*Here is a great reference article about the different needs of boomers vs. millennials in healthcare:

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1 CLIENT INFORMATION 2017 OFFICIAL OVERVIEW + PROGRAM NEXT OVERVIEW There is a great shift happening in healthcare today- patients are being diagnosed with multiple complex conditions, technology is transforming the way care is documented and there are constant innovations in care delivery to move care outside of acute care facilities and into the community. As such, there has been a boom in the medical office building sector to make care more accessible and convenient for all residents of an area. NEXT is a private medical group that has existed in the Pacific Northwest for more than 20 years. They are headquartered in Portland, Oregon but have offices in Bellingham, Washington, Spokane, Washington, and Bend, Oregon. They have plans to expand to 3 additional locations in the Northwest over the next 12 months. They have a strong reputation for collaborative team-based care and focus on two distinct patient groups- millennials and baby boomers*. One of their recent acquisitions, as part of their growth plan, is a multidisciplinary medical group based out of Seattle, Washington. The group includes: (1) Clinic Director, (5) physicians, (6) nurses, (4) medical assistants, (2) dieticians, (1) acupuncturist, (2) massage therapists, (2) socials workers, (2) scribes, (2) billing clerks, (1) office manager, (1) intern, (1) supply manager, and (2) environmental services workers. As part of the merger, the Seattle group has been asked to relocate to a new medical office space in the SODO district of Seattle (approximately 4.5 miles south of downtown in an up and coming former industrial area). This location will provide convenient medical care to a transitioning area of the city that was formerly comprised primarily of warehousing and industrial sites. The office tower they will be moving into has expansive views of downtown from the west and has the potential to promote evidence-based design principles by providing access to natural light. The new space will highlight the brand of NEXT and promote healthy living and active lifestyles as well as emphasize preventive care. NEXT prides themselves in offering a variety of healthcare services in single locations. *Here is a great reference article about the different needs of boomers vs. millennials in healthcare: Please note, NEXT is a fictitious organization. The site is a real, though some dimensions and details have been fabricated for this student design competition. 1

2 LOCATION th Ave South (4 th Floor) Seattle, Washington Red Pin indicates NEXT site. Photo below is a view from the NEXT suite. This view faces west. 2

3 SCOPE Plan and design NEXT s new, medical office space, measuring approximately 12,000 SF. Do not include building core elements, such as restrooms, elevators, stairs, and utility rooms labeled NIC (Not in Contract) which are shaded on the floorplan. SITE & BUILDING NEXT will inhabit part of the 4th floor in the new building. Amenities on the ground and basement floors include full time security, a bus stop for public transit, and a coffee shop. There are several delis and cafes nearby. There is free parking in a covered garage on the first level of the building as well as across the street. The NEXT suite will be accessed via a common building hallway. The main building hallways have access to natural light via a lobby atrium. The building exterior is concrete. Windows on the exterior of the building start at 2 6 above finished floor with a concrete sill until that height. Mullions are 2 wide and occur approximately every 4. Ceiling height is 16-0 from finished floor to underside of deck and features open, exposed HVAC, fire suppression, electrical, and exit systems. Designers may leave the ceiling exposed or add a dropped, finished ceiling. In exam spaces where acoustic privacy is required we would suggest using a drop ceiling. See notes on the plan pdf for further context such as suite entry location, suite/hallway wall construction and egress considerations. 3

4 DESIGN CONSIDERATIONS & NEEDS KEY FACTORS Goals for NEXT s space include: Maximize real estate through multi-functional spaces Increase employee engagement and productivity Improve employee wellbeing Enhance collaboration amongst health practitioners and the greater community Incorporate company branding while honoring local Northwest culture Maintain transparency of information to employees and clients Recruit and retain top talent Encourage cross-generational mentoring Enable community events related to healthy lifestyle education Provide a comforting and nature-inspired space for patients and families Create a space that is adaptable for both low and high tech users SPACE Inspiring, innovative, thought provoking, fun, functional, flexible, and collaborative Mixture of individual and group spaces Mixture of open, shielded, and enclosed spaces- be mindful of patient privacy and transitions in and out of clinical spaces Eliminate owned/assigned private offices TECHNOLOGY Provide state of the art technology that can adapt with technological advances Incorporate power & connective technology throughout, offering users the flexibility to work wherever they want Office is fully WIFI enabled Staff uses a mix of technology refer to Programming Information for each role. LIGHTING Variety of lighting levels are important for clinical and acupuncture spaces Fixtures should be LED and fluorescent Maximize natural light for connection to outdoors and views WELLBEING The new NEXT space should approach wellbeing in a holistic way, considering not only the physical needs of employees, patients, and families but also their emotional and cognitive needs. Offer a palette of postures such that users may stand, sit, lounge, and walk throughout the day. To help combat cognitive overload, provide an area (digital or analog) where 4

