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Clinical Floorplans Examples
improved
clinical outcomes
RETHINK
THE
regulatory standards
CLINICAL
SPACE.
Midmark is an ISO 13485 and ISO 9001 Certified Company Authorized CE Representative
For more information or a demonstration, contact your Midmark
Countries in the EEC should direct all questions, incidents, and
dealer or call: 1-800-MIDMARK Fax: 1-800-365-8631
Outside the U.S.A. call: 1-937-526-3662 Fax: 1-937-526-8392 complaints to Midmark’s Authorized CE representative listed below:
or visit our website at midmark.com
Midmark Europe SAS
Tables, Chairs, Seating, Sterilizers, Casework, Lighting - 22 rue de Saint Denis
Midmark Corporation, Versailles, OH 1-800-MIDMARK 53500 Ernee
France
Diagnostics - Midmark Corporation, Torrance, CA 1-800-624-8950
midmarkclinicalsolutions.com
Healthcare and its delivery systems are changing. Innovations in patient care and
healthcare information technology are emerging. Yet, many of today’s healthcare
environments were designed decades ago. For these facilities, change is overdue.
As we look to the future, there is much to consider in the way of facility design,
workflow, access, comfort, the flow of information and the caregiver-patient
relationship. Growth and change are inevitable, and healthcare environments must
be flexible to adapt to the integration of new technologies, information systems and
healthcare protocols. Now is the time to rethink and redefine workflow. This guide
contains the tools and solutions to consider when creating clinical work environments
to effectively advance patient care and office efficiency.
healthcare
iS BEING REDEFINED.
Collaboration among care providers
means improved workflow and more
efficient care.
improved
80 clinical outcomes
60
40
time and
cost savings
intuitive EMR
, right time
uff
ce, right st
la
right p
ReThinK
THE
access data at
the point of care
WORKFLOW
hospital
acquired
conditions ADA law changes
reimbursement and
regulatory
Some of the leading factors to consider in today’s exam room design are improving
patient care, accessibility, efficiency and workflow. This exam room provides the
foundation for a basic caregiver-patient workflow, with separate zones for patient
interviews and exams, and the option for additional privacy with public/private zones.
While this traditional setup allows for immediate patient care, historical patient
data and any additional medical data that supports patient care is not immediately
available in the room, so caregivers must leave the room to retrieve this information.
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family/visitor zone paper
management
dressing nook
for patient
privacy
caregiver often
required to leave
the room for
biohazard waste additional patient
placed out of data and supplies
traffic flow
© 2012 Midmark Corporation. All content and images are the property of Midmark Corporation and may not be reproduced.
New technologies are a major component of twenty-first century healthcare.
The integration of electronic medical records (EMR) and computers into the
exam room will help, not hinder, caregiver-patient interaction, keeping patients
informed and engaged. This layout builds on the traditional exam room with the
integration of EMR for real-time access to patient histories and diagnostic data
at the point of care. The patient is seated adjacent to the computer, then moved
to the Barrier-Free accessible exam table.
®
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family/visitor zone
t
e y e contac
direct
computer
in room
flat table
access
at lowest
position
© 2012 Midmark Corporation. All content and images are the property of Midmark Corporation and may not be reproduced.
Safety and efficiency in patient care are paramount in an effective exam room
design – and they are the focal points of this workflow layout. Seating the patient
on the Barrier-Free exam table throughout the visit assists caregivers in reducing
®
the time needed for patient positioning and maximizes efficiency for both the
physician and caregiver. Mobile workstations surrounding the exam table offer
added control and flexibility to adjust to the point of care.
throughout the visit. There are used during the exam and can
no delays due to transferring be shared between exam rooms,
the patient from other areas reducing equipment cost and
in the room. providing flexibility.
The digital care and physical Another mobile cart positions the
care interfaces are within the computer/EMR next to the patient
same zone. The movement of to maintain eye contact at all times
the physician is minimized, and and to create an adjustable care
constant contact with the patient zone around the patient.
can be maintained.
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family/visitor zone
additional
storage
nt act
e y e co
t
direc
computer
workstation
at the point
of care
mobile digital
diagnostics
© 2012 Midmark Corporation. All content and images are the property of Midmark Corporation and may not be reproduced.
