Presentations

Architectural Interventions in Healthcare: Ethical Challenges and Opportunities

October 14, 2021 / Dochitect / Health Design & Ethics

Presentations

Event: American Society for Bioethics + Humanities (ASBH) – Annual Meeting
Presentation type: Panel presentation & discussion
Presenters: Stowe Lock Teti, MA, HEC-C, Diana Anderson, MD, MArch, William J. Hercules, MArch, FAIA, FACHA, FACHE, David Deemer, MD
Date: October 14, 2021

Overview

The COVID-19 pandemic continues to provide salient examples of the built environment’s impact on disease morbidity and mortality. While design changes are being proposed to address various high-risk design elements like congregate living quarters, it is uncertain whether or not these changes will be ethically informed. Advances in architectural design and a growing understanding of its powerful effects on health outcomes suggest that healthcare environments should be regarded as medical interventions. This panel will explore the ethical challenges related to architectural design modifications aimed to mitigate disease spread and improve quality of life. Examples will be drawn from proposed changes to long term care facilities and hospitals, as both are confined environments in which vulnerable populations live, in which healthcare is provided, and in which organizations have a duty of care to persons inhabiting those spaces.

Ethical challenges discussed will include: isolation for disease control versus the necessity of human socialization and autonomy, risks posed to staff versus the necessity of care provision, and the relationship between institutional policy and the built environment in disease control and well-being. The panel will inspire and empower attendees from various backgrounds to host compelling discussions with healthcare leaders and clinicians on how to utilize the built environment to improve out comes in their organizations.

Learning Objectives:

Appreciate the increasing impact the healthcare built environment is having on health out comes.
Understand how t he built environment can help resolve t he conflicting obligations of isolation for disease mitigation and the need for socialization and autonomy.
Reflect on t he built environment as a dimension of duty of care.

Conference Presentations

Wolters Kluwer Health: Advances in Brain Health

October 12, 2021 / Dochitect / Design for Geriatrics, Health Design & Ethics

Presentations

Event: Advances in Brain Health, hosted by Wolters Kluwer Health
Panelists: José Biller MD, Jason Karlawish MD, Diana Anderson MD
Date: October 12, 2021

Panel Discussion: Advances in Brain Health

Please join us for an interactive discussion about new and evolving topics in the treatment of neurological diseases and new ways to consider the long-term health of your patients. Join experts as they discuss current topics in neurology, including:

Next steps in the diagnosis and treatment of Alzheimer’s
Long COVID and its relationship with neurological symptoms
Evidence-based design health impacts of the built environment in dementia and other neurological disorder

Panelists:

José Biller, MD, Professor and Chair, Department of Neurology, Loyola University Stritch School of Medicine, Loyola University Medical Center; Editor, Journal of Stroke and Cerebrovascular Diseases

Jason Karlawish, MD, Professor of Medicine, Medical Ethics and Health Policy, and Neurology, University of Pennsylvania; Co-Director, Penn Memory Center; Author, The Problem of Alzheimer’s: How Science, Culture, and Politics Turned a Rare Disease into a Crisis and What We Can Do About It

Diana Anderson, MD, M.Arch, ACHA, Founder, Dochitect, Fellow in Geriatric Neurology, VA Boston Healthcare System, Instructor of Neurology, Boston University School of Medicine

Moderator: Susan Dentzer, Senior Policy Fellow, Duke-Margolis Center for Health Policy, Duke University

Panel Discussions

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

October 11, 2021 / Dochitect / Design for Geriatrics, Design for Resiliency, Health Design & Ethics

Presentations

Event: American Health Care Association / National Center for Assisted Living (AHCA/NCAL) 2021 Convention and Expo, Washington, DC
Speakers: Diana Anderson MD M.Arch, Thomas Grey Dip.Arch.B.Arch.Sci.MArch., Desmond O’Neill MD
Date: October 11, 2021

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

Many nursing home design models can have a negative impact on older people, and these flaws have been compounded by COVID-19 and related infection-control failures. There is now an urgent need to examine these 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, there is an understanding 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.