5 people can offload information and make work visible. Finally, be sure to shape an environment that supports positive emotions, fostering a connection between users, their colleagues, and the NEXT organization. For further information on wellbeing in the workplace visit: magazine/wellbeing-a-bottom-line-issue/ PALETTE OF PLACE NEXT decision makers want to provide their staff with a range of settings that support diverse personalities and working styles. When designing these settings, consider adjacencies, tools, privacy, and collaboration requirements. NEXT s employees desire choice and autonomy to determine how and where they work and learn best. Consider using the framework below to provide a balance of private/alone, public/alone, public/together, and private/together environments. REAL ESTATE OPTIMIZATION AND THE USER EXPERIENCE Corporations, small companies, and workers are redefining how and where people work. As the market evolves, the current workforce is faced with options ranging from traditional office space to Starbucks or even their own living room. In the past, alternative workspaces have typically fallen short. Today, alternative workspaces are a mainstream option. The workforce of the future longs for a sense of belonging, regardless of whether they are working alone or in a group. The community element of work largely defines our business culture. Culture s rediscovery of social conscience creates a need for connection to others. Our workplaces must provide spaces for connection both digitally and face-to-face. Views on sustainability plus the influx and adoption of mobile technology have significantly shifted our perception of density. The average square footage per individual work space at NEXT will be approximately 48 ft². The emphasis, however, instead should be placed on the variety options available within the overall environment the palette of place. 5

6 PROGRAMMING INFORMATION Currently, there are 33 total NEXT employees (but not all are full time) that will utilize this new office. These employees are divided into three classifications: job share, part time, and full-time salaried. Job share classification means that two employees share the responsibilities of one 40 hour per week full time position. They generally each work 20 hours to split the time evenly. CLINICAL EMPLOYEES Clinic Director (1) full time worker. Clinical director uses laptop and docking station with dual monitors. This person is generally a clinician and still sees some patients but is responsible for ensuring that the care delivered at the clinic is of the highest quality and meets current clinical standards and best practices. He/She is also responsible for: managing all employees at the clinic, hiring new employees and other human resources responsibilities and setting the direction of activities- i.e. deciding what new services to offer or programs to add or change. Physicians (5) 3 full time and 2 job share. All physicians use ipads when in patient spaces and then use a docking station with dual monitors in non-patient spaces to complete charting and paperwork activities. There are 3 to 4 physicians on site every day depending on patient demand. Physicians will need a phone booth type of space for dictation and for returning patient phone calls. Nurses (6) job share. Only 2 nurses work on any given day. They use laptops and docking stations with single monitors. Need access to printers for prescriptions, treatment plans, referrals. Nurses don t need dedicated workstations necessarily but need at least 2 stations for whichever nurses are on staff per day and places for individual locking storage. Medical Assistants (4) job share. 2 Medical assistants in the office per day. Medical assistants use ipads and docking stations with single monitors. Medical assistants are generally responsible for taking patients to their room and doing some basic checks for things like temperature, weight and blood pressure and sharing that information with the Nurse or Physician. They will take patient history sometimes as well and record information into the electronic medical record. Dietician (2)- job share mobile workers. 1 dietician in the office per day- uses laptop and needs docking station. Dieticians focus on nutritional planning and support for patients. Acupuncturist (1)- part time mobile worker- uses laptop. Acupuncturists offer a Chinese medical practice of inserting needles at different pressure points on the body to alleviate different conditions. Massage Therapist (2) full time mobile workers- uses laptop and needs docking station. Massage therapists utilize human touch to relieve body pain. Social Worker (2) full time mobile worker- uses laptop and needs docking station with single monitor. Social workers are responsible for addressing patients economic, social, and cultural needs. Scribe- (2) full time mobile workers with laptops- need docking station in exam rooms to take notes during clinic visits. Scribes are focused primarily on updating the patient electronic medical record so that the physician can spend more time with the patient and focus on the patient relationship. 6

