Designing for care coordination and collaboration ARCH6243 Evidence-Based Design Case Study Hwayeong Choi

MGH: Ambulatory Practice of the Future Location Boston, MA https://apf.partners.org/index Ambulatory Practice of the Future

Ambulatory Practice of the Future Patient-Centered Medical Home An innovative and collaborative primary care practice Opened in 2010 16 of Exam Rooms Designed by Stantec and adjacent to Serve and Massachusetts General Hospital Massachusetts General Hospital Physicians Organization employees and their adult spouses and partners http://bcove.me/ms793hkh

Layout http://www.massgeneral.org/stoecklecenter/news/multimedia.aspx?id=220

Team-based Approach Designed and managed with a particular emphasis on team-based care and coaching The design encourages a proactive focus on health and life balance. To explore, define, and reach your customized health and well-being goals We feel it is extremely important that each care team member knows how you are doing. The team works very closely with each other to know and understand you, and how we can each contribute to providing the highest quality of care.

Team-based Approach Each care team includes a doctor, nurse practitioner, registered nurse, health coach, and medical assistant. (18 team members) Patients are the most important team members. The information from patients’ visit is available to every member of patients’ care team, including patients. Dissolves the traditional barriers between doctor and patient We feel it is extremely important that each care team member knows how you are doing. The team works very closely with each other to know and understand you, and how we can each contribute to providing the highest quality of care.

Collaboration Building a collaborative relationship between patients and their care team The highest degree of communication and collaboration between patients and the care team  Custom-designed environment Exam rooms are clustered around a multidisciplinary team work area to enhance operations by providing space for collaboration. Enabling patients to connect more directly and deeply with the management of their own health and chronic illness The Ambulatory Practice of the Future, a primary care clinic adjacent to Massachusetts General Hospital, was designed to support collaboration among providers, transparency of information and connectivity, says Coull. The design features clusters of exam rooms around a central multidisciplinary team work area and shared multipurpose space where clinicians can consult with one another. It is intended to serve as a prototype practice for developing a patientcentric culture of care. We feel it is extremely important that each care team member knows how you are doing. The team works very closely with each other to know and understand you, and how we can each contribute to providing the highest quality of care.

Team work area

Team work area

IT Rich Environment

Paradigms Changes Current Paradigms APF Paradigms Focus on sickness Event-based healthcare                                Static experiences      Directive communication Individual experiences    Patient goes to treatment     One size fits all     Obscurity         Focus on health & life balance Continuous healthcare  Interative experiences Collaboration Team-based experiences Treatment goes to patient Mass customization Transparency https://www.healthdesign.org/clinic-design/clinic-examples/ambulatory-practice-future-apf

Resource The Ambulatory Practice of the Future Website https://apf.partners.org/ Ambulatory Practice of the Future & The Virtual Practice Project - Explanation video http://www.cimit.org/programs-ambulatorypractice.html Introductory Video for Patients https://www.vidscrip.com/maryannmarshall/vidscription/ambulatory-practice-of-the-future-apf/ Other information https://www.cimit.org/programs-ambulatory-practice-tour.html https://www.healthdesign.org/clinic-design/clinic-examples/ambulatory-practice-future-apf http://www.hfmmagazine.com/display/HFM-news- article.dhtml?dcrPath=/templatedata/HF_Common/NewsArticle/data/HFM/Magazine/2014/Apr/0414HFM _Coverstory

Location Atlanta, GA http://moxieusa.com/ Moxie Location Atlanta, GA http://moxieusa.com/ Ambulatory Practice of the Future

Moxie Atlanta Digital Marketing Agency Headquarter Founded in 2000 16,000sf The Coca-Cola Company, Verizon Wireless, Nike, Chick-fil-A, AMC Theatres, Wells Fargo & Company Remodeling Train Flatform http://www.tvs-design.com/markets/workplace/moxie-interactive.aspx

Moxie Interactive  The large conference room in the entry area

Moxie Interactive  Unassigned common work area

Moxie Interactive No one has own office. Lower partition between desks No historic use of space as a status language

Moxie Interactive Various meeting rooms

Resource Site Visit http://moxieusa.com/home http://www.tvs-design.com/markets/workplace/moxie-interactive.aspx

Hwayeong Choi hchoi309@gatech.edu Thank you Hwayeong Choi hchoi309@gatech.edu Ambulatory Practice of the Future