Design Power

I recently read and loved this post.  It really gets to the heart of the power we have as designers, especially architects, if only we will believe in ourselves and innovatively and fearlessly use our abilities to problem solve.
quoted from dinet
Design thinking ... carries a conviction that there is always more than one way to solve a problem http://bit.ly/fUqZ7U

When Green Isn't Enough

Sustainable healthcare design is a strange beast.  It's not just about saving energy, but about providing a better quality of life for the users of the building.  A handy source for melding the two is the Green Guide for Healthcare, which acknowledges some of the distinct issues facing sustainable hospitals, and begins to take it one step further, weaving in elements of evidence based design (EBD). Other sources I like to consult are Practice Greenhealth, Healthcare without Harm, and the treasure trove of information on EBD that is the Center for Health Design.  Emerging mateirals such as the UL Environment hybrid standards and CSI's new GreenFormat also can help filter through a wide range of data in multiple formats. 

The best way to pursue sustainable goals is to understand that most of what they are working to accomplish can either lay the foundation for or amplify other goals that an Owner aalready has.  By taking the time to identify and codify Owner Project Requirements (OPR), they can be matched to green goals.

Being sustainable as a matter of conscience or energy savings is nice, but healthcare organizations should view it as a prerequisite to meeting their infection control requirements, staff retention goals, and patient satisfaction plans as well as a tool to improve the overall outcomes for cases.  When you look at green measures through an EBD lens, you get a whole different game plan for your project.  As my diagrams below illustrate, there are parallel paths for both sustainable and EBD strategies, which helps strengthen the argument for any measure that satisfies both aims:

These diagrams illustrate sustainable strategies (some linked to multiple LEED credits) and parallel EBD strategies with outcomes listed for both. As this comparison shows, many sustainable strategies also lead to direct EBD gains-a win/win/win result for your project.

Integrating EBD and sustainability into the project from the planning and conceptual stage encourages Owners to select strategies that support and inform their design goals for the project. To get you started on the visioning path, consider these strategies:
1.  Stepping back to look at the big picture from a “whole building” point of view
2.  Master planning infrastructure not just buildings- systems expandability
3.  Making bold moves for big results
4.  Incorporating redundancy and reliability into the sustainable plan

Go forth and be life-sustaining, not just sustainable.

Measuring Distance with Time

Metrics are a funny thing.  There are all kinds of units out there to measure mass, volume, length, duration, ratios, rates.  And there are all kinds of ways of processing these numbers to make judgments about things like returns on investment, energy efficiency, job performance, throughputs; and determine things like status and rank.  Healthcare institutions live and die by numbers every day.

But what kind of metrics do we have for emotion?  For perception and understanding? As architects, we bridge the world of what is measurable and what is felt.  The spaces we create have to facilitate performance, and also provide the kind of intangible benefits that are linked to people feeling better about their surroundings, and therefore functioning better within them. We obsess about the design of space in three dimensions, but often forget there are other dimensions like time, light, sound and smell.  People move through space and experience it in the context of the time of day and seasons. They also experience space within the context of their own lives.  Someone who is mentally debilitated by disease may view a sound, odor or pattern as disturbing.  Someone who is harried and stressed out may become frustrated in an environment where they cannot immediately find their way to critical destinations.  Someone who is afraid can easily become overwhelmed by the scale of a building.  Someone who is physically compromised can be agitated by loud noises and glaring lights.

We navigate this world with our senses.  Our environments influence how we feel, then think and act.   As a first step, think about just one of these dimensional variables, that of time.  Use it to generate a whole different kind of metric- a metric of experience.  Is a corridor 10 minutes long?  What does it feel like to move through a space for that length of time?  What if you have a sore hip or are in a wheelchair or have a young child with you?  I hope that you will encounter many revelations as you move down that path.