7 ADMINISTRATIVE EMPLOYEES Office Manager/Receptionist (1) Uses CPU with dual monitors. Office manager is responsible for greeting patients, scheduling appointments, answering the phone, stocking office supplies and other light administrative duties. Billing Clerks (2) Both use laptop and docking station with dual monitors. Billing clerks are responsible for sending the appropriate documentation to the insurance companies so that providers can be paid for the services rendered. They also accept patient payments in certain instances. Intern (1) Functions as the community outreach liaison and helps to coordinate special education sessions and events. Uses an ipad and laptop. Supply Manager (1) part time- is there from 8-noon 5 days a week. Needs a CPU and monitor at some location to track cleaning supplies and inventory. Supply Manager is responsible for tracking, ordering and stocking any medical supplies or equipment such as gloves, syringes, flu shots, etc. Environmental Services (2)- job share- 1 each per day- Needs an area to store personal belongings. Needs access to a shared computer. Environmental services is in charge of cleaning rooms between patients and ensuring that they meet quality and safety standards required for infection control. Note: Intern, Supply Manager and Environmental services could share 2 computers between them all. EXTENDED TEAM CEO, COO, CFO, Finance team, Human Resources, and Information Technology These individuals work from Portland headquarters but occasionally visit other offices and need touchdown workspace. Typical visits last 1-2 days. Include 4 additional workspaces for these remote/mobile workers when they visit. Given that the NEXT organization will continue to grow in the Northwest plan for 2 additional workspaces that could be added over the next year (i.e. being mindful of additional flexibility that might be required over time). You will also need to plan for educational events of up to 15 community members somewhere in the space where cooking demos, and lifestyle classes will be held bi-monthly in the evenings- they will need seating, reconfigurable tables, and a projector. 7

8 NEXT SPACES / PROGRAM REQUIREMENTS Though not a formal part of the required settings in the program provided below, consideration should be made regarding places where colleagues cross paths throughout the day that naturally become hotspots for impromptu collaboration. Maximize real estate by supporting these informal interactions along circulation routes. Be mindful of patient privacy via sound transfer between exam rooms and clinician work areas. Provide opportunities for clinician respite and focus on evidence based design principles around the benefits of natural light for both patients and providers. Resources on evidence based design: Critical adjacencies: Check local code requirements to determine the number of entry and exit points from the Work Café. Consider different ways that the space could be opened or closed for privacy. For example, most of the time it might just be used by staff but in certain situations opened for community events or cooking demos. HINT: consider flexible wall solutions. Exam rooms and clinical workspaces should maximize access to daylight and views to promote healthy living. HINT: Consider modular storage solutions for optimal flexibility. Large conference room needs two entry points - one for clinicians and one for patients/families for group education sessions. Consider on-stage and off-stage design principles regarding clinical areas. On-stage areas are patient or consumer centered. Off-stage areas are back of house clinical spaces like supply rooms, clinical work spaces and pharmacy preparation (in other words these are areas a patient would likely never see). Resource center should be centrally located for access by both receptionist and allied health team. Resource: 8

