D-‐03
INSIGHTS
FOR
CONFIGURATION
AND
THE
BUSINESS
CASE
FOR
DESIGN
IMPROVEMENTS
Jeffrey
Anderzhon,
FAIA Lorraine
G.
Hiatt,
Ph.D.
Senior
Planner
/
Design
Architect Environmental
Psychologist
/
Gerontologist
Andrew
Alden,
M.Arch
Senior
Planner
/
Designer
Continuing Education Credits
Architects - 22 Credit Hours available
• Have your conference badge scanned by the room monitor at the start of each session you attend.
• Complete the AIA verification form (be sure to check off the sessions you attend) and retain it for your
records.
• CE credits will be uploaded to the AIA transcript system within 4-6 weeks of the close of the conference
and you will receive a certificate of completion via email.
Interior Designers - 22 Credit Hours available
• Have your IDCEC verification form STAMPED by the room monitor at the start of each session you
attend.
• This is the ONLY proof of attendance that will be accepted.
• You will self-submit your credits to the IDCEC system at the conclusion of the conference.
• If you have questions about reporting your credits, contact the interior design association that is
responsible for monitoring mandatory continuing education to fulfill membership requirements.
EDAC - 10 Credit Hours available
• EDAC Approved Sessions: T01, D01, D02, D03, E01, E03, E09, E10, E12, E13, E15, E16, E18, E21,
E22, E23, E24, E25, E27, E30, E34, E35, E36, E38, E39, E40, E41, E42, E43, E44, E47, E49
• Complete the EDAC verification form and retain it for your records
• You will self-submit your CE credits to Castle Worldwide at the time of your EDAC renewal. Renewal
notices with login instructions will be sent from Castle Worldwide six months and three months prior to
the candidate’s renewal date.
• The verification form is your proof of attendance in case of an audit.
EFA Mobile App and Session Evaluations
Mobile App -
If you have not done so already download the mobile app through your device
app store. If you have any questions or need assistance please visit the mobile
help desk
Session Evaluations - Rate Sessions Through the Mobile App
Instructions :
1. Open and load mobile app
2. On the top navigation bar, select the screen icon
3. Locate and select the session you are attending – they are listed by day,
track or type
4. After clicking on the individual session a navigation bar will appear on the
left. Click the clipboard icon and evaluation/survey will begin.
LEARNING
OBJECTIVES
• Understand
how
the
physical
environment
impacts
direct
caregiving,
staffing,
food
service,
and
social
interaction;
• Learn
about
trends
that
are
helping
to
shape
the
physical
environment,
care
program
and
operations;
• Discuss
and
appraise
contemporary
architectural
designs
created
for
older
adult
care
environments
and
the
operational
methodology
assumed
for
those
layouts;
• Gain
knowledge
through
interactive
discussion
focusing
on
participant
experiences
with
their
own
operational
and
environmental
designs.
Jeffrey
Anderzhon,
FAIA Andrew
Alden,
M.Arch Lorraine
G.
Hiatt,
Ph.D.
Senior
Planner
/
Designer Psychologist
/
Environmental
Gerontologist
Senior
Planner
/
Design
Architect
@JeffA_EUA @AndrewA_EUA /lorraine-‐g-‐hiatt-‐ph-‐d-‐83569627
/jeffreyanderzhon/j /andrewalden1 [email protected]
[email protected] [email protected]
THE
AGENDA
• Recap
from
Households
V1.0
• History
• Architecture
• Lessons
Learned
THE
EVOLUTION
OF
SEANIBORRIE
LFIVHINISGT
O CARRYEOF
CONGREGATE SENIOR
CARE HOUSEHOLDS
Household
Layout
Comparison Hybrid
Short
Corridor
Household
Household
Hearth
Renovation
Household Household
Eppstein
Uhen
Architects,
2016
THE
EVOLUTION
OF
SENAIORRC
LHIVIITNEGC
TCUARREE-
LESSONS LEARNED
Physical
Environment
Comparisons
Between
Models
of
Care
TRADITIONAL
CONTEMPORARY
HOUSEHOLD
LONG
TERM
CARE
MODEL RESIDENT
CENTERED
CARE
MODEL
Large
Centralized
Activity
Space Small
Decentralized
Activity
Spaces
Large
Centralized
Dining
Space Small
Decentralized
Dining
Spaces
Centralized
Staff
Space
(Nursing
Station) Small
Decentralized
Staffing
Spaces
Centralized
Care
&
Service
Spaces
Decentralized
Care
&
Service
Spaces
Institutional
Style
Finishes
&
Furnishings Residential
Interior
Finishes
&
Furnishings
Lack
of
Natural
Light
&
Exterior
Views Natural
Light
&
Options
for
Exterior
Views
Majority
of
Multiple Occupant
Rooms
Private
Rooms
with
Private
3
Piece
Bathrooms.