3 Learning Outcomes:
Upon completion, participant will be able to:
1) explain the overall impact of the built environment on nursing home residents in terms of quality of life
2) understand the main built environment related infection control issues that have arisen during COVID
3) explain how certain design approaches and models can be use to balance infection control while improving quality of life

Conference Presentations

Jewish Hospital Foundation’s 2021 Patient Safety Fellowship: Ethics and Design in the Long-Term Care Setting

July 20, 2021 / Dochitect / Design for Geriatrics, Health Design & Ethics

Presentations

Event: Jewish Hospital Foundation’s 2021 Patient Safety Fellowship
Title: Ethics and Design in the Long-Term Care Setting
Date: July 20, 2021

The Jewish Healthcare Foundation’s 2021 Patient Safety Fellowship will offer a unique curriculum to explore the challenges and opportunities facing senior residential living and senior care. After the disruption of COVID-19, options for seniors must embrace creative solutions that help individuals age well and safely in a range of settings. Fellows, working across disciplines — including health care, public policy, public health, tech, architecture, and beyond — will explore existing and conceptional models for transforming our community and healthcare systems that maximize quality of life for seniors and families. New models of care need to be wired for safety, built for continuous improvement, and efficient for providers, seniors, and families.

As part of the 2021 fellowship program, Dr. Anderson lectured around design ethics in clinical and long-term care settings.

Lectures

ULI – Science for Design

June 16, 2021 / Dochitect / Design for the Future of Health

Presentations

Event: Urban Land Institute (ULI) OnPoint
Title: Science for Design
Date: June 16, 2021
Panelists: Morgan Hutchinson, MD, Emergency Medicine, Thomas Jefferson University Hospital (Panel Chair), Catriona Brady, World Green Building Council, Diana Anderson, MD, Jacobs

What changes should be made to the built environment in response to the current public health crisis? How have our tendencies shifted in the last year and how has that impacted the ways we interact with indoor space? Expert speakers will offer fascinating insights on design for the built environment, including the impacts to our physical and mental health. Learn how neuro-architecture can inform building better and healthier indoor environments and hear strategies that office owners and operators can quickly implement to incrementally improve the office work environment.

Read more about the event HERE.

Panel Discussions

2021 European Healthcare Design Congress

June 14, 2021 / Dochitect / Design for Geriatrics, Design for the Future of Health

Presentations

Event: 2021 European Healthcare Design Congress
Dates: June 14-17, 2021

June 14, 2021
Session: Deconstructing the hospital to save itChair: Ganesh Suntharalingam, Intensive Care Society, UK
Panelists: William Hercules, WJH Health, USA; Benjamin Bassin; Cemal Sozener, University of Michigan Health System, USA; Diana Anderson, VA Boston Health System, USA

June 15, 2021
Session: Environments for modern ward rounds for multidisciplinary inpatient review
The Royal College of Physicians and Royal College of Nursing, together with the Royal Pharmaceutical Society, Chartered Society of Physiotherapy and NHS Improvement, have developed updated guidance on ‘Modern ward rounds for multidisciplinary care in hospital wards’. Key elements include: space for multi-professional confidential discussion about and with patients; reducing noise levels to improve cognition; minimising interruptions; interactions with technology to improve information sharing and records; reducing hierarchy to improve communication; and decision-making. This workshop will explore opportunities and challenges in hospital wards to creating the best environment for high-quality multidisciplinary care.

Chair: John Dean, Royal College of Physicians, UK
Panelists: Andrew Rochford, NHS England & NHS Improvement, UK; Nicky Ashby, Royal College of Nursing, UK; Jennifer Flatman, Royal College of Physicians; Clinical pharmacist, UK; Diana Anderson, Jacobs, USA; Cemal B Sozener, University of Michigan Medical School, USA; Bill Hercules, WJH Health, USA Lynne Quinney, Patient representative, UK

June 16, 2021
Session: Nursing home design and Covid-19: balancing infection control, quality of life,
and resilience
Chair: Sylvia Wyatt, Health and care strategic advisor and consultant, UK
Panelists:Thomas Grey, Trinity College Dublin, Ireland; Diana C Anderson, VA Boston Health System, USA

June 17, 2021
Session: How will Covid-19 change healthcare design?
Chair: Paul Bell, Ryder Architecture, UK
Panelists: Matthew Holmes, Jacobs, Australia; Diana C Anderson, VA Boston Healthcare System, USA; Jacobs, USA

Read more about the event HERE.

Panel Discussions

Caring for the City: 21st Century Health & Wellbeing

June 14, 2021 / Dochitect / Design for the Future of Health

Presentations

Event: London Festival of Architecture
Title: Caring for the City: 21st Century Health & Wellbeing
Date: June 14, 2021
Panelists: Nina Wollman, Jacobs, Marky Davy, Founder, FutureCity, Matthew Holmes, Jacobs, Cashfya Cazi, Jacobs, Emily Violette, Schneider Electric, Diana Anderson, Jacobs

Imagine a future where, together as designers, thinkers, innovators, citizens, caregivers, and care-receivers, we create and deliver solutions for health and wellbeing by transforming our engagement with each other. To truly integrate and optimize the built environment where we receive care, the clinical environment that provides care, the digital environment that wraps around the care we receive and the community environment that promotes our wellbeing.

