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Publication type: "Conference 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

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

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

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

AWMA Thinking Beyond the White Coat: Medical Hybrid Careers

January 9, 2021 / Dochitect / Design for Clinical Staff, The Physician-Architect Model

Presentations

Event: American Women’s Medical Association (AMWA) NY/NJ Virtual Conference
Title: Interview with a Dochitect: Medical Hybrid Careers
Date: January 9, 2021

The AWMA is a multitiered organization dedicated to the advancement of women in medicine through advocacy, education, and mentorship in order to ensure excellence in healthcare. Dochitect was invited to speak about medical hybrid careers during the “Thinking Beyond the White Coat” Session.

 

Conference Presentations

LiftOff 2020: Health Equity by Design

December 15, 2020 / Dochitect / Health Design & Ethics

Presentations

Event: Liftoff PGH 2020: A virtual healthcare innovation summit, Pittsburgh, PA
Title: Health Equity & Design / Panel discussion
Date: December 15, 2020

IKM Presents: Health Equity by Design
John Keelan, Dr. Diana Anderson, Juliet Rogers, Dr. Bon Ku

This panel explores the power of design to improve disparities in health. Panelists will upend current health care models, formulating systems that improve outcomes for all patients.

Conference Presentations

The Bioethics of Built Space: On the Shared Responsibilities of Bioethics and Architecture

October 16, 2020 / 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
Date: October 16, 2020

Session Overview

Over the past fifty or so years, our understanding of the role the environment plays in shaping us and our interactions has expanded immensely. Studies of social determinants of health have illuminated profound effects social factors and environment can have on medical outcomes and well-being. Studies of behavior have demonstrated the powerful effect environmental factors can have on decision-making. It is somewhat surprising, therefore, so little attention has been paid to the bioethics of the built environment in healthcare. We all know intuitively that the spaces we spend time in affect us, and while some intrepid healthcare architects have been exploring the power of environmental factors on behavior for decades, virtually none of this terrain has been contemplated in bioethics.

The physical environment in healthcare architecture has been associated with numerous quality and outcomes issues. As we will show, design choices can result in substantive ethical issues for not just the marginalized and vulnerable, but all of us, leading some to call for a shared decision-making in healthcare architecture that mirrors the movement in clinical medicine. In this panel discussion, we will begin by outlining a series of ethical issues in healthcare design, including the use of illusion, living laboratories, and the prevention or imposition of harm through design. We then examine the state of research practices in healthcare architecture: what has been accomplished, what hasn’t, and the challenges that lie ahead. We conclude by inviting the audience to discuss the role of bioethics in healthcare architecture.

Learning Objectives – At the end of this session, attendees will be able to:

  • Discuss the role the built environment plays in wellbeing and medical outcomes and provide several examples.
  • Be familiar with some of the most pressing ethical issues arising out of design decisions in healthcare architecture and be able to describe both evidence-based considerations and theoretical concerns.
  • Articulate the state of research in healthcare architecture, discuss the challenges of implementing modern research practices in ongoing and future work, and the benefits of solving the issues involved.
Conference Presentations

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

“There’s No Ramp Here” How do we cross disciplines?

March 30, 2019 / Dochitect / Evidence-Based Design, The Physician-Architect Model

Presentations

Event: Health Equity and Leadership (HEAL) conference, T.H.Chan School of Public Health, Harvard University
Title: “There’s No Ramp Here” How do we cross disciplines?
Date: March 30, 2019

Dochitect was invited to participate and run a workshop for the annual HEAL event at the Harvard T.H.Chan School of Public Health! 

CLICK HERE for more information about the event!

 

Conference Presentations

IHCD: Architectural Form + Clinical Function: A Design Paradigm Follows

October 9, 2018 / Dochitect / Evidence-Based Design, The Physician-Architect Model

Presentations

Event: Institute for Human Centered Design, Boston
Title: Architectural Form + Clinical Function: A Design Paradigm Follows
Date: October 9, 2018

Dochitect is invited to speak at the Institute for Human Centered Design (IHCD) in Boston as part of their HUBweek 2018 open door event!

“A thought-provoking talk. I also loved your sketches.”

“Diana was amazing! So articulate and thoughtful, we are excited to see what you do next!”

“‘Design matters & design can prevent disease’ – Dr. Diana Anderson @dochitect – on #ethics in architecture & design for healthcare – speaking at @IHCDesign for #HUBweek #architecture #designmatters”

Lecture overview: The delivery and design of healthcare today is rapidly changing, and increasingly complex. How are we closing the gap between designer intent and user experience? Increasingly, clinicians are asking not only for the architect’s perspective, but to develop a skill-set and knowledge-base that will allow them to help shape the future of health. Architects aim to engage clinical professionals within research, education and practice. We all have a shared goal in seeking to enhance health outcomes through innovations in the design of healthcare spaces, technologies, care delivery systems and policies. Specialized experts who can offer unique perspectives and hybrid models in problem-solving of complex systems are increasingly seen. Through combined thinking, research-based design has expanded to understand and improve the experience within healthcare spaces.

For some patients, design can succeed where drugs may fail. For clinicians, the built environment can support and improve efficient care delivery. Current trends, ideas and next steps for design to enrich our healthcare interface are presented, including an overview of:

(1) the infrequent historical intersection and recent convergence of medicine and design;
(2) the impact of architecture on health for preventative care;
(3) the future of health with an emphasis on multidisciplinary collaborative space, technology, and health spaces within our homes.

Conference Presentations, Lectures
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