Institute for Health + Wellness Design Annual Report 2017

Pioneering Force for Global Impact Through Design.

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UNIVERSITY OF KANSAS - INSTITUTE FOR HEALTH + WELLNESS DESIGN

Dean Mahesh Daas We could not be more proud of the accomplishments made by the Institute for Health + Wellness Design during its first year. In the following pages you will see that its leaders, Doctors Frank Zilm, Kent Spreckelmeyer, Mahbub Rashid, and Hui Cai have done an amazing job.

Like innovative research that forges new ideas and discoveries, the Institute built by this team has done something that has not been done before. They have created an organization that is a prototypical business/academic hybrid.

Conventional research models are structured around isolated groups. While grounded in the University our Institute leverages professional relationships and a diverse array of resources to create funded undergraduate and doctoral-level custom research.

We are most proud that dozens of America’s top health and wellness firms compete for our student interns and graduates.

Among the Institute’s many accomplishments this year is the international recognition we have received for the Institute’s work. That truly reinforces our vision, to be the Pioneering Force for Global Impact Through Design.

This new venture is also a joint effort between KU Innovation & Collaboration, the KU Endowment Association, and the School.

We are grateful for their assistance in helping the institute grow.

It is the model for other institutes in our School that are as yet on the drawing board, but well underway.

I hope you will enjoy this first annual report and join me in marveling at the Institute’s many achievements.

Dr. Mahesh Daas, DPACSA Dean, School of Architecture & Design University of Kansas

ANNUAL REPORT 2017

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Introduction The Institute for Health + Wellness Design enters its second year poised to implement research and educational programs designed to bridge academia and practice. Our first year has built on our faculty’s experience in education, research and service.

Our mission includes: Maintaining the excellence of our Health & Wellness Graduate Program, which utilizes internships with top healthcare architects and organizations Researching effective design strategies, the practices of healthcare design firms, and the creation of healthy communities Supporting the application of planning and design approaches for specific projects through collaboration with healthcare providers and firms.

Our core faculty brings a range of practice and research experience to this mission, including over 80 years of combined expertise in the planning and design of healthcare projects, successful execution of research projects, and collaboration with other universities and organizations to address local and global healthcare issues.

The success of our initiatives is due in part to the support of 10 affiliate organizations. Their willingness to undertake the financial support and personnel time has allowed the KU program to create a unique national position within the health architecture community.

Affiliate Organizations:

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UNIVERSITY OF KANSAS - INSTITUTE FOR HEALTH + WELLNESS DESIGN

The Next Generation:

Voices of Young Healthcare Design Practitioners An Institute survey of healthcare design firm employees under the age of 40 yielded insights into what their top workplace satisfiers are, as well as what’s not hitting the mark. Based on a national survey of 173 young professionals in healthcare design firms, there’s an overall satisfaction with work environments and opportunities for creativity.

communications (47 percent), incomplete and/ or contradictory instructions (46 percent), and management oversight (38 percent).

Major issues and concerns raised by the respondents focused on communications and leadership interaction within firms, along with compensation and benefits.

Fifty-four percent of the respondents anticipated that they would stay in healthcare architecture as one of their top future goals, while 18 percent envisioned leaving the field.

Most respondents envision continued work in healthcare design and—somewhat surprisingly— the most frequently identified educational needs related to project management.

When asked to identify continuing education interests, project management was the most frequently identified need.

Overall, based on this survey organizations should consider the following actions to support young professionals:

When asked if they believed their creative capabilities were being appropriately used, 56 percent said yes, 42 percent said no, and two percent did not answer.

Assure that project managers and principals establish strong communications with young professionals to clarify expectations and responsibilities

The top three “dissatisfiers” with current work situations were salaries and benefits (33 percent), amount of time at work, and scope of work. Almost half of the respondents identified their annual salary at more than $55,000 with a wide range of benefits also being provided. When asked to identify their level of satisfaction with their employment situation, most identified comraderie with their coworkers as highly satisfying; human resources and benefits received the least favorable satisfaction.

