Rebuilding Place in the Urban Space

"A community’s physical form, rather than its land uses, is its most intrinsic and enduring characteristic." [Katz, EPA] This blog focuses on place and placemaking and all that makes it work--historic preservation, urban design, transportation, asset-based community development, arts & cultural development, commercial district revitalization, tourism & destination development, and quality of life advocacy--along with doses of civic engagement and good governance watchdogging.

Monday, March 23, 2020

Rush Medical Center (Chicago) clues us into a gap in state and regional health care planning: planning for disaster and epidemic response

Chicago's Rush Medical Center has the ability to surge capacity by 130 percent, but without people taking aggressive preventative measures, including staying home, it can still be overwhelmed. 

So, instead of advertising on the side of their building, they're using it to tell people to "wash your hands" in an effort to limit cases of a new coronavirus. Photo: Rush Medical Center.

A couple years ago, I wrote a three-part series about how DC could leverage the construction of a new United Medical Center in Southeast Washington--located in the East of the River section of the city, which experiences a great rate of poor health outcomes--as a way to create not just a superlative hospital with a transformational public health focus, it could also be used as a way to drive a biotechnology research and medical education initiative as an economic development measure, utilizing the St. Elizabeths campus, which the city has been working to redevelop for almost 20 years.

-- "Ordinary versus Extraordinary Planning around the rebuilding of the United Medical Center in Southeast Washington DC | Part One: Rearticulating the system of health and wellness care East of the River
-- "Part Two: Creating a graduate health and biotechnology research initiative on the St. Elizabeths campus"
-- "Part three: the potential for donations around an expanded program"

-- "Update on DC's plans to build a new United Medical Center"
-- "Community Health Improvement Planning"
-- "A glaring illustration of the need for comprehensive health and wellness planning in DC: Providence Hospital"

A recent Newsweek article on Rush Medical Center, "THIS CHICAGO HOSPITAL WAS BUILT AFTER 9/11 WITH AN EPIDEMIC LIKE CORONAVIRUS IN MIND," which built a new medical campus after 9/11, made me realize that I missed a big potential element, enhanced emergency, disaster response, and pandemic response capabilities.

From the article:
The attacks on September 11, 2001, highlighted the need for emergency preparedness, and Casey said anticipating a range of disasters that could strain health care systems is the "new reality." Constructed with the foundational mindset that a disaster will cause an influx in patients, Rush has the ability to rapidly expand its bed capacity, intake capabilities and negative pressure units.

"Our tower opened in 2012, so certainly that was top of mind a decade after 9/11–that we need to be prepared for this and we need to build to be prepared for this," Casey explained. ...

To get ahead of a likely influx in cases and prevent infection among staff members, Rush converted two units to negative pressure, a method used to prevent cross-contamination. Each unit has 20 beds, but hospital staff can double that number, bringing it up to 40 beds. Multiple floors within the hospital have this conversion capability and so far, they've flipped two.

"Twenty minutes. It's impressive," Casey said when asked how long the conversion takes. "We tested this over a number of years in different exercises, including the outbreak of an infectious disease."
Also see:

-- "Rush Medical Center raises tent in ambulance bay to test coronavirus patientsChicago Sun-Times
-- "This is what Rush was built for," Rush University press release
-- "Nation's First Center for Advanced Emergency Response Opens on January 6," Rush University press release, 2012

In the DC area, a new Washington Adventist Hospital just opened in the White Oak section of Montgomery County and a new hospital is under construction in the Largo district of Prince George's County, replacing the Prince George's Hospital, as a way to shift control of the hospital system to the University of Maryland Medical System.  And the problem-wracked UMC is to be rebuilt.

I doubt that any of these "construction projects" have responded to the potential for disaster in the way that Rush Medical Center has.

Recently, Washington Adventist took over Howard University Hospital ("Adventist to manage Howard University Hospital," Washington Post) and going forward there is a good chance that HUH will be rebuilt.  And in terms of disaster response, it is much more centrally located that the above-mentioned hospitals.

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At 8:58 AM, Blogger Richard Layman said...

Looks like Prince George's County, and presumably other communities with high population of people of color need to develop similar programs marrying health care and public health programming more directly.

Like how UMC probably isn't being built the same way that Rush Medical Center was, to be of special use in times of panedemic, the same is probably true of the new UMMS hospital in Largo.

At 9:03 AM, Blogger Richard Layman said...

WSJ, "Rethinking the Hospital for the Next Pandemic"



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