Accommodating Paradigm Change in Large Institutions: Layout, Circulation and Wayfinding in Emerging Healthcare Facilities

Zimring, Craig

Title:

Accommodating Paradigm Change in Large Institutions: Layout, Circulation and Wayfinding in Emerging Healthcare Facilities

dc.contributor.author	Zimring, Craig
dc.contributor.corporatename	Georgia Institute of Technology. College of Architecture
dc.date.accessioned	2008-11-05T19:29:46Z
dc.date.available	2008-11-05T19:29:46Z
dc.date.issued	1996
dc.description	Public and private places : proceedings of the Twenty-seventh Annual Conference of the Environmental Design Research Association : Salt Lake City, Utah, June 12-June 16 / editors, Jack L. Nasar, Barbara B. Brown.	en
dc.description.abstract	Changes in financing, regulation, technology and philosophy have led to significant alterations in the ways healthcare facilities are planned, programmed and designed. Outpatient services are increasing, while the remaining inpatients tend to be much more acutely ill. Although budgets are shrinking, facilities are experiencing much greater competition and demands for higher levels of service. We examine how healthcare facilities are linking these organizational goals - greater competitiveness, higher efficiency, better and more caring customer service, decentralization of departments-to their spatial decision making and discuss how environmental design research might contribute to these efforts. In particular, we present brief case studies to provide a common basis for discussion, then explore tools and approaches that link these organizational goals to planning, programming, design and evaluation. Although this working session touches on a range of concerns, the focus will be on layout, circulation and wayfinding, issues that are particularly influenced by recent trends in healthcare. A particular concern is the impact of providing outpatients services such as day surgery as well as inpatient surgery within a single campus. How does this affect layout, circulation and wayfinding? Case studies include, at least: (1) redevelopment of National Health Service hospitals in Great Britain; (2) pre-occupancy evaluation of the new Santa Clara County Valley Medical Center North Tower; (3) redevelopment of Grady Memorial Hospital (Atlanta). Although this session focuses on healthcare, it also allows the group to consider more broadly how environmental design can be linked to major changes in policy. The session addresses such questions as how can policy be formulated in spatially-relevant terms and how can key organizational decision-makers understand the -importance of spatial decisions? Participants include Cheryl Fuller (Fuller Coe Associates), Bruce Nepp (Anshen + Allen), Kent Spreckelmeyer (Kansas), Saif-ul Hag, Mohammed Shraim and Sharon Tsepas (Georgia Tech).	en
dc.identifier.citation	Workshop chair: 1) "Creating Effective POE Programs"; 2) "Developing your professional practice"; 3) "Accommodating change in large institutions: Layout, circulation and wayfinding in emerging healthcare facilities". Public and private places: Proceedings of the twenty-seventh annual meeting of the Environmental Design Research Association. Edmond, OK: Environmental Design Research Association	en
dc.identifier.isbn	0939922207
dc.identifier.uri	http://hdl.handle.net/1853/25452
dc.language.iso	en_US	en
dc.publisher	Georgia Institute of Technology	en
dc.publisher.original	Environmental Design Research Association
dc.subject	Environmental design	en
dc.subject	Health care design	en
dc.title	Accommodating Paradigm Change in Large Institutions: Layout, Circulation and Wayfinding in Emerging Healthcare Facilities	en
dc.type	Text
dc.type.genre	Proceedings
dspace.entity.type	Publication
local.contributor.author	Zimring, Craig
local.contributor.corporatename	College of Design
relation.isAuthorOfPublication	c86bf749-1059-4da7-8228-15d27f87338d
relation.isOrgUnitOfPublication	c997b6a0-7e87-4a6f-b6fc-932d776ba8d0