Support activities that encourage staff comraderie

The top three work “satisfiers” were opportunities for growth (62 percent), project types (42 percent), and comraderie with teammates (42 percent).

The Institute would like to thank the participating firms and individuals for their support of this study.

We plan to make this an annual survey along with other studies designed to support the practice of healthcare design.

The three major “stressors” identified by respondents related to project management were: limited

Establish in-house or external continuing education programs in project management, fundamentals of healthcare design, and evidencebased design Create opportunities for diverse exposure to project types and client interaction.

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Creativity in

Healthcare Architecture We are currently completing a first round of research on creativity in healthcare architecture. The focus of this work is on personality characteristics of successful designers, project managers, and project architects in our field. Working with Professor Ruth Ann Atchley in the KU Department of Psychology, Dr. Frank Zilm has completed interviews of 22 healthcare architects utilizing four personality inventory tools and measures of creativity.

One interesting component of this research is the comparison of findings with a major research study of the top architectural designers of the mid-twentieth century. Through an agreement with the Institute for Personality and Social Research, University of California, Berkeley, we have obtained original data on tests conducted in 1959 with internationally-recognized architects including I.M. Pei, Eero Saarinen, Philip Johnson and 37 other leaders in the field.

In future studies we will be looking at strengths of successful practitioners and any possible differences between roles within a firm.

Healthy

Communities The Health & Wellness Graduate Program at KU was one of 14 university-led design and public health programs selected to join the AIA and ACSA Design & Health Research Consortium in 2014. Since that time a number of design and research projects have been initiated in Kansas’ Wyandotte and Johnson Counties that address urban walkability, food access, and environmental sustainability. Matt Kleinmann, a doctoral student in the Health & Wellness Program, is in the process of collecting environmental preferences from WIC clients in Wyandotte County to determine specific factors in determining access to healthy food options. Assistant Prof. of Architecture Hui Cai is working with the Assoc. Prof. Kim Kimminau, Director of the Center for Community Health Improvement, KU Medical Center, and Renee Bryant, Community Wellness Coordinator, Johnson County Department of Health and Environment, to analyze demographic and GIS data to implement planning strategies for identifying mini-food deserts and improving access to healthy food in Johnson County. Professor Kent Spreckelmeyer represented the Health & Wellness Program at the annual ACSA conference in Detroit in March and presented current faculty and student research in rural health environments.

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UNIVERSITY OF KANSAS - INSTITUTE FOR HEALTH + WELLNESS DESIGN

Publications

and Presentations Institute faculty participated in a number of major presentations and published articles on healthcare design. At Healthcare Design ’16, Profs. Spreckelmeyer and Cai, and Dr. Zilm presented findings from their post-occupancy research on three new nursing units.

Their findings point to some major questions regarding decentralized nursing unit design. A follow-up roundtable discussion in collaboration with the University of Kentucky will be held at the 2017 Healthcare Design Conference.

Professors Spreckelmeyer and Cai will present findings on their research and student work related to rural healthcare at the June 2017 meeting of the Architectural Research Center Consortium (ARCC) in Salt Lake City. Dr. Zilm served as co-director and presenter at the May 2017 Center for Healthcare Design Conference of Emergency Department Planning in Chicago. He was also a guest lecturer for a February healthcare design workshop held at Cornell University.

Professor Mahbub Rashid published a major article on intensive-care unit design in Critical Care Nursing Quarterly and presented his research findings at the 2016 Healthcare Design conference in Houston. Prof. Spreckelmeyer and graduate students Sharmin Kader and Malia Bucher were awarded an Environmental Design Research Association Certificate of Research Excellence.

Professor Cai published three journal papers on health care and senior housing design in the Heath Environments & Research Design Journal, the AIA Academy of Architecture for Health Journal, and in an upcoming publication of on space syntax analysis with Craig Zimring, professor at the Georgia Institute of Technology School of Architecture. She has also presented at several conferences this year including EDRA 48; the International World Congress of Gerontology and Geriatrics, and ARCC 2017.