9 Quantity: 1 RECEPTION/ Waiting Approximately sf Provide an inspiring and welcoming space that communicates NEXT s culture and incorporates branding. Provide seating for 4-6 guests who typically wait for short periods of time. Occasionally, several groups of guests may arrive at the same time to meet with different providers. A fulltime receptionist will reside in this space to greet guests, offer drinks, answer phones, sign for packages, and complete light administrative work. The receptionist has requested furniture that allows him/her the flexibility to sit or stand in the future space. The desk should have a modesty panel, a place for CPU, dual monitors, phone, printer, and storage for personal items. Ideally the desk will hide most of the equipment from the visitor s view. Provide opportunities for small children to reside in this space as well as they may accompany their parents on visits. Additionally, consider what information might be available in the forms of videos, brochures, pamphlets to share education on healthy lifestyle choices. Be mindful of wayfinding and signage. Resources: Energy efficient, direct/indirect lighting recommended. Consider softer light levels to create a welcoming residential feel. Make fixture recommendations; reflected ceiling plan not required. Consider the suite entry door and wall construction. Quantity: 1 LARGE CONFERENCE Seats 14+ people (Square footage not given to provide design flexibility) This space is used for large meetings with the allied health team (the allied health team includes all members of the clinical staff no matter what their specialty- i.e. acupuncture, massage, nurse, physician, scribe, etc.) related to patient cases. Patients and families may or may not attend these meetings. The room should be flexible and large enough to add additional seating for up to 4 more people in the instance that a meeting must 9

10 happen when the leadership team from Portland is in town. Provide whiteboards and technology to share diagrams, electronic charts, patient test results and imaging. In addition, provide telepresence capabilities as additional health providers may need to be conferenced in remotely for their expertise. This space should have two entries so that it can be accessed internally for staff and then via reception area for patient events. Students should research the best lighting solutions for telepresence environments and make energy efficient fixture recommendations; reflected ceiling plan not required. Quantity: 1 MEDIUM CONFERENCE Seats 6-8 people (Square footage not given to provide design flexibility) This space is used for smaller team meetings or larger family discussions with allied health teams as well as small training groups. Include whiteboards, pin-up space, and telepresence technology. Students should research the best lighting solutions for telepresence environments and make energy efficient fixture recommendations; reflected ceiling plan is not required. Quantity: 2 CONSULT ROOMS ft² each This space should seat 2-4 people. It will primarily be used for medical appointments that do not require a physical examination. This could include discussion around a care plan for a patient and their family members. Consider the diverse range of potential patients and their varying mobility needs or restrictions. The space should accommodate a printer and projection technology for sharing information digitally and via a whiteboard. Also, think about future flexibility when planning these rooms in conjunction with exam rooms and offices (i.e. could these rooms be transitioned to an exam room in the future if necessary). Energy efficient, direct/indirect lighting recommended. Make fixture recommendations; reflected ceiling plan not required. Choose the most appropriate Steelcase Health or Steelcase product(s) for this space based on the 10

11 Quantity: 10 EXAM ROOMS ft² each These rooms should seat 2-4 people. Think about clinician, scribe or allied health professional as well as patient and family members. A sink and storage area for medical supplies is required in each of these rooms. An exam table is not required but each room should include seating for patient, clinician, and family member. Consider the diverse range of potential patients and their varying mobility needs or restrictions. The space should accommodate a printer and potentially a whiteboard or area to share information regarding a care plan. Also, think about future flexibility when planning these rooms in conjunction with consult rooms and offices (i.e. could these rooms be transitioned to a consult room in the future if necessary). Be thoughtful regarding acoustics and patient privacy as well as lighting levels and research around mutual participation. Resources: Energy efficient, direct/indirect lighting recommended. Make fixture recommendations; reflected ceiling plan not required. Choose the most appropriate Steelcase Health product(s) for this space based on the client s vision and should think about modular casegood solutions. Quantity: 1 ACUPUNCTURE ROOM ft² These rooms should seat 2 people. A table is needed for the patient to lay on and seating is needed for the clinician. A sink will be required as well as an area for supply storage. Think about creating a spa like environment for this space since these patients are generally paying out of pocket for these treatments. Consider noise cancelling solutions for improved acoustical privacy. Energy efficient, direct/indirect lighting recommended. Provide dimmable fixtures if possible. Make fixture recommendations; reflected ceiling plan not required. Choose the most appropriate Steelcase Health product(s) for this space based on the 11