This innovative workflow design provides clear separation between the care zone
for caregiver interaction and the family/visitor zone with guest seating. This design
features a full-function Barrier-Free exam table with integrated scale and EMR
®
connectivity created for added efficiency and ease of patient handling. The
computer workstation is located adjacent to the Barrier-Free exam table for
®
optimal access of digital data at the point of care. In addition, supply storage is
placed within arm’s reach with a mobile cart unit for easily accessed supplies.
repositioning patients. accessible from the entrance throughout the visit, there is retrieved from a dock in the
of instruments and supplies and includes seating as well as no delay due to transfer or adjacent cabinet to be in close
A dedicated computer are designed for accessibility a dressing nook for the patient 1 . repositioning. Flexibility and proximity to patient care. The
workstation provides the and separation from the public It provides privacy, but does proximity help increase the supply cart also provides an
not infringe on the efficiency efficiency of the caregiver, additional work surface, positioned
caregiver with all necessary zone. The exam room size of the care zone, also known reducing the need to move left or right of the caregiver.
information and supports is 10 ft. x 10 ft. as the private zone 2 . away from the patient to retrieve
instruments and/or supplies.
flexibility between unobstructed
access to the patient as well
as digital data.
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care zone
connected
devices
family/visitor zone
diagnostics
supply cart moves in room
to the point of
care stadiometer
automated
vitals
wireless
controls
integrated scale
© 2012 Midmark Corporation. All content and images are the property of Midmark Corporation and may not be reproduced.
The culture in today’s healthcare delivery systems is shifting to a lean, integrated
care model, allowing improved collaboration between health providers, medical
technicians, schedulers and the patient. Care providers must rethink the design
of exam rooms to improve patient experiences and workflow. The use of two
sliding doors in this dual access room design improves workflow while eliminating
obstacles that could inhibit the integration of new technologies.
In collaboration with leading The layout of the care zone Specialty equipment is placed
architectural firm NBBJ, is focused on efficiency at the on carts that can easily be pulled
Midmark highlights key design point of care. in and out of rooms as needed,
concepts for a dual access eliminating fixed elements in
exam room. The consultation zone is easily rooms and enabling integration
accessible from the patient entry of new technologies.
Two doors – one for patient side, providing seating, a work
entry and one for caregiver surface and a large display to Lockable sliding doors from
entry – enable safe, clear review educational information. the patient and caregiver areas
patient navigation away from maximize floorspace and allow
clinical clutter. The care team work area for easy transitions in and
provides line of sight to all out of the room. The caregiver Patient entrance
The 10 ft. x 12 ft. exam room exam rooms for better flow door can be covered by a
has a distinct separation of care management – eliminating curtain from the inside for
zone and patient consultation waste and maximizing additional privacy.
zone. With separate doors value. The workflow also Consultation Zone Efficient Care Zone
and defined areas, patients allows for better integration Workflow and patient flow is The consultation zone is easily The patient is seated on the
self-room through a clearly among providers for ease further enhanced with one stop accessible from both entrances and Barrier-Free exam table throughout
®
includes seating and a mobile work the visit, which eliminates patient
marked way-finding system of collaboration. for patient weight and vitals
surface to exchange information. transfer and keeps repositioning
without having to move readings. By including printers flexible and efficient.
A display is incorporated to view
through any of the care zones. in exam rooms, additional time patient-related information and All critical care elements are in close
is saved. educational information. The display proximity, reducing the need to move
is large enough to view patient away from the patient. A mobile supply
information during the care exchange. cart can be retrieved from the adjacent
A separate care team work area is cabinet to provide an additional work
free of patient interruption. surface to organize instruments and
supplies. It can be positioned to
accommodate the preference of the
caregiver for support and easy access
during care procedures.
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efficient care
care team
privacy work area
curtain
consultation zone
sliding door
patient/family access
© 2012 Midmark Corporation. All content and images are the property of Midmark Corporation and may not be reproduced.
Today’s successful patient care extends far beyond the office door. Exam room design
must be more flexible and functional – and provide the means for ongoing monitoring
of patients in addition to scheduled office visits. This design features a designated
consultation zone that gives physicians the power to stay in contact with caregivers and
to monitor the patient’s health more closely. Remote diagnostic tools provide a means
of feedback and ongoing monitoring, supporting the continuous patient care relationship.
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interactive consultation flexible care
display
supplies,
instruments
and data at the
point of care
connected
devices
© 2012 Midmark Corporation. All content and images are the property of Midmark Corporation and may not be reproduced.
The number of procedures performed in outpatient settings is rapidly increasing
thanks to advancements in anesthesia and innovations in surgical techniques.