In parallel to our ‘Connecting Through Gaming’ initiative, Jacobs is exploring the topic of ‘Caring for the City’, in this webinar Jacobs Nina Wollman will reflect with a panel of experts and thought leaders on how in a post-COVID world, we can provide better ‘care’ through our approach to the built environment?

How can we bring ‘care’ to the multiple environments that support and impact our physical, mental health and wellbeing. We all want to be surrounded by spaces that enable us to thrive and succeed in all aspects of our lives.

Read more about the event HERE.

Panel Discussions

Symposium on Sustainability in Healthcare – Architectural Design as a Determinant of Heath

May 25, 2021 / Dochitect / Design for Resiliency, Design for the Future of Health, Evidence-Based Design

Presentations

Event: Symposium on Sustainability in Healthcare
Title: Architectural Design as a Determinant of Heath
Date: May 25, 2021

KEYNOTE LUNCH – 11:30 AM – 1:00 PM

Keynote Presentation: “Architectural Design as a Determinant of Health”

Presenter: Diana Anderson, MD, M.Arch

Our understanding of the role the environment plays in shaping health has expanded immensely over the last few decades. A growing body of empirical data and evidence-based design research demonstrates that architecture impacts care delivery as well as health outcomes.

This talk explores built space as an important determinant of health and questions whether the built environment itself should be considered alongside other parameters of care, analogous to our medical interventions. Historical examples of the convergence of hospital architecture and medical practice exist. The design of the tuberculosis sanatorium during the early 20th century illustrates this infrequent intersection; the healthy building emphasizing contact with nature, developed to prevent the spread of contagions.

In the context of the COVID-19 global pandemic, we can revisit past models and consider new and sustainable innovations to emphasize infection prevention and control. A current focus on design equity, ensuring overall accessibility to healthcare-built space, is explored through universal design principles. It is imperative that we consider a convergence of the healthcare and design disciplines in order to promote novel solutions to augment-built environment resilience and subsequently support equitable, safe and efficient care delivery.

More information about the event is available HERE.

Keynote Presentations

Design and Research for Healthy Communities and Healthcare Facilities

May 17, 2021 / Dochitect / Design for Infection Control

Presentations

Event: Design and Research for Healthy Communities and Healthcare Facilities, University of Connecticut
Title: Architecture of Care During Pandemics
Date: May 17, 2021

Architecture of care during Pandemics
This session will examine the importance of the creation and utilization of space in hospital and clinic settings from different experts’ perspectives during moments of crises such as pandemics.

Diana C. Anderson, MD, M.Arch: Clinicians for Design, VA Boston Healthcare System
Title: Designing for Health Equity
A growing body of research demonstrates that architecture is an important determinant of health. The current COVID-19 pandemic has exposed inequities in care delivery and health outcomes due to the built environment. Historical examples of the convergence of hospital architecture and medical practice exist. The design of the tuberculosis sanatorium during the early 20th century illustrates this infrequent intersection; the healthy building emphasizing contact with nature, developed to prevent the spread of contagions by isolating patients and preparing them for a return to normal life. In the context of the current global pandemic, we can revisit the sanatorium model to de-medicalize architecture, and emphasize infection prevention and control. COVID-19has highlighted the need for design thinking in healthcare to generate innovative solutions. This session addresses the built environment alongside other parameters of care, analogous to our medical interventions. How we might seek to harness this collaborative mindset and move towards shared knowledge is explored. It is imperative that we consider a convergence of the healthcare and design fields in order to promote innovative solutions to augment built environment resilience and subsequently support safe, efficient and equitable care.

More information about the event is available HERE.

Conference Presentations

AZURE Talks- Hospital(ity): New Directions in Healthcare Design

April 28, 2021 / Dochitect / Design for the Future of Health

Presentations

Event: AZURE talks, part of Architect@Work Canada Digital Summit
Date: April 28, 2021
Panelists: Siamak Hariri, founder Partner, Hariri Pontarini Architects; Diana Anderson, Principal, Jacobs; Chris McQuillan, Principal, B+H Architects

Big institutional hospitals tend to look and feel like big, institutional spaces. But there’s a lot more to healthcare design than meeting the terms of an RFP. How can designers imbue places of healing with a sense of warmth, tranquility and even wellness? And what stands in the way?

On April 28th at 12pm EST, AZURE will host a free online talk exploring the future of healthcare design. Titled Hospital(ity): New Directions in Healthcare Design, the conversation will explore the links between space and well-being delving into how architects can help nurture comfort and intimacy in healthcare settings.

Read more about the event HERE.

Panel Discussions

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