12 Quantity: 2 MASSAGE ROOMS ft² each These rooms should seat 2 people. A table is needed for the patient to lay on and seating is needed for the massage therapist. A sink will be required as well as an area for supply storage. Think about creating a spa like environment for this space since these patients are generally paying out of pocket for these treatments. Also consider acoustical privacy and opportunities for greater lighting control to provide different light levels as needed. Consider modular solutions and room sizes so that these rooms could be interchangeable for exam or consult spaces in the future. Under counter blanket warmer is required. Storage cabinet should include room for sheet and blanket storage. Be thoughtful of patient privacy as massage therapist enters and exits the room and think about where the patient will change clothes Energy efficient, direct/indirect lighting recommended. Provide dimmable fixtures if possible. Make fixture recommendations; reflected ceiling plan not required. Choose the most appropriate Steelcase Health product(s) for this space based on the PHONE / QUIET ROOMS Quantity: Minimum of ft² each NEXT wants to provide employees with spaces for private phone calls. The footprint is purposefully small to help ensure availability for short-duration use. Consider audio and visual privacy when designing this space employees will prefer shielded privacy during stressful phone calls. Think about the desire to change postures or find a moment of respite as well. Energy efficient, direct/indirect lighting recommended. Make fixture recommendations; reflected ceiling plan not required. 12

13 Quantity: 1 MOTHER S ROOM / RELAXATION ROOM ft² Consider making the space multi-purpose for either a nursing mother or an employee who needs time to relax or rejuvenate. The room should minimize auditory distractions and must have visual privacy. Think about incorporating an interior locking door. Energy efficient, direct/indirect lighting recommended. Make fixture recommendations; reflected ceiling plan not required. SHARED OFFICES Quantity: Minimum of ft² each NEXT would like to eliminate all owned/assigned private offices, making private space available to the entire staff. Consider making these spaces multi-purpose and varying the design layout and furniture selection between rooms to maximize employee choice. These rooms will be used for small meetings between colleagues or when heads down work is required such as dictation or responding to patient phone calls. Energy efficient direct/indirect lighting recommended. Make fixture recommendations; reflected ceiling plan not required. Quantity: OPEN OFFICE / INDIVIDUAL WORK AREAS Up to 48 ft² each NEXT wants their future workspaces to be open, collaborative, and functional. They want to move to a free address system for their mobile workers where spaces are not owned by these individuals and they can select from the variety of workspaces provided in the program based on the work being performed at that time. Their former office had only one style of workstation that didn t suit everyone s preferences. Because employees have varying needs that constantly change, the new office must allow employees to shift seamlessly through the four modes of work (socializing, collaborating, focusing, learning). A diversity of individual workspaces that vary in type and size is encouraged. NEXT management has decided to provide height adjustable work surfaces for all 13

14 employees with fixed technology and to provide mobile workers with choices for alternative postures. Considerations around variety of design to include: Individual locking storage for employee personal belongings (this can be added to the square footage allocation). Education file storage- approximately one 4 drawer lateral file. Each employee has a work cell phone so consider appropriate charging conditions. Receptionist will need a dedicated workstation with CPU, printer, monitors, and phone. She will also need an area for a secure fax machine. Energy efficient direct/indirect lighting recommended. Supplement with individual task lighting. Fixture selections and a reflected ceiling plan is required (only 1 if broken into different areas on the floor plan) If panels are used, consider LEED requirements for day lighting and views from the seated position. Walls may be used to delineate this work zone but no millwork materials should be used to divide individual work spaces. Consider Steelcase Inc. wall solutions vs. traditional construction wherever possible. EDUCATION AND LIFESTYLE ZONE Quantity: Minimum of 2 locations This needs to be an area to display upcoming health events and education sessions as well as local activities to promote healthy lifestyle choices. There would likely be one location where patients and families have easy access as well as another location that is conducive to staff. The staff area would provide information related to the newest medical research as well as information related to resources available to promote their health and wellbeing. Employees are encouraged to share ideas, engage others to comment, and provide mentoring to each other. Display may be analog or digital or both. Both zones should represent the company brand and culture. Retail lighting solutions should be considered to supplement general lighting for appropriate product display. All should be energy efficient selections. Make fixture recommendations; reflected ceiling plan not required. Consider Steelcase Inc. wall solutions in conjunction with traditional construction. 14

