Articles Tagged with: Dwight Smith

Clean Flow: Fact or Fiction?

At a recent webinar hosted by The Center for Health Design, Ballinger Principal Louis Meilink, Jr., AIA, ACHA, ACHE and Director of Healthcare Planning Dwight Smith, AIA, NCARB, EDAC explored what is fact and what is fiction when it comes to clean flow.

As procedures become less invasive and expand to other modalities, differentiating cleanliness protocols have expanded to other disciplines, but in the process, grayed the understanding of what is best practice. The webinar presentation served as a reminder that maximizing clean flow processes has a direct impact on patient safety and the bottom line, and that its success is only as good as its weakest link.

Ballinger’s recommendation for approaching construction projects is to establish a multidisciplinary team to:

  • Focus on opportunities to control airflow and turbulence
  • Establish instrument movement to always flow from dirty to clean
  • Stock equipment and supplies properly (location and quantity) to reduce staff movement and need for IMU
  • Use proper room zoning to protect the sterile environment
  • Remove unessential staff from the operating room

Link to Presentation

The Universal Prep/Recovery: A New Paradigm or Smoke and Mirrors?

Ballinger’s Director of Healthcare Planning, Dwight Smith, AIA, NCARB, EDAC, and Senior Healthcare Planner Richard Lawless, AIA, LEED AP, EDAC presented a talk at the 2017 PDC Summit in Orlando, an annual international conference on health facility planning, design and construction.

Their presentation, “The Universal Prep/Recovery: A New Paradigm or Smoke and Mirrors?” explored the benefits and limitations of a universal room design. Building a universal room can impact construction, it can affect the clinical care model – primarily in the areas of patient safety and efficiency of the workplace environment – and it can improve consumer satisfaction.

Illustrated with examples from Ballinger’s portfolio, the presentation highlighted the benefits of multi-functional standardized spaces, such as a universal prep recovery room, to provide adaptability and flexibility for the future.

Link to Presentation

Ballinger Presents at 2015 Healthcare Facilities Symposium & Expo

On October 7, 2015, Principal Lou Meilink, Jr., AIA, ACHA, ACHE, and Director of Healthcare Planning Dwight Smith, AIA, EDAC spoke at the Healthcare Facilities Symposium & Expo.

The surgical suite has historically been broken down into zones or levels of cleanliness.  As procedures become less invasive and expand to other modalities, differentiating cleanliness protocols have also expanded to other disciplines and in the process, grayed the understanding of what is best practice.  This presentation explored the history of clean flow in the medical field.  What is the definition of clean flow and is it fact or fiction?  As an architect, what design decisions influence clean flow in either a positive or negative way?  What are the components of clean flow and the risk factors associated with each?  What are the minimum requirements and are they truly best practice?  With the implementation of the Affordable Care Act linking reimbursements to reductions of surgical site infections (SSI), the effectiveness of clean flow will have an impact on every institution’s bottom line.

Link to Presentation

Ballinger Healthcare Experts examine Evidence-Based Design in Pediatrics

Ballinger Principal Louis Meilink, Jr., AIA, ACHA and Director of Healthcare Planning Dwight Smith, AIA, EDAC discussed evidence-based design (EBD) at this year’s Healthcare Design Expo and Conference, sponsored by the Center for Health Design.

EBD research to date has predominantly focused on the adult environment, with few examples of its impact on pediatrics. Throughout the design of the Golisano Children’s Hospital at the University of Rochester Medical Center, Ballinger tested and tracked the application of EBD principles and best practice theories as they apply to pediatric spaces.

Lou Meilink and Dwight Smith, along with Golisano Children’s Hospital Chief Operating Officer Elizabeth Lattimore, presented the outcome of their design process, highlighting strategies that are translatable between adult and pediatric populations.