SPACE PROGRAM

 

 

 

This section documents the space program deliverables for the project, including industry best practices and future state designs for UCDH.

 

 

 

 

BEST PRACTICE

UNIVERSAL CARE EXAM ROOM/CLINIC LAYOUT: WORKSHOP

The following Universal Clinic designs were presented at a workshop with BluePacific staff and faculty.

 

 

 

FUTURE STATE

UNIVERSAL CARE CLINIC LAYOUT

 
 
 
PREFERRED CLINIC MODULES

During the Rapid Scout for evaluation of the scenarios presented, the participants provided input regarding each option presented. The goal of this exercise was to quickly eliminate options that did not support the vision of a “Universal” Clinic Concept, or any that did not promote streamlined processes. The feedback from the BluePacific Team indicated that the models that best fit their idea of a future clinic were the 2-Sided Module and the Hybrid-Convergent Module.

SUMMARY

The Hybrid-Convergent Module was preferred for the following reasons:

 

  • This is the only option with a mix of 120 SF, one-sided and two-sided (2 door) exam room models

  • The plan achieves high density/efficiency in patient treatment areas

  • The plan allows for 'A-typical' rooms and clinical specialties

  • Great daylighting for team spaces

  • Changes the layout for use – could be specialized quickly

  • Potential to massage the care teams along the window wall to provide ease of access to care team area

  • Works well at capacity, but can be more challenging when the space is underutilized

  • Can adapt to non-typical room types / special needs

    • Pain does acupuncture and needs specialized space for gurney

    • As commented on in the meeting: For Pain Medicine – will there be a need for non-clinical room / consult room to meet with behavioral health patients

STATS 

Clinic

20-21 Exam/Procedure rooms per clinic module

    x 3 Modules per side per floor = 60-63

    x 6 per floor = 120-126

30 workstations per clinic module

3.3 offices per clinic module

Central Core Waiting 

Faculty Academic Center and/or MOSCS  

- 20 offices 

- 30 workstations 

One sided and two sided entry to exam rooms

Can flex for typical and specialty/procedure

Center daylit staff work cores

SUMMARY

Users preferred the 2-Sided Module for the following reasons:

  • Exam rooms in this option are 120 SF with 6' wide circulation

  • Patient circulation in a separate corridor from staff who are located in a central team core area

  • The plan achieves high density/efficiency in patient treatment areas, and clear circulation for patients

  • The plan allows for 'A-typical' rooms and clinical specialties in the center module where there is a 5th module per half floor with procedure rooms

  • Side-to-side flexibility is somewhat limited though staff assignment within the staff core area is flexible

  • Daylighting of staff and potentially patient corridors is available

STATS 

Clinic

10 Exam/Procedure rooms per clinic module

    x 8 Modules per floor =80

    + 12 Procedure rooms per floor=92

30 workstations per clinic module

3 offices per clinic module

Central Core Waiting 

Faculty Academic Center and/or MOSCS  

- 20 offices (120 NSF)

- 64 workstations (56 NSF) or 90 workstations (40 NSF)

- 4,750 NSF waiting

- 1,000 NSF check-in

- x2 staff lounge/lockers

- x2 conference/education

 
 
 
SIMULATIONS
 
 
 
SIMULATION METRICS
 
 
 
ADJACENCIES AND AFFINITIES

The following adjacency and affinity matrices were assembled during the clinic design workshop with the BluePacific user group. The adjacency matrix describes desired primary and secondary departmental adjacency, as well as undesirable adjacencies. The affinity matrix describes relationships between departments that may have similar exam room equipment needs.

Client Responses

        Primary

        Secondary

        Undesirable

NBBJ Suggestions

        Primary

        Secondary

        Undesirable

Adult IV Infusion
Cafe
Cardiology
Central Storage
Dental

Ear, Nose, Throat/Oto

Employee Health

Entrance

Family Medicine
Imaging- Br Health
Imaging- CT/US/MR
Imaging- Gen Rad/Dx
Internal Medicine
Lab
Loading Dock
OB-GYN
Ophthalmology
Orthopaedics
Pain Mgmt
Peds
Pharmacy
Physical Med & Rehab
Primary Care
Rehab
Security
Surgery
Transplant
Urology
Vascular Clinic

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Using the data collected from BluePacific staff, and supplemented by NBBJ, the below diagrams illustrate the important departmental cohorts to consider for future campus development. Arrows indicate the direction of affinity or adjacency, ie which department wants to be close to another. The thickness of the arrow indicates level of desirability: thicker indicates primary desired adjacency or affinity, while the finer arrows indicate a secondary desire. Hover over the arrows to highlight the relationships. Drag the circles to reorganize the graphics.

 
 
 
FUNCTIONAL SPACE PROGRAM
UC Davis Space Program 2 Door Clinic Module Program: Typ Department Name 8 Total Exam Rooms OP Service 2 Total Exam/Procedure Rooms 35% Dept. Circulation 4,333 DGSF (Program) 10% Walls & Structures 433 Program DGSF/Driver DGSF (Actual) RM #FUNCTION Y T Q F S N E M A N TOTAL NSF COMMENTS Public Areas Reception 56 share w/other modules Included in waiting Copy/work area 60 share w/other modules Included in waiting Alcove, Check in Kiosk 15 share w/other modules Included in waiting Queuing zone 10 share w/other modules Included in waiting Patient Check out 60 share w/other modules Included in waiting Waiting Area 18 share w/other modules Included in waiting Waiting Area, Wheelchair 25 share w/other modules Included in waiting Waiting Area, Child Play 15 share w/other modules Included in waiting Patient Training/Education 15 share w/other modules Included in waiting Department NSF 2,918 Department Circulation1,021 Walls and Structure394 Department Gross SF (DGSF)4,333 2 Door Clinic Module Program: Typ Department Name 8 Total Exam Rooms OP Service 2 Total Exam/Procedure Rooms 35% Dept. Circulation 4,333 DGSF (Program) 10% Walls & Structures 433 Program DGSF/Driver DGSF (Actual) RM #FUNCTION Y T Q F S N E M A N TOTAL NSF COMMENTS Patient Care Area Alcove, Scale / WC Scale 8 1 8 Exam Room 120 6 720 Exam/Procedure Room 142 2 284 Exam Room, Special Needs / ADA 156 1 156 for stretcher pts; higher volume Exam/Consult Room 135 1 135 Toilet, Patient 56 2 112 Clinical Support Areas Team Work Area Work Station Physician 21 5 105 Work Station MOSC 21 25 525 Work/Copy Station 30 0 Included in Work Station Area Alcove, supply/equipment 57 1 57 per pod, carts, equip Alcove, clean 57 1 57 per pod, carts, equip Medication Alcove 46 1 46 EVS Closet 60 0 Need one Equipment storage 24 2 48 shared 2 modules Utility, Clean 110 0.5 55 in each pod Utility, Soiled 110 0.5 55 in each pod Clinical Support Staff Areas Office 110 2.5 275 Physician / MOSC Conference / Education 224 1 224 per module Toilet, staff 56 1 56 out of flow Staff Break/Lounge 150 0 included staff support tab 2 f o 1 e g a P m a x E r o o D - 2 NBBJ / UC Davis Space Program 2/19/2020