15 Quantity: 1 WORKCAFE sq. ft. The Work Café allows employees to decompress and socialize at any time of day. As part of the NEXT culture, workers are encouraged to eat with others versus alone at one s desk. During non-peak meal times, the café provides a place to host all-staff meetings, team building activities, large vendor presentations, parties, and events. Employees will also use the space for casual client meetings and as an alternative work place when they desire a change of scenery. Incorporate a wide range of settings to support individual focus work, socialization, collaboration, and rejuvenation. Provide an area that could be used to host groups of up to 10 for cooking demonstrations and healthy eating workshops. think about sightlines for all participants as well as work surfaces appropriate for light food preparation. This space will be used for staff and clinician break spaces when not in use as a demo kitchen so think about ways to provide flexibility and accommodate and variety of needs (i.e. sitting down and eating lunch for 3-4 people at a time versus hosting a group of in an education session). This space will require a refrigerator/freezer combo as well as a cooktop with 2 burners, a wall mount oven, sink, microwave, coffee machine and a dishwasher. A combination of lighting sources is recommended. All selections should be energy efficient. Fixture selections and reflected ceiling plan required. Consider Steelcase Inc. wall solutions in conjunction with traditional construction. RESOURCE CENTER/MEDICAL SUPPLY Quantity: 1 Approximately ft² The resource center serves as a copy/print, mail, and storage room. (1) copier/printer, (1) desk top printer, mail boxes or trays, and adequate counter space. Storage is required for general office supplies and marketing brochures. This is also the place where received packages are temporarily stored. Adjacent and in conjunction with the resource center should be a locked medical storage area- with upper and lower locked cabinets that can be labeled. Drawers will be needed for storage of basic medications, medical supplies, including gauze and small diagnostics. Provide a sink in this area as well as an under counter fridge for medication storage. Energy efficient, direct/indirect lighting recommended. Make fixture recommendations; reflected ceiling plan not required. Minimal furniture is required. Choose the most appropriate Steelcase Health or Steelcase product(s) for this space based on the Consider using the modular casegoods solutions that Steelcase offers (i.e. Folio or Opus) 15

16 Traditional construction/millwork is suitable for this space but feel free to also consider Steelcase products used in conjunction with traditional construction. Quantity: 1 LAUNDRY/ENVIRONMENTAL SPACE Approximately ft² NEXT would like to incorporate a space for 2 commercial washers and dryers for laundering of items needed in the massage and acupuncture rooms. In addition, they need storage for cleaning supplies to clean rooms between each patient. An industrial sized sink will be needed in this area. Think about acoustical privacy due to the vibrations of the washing machines but it is not necessary to plan for complex venting and power requirements of the equipment (assume that it can be done anywhere in the building). Energy efficient, direct/indirect lighting recommended. Make fixture recommendations; reflected ceiling plan not required. Minimal furniture is required. Choose the most appropriate Steelcase Inc. product(s) for this space based on the Consider using Folio to help with storage requirements. Traditional construction/millwork is suitable for this space but feel free to also consider Steelcase products used in conjunction with traditional construction. Quantity: 2 UNISEX WASHROOMS Approximately ft² each NEXT will need two individually locking unisex washrooms for patients and staff to use. Washrooms must comply with ADA guidelines and be handicap accessible. Each one will need a toilet, sink, and storage for some supplies. One of them should also have a handicap accessible shower. Energy efficient, direct/indirect lighting recommended. Make fixture recommendations; reflected ceiling plan not required. Minimal furniture is required. Choose the most appropriate Steelcase Health product(s) for this space based on the Traditional construction/millwork is suitable for this space but feel free to also consider Steelcase products used in conjunction with traditional construction. 16

17 SUGGESTED RESOURCES (in addition to student s own research): Office-focused Resources Clinical-focused Resources Disclaimer: By entering the design4next Contest, Entrant (and their university) agrees, acknowledges and understands that all Submissions may be posted on the Steelcase Inc. website, within Steelcase 360 publications or used in future promotional campaigns for viewing by the general public and grants Steelcase Inc. in perpetuity a royalty-free, worldwide, non-exclusive license to publish, display, reproduce or otherwise use the Submission for Steelcase Inc. and its designees in its sole discretion whatsoever and without further notice or compensation. Steelcase Inc. does not guarantee the posting of any Submission and reserves the right not to post a Submission for any or no reason. All Entrants Submissions become the property of Steelcase Inc. and will not be returned to the Entrant. Steelcase Inc. is not responsible for any lost or altered files when submissions are uploaded. 17