Description
Book SynopsisTHE UPDATED DEFINITIVE REFERENCE ON MEDICAL AND DENTAL OFFICE DESIGN Medical and Dental Space Planning is an indispensable guide to the myriad of details that make a medical or dental practice efficient and productive.
Table of ContentsPreface ix
Acknowledgments xiii
Introduction: Changing Perspectives xv
Chapter 1 New Directions 1
ACO Quality Metrics, A Sampling of Innovation, Building Blocks of High-Performing Primary Care, The Smartphone Will See You Now: The mHealth Revolution, Bringing Healthcare into the Home, Telemedicine, Boomers and Technology
Chapter 2 General Parameters of Medical Space Planning 15
Building Shell Design, Planning Module, Amenities, Building Shell Configurations, Building Standards, Tenant Improvement Allowances, Politics, Leasing Strategy, Hospital-Based MOBs
Chapter 3 Practice of Medicine: Primary Care 30
Family Practice, Exam Room Design Changes, The Triple Aim, Direct Care—The Future of Private Medicine, Internal Medicine, Endoscopy, Pediatrics, Urgent Care Centers, Employee Health and Wellness Centers, Integrative Medicine
Chapter 4 Community Health Centers 141
Overview, Characteristics of “Safety-Net” Community Health Centers, An Evidence-Based Approach to Safety-Net Clinic Design, Exemplary Projects, Summary
Chapter 5 Medicine: Specialized Suites 167
Surgical Specialties, Obstetrics and Gynecology, Urogynecology, Perinatology, Breast Centers, Reproductive Enhancement (Assisted Reproductive Technologies), Oncology, General Surgery, Bariatric Surgery, Otolaryngology, Ophthalmology, Lasik Surgery, Plastic Surgery, Office-Based Surgery, Dermatology, Orthopedic Surgery, Allergy, Neurology, Neurosurgery, Pain Management Centers, Psychiatry, Urology
Chapter 6 Diagnostic Medicine 320
Diagnostic Imaging, PACS, Ultrasound, Nuclear Medicine, Computed Tomography, Mammography, Radiation Oncology, Bone Density Scanning (DEXA), Magnetic Resonance Imaging, Clinical Laboratory, CLIA and Other Regulations, Summary
Chapter 7 Group Practice 388
Stark Statute, Accreditation, Types of Group Practices, Primary Care Clinics, Health Maintenance Organizations, HMO Models, Point-of-Service, Single-Specialty Group, Multispecialty Group, Internal Medicine Group, Family Practice Group, A Few Considerations
Chapter 8 Ambulatory Surgical Centers 418
Overview, Advantages of Ambulatory Surgery, Ownership and Affiliation, Economic and Regulatory Issues, Marketing Considerations, Survey of Surgical Procedures, Trends and Innovation, Facility Design, Operational Protocols, Patient Flow, Facility Access, Individual Components of an FOSC, Administration, Recovery Care Centers and Specialty Surgical Hospitals, Types of Procedures Necessitating Extended Care, Summary
Chapter 9 Paramedical Suites 449
Physical Therapy, Pharmacy
Chapter 10 Practice of Dentistry 468
High-Touch Patient Amenities, Interview Questionnaire—An Important Design Tool, Plan the Space Before Signing a Lease, Codes and Regulatory Agency Review, New Technology Transforms the Dental Office, Infection Control, General Dentistry, General Dentistry: Prosthodontics Emphasis, Esthetic/Cosmetic Dentistry, Technology Resources, Relevant Information in Other Chapters of the Book, Orthodontics, Pediatric Dentistry, Endodontics, Periodontics, Oral and Maxillofacial Surgery, Unique Projects, Summary
Chapter 11 Interior Finishes and Furniture 593
Hard-Surface Flooring, Carpet, Wall Base, Wall Treatments, Furniture, Upholstery Fabric
Chapter 12 Lighting 612
Biological Effects of Light, Technical Data, Innovation and Trends, Energy Conservation, Medical Office Electrical and Lighting Requirements
Chapter 13 Construction Methods and Building Systems 623
LEED®/Green Design, Heating, Ventilating, and Air-Conditioning, Control of Odors, Plumbing, Medical Gases, Medical/Dental Office Communication Systems, Fire Protection, Checklist
Chapter 14 Researching Codes and Reference Materials 632
Fire Protection, ANSI Standard 17.1-ADAAG, Sanitation, Minimum Construction Requirements, Energy Conservation/Environmental Impact, Certificate of Need, Issues Relating to Outpatient Medical Facilities Under a Hospital’s License, Codes Relating to Medical Office Buildings, Isolation of Risk, Required Exits, Separation of Exits, Stairs and Doors, Fire-Warning or Fire-Extinguishing Devices, Flammability Testing, Carpet, Wallcoverings, Codes—For the Good of All
Appendix 639
ADA Bathroom Configurations
Index 643