(2,
3,
or
4
people)
Shared
2
Piece
Bathrooms.
Limited
Number
of
Companion
Rooms,
“Smart
Doubles”
Limited
Private
Rooms
Variety
of
Interior
Colors
&
Monochromatic
Interior
Colors
& Mixture
of
Textures
Lack
of
Textures
Outdoor
Access
with
a
Variety
of
Spaces
Limited
Outdoor
Access
and
Garden
Operational
Comparisons
Between
Models
of
Care
TRADITIONAL
CONTEMPORARY
LONG
TERM
CARE
MODEL RESIDENT
CENTERED
CARE
MODEL
Ailment/Disability
Focus Resident
as
Individual
Focus
Staff
Control
of
Daily
Routines Resident
Choice
and
Control
of
Daily
Routines
Maximization
of
Staff
Efficiency Optimize
Resident
Quality
of
Life
&
Independence
Rotated
Staff
Assignments Permanent
Staff
Assignments
Specialized
Job
Tasks
(Hierarchical) Wide
Range
of
Tasks
(Team
Oriented)
Quality
of
Care
Emphasis Quality
of
Care
&
Quality
of
Life
Emphasis
Majority
of
Food
Preparation
& Majority
of
Food
Preparation
&
Serving
of
Food
at
Plating
of
Food
Behind
Closed
Door Decentralized
Dining
Spaces
In
View
of
Residents
THE
EVOLUTION
OF
SENPIORRO
LGIVRINAGM
CAARNED
DESIGN
THE
EVOLUTION
OF
SOEPNEIORRA
TLIIOVINNGS
ACANRDE THE
BUILT ENVIRONMENT
RESIDENT
ROOM
THE
EVOLUTION
OF
SENIOR
LIVING
CARE
CONCLUSIONS
Key
Take-‐Aways
• Text
Contact
Information
[email protected] Andrew
Alden,
M.Arch.
Mobile:
917.297.8239 [email protected]
@AndrewA_EUA
Jeffrey
Anderzhon,
FAIA Mobile:
414.687.7403
[email protected]
@JeffA_EUA
Mobile:
402.598.3167
Sensory Built
Properties Environment
Attributes Spatial
of Properties
Groups Place
Organization Experience
Individuals
Socio-cultural Context
Courtesy of Gerald Weisman, PhD
Individual Attributes of Place Experience
Sensory Stimulation Accessibility
Activity Sociality
Crowdedness Meaning
Privacy Safety & Security
Control Mystery
Adaptability Inclusivity
Legibility
Comfort (anthropometric fit)
? Sensory ?Built
Properties
Environment
? Groups Control ?Spatial
Properties
? Organization ?Individuals
Socio-cultural Context
Courtesy of Gerald Weisman, PhD
? Sensory ?Built
Properties
Environment
? Groups ?Spatial
SSaecfeutryit&y Properties
? Organization ?Individuals
Socio-cultural Context
Courtesy of Gerald Weisman, PhD
A small group of residents living within a physically-defined
environment that "feels like home" and that has a kitchen (with a
wide variety of food accessible to residents around the clock,
including breakfast-to-order and on demand), a dining room and a
living room.
Staff is consistently assigned so they can develop meaningful
relationships with the residents, work in self-led teams and
perform a variety of tasks.