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Students

Activities Five students in Prof. Cai’s design studio participated in the 2017 AIA/ American Hospital Association PDC/American Society of Healthcare Engineers (ASHE) Student Design Challenge as part of the Healthcare Facilities Planning, Design and Construction/ASHE 2017 PDC conference held in Orlando. Students were divided into teams with other design and engineering students from Texas A & M, University of Florida, and Penn State. The challenge was to develop a design and price, and to schedule the construction of a rehabilitation hospital in Florida. Katie Goddard and her team won the best design project in the charrette, and Sayali Wazalwar and her team were the runners-up.

The international joint studio led by Prof. Cai and Prof. Zhichang Cai from Nanjing Tech University, Nanjing, China, has been recognized by the Chinese Architectural Education Board, Beijing, with a honorable mention in the 2017 Chinese National Competition on International Joint Studio Design Projects (May 2016 - March 2017). There were 250 entries in the competition.

More details can be found at :

Project website: www. kudesignhealthwellness.wordpress.com

Design Studio Projects

Arch 609

Professor Spreckelmeyer taught ARCH 609, a fourthyear, spring-semester design studio to introduce 201718 Health & Wellness Graduate Program students to healthcare facility issues prior to their upcoming sevenmonth internships. Their project was a 60,000-squarefoot community health and wellness center adjacent to Lawrence Memorial Hospital. The project was sponsored

by Health Care Access and Heartland Community Health Center. The schemes were reviewed at mid-term by the visiting internship mentor firms, again in May, and the final documentation packages for eight schemes were shared with the sponsoring organizations to assist them in the reconfiguration and redesign of their existing facilities on 8 UNIVERSITY OF KANSAS - INSTITUTE FOR HEALTH + WELLNESS DESIGN the project site.

01. Community Health Center, ARCH 609, Spring 2017 by Kelly Cole and Nate Kaylor

02. Community Health Center, ARCH 609, Spring 2017 by Nick Faust and Caitlin McKaughan

Capstone Studio

Arch 808

Professor Cai and Doug King, AIA of Stantec, Chicago, taught a studio that explored innovative models of healthcare delivery. This studio invited students to explore the healthcare design of the future from a holistic approach, which integrates prevention and healing, environment and local context, technology and human experience, and process efficiency and care effectiveness into an integrated design solution.

Students chose from three different projects:

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ROSELAND COMMUNITY HOSPITAL

One Hub: Roseland Transit and Community Health Center by Katie Goddard, Morgan Robinett, and Yutian Lin.

Addressing health disparities in underserved neighborhoods in urban areas. The Roseland Community Hospital in Roseland, Chicago, has faced the risk of closure several times. Recently, the Union Pacific Railroad has proposed extending the heavy-rail Red Line from the existing 95th Street Terminal to 130th Street.

The extension will offer new opportunities to revitalize this neighborhood. One possibility is to design the new 111th Street transition station (at intersection of South Eggleston Ave and 111th St.) as a mixed-use community hub that integrates health and wellness, retail, and education components. It could become an anchor that connects the community members together and offers resources for the residents to regain physical, mental, and financial health.

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UNIVERSITY OF KANSAS - INSTITUTE FOR HEALTH + WELLNESS DESIGN

One Hub: Roseland Transit and Community Health Center by Sayali Wazalwar, Matt Primovic, and Yuanyuan Yue.

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KEMPER ARENA

Mosaic Health and Wellness Arena (Kemper Arena adaptive Reuse), by students Anne Moreno, Shelby Hartman, and Charlie Lauberth.

Focus on adaptively reusing Kemper Arena as a community health, wellness, and recreation center.

Kemper is a 19,500-seat indoor arena designed by the German-American architect Helmut Jahn. It was built in 1974 and quickly became a landmark in the West Bottoms, a neighborhood just west of downtown Kansas City, Missouri. With the opening of the Sprint Center in 2007, it is mostly idle and underutilized.

