Building Better Healthcare Honors the Sidney & Lois Eskenazi Hospital
Building Better Healthcare (UK) has presented the award for Best International Development to the HOK-designed Sidney & Lois Eskenazi Hospital in Indianapolis.
The Building Better Healthcare Awards recognize innovation in architecture, people, products and services across the healthcare sector, celebrating those initiatives that have helped transform patient care in the UK and beyond. Judges of the competition described the facility as “a lovely building.”
Eskenazi Health’s new public hospital located on the Indiana University School of Medicine campus advances innovative ideas in healthcare design and patient care. Replacing the nearby Wishard Medical Center, the new 37-acre complex presented an opportunity for a complete transformation that is rare in urban academic medical center settings.
The exterior design reflects the ideal internal organization. Structured around a central green space, the medical center includes a 319-bed hospital linked by a two-level concourse to a 200-room ambulatory care clinic, a faculty office building, a 2,600-car parking garage, two utility buildings and public plazas.
Gardens and open spaces are key design features of the new campus. Providing areas of activity and respite is an intimate Sky Farm on top of the clinic building that promotes education, healthy eating habits and a sense of community. A centrally-located, large open-air plaza features a collection of interactive water features, green spaces, a free-standing restaurant and a variety of seating options for all visitors.
Every aspect of the design focuses on the health and wellness of patients. Reorganizing care delivery for all key departments has streamlined patient movement and eliminated wasted space. To maximize efficiency for physicians, the program aligns horizontal platforms of inpatient care with corresponding ambulatory clinics. The efficient plan enables the new hospital to treat 20 percent more patients in one-third less space.
Sustainable design decisions were considered throughout the six buildings on the campus. Use of low-flow fixtures has reduced potable water usage by 40 percent. Exterior landscape areas harvest enough rainwater to account for 100 percent of the campus’ irrigation needs. In addition, the building uses 100 percent outside air for the ambulatory care building and hospital, reducing the risk of infection or other contaminants that might recirculate within the space.
In post-occupancy evaluations, the design decisions have shown a variety of positive impacts. Using same-handed rooms throughout has cut down on staff training needs and increased overall scheduling flexibility. Including a continuous rail from the bed to bathroom, along with hourly rounding, has decreased patient falls by 28 percent. Locating sinks right inside the doors of patient rooms has improved handwashing compliance scores from 43 percent to over 75 percent. Finally, switching to private patient rooms and using a new alarm system has addressed noise levels and increased patient satisfaction levels to more than 80 percent.