Course Design Guide (Tables Version)

Course Design Guide 1 HCS/446 Version 3

Course Description

This course will introduce students to the legal and regulatory challenges of facility planning and development. Students will analyze facility designs, discuss future health care consumer utilization trends, as well as examine the regulatory compliance requirements.

Policies

Faculty and students/learners will be held responsible for understanding and adhering to all policies contained within the following two documents:

 University policies: You must be logged into the student website to view this document.  Instructor policies: This document is posted in the Course Materials forum.

University policies are subject to change. Be sure to read the policies at the beginning of each class. Policies may be slightly different depending on the modality in which you attend class. If you have recently changed modalities, read the policies governing your current class modality.

Course Materials

Hayward, C. (2006) Healthcare facility planning. (1st ed.) Chicago, IL: Health Administration Press.

Piotrowski, C. M., & Rogers, E. A. (2007) Designing commercial interiors. (2nd ed.) Hoboken, NJ: Wiley.

All electronic materials are available on the student website.

Week One: Facility Design Details Due Points

Objectives 1.1 Discuss the historical overview of health care facility design. 1.2 Identify the various types of health care facilities. 1.3 Describe the role of stakeholders in facility planning and development. 1.4 Summarize the process of the planning needs of facilities

Readings Read the Week One Read Me First. Read Ch. 1, 2, & 4 in Healthcare Facility Planning. Read Ch. 7 in Designing Commercial Interiors. Read the following items, available at http://ecampus.phoenix.edu:

 Learning Team Handbook  Guide to Charter  Learning Team Charter  Learning Team Evaluation Course Design Guide 2 HCS/446 Version 3

Review this week’s Electronic Reserve Readings.

Participation Participate in class discussion. 1

Discussion Respond to weekly discussion questions. 1 Questions

Nongraded Download the SmartDraw Healthcare software to complete your Activities and facility planning assignments throughout the course. The link is Preparation located on the student Website in Week One.

Learning Team Review the objectives from Week One and discuss additional Instructions insights and questions that may have arisen. Select Learning Team members who will work together throughout the course. Create the Learning Team Charter. Begin working on the Environmental Impact Outline due in Week Two.

Individual Research health care facilities in your area that are either new or 10 Facility Planning – are being renovated. Your research will help you select your project Part I focus. You will use this facility in future assignments throughout the course. Your selections are limited to:

Option 1: An ambulatory care clinic Option 2: A clinic within a hospital, such as an emergency room, surgical center, or an OB unit Option 3: A family clinic Option 4: An outpatient clinic Option 5: A long-term care facility

Write a 700- to 1,050-word paper in which you describe your selected facility. Include the following elements in your paper:

 Community or facility need for the building or renovation  Type of population you are serving  Description of the facility you have selected

Choose the template you want to use for your facility planning assignments and open it in the SmartDraw software. Export it as a Word .doc file. This will keep the file size small. Include the template in your paper describing the facility.

Week Two: Utilization Trends Details Due Points

Objectives 2.1 Give examples of environmental design elements. 2.2 Determine facility equipment and technological needs. 2.3 Analyze community use and accessibility. Course Design Guide 3 HCS/446 Version 3

Readings Read the Week Two Read Me First. Read Ch. 3 & 5 in Healthcare Facility Planning. Read Ch. 2, 3, 5, & 8 in Designing Commercial Interiors. Review this week’s Electronic Reserve Readings.

Learning Team Review the objectives from Week Two and discuss additional Instructions insights and questions that may have arisen. Submit the Learning Team Charter. Begin the Environmental Impact Presentation due in Week Five.

Learning Team Resource: Environmental Impact Outline document on the student 10 Environmental website Impact Outline Develop an outline for hazardous waste management, fire and safety management, disaster management, security management, or ADA guidelines for a renovation or new planning of a health care facility. Each team is assigned a different area so there is no duplication. The outline will then be used for a final presentation in Week Five.

Include the following information in your outline:

 Write an overview of your assigned environmental impact issue.

 Examine local, state, and federal legal and regulatory requirements. Consider the following agencies:

o Occupational Safety and Health Administration o Joint Commission of the Accreditation of Healthcare Organizations o Your state’s health planning and development agency o Department of Health and Human Services o Clinical Laboratory Improvement Amendments and other agencies as applicable to facility planning

 Is there a Certificate of Need (CON) program for your state? If so, explain the program. If there is not a CON for your state, was there one in the past and when was it eliminated?

 What are issues to consider when meeting the International Building Code for a facility?

 What measurements may be done in advance of the new plan or renovation? Course Design Guide 4 HCS/446 Version 3

 List the stakeholders that may play a role in your development

Write a 1,050- to 1,400-word outline with your findings.

Format your outline consistent with APA guidelines.

Week Three: Legal and Regulatory Issues Details Due Points

Objectives 3.1 Examine local, state, and federal legal and regulatory requirements. 3.2 Develop a plan for waste management, fire and safety, and disaster management.

Readings Read the Week Three Read Me First. Read Ch. 9 & 10 in Healthcare Facility Planning. Review this week’s Electronic Reserve Readings.

Learning Team Review the objectives from Week Three and discuss additional Instructions insights and questions that may have arisen. Continue working on Environmental Impact Presentation due Week Five.

Individual Resource: Facility Planning – Part II located on the student Website 30 Facility Planning – SmartDraw Template: Reference the template you chose in week Part II one as you complete this assignment. Write a 1,050- to 1,450-word paper that includes the following elements:

 Regulatory requirements and their effect on the design and equipment  Color selection implications and noise issues  List of the type of equipment needed  Electronic items needed  Examination of budget planning and cost estimates  Description of the role of stakeholders in facility planning and development  Gantt chart that details an implementation plan

Week Four: Project Management Course Design Guide 5 HCS/446 Version 3

Details Due Points

Objectives 4.1 Examine budget planning and cost estimates. 4.2 Identify the steps in an implementation plan.