After a long discussion about tearing it down, a recent proposal by Foutch Brothers, a local developer, would

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CRITICAL ACCESS HOSPITALS

turn it into a hub for youth and amateur sports. Mosaic Life Care, a St. Joseph, Missouri–based health care system, has committed to partner with the developers on the adaptive reuse of Kemper. They plan to bring the healthcare piece to the arena, including an onsite medical clinic, with services related to sports medicine, massage, and urgent care. This project will bring more crowds and activity to Kemper Arena while helping revitalize the West Bottoms.

Focus on exploring an innovative rural healthcare delivery model.

Critical Access Hospitals (CAHs) and small rural hospitals are at a critical time due to rapid changes in economics, rural demographics, and healthcare policy. The hospital will work as a hub for an integrated healthy campus, linking other heath related functions such as wellness center, health IT center, senior housing, and community center, and so on. The project serves as a prototype for future technologydriven rural healthcare model that focuses on community and population health.

Innovative Rural Healthy Campus Prototype: Cerner Harper Healthy Village, by Jonathan Crookham, Gianne Gonzales, and Melanie D’Souza.

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Tenwek Hospital

Kenya

Faculty and students continued our support of the Tenwek Missionary Hospital in Bomet, Kenya. Two teams of students in Prof.

Cai’s design studio and Dr. Zilm’s class on Systems and Components of Healthcare Design developed preliminary building and space layouts for a heart hospital addition to its campus. Working with Dr. Russell White at Tenwek and Henry Watts of Engineering Missionaries International, the team developed concepts for surgery, endoscopy, inpatient care, clinics, and administrative support areas.

Nanjing Tech University

Relationship

The KU Institute of Health + Wellness Design and Nanjing Tech have developed long-term collaborations since 2014. Nanjing Tech students have visited KU two years in a row for joint studios on international healthcare and senior housing design. Students’ projects have continued to win competitions in China. Prof. Hui Cai and Profs.

Zhichang Cai and Jing Lujo have ongoing research collaborations.

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UNIVERSITY OF KANSAS - INSTITUTE FOR HEALTH + WELLNESS DESIGN

Internships Eighteen students graduated with professional Master of Architecture degrees and Health & Wellness Graduate Certificates in May after completing internships in firms that are doing significant work in healthcare design. These students completed coursework in healthcare systems, comprehensive design (ARCH 609), healthcare design internships, capstone research studio (ARCH 808), and a series of healthcare design electives . This was the eighth Health & Wellness M.Arch. graduating class. One-hundred-and-forty students have graduated with the M.Arch. in this field since 2010.

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6.

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8.

5. 2.

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11. 3.

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Seventeen students will be starting their sevenmonth Health & Wellness internships in the summer and fall semesters.

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12.

The following firms are sponsoring interns this year: 1. Invision

5. HMN Architects

2. ACI Boland Architects

6. SmithGroup JJR

10. HKS

3. Hoefer Wysocki Architecture

7. Lawrence Group

11. Schwerdt Design Group

4. RTA

8. SPT Architecture

Waterloo, Iowa Kansas City, Missouri Leawood, Kansas Colorado Springs

Overland Park, Kansas San Francisco St. Louis Wichita

9. Pulse Design Group

Lenexa, Kansas

Dallas and Washington, D.C. Topeka

12. American Constructors

Austin

The Health & Wellness Graduate Program invites architecture firms to consider sponsoring Master of Architecture students in their final summer and fall semesters for healthcare design internships. Affiliate Firms of the Institute of Health + Wellness Design will receive advance notice and background material regarding the intern applicants in January, and interviews will be scheduled between sponsoring firms and the applicants at the Spring Symposium in March. The Health & Wellness program has collaborated with more than 40 firms across the country over the past nine years in placing our students in these internships.