Courtesy of : www.pioneernetwork.net
Connect: Attributes & Resident Centered
Sensory Stimulation Accessibility
Activity Sociality
Crowdedness Meaning
Privacy Safety & Security
Control Mystery
Adaptability Inclusivity
Legibility
Comfort (anthropometric fit)
A Sense Of ……
THE EVOLUTION OF
SENIOURnLbIVaIlNaGncCAeRdE
PLACES
Unbalanced
PLACES
• Resident Experience
• Family Experience
• Caregiver Experience
• Marketing Impact
• Financial Impact
Sensory Built
Properties Environment
Attributes Spatial
of Properties
Groups Place
Organization Experience
Individuals
Socio-cultural Context
Courtesy of Gerald Weisman, PhD
Unbalanced
PLACES
• Resident Experience
Unbalanced
PLACES
• Family Experience
Unbalanced
PLACES
• Caregiver Experience
Unbalanced
PLACES
• Marketing Impact
Unbalanced
PLACES
• Financial Impact
THE EVOLUTION OF
SENIOR LTIyVpINicGaClARE
Layouts & Impacts
Physical Environment Comparisons Between Models of Care
TRADITIONAL CONTEMPORARY HOUSEHOLD
LONG TERM CARE MODEL RESIDENT CENTERED CARE MODEL
Large Centralized Activity Space Small Decentralized Activity Spaces
Large Centralized Dining Space Small Decentralized Dining Spaces
Centralized Staff Space (Nursing Station) Small Decentralized Staffing Spaces
Centralized Care & Service Spaces Decentralized Care & Service Spaces
Institutional Style Finishes & Furnishings Residential Interior Finishes & Furnishings
Lack of Natural Light & Exterior Views Natural Light & Options for Exterior Views
Majority of Multiple Occupant Rooms Private Rooms with Private 3 Piece Bathrooms.
(2, 3, or 4 people) Shared 2 Piece Bathrooms. Limited Number of Companion Rooms, “Smart
Doubles”
Limited Private Rooms
Variety of Interior Colors &
Monochromatic Interior Colors & Mixture of Textures
Lack of Textures
Outdoor Access with a Variety of Spaces
Limited Outdoor Access and Garden
Operational Comparisons Between Models of Care
TRADITIONAL CONTEMPORARY
LONG TERM CARE MODEL RESIDENT CENTERED CARE MODEL
Ailment/Disability Focus Resident as Individual Focus
Staff Control of Daily Routines Resident Choice and Control of Daily Routines
Maximization of Staff Efficiency Optimize Resident Quality of Life & Independence
Rotated Staff Assignments Permanent Staff Assignments
Specialized Job Tasks (Hierarchical) Wide Range of Tasks (Team Oriented)
Quality of Care Emphasis Quality of Care & Quality of Life Emphasis
Majority of Food Preparation & Majority of Food Preparation & Serving of Food at
Plating of Food Behind Closed Door Decentralized Dining Spaces In View of Residents
Household Layout Types
1 Short Corridor public to private gradient
Household
2 Hearth small house model
Household
3 Hybrid unique configurations
Household
4 Renovation changing traditional model
Household
Eppstein Uhen Architects, 2016
Household Layout Comparison Resident Room
Activity
Functional
Description Staff / Service
Circulation
Household Layout Comparison Hybrid
Household
Short Corridor
Household
Hearth Renovation
Household Household
Eppstein Uhen Architects, 2016
Household Layout - Discussion
Short Corridor
Household
Eppstein Uhen Architects, 2016
Household Layout - Discussion
Hearth
Household
Eppstein Uhen Architects, 2016
Household Layout - Discussion
Hybrid
Household
Eppstein Uhen Architects, 2016
Household Layout - Discussion
Renovation
Household
Eppstein Uhen Architects, 2016
Household Layout Comparison Hybrid
Household
Short Corridor
Household
Hearth Renovation
Household Household
Eppstein Uhen Architects, 2016
THE EVOLUTION OF
SENIOR LBIVRINEAGKCARE
(15 Minutes)
THE EVOLUTION OF
SEInNtIeOrRacLItVivINeGECxAeRrcE ise
THE EVOLUTION OF
SENIOGR rLoIVuIpNGInCpAuRtE
THE EVOLUTION OF
SENIOCRoLnIVcINluGsiCoAnRsE
Contact Information
[email protected] Andrew Alden, M.Arch.
Mobile: 917.297.8239 [email protected]
@AndrewA_EUA
Jeffrey Anderzhon, FAIA Mobile: 414.687.7403
[email protected]
@JeffA_EUA
Mobile: 402.598.3167