Can hospitals cure urban blight?
As we move into a post-reform healthcare world, a greater focus on treating the whole person has come to the forefront, including comprehensive management of disease and prevention. In addition, the level of satisfaction that a patient has with the care they receive is going to drive reimbursement. This leads to a much more multidimensional purpose for the hospital campus:
We don't often view a hospital campus as our destination for gift shopping, or a lunch with friends. But we could. In addition to capturing the huge audience of staff, patients and visitors, retail and dining venues can also be a resource for others in the neighborhood, or even destinations on their own. This serves to draw people in to the campus where the wellness opportunities can be prominently marketed as well as to erase negative associations that a community might have with a hospital. Hospitals become the perfect place for community wellness activities like farmers markets, fitness centers and therapeutic landscapes. Bike and walking paths and trails can add to the experience and be a resource for staff as well.
A development blueprint
If healthcare organizations could work more closely with cities as they develop their master plans, they would be able to leverage and even influence things like locations of transit stops, streetscape design, and zoning guidelines. Imagine being able to locate affordable multifamily housing including senior living facilities within walking distance. Partnering with the community to create land swaps can allow campus expansion that is a win for both the campus and the community. Sustainable design initiatives can also lead to sustainable communities. LEED credits such as development density, alternative transportation, places of respite, permeable pavings, and percentages of landscape can also aid in helping the hospital to respond to its urban context while also opening it up as an accessible resource of wellness in the community.
Creating a unifying vision for the hospital campus within the community can also help the master plan to better reflect the hospital’s organizational goals and mission. The master plan can be linked to other development efforts within a neighborhood to become part of a community master plan that incorporates initiatives and interests of public transportation planners, city planners and even community stakeholders such as non-profits, business owners and residents.
Evaluating solutions from the point of view of the larger context allows you to integrate cultural perspectives of your healthcare customer. Tying into the neighborhood culture humanizes the hospital, allowing patients to have a more personal and contextual experience. Growth is an inevitable part of a hospital’s existence. Acquisition of surrounding land is key to survival, but at what cost to the urban fabric? The hospital cannot simply act as a vacuum cleaner for blighted properties, what it does next with those properties is key to the success of the neighborhood.