Readings Read the Week Four Read Me First. Read Ch. 6, 7, 8, & 12 in Healthcare Facility Planning. Review this week’s Electronic Reserve Readings.

Learning Team Review the objectives from Week Four and discuss additional Instructions insights and questions that may have arisen. Continue working on the Environmental Impact Presentation due in Week Five.

Individual Read the following information: 20 Facility Planning – Part III  Health care facilities are unique and have clearly defined characteristics based on the needs of the facility or population being served. Poor design may lead to staff, visitor, or patient stress. In large facilities, inability to find a department may lead to frustrations and disorientation for older patients. Poor layout may also lead to staff inefficiencies or fines because of failure to meet regulatory requirements.

Resource: Facility Planning – Part III on the student Website

Complete a floor plan of the facility that you selected.

Use the facility you chose in week one for this assignment. Indicate if this will be a new facility or the renovation of an existing structure. If it is a new or existing structure, also explain why the renovation or new facility is needed.

Option 1: An ambulatory care clinic Option 2: A clinic within a hospital, such as an emergency room, surgical center, or an OB unit Option 3: A family clinic Option 4: An outpatient clinic Option 5: A long-term care facility

Open the template you chose from week one in the SmartDraw software. From that point, you will be able to modify the template and add the information listed below. Once you have completed the floor plan and you are still in the SmartDraw software, export it as a Word .doc file. This will keep the file size small and you may post the file in your appropriate course folder. Course Design Guide 6 HCS/446 Version 3

Using your SmartDraw floor plan, focus on the following environmental design elements:

 The healthcare structure such as walls, doors, hallways, waiting areas, and related structural components  Diagnostic and treatment space equipment and location  Customer service and amenities, such as the reception desk, bathroom, shower, vending machine, and so forth  Clinical support areas, such as nurse’s station, charting areas, and so forth  Physician or dentist office space for patient consultation  Administrative offices  Building support, such as laundry, generator facilities, housekeeping, and so forth  Mechanical equipment, such as space for laboratory equipment, radiology equipment, gases such as oxygen, and suctions  Color and noise elements  Regulatory elements such as Occupational Safety and Health Administration and ADA guidelines  Other elements such as IT or creative healing environmental ideas

Write a 350- to 700-word summary that includes the following information:

 Reason you selected the floor plan you designed  Any recommendations or suggestions for completing your floor plan differently – what would you do differently next time?  Something that you learned from doing this process and completing your own floor plan

Week Five: Future Trends Details Due Points

Objectives 5.1 Predict future technology trends. 5.2 Describe cultural and generational needs and demands. 5.3 Discuss global health care facility design and its implications. 5.4 Provide examples of possible personnel issues.

Readings Read the Week Five Read Me First. Read Ch. 11 in Healthcare Facility Planning. Review this week’s Electronic Reserve Readings.

Discussion Respond to weekly discussion questions. 1 Questions Course Design Guide 7 HCS/446 Version 3

Learning Team Review the objectives from Week Five and discuss additional Instructions insights and questions that may have arisen. Submit the Learning Team Evaluation. Each team member must submit a separate copy to the instructor.

Learning Team Resource: Environmental Impact Presentation worksheet on the 20 Environmental student Website Impact Presentation Develop a Microsoft® PowerPoint® presentation with 12 to15 slides and detailed speaker’s notes. Include the following information in your presentation:

 Overview of the environmental impact issue  What are the current issues with your environmental impact situation?  What can be done to improve the environmental impact? Possible suggestions or solutions?

Optional Discussion Questions

Week One Discussion Questions

 How have utilization and design of healthcare facilities changed over the last 150 years? What key factors led to these changes?

 Why is it important to communicate with and address the issues raised by stakeholders?

 How might you use new facility planning to effect operational change?

 In what ways has resort design, such as fine resort hotels and spas, influenced the design and management of health care environments including continuing care retirement communities, assisted living facilities, wellness facilities, hospitals, rehabilitation facilities, and so forth?

Week Two Discussion Questions

 What design and equipment modifications would you make when remodeling an inpatient unit for use by bariatric patients? How might equipment needs differ for this population?

 How would you address both patient and staff needs when choosing lighting for the following facilities: a hospital inpatient room; a skilled nursing facility patient room; and a neonatal intensive care unit?

 What are some appropriate uses for carpeting and commercial-grade sheet vinyl flooring in an inpatient health care facility? What are the advantages and disadvantages of each type of flooring?

 Why is it important to plan a facility that minimizes inpatient transfers?

Week Three Discussion Questions

 If the site selected for your new healthcare facility is not zoned for that purpose, what are your options?

 Where would you look to find the local, state, and federal regulations that might apply to a new healthcare facility you are planning (local, state, and federal)? Course Design Guide 8 HCS/446 Version 3

 Why does the National Fire Protection Association require that wall and floor coverings as well as certain fabrics used in the healthcare facility be fire rated?

 How might disaster or emergency response planning be used to improve organizational processes?

Week Four Discussion Questions

 What is a change order? How will it affect project cost?

 What is the health care manager’s role in assuring the successful completion and opening of the new facility?

 How may the design of the facility affect both construction and long-term operating costs?

 Why is it important to use space conservatively?

Week Five Discussion Questions

 How is new technology affecting the healthcare organization where you now work?

 How do the characteristics of each generation affect healthcare facility design?

 How may you consider cultural needs when designing a new healthcare facility?

 How might you incorporate the principles of green design when developing a new healthcare facility?

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