Strategic Earth will conduct a desktop review of existing, publicly available summaries of input on coastal management that Tribes have provided to State agencies in recent years.
Respecting that many California Native Americans are burdened by repetitive requests for input from the state and others, this project uses innovative strategies to be mindful of capacity limitations and offers a number of pathways for Tribes and Native Communities to share their guidance and contribute to this 10-year management review process.
Click here to start this process.The state has identified Tribal perspectives and priorities as critical to include in the California Department of Fish and Wildlife’s (CDFW) first Decadal Management Review (Review) of the Marine Protected Area (MPA) Network. By focusing on the processes that enable new care delivery approaches and the new spaces and details that support them, we can, in partnership with our clients, collaboratively shape the next generation of the clinical care setting, responding to the evolving needs of the ED into the future.ĭo you have experience and expertise with the topics mentioned in this content? You should consider contributing to our CFE Media editorial team and getting the recognition you and your company deserve. Striking the right balance between a flexible, furniture-based solution and a space that provides for the comfort and amenity of the patient and a loved one, has been the focus of a great deal of thought and collaborative dialogue, informing the design process. As an example, we have worked closely with NSLIJ on the detailed aspects of the Results Waiting environment, where stable, low-acuity patients await the next step in the care process while freeing up an examination position for incoming patients to be treated. There, the teams could validate decisions, explore details, understand initial lessons learned and continue the collaborative development of the new standard prototypes for the clinical components of future NSLIJ EDs.Įmerging design considerations for the “Super-Track”Ĭollaborating with the client has been a great opportunity for the CannonDesign Health Practice team to gain more knowledge of the “Super-Track” model and a deeper understanding of the implications for the model on design and planning. A joint site visit/detailed planning workshop at the newly opened NSLIJ Lenox Hill HealthPlex freestanding ED allowed the newest ED in the system to serve as a living mock-up.A joint project workshop brought user groups from both projects together, along with NSLIJ service line leadership for clinical specialties, including Trauma, Imaging and Behavioral Health, to collaboratively develop the detailed room design and equipment components of the primary program elements.
For each project, we helped with medical planning and interior design leadership, as well as equipment planning consultation – providing a coordinated approach while allowing room for each project to respond to its site-specific design challenges and influences.ĭuring the Design Development phase, the two project teams engaged in collaborative exercises to target a NSLIJ system standard for the fundamental clinical components of the ED environment: In this post, I’ll share with you some of the strategies we have used to assure that when the new EDs open in 2016, they support this best practice clinical care strategy.Īs the new designs at both hospitals developed in tandem, CannonDesign’s teams working on each project remained aligned with regard to the design development, fostering collaborative cross-coordination. After retrofitting several EDs to institute aspects of this acuity-based split flow concept (see graphic) and seeing many demonstrated benefits, the team was afforded the opportunity to apply their clinical care philosophy more comprehensively to the design of two new ED expansions within the system – at Huntington Hospital and Southside Hospital.ĬannonDesign has been fortunate enough to work with the team on these solutions, which will extend and mature the clinical brand of the evolving patient care experience at Emergency Departments throughout the system.
Over the last few years, the Emergency Services team at North Shore-LIJ (NSLIJ) has begun focusing on a “Super Track” clinical model to target effective throughput of lower acuity patient volumes in order to more effectively manage patient wait times and reduce length of stay (ALOS) numbers in emergency departments (EDs) throughout the system.
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