ARCH7140_Urban Healthcare_Stone

Beacon Club

The Retail Clinic

AFFORDABLE CARE ACT A New Insurance Model “We must reimburse based on the quality and utility of care provided, not just the sheer volume of services.

This idea--paying for "value over volume" or "paying for performance"--is now a common refrain in the world of health policy.”

Expanding its scope of services into non-acute areas. This includes CHRONIC “ monitoring and point of care testing for diabetes, hypertension, high cholesterol and asthma.

DISEASE ”

1 out of 2

7 out of 10

1 out of 3

Adults in America has at least one chronic illness

Deaths among Americans each year resulted from chronic diseases

American will develop diabetes by 2050

8.2%

27.5%

U.S. adults have asthma

U.S. adults are obese

By age 65, nearly

nine out of ten Americans will have at least one chronic condition.

25.9% U.S. adults have arthritis

BABY BOOMERS

CAPITATED MODEL, RATHER THAN FEE-FOR-SERVICE

When the baby boomers start turning 65 in 2011,

10,000 people will turn 65 EVERY DAY

and continue to do so for the next for 20 years.

By 2030

72 million people will be 65 years or older.

By 2050

between 80 and 90 million

people are projected to be 65+

Thesis As the Baby Boomer generation ages, chronic conditions will increase

OVERALL WELLNESS

dramatically in the population as a whole.

This thesis aims to promote optimal wellness and prevention of chronic conditions through programmatic integration of: the health clinic and medical care with the fitness center and the social club.

HEALTH

MEDICAL

FITNESS

SOCIAL

Thesis Utlilizing urban design strategies, public plazas are key moments where flexible combination of programs occur.

The public plazas create a multi level form - a building within the building.

DEMOGRAPHIC INTERVIEW: John Stone Pauline Stone Denis Paquin

JOHN

Demographic Research works:

WORKS 40+ HOURS/WK

wants:

EFFICIENCY

needs:

HIGH CHOLESTEROL SUPPLEMENTS

has:

“GOLFER’S ELBOW”

and:

PROCRASTINATES DR. VISITS

David Bourque Jill Parenteau

PAULETTE

Paulette Paquin works:

PART TIME @ GARDEN SHOP

wants:

GUIDED CARE

needs:

LOW IMPACT EXERCISE

has:

“FROZEN SHOLDER”

and:

VEGETARIAN COOKING CLASSES

Event Programming

10PM

12AM

2AM

8PM

4AM

6AM

6PM

4PM

8AM 2PM

12PM

10AM

MONDAY

BASICS OF WELLNESS

TUESDAY

CHRONIC ILLNESS

WEDNESDAY

MENTAL FITNESS

THURSDAY

BONES AND JOINTS

FRIDAY

SKIN AND NERVES

SATURDAY

WELLNESS PLUS

SUNDAY

RELAX AND REJUVENATE

Event Programming 12AM

10PM

2AM

6PM

COO KIN GF OR CHOL TH EST EW ERO EE LS K CR EE NI NG ME DIT AT ARTHR ITIS IO N EX ER CIS ES SPA TR EA

8PM

4AM O DEM NT ME

MONDAY

TUESDAY

WEDNESDAY

THURSDAY

FRIDAY

SATURDAY

SUNDAY

BASICS OF WELLNESS

CHRONIC ILLNESS

MENTAL FITNESS

BONES AND JOINTS

SKIN AND NERVES

WELLNESS PLUS

RELAX AND REJUVENATE

General MD

Psychiatrist

Orthopedic

Dermatologist

Pain Management

PT Evaluations

Diabetes Care

Group Therapy

Osteoporosis Care

Stretching for Nerve Health

Vitamin Education

Yoga

Cholesterol Screening

Meditation

Exercises for Arthritis

Spa Treatment Demo

Traveling Mammogram

Wine Tasting

Specialist

6AM

Nutritionist Afternoon Event

Food Pyramid

4PM

8AM 2PM

12PM

10AM

Evening Event

Cooking for the Week

HEALTH MEDICAL FITNESS SOCIAL

Program Mixing 6

SOCIAL + FITNESS

5

SOCIAL + MEDICAL

4

FITNESS + MEDICAL

3

SOCIAL + HEALTH

2

FITNESS + HEALTH

1

SOCIAL + HEALTH + FITNESS + MEDICAL

Client Profile

“Among Brookline adults, 68.8% report meeting the current recommendation to get regular physical activity (30 minutes of more of moderate activity most days a week), compared to 52% of Massachusetts adults.”

SITE DEMOGRAPHICS BROOKLINE, MA

-Brookline Department of Public Health

MEDIAN INCOME AND EDUCATION

* Appropriate Neighborhood for Business Model

100000 80000 60000

High School or Higher: 96.7% Bachelor’s Degree or Higher: 80.0% Graduate or Professional Degree: 50.6%

40000

* Indication of types of Newspapers, Magazines and Promotions to offer.

20000 0

Brookline $95,108

Massachusetts $62,859

GENDER AND AGE Males: 26,454 45% Females: 32,278 55%

* Women Centered Fitness Groups

65 years or older

40-64 years old

6 years or under 7-18 years old 19-24 years old 25-39 years old

* 40-64 age group = 25% Compared to 9.6% in Boston in 2010

Site BENEFITS -Easy Public Transit Access -Existing Large Site Surrounded by small “Main Street” Shops -Street Parking

WASHINGTON SQUARE

- Walkable from many residential areas

Fitness Centers

EVA

D R NS

Site WASHINGTON SQUARE BROOKLINE, MA

N

TO

NG

HI

AS W

WASHINGTON SQUARE

ST

C

BEA

EET

TR ON S

MBTA GREEN LINE

NS

TAPPA

N

H AS W N

TO

G IN

Urban Diagram

ST

CON

BEA

WASHINGTON SQUARE BROOKLINE, MA

WASHINGTON STREET

UNIVERSITY ROAD

NT

CI R

EET

WASHINGTON SQUARE

N STR

RE GE

TAPPA

5 .

2 M-

EET

STR

RD

5 .

1 M

AD

0 .

1 M-

0 .

1 M-

WINTHROP ROAD

RA W

SO

P TA P

D

ON RD T G IN

7 SC N

RD

First Floor Plan: Day Activity

First Floor Plan: Evening Activity

Second Floor Plan: Day Activity

Second Floor Plan: Evening Activity

Third Floor Plan: Day Activity

Third Floor Plan: Evening Activity

Fourth Floor Plan: Day Activity

Fourth Floor Plan: Evening Activity

Fifth Floor Plan: Day Activity

Fifth Floor Plan: Evening Activity

Roof Plan: Day Activity

Roof Plan: Evening Activity

Screen

Open Partition

Private Partition

Gradient

Screen Characteristics

Private Partition

Open Partition

Gradient

Model