Designing the Long-Term Care Home for COVID and Beyond

August 31, 2020 / Dochitect / Design for Geriatrics, Design for Infection Control, Design for Resiliency

Webinar

Webinar Title: Designing the Long-Term Care Home for COVID and Beyond
Webinar Date: August 31, 2020
Organization: AdvantAge Ontario

Monday, August 31, 2020 | 2:00pm – 4:00pm 

AdvantAge Ontario is the association of not-for-profit long term care, housing, and services for seniors: “We’ve seen through the pandemic how a long-term care home’s design can acutely influence its ability to prevent and respond to infection outbreaks. But design also affects many other important elements of LTC living. Whether you’re building new, redeveloping, or thinking about adaptations to your existing building, this webinar will equip you with essential knowledge and fresh ideas to consider as you plan. We’ll have a detailed discussion of current design standards and recent changes, what they could mean for your home, and the less understood role of mechanical engineering. Learn about the influence of design on infection control and alternative design approaches that also address other aspects of resident well-being, such as smaller clustered settings. Examples of the impact of design during the pandemic’s spring surge will be reviewed and the implications of provincial funding announcements will be discussed. Bring all your questions for the final part of this timely session.”

Click HERE to access the webinar recording.

Webinars

JHD Podcast – Widening the Lens: Clinical Perspectives on Design Thinking in Public Health

August 20, 2020 / Dochitect / Design for Clinical Staff, Design for Patient Safety, Design for Resiliency, Evidence-Based Design

Presentations

Title: “Widening the Lens: Clinical Perspectives on Design Thinking in Public Health”
Podcast: The Journal of Health Design
Date: August 20, 2020

The Health Design Podcast · Benjamin Bassin, MD, EDAC

The COVID-19 pandemic has created many stressors and challenges across all levels of low to highly resourced health systems. However, it has also shown the incredible number of opportunities for innovation, ingenuity and system re-engineering. This team believe it is time to support a paradigm change and advocate for healthcare’s next big investment: intentional and embedded partnerships between clinicians, designers, and architects with dedicated resources to ensure an effective collaborative environment to help solve healthcare’s greatest challenges.

Read the full editorial article HERE.

Podcasts

Fix Room 16! Designing Healthcare Facilities to be More Resilient & Equitable

May 28, 2020 / Dochitect / Design for Clinical Staff, Design for Infection Control, Design for Resiliency, Health Design & Ethics, The Physician-Architect Model

Presentations

Title: Fix Room 16! Designing Healthcare Facilities to be More Resilient & Equitable
Podcast: Design is Everywhere, Design Museum
Date: May 28, 2020

This is one of the main reasons we’re quarantined, not just to keep ourselves safe from the virus but also to “flatten the curve,” and help our hospitals keep up with a growing number of cases. On this episode we talk about how hospitals are designing solutions for surge capacity and what lessons there are for the future of hospital architecture. Those lessons could be very important as we may see new spikes in COVID-19 and as we must adapt facilities to be equitable for all patients, healthcare workers, and staff. We’re joined by Dr. Diana Anderson, a doctor architect, or Dochitect, currently a geriatric medicine fellow at the University of California, San Francisco; and Dr. Esther Choo, she’s an emergency medicine physician and health services researcher based in Portland, Oregon at Oregon Health & Science University, and she’s the chief medical advisor for a startup called Jupe, which is creating pop-up medical facilities. Plus our weekly dose of good design.

Dochitect co-hosts the Design is Everywhere podcast! Listen HERE.

Podcasts
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New Book from Dochitect

The Dochitect’s Journal: A collection of writings on the intersection of Medicine and Architecture

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Recent Articles/Publications

  • Hastings Center Bioethics Forum: The Bioethics of Built Health Care Spaces

    January 13, 2021
  • How will COVID-19 Change Healthcare Design?

    January 1, 2021
  • JHD Editorial – Widening the lens: Clinical perspectives on design thinking for public health

    November 25, 2020

Recent Presentations

  • Tulane School of Medicine: Architectural Design as a Determinant of Health

    January 14, 2021
  • AWMA Thinking Beyond the White Coat: Medical Hybrid Careers

    January 9, 2021
  • LiftOff 2020: Health Equity by Design

    December 15, 2020

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