Presentations

The Center for Health Design EBD Journal Club: Built Environment Design Interventions at the Exits of Secured Dementia Care Units

December 8, 2022 / Dochitect / Design for Geriatrics, Evidence-Based Design

Webinar

Journal Club Title: Built Environment Design Interventions at the Exits of Secured Dementia Care Units: A Review of the Empirical Literature
Journal Club Date: December 8, 2022
Moderator: Addie M Abushousheh, PhD, EDAC, Assoc AIA
Discussant: Diana Anderson, MD, M.Arch
Organization: The Center for Health Design

The EBD Journal Club

Built environment design is recognized as important in the care and management of responsive behaviors for those living with Alzheimer’s disease and other dementias in secured dementia care units (e.g., exiting attempts, agitation).

The repetitious behavior of “walking with purpose” (previously termed wandering) in those with dementia has influenced safety-related architectural design components of dementia care units that decrease exiting attempts. Empirical literature addressing design interventions to prevent exiting for those with dementia is lacking and outdated.

To advance our understanding, the presenter sought to describe design interventions in dementia care units through a topical analysis of experimental studies. The studies assessed five interior design interventions at egress doorways: implementing horizontal and vertical floor grid patterns, mirrors, murals, conditioning responses to color cues, and camouflaging door hardware or vision panels.

Click HERE for more information.

Webinars

RAIC 2022 Keynote: Architectural Design as a Determinant of Heath

June 8, 2022 / Dochitect / Design for Geriatrics

Presentations

Event: Invited Keynote Speaker, Royal Architectural Institute of Canada (RAIC) Long Term Care Working Group, RAIC 2022 Virtual Conference on Architecture
Title: Architectural Design as a Determinant of Heath
Date: June 8, 2022

Lecture Overview

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. A current focus on design equity, ensuring overall accessibility to healthcare built space, is explored. 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.

Learning Objectives

Describe how built space is an important determinant of health, to be considered alongside other parameters of care
Identify empirical data linking the built environment with health outcomes
Consider ethical questions raised with long term care design, particularly in the setting of cognitive impairment
Classify design for health within the existing clinical 5M framework

For more information see the conference program HERE.

Keynote Presentations

Ethical Obligations at their Nexus with Built Space

February 25, 2022 / Dochitect / Health Design & Ethics

Presentations

Event: Association for Practical and Professional Ethics (APPE) Annual Conference – Annual Conference
Presentation type: Conference presentation and discussion
Presenters: William J. Hercules, MArch, FAIA, FACHA, FACHE, David Deemer, MD, Diana Anderson, MD, MArch, Stowe Lock Teti, MA, HEC-C
Date: February 25, 2022

Learning Objectives
• Understand how the built environment can help resolve the conflicting obligations of isolation for disease mitigation and the need for socialization and autonomy.
• Demonstrate the increasing impact the healthcare built environment is having on health and as a dimension of duty of care.

Conference Presentations

FXCollaborative Architecture 5 10 20 Podcast Episode 2 with Diana Anderson the “dochitect”

February 15, 2022 / Dochitect / The Physician-Architect Model

Presentations

Title: Architecture 5 10 20 Episode 2
Podcast: FXCollaborative Architecture 5 10 20
Date: February 15, 2022

Introducing architecture 5 10 20 – a new podcast hosted by FXCollaborative’s Guy Geier. Listen to Architecture 5 10 20 Episode 2 with Diana Anderson, MD, ACHA, the “dochitect,” and Guy Geier:

“Our core thesis is that the built environment is a medical intervention. And it should be subject to the same ethical scrutiny as we do in pharmaceutical trials and clinical care. You know, we have a duty to study what we’re designing and make sure that we’re not causing harm through the spaces that we are building.”

Direct Download URL
https://lnkd.in/eCKvmjzn

Apple Podcasts (for iPhone or Mac)
https://lnkd.in/ewvgKxYh

Spotify (for iPhone or Android)
https://lnkd.in/eV5RZtp2

Google Podcasts (for Android or PC)
https://lnkd.in/e9sWr3UP

Podcasts

SALUS TV Series – The Future Hospital: Critical Care 2050

January 26, 2022 / Dochitect / Design for Critical Care

Presentations

Event: The Future Hospital: Critical Care 2050
Date: January 26, 2022, 17.00–18.30 GMT

New “innovation” series on SALUS TV to explore the future hospital to 2050:

The pandemic has posed unprecedented challenges for healthcare, but it has also paved the way for transformational change in preparedness, response and recovery. Expandable and flexible bed and staffing capacities, safer ICU design, more effective triage, digital transformation and adoption of AI, and new approaches to communication with patients and families are all changing the way critical care services and facilities are being planned and designed. An expert panel will imagine what critical care medicine and the settings in which it is delivered will look like in the future.

Panel:

Chair: Tina Nolan, managing director, ETL; Health Planning Academy, UK;
Dr Ganesh Suntharalingam, intensivist, London North West University Healthcare; past president, Intensive Care Society, UK;
Dr Diana Anderson, dochitect, Jacobs; instructor of neurology, Boston University School of Medicine; geriatric neurology fellow, VA Boston, USA;
Dr Tom Best, clinical director of critical care, King’s College London, UK;
Dr Benjamin Bassin, associate professor, Emergency Medicine; director, Emergency Critical Care Center, Department of Emergency Medicine, University of Michigan Medical School, USA; and
Graeme Hall, executive chairman, Brandon Medical, UK.

Click HERE to learn more about the Future Hospital 5050 series.

Panel Discussions

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.