In order to meet patient demands and to control healthcare costs, this trend will
continue. This procedure room was designed to support this dynamic and includes
all of the features required to complete procedures in an office setting. Well-organized
storage conceals instruments and supplies. The procedure table is positioned close
enough to the casework countertop so supplies are within easy reach of the caregiver.
In-Office Surgery
WORKFLOW G
The procedure room is based Most importantly, the unlimited
on a 14 ft. x 14 ft. space, with adjustability of the procedure
a storage system occupying table as compared to an exam
one wall. The storage zone table enables the caregiver
includes a work surface area, to position the patient while
lower and upper cabinets, and providing an ergonomically
tall cabinets to store larger correct posture throughout
devices. For additional flexibility, the procedure.
mobile supply carts can be
moved in close proximity A wireless foot control reduces
to the procedure table for cord clutter and trip hazards
easier access. around the procedure table,
especially important when
Procedure Centered Procedure Zone Efficiency Enhanced Ergonomics
The procedure table is dealing with sedated patients.
Once the patient is positioned on The procedure zone is designed Barrier-free access, eight-way
located within easy reach
the table, the procedure zone is around the caregiver, giving access adjustment, pre-programmed
of instruments and supplies. A ceiling-mounted procedure
designed to support the caregivers. to the patient, work surface and positioning and a large range
The adjustability and rotation light is installed above the supply drawers. The rotation of the of motion are key features
Mobile carts and mobile work
procedure table and provides procedure table brings the patient designed to allow optimum
of the procedure table surfaces that are part of the
to the physician for best access. positioning of the patient.
bring the patient to the optimum visual clarity during storage system create the most
efficient procedure zone, avoiding Better positioning of the patient
caregiver, optimizing access the procedure.
excessive clutter before, during improves care access and
to the patient, instruments and after the procedure, keeping ergonomic posture for the
the patient calm and relaxed. caregiver, while avoiding undue
and supplies. strain and fatigue.
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accessible storage
large
equipment efficient
storage procedure zone
mobile
workstation table rotation
provides
enhanced
wireless
controls
© 2012 Midmark Corporation. All content and images are the property of Midmark Corporation and may not be reproduced.
The practice of dermatology is evolving with the integration of new technologies,
high-powered lasers and more complex outpatient procedures. In order to
meet these evolving needs, Midmark has reengineered the concept of the
dermatology room to combine consultation, counseling and procedures all
within a seamlessly efficient yet warm, inviting atmosphere designed to enhance
the caregiver-patient relationship.
Dermatology
WORKFLOW H
The dermatology room is The adjustability and rotation of
a 12 ft. x 14 ft. space with a the procedure table will bring
storage system occupying the patient to the caregiver, Is there a better
one wall. The consultation and optimizing the efficiency of way to transition
family/visitor zone is created access to the patient and reach my patients
through an extended work to instruments and supplies. from education
surface as support for a large
Most importantly, ease of
and consultation
interactive display panel that
adjustability of the procedure
to procedure?
can be shared between
physician and patient. table allows the caregiver to
optimize the position of the
The storage zone includes patient – creating options that
a work surface area, lower would not be possible with Enhanced Ergonomics Consultation Zone
and upper cabinets, and a typical exam table.
Enhanced ergonomic design helps The consultation zone is designed
mobile supply carts for divide the room into consultation around shared communication
additional flexibility. A ceiling-mounted procedure and procedure zones with the between caregiver and the patient
light is installed above the interactive data terminal. and guest.
procedure table and provides Before the start of the A large interactive screen makes
procedure, the treatment room information readily accessible,
optimum visual clarity during
is well-organized, minimizing creating a more intimate dialogue
the procedure. visual clutter while reducing between patient and caregiver
patient anxiety. This is supported and bringing needed educational
by ample storage along one information into the procedure room.
wall with a vertical storage unit The walls surrounding the family
for larger equipment. visitor zone have displays for
related care products.
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ceiling-mounted
procedure light
caregiver
rotates
to the
procedure
zone
consultation zone
procedure
table
rotation large
equipment
storage
wireless
controls
© 2012 Midmark Corporation. All content and images are the property of Midmark Corporation and may not be reproduced.
The integration of new technologies and advancements with in-office procedures are
shaping the future of the podiatry practice. Functionality, efficiency and versatility are
key to an effective podiatry room design – and at the center of it all is the procedure
zone. The design of this workflow addresses the many needs of the procedure zone.
The podiatry chair is positioned at an angle, which provides more effortless access
to the foot area – whether in a seated or standing position. The room also provides
an abundance of streamlined, well-organized storage.
