To advance this redesign and transformation effort, any facility built on a hospital campus should apply design principles that create future operational efficiency, flexibility, and continuing renewal potential.

These principles are intended to guide facility design:

1. Site Preservation:

As facilities are developed, removed or replaced, one or more footprints shall be provided so that all new buildings can be eventually replaced on the campus. All new buildings shall have their eventual replacement location noted on the long-term site development plan. This principle helps to assure continuity of the mission over time.

2. Facility Flexibility, Expandability and Adaptability:

Facilities should be designed so they can be updated readily and adapted to changing needs, either through interior remodeling, by lateral expansions, or total replacement.

3. Maintaining Operations:

On an existing campus, new facilities shall be staged in their construction that clinical programs can remain in operation during construction. To the greatest extent possible there is minimal disturbance to patients, staff and operations.

4. Highest and Best Use:

The highest and best use of the hospital campus will initially be acute inpatient care and its immediately associated ambulatory care. Functions that do not require immediate access to patient care areas can be located on other campuses when that location does not unduly compromise operations.

5. Linking Units:

To support expansion over time, a "linear spine" should be created in the first phase to which all major components should connect. The spine should permit connection of future major additions to the primary circulation and long term recycling of all buildings without disturbing those that are in continuing operation.

6. "Service-Minded"

Building relationships, configurations of spaces, visual corridors, distribution of service and support elements shall be oriented toward producing a "sense of service" for all users-patients, visitors, and staff. This will, in turn, help staff be more service-minded. Spaces should be comfortable, appealing, and convenient, in recognition that patients do have a choice of provider and that staff is our most important resource.

7. Focused Care Centers:

Focused care centers shall be designed to permit team care of patients throughout their stays, plus the immediate pre- and post-admission periods where desired. The shortest number of steps in the patient pathway shall be the guide to configuration of services. Functional and support department spaces shall be located on patient floors where management determines the best patient-focused care can be realized.

8. Healing Environment:

Each campus complex shall be easy to work in, nurturing and designed to reduce the stress of illness and care for the patient, family, staff, and visitors. Specific principles of the desired healing environment shall be provided by management and consultants to the development team and designers.

9. Care Suite:

Clusters of rooms shall be so designed that they make team care feasible and can be separately designated as units for specific patient types by age, disease, acuity, or medical group. The designations can change according to demand, rather than being permanent. The suites shall be separated from primary public circulation to enhance privacy, reduce noise, and support isolation when necessary.

10. Universal Rooms:

Each patient room shall be designed to provide maximum flexibility, regardless of patient acuity, with only a change of equipment, staff, and bedside support. The rooms should have the flexibility to be re-designated by internal hospital staff, so that interior walls can be converted from glass to solid or a combination. All rooms shall be for single patients, except for special units such as recovery. Provision shall be made for family over-night stay.

11. Diagnostic Services:

Diagnostic services shall be decentralized where possible and applicable. Miniaturized or in situ diagnostics shall be used where available.

12. Treatment Services:

Treatment services shall be decentralized where possible for greater effectiveness. All large-scale treatment services shall be designed so that they can be expanded or upgraded over time with minimal disruption to patient care, and with minimal expense.

13. Therapy Services:

In general, therapy services should be centralized and located appropriately with other activities.

14. Use of Clinical Information Systems:

Where possible, information flow shall be by computer rather than via paper or telephone, so that all parties involved will have the information they need, and a permanent record of decisions made about patient care is accurate and up-to-date. The information system shall carry current versions of patient pathways and guidelines, which shall be congruent with those used to develop the clinical programs, focused care floors, and universal rooms.

15. Clarity of Circulation:

Throughout all construction and throughout all design, the principle of simple, clear circulation shall be realized. This includes access from other buildings, the entrance, travel from point to point within the building and to parking, and signage.

16. Parking/Transportation:

Structured parking will be utilized when appropriate in order to preserve land for future development. Other modes of transportation will also be incorporated into the planning process as a means of access for employees and others who regularly use the SHMC campuses.

17. Height:

The project should not unnecessarily intrude on other neighborhood activities or uses in the periphery of the campus, and appropriateness and preferences shall be taken into account when planning height of buildings, setbacks, and on-street amenities.

18. Planning/Community Uses:

Efforts will be made to work with stakeholder groups with the goal of planning adjacent uses that enhance the neighborhood communities in proximity to the SHMC campuses. Where appropriate, perimeter space may be used for health retail, meeting spaces, and/or other community services, so the neighborhood benefits from the maximum value of the campus.

19. Stewardship:

Detailed financial analyses will be provided for all projects prior to development. The goals of campus renewal must be balanced with the need to be good stewards of limited financial resources.

20. Internal Planning Process:

As facilities planning takes center stage within PeaceHealth, many groups will be involved in planning activity. Lean tools and other elements of planning for a healing environment shall be used to insure that staff is involved in areas in which they work. While there may not be consensus on aspects of planning, efforts will be made to address critical needs of patients, staff, and medical staff.

SACRED HEART MEDICAL CENTER
FACILITIES RENEWAL PROGRAM

SITE DEVELOPMENT CRITERIA

I. SITE

• Provides expansion for up to 100 years (50 acres)

• Freeway access within ½ mile

• Located within urban growth boundary

• Located within the city

• Served by public transit

• Hospital/medical services are permitted via special use zone

• Adequate utilities available in proximity to the site

• No costly restrictions/mitigation issues

• Traffic and transportation issues are addressable

• Surrounding uses are compatible with hospital services/activities

• Configuration permits long term optimization

• Separate access points for patients/visitors; emergency; staff & support vehicles

• Community support achievable

• Cost within 5% of fair market value

• Based on long-term framework Master plan

• Clearly identifiable entry

• Adequate, conveniently-located parking

• Clear, legible internal organization, circulation and way finding

• Healing, welcoming environment for patients, family, staff, visitors

• Adequate space for family and visitors

• Planned and organized around seamless, integrated services

• Incorporates outdoor space as part of healing environment

• Unobstructed, quality patient room views

• Spaces designed for maximum flexibility/adaptability

• Clear, protected access between medical offices and inpatient services

• Supports lean concepts

• Promotes sustainable design principle