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Year-Two

Plans

Continuation of our successful relationships with healthcare practice firms will be a core initiative of the Institute and Graduate Program. In addition to our current activities, the Institute has established four goals for the coming year: Expansion of our collaborative research and service with healthcare organizations and design firms. The Design Service Center and the KU Research Center will put in place mechanisms to expand applied research. This will be achieved through research grants, collaborative initiatives with healthcare organizations, and selffunded research initiatives.

Recruitment of graduate students from other universities into our Health & Wellness Graduate Program. We believe this could provide some valuable diversity to our strong, existing program and expand our national reputation.

Expansion of our affiliate base, providing quick research capabilities and priority student intern access.

Creation of a virtual reality library of healthcare spaces for use by the design community and students.

Endowment

Fund

A designated funding category has been established within the KU Endowment Association to support our Institute’s activities. We are using current funds to help purchase equipment for our virtual library projects, to cover travel expenses for faculty to speak at conferences, and to sponsor research initiatives. Contributions to the fund are fully tax deductible.

Our long-term plans including the funding of an endowed chair for the program to help grow the program’s research and service role.

For further information contact: Lindsay Hummer at the KU Endowment Association.

LHummer@kuendowment.org For additional information regarding the Institute, please contact: Frank Zilm, D.Arch., FAIA Frankzilm@ku.edu (816) 561-7186

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UNIVERSITY OF KANSAS - INSTITUTE FOR HEALTH + WELLNESS DESIGN

Design Service

Center

The University of Kansas has approved the establishment of a Design Service Center within the Institute to assist your organization in gaining the expertise of our faculty in the planning and design of your specific projects. The focus of the Design Service Center will be on the application of knowledge, in contrast with traditional research studies that seek to create new knowledge.

Our faculty can complement the skills and experience of design firms and provide unique services such as simulation modeling, space programming, master planning, design concepts, and the evaluation of proposed solutions. Contact us to learn more about specific services and possible working relationships.

Core

Faculty Frank Zilm

Kent Spreckelmeyer

D.Arch, FAIA, FACHA, Director

D.Arch, FAIA, Associate Director

Frank Zilm brings over 40 years of experience in health facilities programming and planning to the Institute. He has published numerous articles and book chapters on programming and planning, and is a frequent speaker at healthcare industry events.

Professor Kent Spreckelmeyer has consulted on more than 50 architectural workplace and healthcare facilities projects, and has co-authored five books. He directs the Health & Wellness Graduate Program at University of Kansas.

frankzilm@ku.edu

kents@ku.edu

Hui Cai

Mahbub Rashid

PhD

PhD, RA

Before joining the faculty, Asst.

Prof. Cai served as Health+Science research leader and designer at RTKL Associates. Her research was recognized by the International Academy of Design & Health with its prestigious International Academy Award in Research in 2011.

Professor Rashid is an expert on the theories and methods of architectural research, focusing on the structure of forms and spaces.

He is a nationally-known expert in ICU and evidencebased healthcare design, and a registered architect.

huicai@ku.edu

mrashid@ku.edu ANNUAL REPORT 2017

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Institute for

Health +Wellness Design University of Kansas 200 Marvin Hall 1465 Jayhawk Boulevard Lawrence, Kansas 66045 www.arcd.ku.edu/ihwd

CORE FACULTY:

AFFILIATED FACULTY SUPPORT INSTITUTE INITIATIVES:

Frank Zilm, D.Arch., FAIA, FACHA (Ret.)

Ruth Ann Atchley

Chester Dean Director

Professor, Assistant Vice Chancellor

Kent Spreckelmeyer, D.Arch., FAIA

Lance Rake

Professor, Associate Director

Professor, Design

Hui Cai, PHD

Chad R. Kraus

Associate Professor

Associate Professor, Architecture

Mahbub Rashid, PHD

Shannon Chris

Professor, Associate Dean for Research and Graduate Studies

Associate Professor, Architecture

Robert Lee Professor, Chair Health Policy and Management

Glendon Cox Professor, Health Policy and Management