Podiatry
WORKFLOW I
The podiatry room is a The procedure chair is easily
10 ft. x 12 ft. space with accessible to the patient
storage and supplies and conveys comfort. Ample How do I work
occupying the walls away clearance is provided for the more efficiently
from the family/visitor zone. caregiver to have access to while keeping
the foot section from three everything
The storage zone includes sides. This access includes within reach?
a fixed work surface area, the swing arm instrument tray, 2
a pull-out work surface which brings supplies to the 1
section, lower and upper point of care.
cabinets and mobile supply
carts for additional flexibility. Most importantly, the ease
of adjustability of the procedure Procedure Zone Flexibility Public/Private Zones
All primary instruments table at the point of care lets The procedure zone puts the The family/visitor zone, also
and supplies are part of the caregiver optimize the caregiver in the center. While the known as the public zone, does
the mobile cart unit and position of the patient. A
cart for primary instruments and not encroach on the movement
supplies can be adjacent to the of the caregiver 1 . It includes
can be flexibly located. wireless foot control avoids storage system along the wall, displays for educational brochures
cord clutter around the during procedures it is moved and related care products and
to either side of the caregiver. is clearly separated from the
procedure chair and prevents This helps to maintain a short procedure zone 2 .
trip hazards. reach zone.
An instrument tray attached
to the procedure chair supports
instruments and supplies or
EMR devices.
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mobile supply cart procedure
zone flexibility
supplies at the
point of care
Midmark 6201 Midmark 6202 Midmark 6203 Midmark 6204 Midmark 6205 Midmark 6206
Traditional Style Flat Panel Care Exchange Care Exchange Care Exchange Kidney Style
® ® ®
midmarkclinicalsolutions.com
Instrument Processing
Casework
Midmark Midmark Midmark Midmark Midmark Midmark Midmark 664 Midmark 663
Modular Traditional Exam Managed Care Exam Best Value Exam Basic Exam ADA Dressing Nook Instrument Panel
Casework System Room Casework Room Casework Room Casework Room Casework Casework
Lighting
Seating
Midmark 425 Midmark 427 Ritter 279 Ritter 278 Ritter 276 Ritter 274 Midmark 680-001 Midmark 680-002
Air Lift Physician Air Lift Physician Air Lift Surgeon Air Lift Surgeon Air Lift Stool Adjustable Upholstered Upholstered
Stool – Hand Operated Stool – Foot Operated Stool – Hand Operated Stool – Foot Operated Physician Stool Side Chair Side Chair – With Arms
Colors &
Finishes
Workflow A Workflow D Workflow G
Flooring: Flooring: Flooring:
Armstrong Armstrong Armstrong
® ® ®
12" x 12" SEI tile 12" x 12" 12" x 12" VCT tile
51915 Charcoal 51933 57211 Mezzo Green
Upholstery: Upholstery: Upholstery:
Black Seamless Black Seamless Ultra-Olivine
(312) (312) (243)
12" x 12" VCT tile 12" x 12" SEI tile 12" x 12" VCT tile
57211 Mezzo Green 51910 Classic Black 52154 Leaf Green
Upholstery: Upholstery: Upholstery:
Moss Ultra-Arctic Ultra-Raven Wing
(230) (244) Black
(228)
Countertop: Countertop: Countertop:
Laminate Corian Granola Corian Sonora
® ®
Oxide
(1787-60)
Cabinets: Cabinets: Cabinets:
Crossfire Java Bark (metallic) Gold Anigre
(420) (424) (414)
intuitive EMR access
safe patient handling
time and
digital device cost savings
workflow
access data at
the point of care
improved
clinical outcomes
RETHINK
THE
regulatory standards
CLINICAL
SPACE.
Midmark is an ISO 13485 and ISO 9001 Certified Company Authorized CE Representative
For more information or a demonstration, contact your Midmark
Countries in the EEC should direct all questions, incidents, and
dealer or call: 1-800-MIDMARK Fax: 1-800-365-8631
Outside the U.S.A. call: 1-937-526-3662 Fax: 1-937-526-8392 complaints to Midmark’s Authorized CE representative listed below:
or visit our website at midmark.com
Midmark Europe SAS
Tables, Chairs, Seating, Sterilizers, Casework, Lighting - 22 rue de Saint Denis
Midmark Corporation, Versailles, OH 1-800-MIDMARK 53500 Ernee
France
Diagnostics - Midmark Corporation, Torrance, CA 1-800-624-8950