(Part 1 of 4)
After 18 months of sitting at my computer 16 hours a day, what a joy it is to see the finished product. This is the new 4th edition of Medical and Dental Space Planning and a big healthcare design book it is—almost 700 pages.
So much has changed in the delivery of healthcare since the last edition of the book in 2002. The Affordable Care Act has implications for facility design as well as how care will be provided which necessitated a new chapter on community health centers (safety-net clinics) and discussion of alternatives such as direct care (sometimes referred to as concierge medicine) which is luring many physicians away from traditional third-party reimbursement. Innovative healthcare design ideas from across the nation are presented.
The new focus on value being linked to reimbursement has spawned a great deal of process redesign and metrics to be able to document and analyze it. Interviews with numerous providers enables readers to understand the issues in order to be able to provide new medical planning solutions.
Providers as well as patients are increasingly embracing mHealth (mobile healthcare) which includes many portable and wearable devices that will enable elderly persons or those with chronic conditions to remain in their homes for the types of basic monitoring and diagnostic assessment that is currently done in physicians’ offices. Many cutting-edge mobile devices are featured in the book along with a discussion of a new system of care in which these devices and monitoring centers play a key role.