The SpaceMed Guide reflects today's dynamic healthcare environment. Written by Cynthia Hayward, this popular planning tool provides state-of-the-art planning methodologies, industry benchmarks, and planning tips from decades of consulting to healthcare organizations throughout North America. Whether you are a seasoned healthcare professional — or new to the healthcare industry — the SpaceMed Guide can help you plan the right services, at the right size, and in the right location along with flexible facilities to meet the needs of patients, caregivers, and payers over the life of a new facility. The SpaceMed Guide helps healthcare managers, planners, and architects .The SpaceMed Guide was first published in 2004 followed by the second edition in 2006. The third edition was published in the spring of 2015. Click here for a summary of what's new in the third edition.
The 362-page workbook includes a Preface, What's New in the Third Edition, Introduction, and Using This Workbook chapters followed by sixteen facility component sections. Each section includes descriptive narrative followed by a room-by-room space planning template. Additional “quick space calculation” templates are provided for selected functional components. All templates are formatted in Microsoft® Excel. The templates can be used to plan specific projects and both imperial and metric versions of the templates are provided. Most functional areas typically found in acute care hospitals, ambulatory care facilities, and specialty facilities are addressed in one of the SpaceMed Guide's sixteen sections (see examples of specialty facilities). After a general description of the specific facility component, the narrative section includes the following topics:
- Current Trends
- Key Planning Issues
- Space Planning Approaches
- Achieving Optimal Performance
- Facility Layout Considerations
- Potential Facility Planning Pitfalls
The space planning templates can be used to develop a room-specific space program in net square feet or meters and the spaces are generally organized by functional category of space — such as patient intake area, patient treatment space, shared support space, and administrative space. Guidelines are also provided for developing preliminary space estimates in department gross square feet or meters based on the projected workload, patient treatment spaces, or other space drivers.
Unique Space Planning Approach
The SpaceMed Guide offers a unique approach — all rooms or areas listed in the space planning template are identified as either:
- Workload dependant spaces, such as surgical operating rooms and exam rooms, are typically dependent on the projected workload. For example, one operating room may be planned for every 900 annual surgical cases or one exam room provided for every 1,500 annual clinic visits.
- Variable spaces vary based on the total number of patient care or treatment spaces programmed, the number and type of staff working on the primary shift, and the specific type of equipment and vendor selected. For example, three waiting area seats may be programmed per exam room in a clinic, or one handwashing station for every four patient recovery bays in a special procedure suite. The size of individual spaces may also vary — such as 120 net square feet or 11.2 net square meters of equipment storage space per specialty operating room.
- Fixed spaces generally do not vary in either number or size, regardless of the overall scope of activities of the department or functional component. For example, there is always a unit clerk workstation for each inpatient nursing unit and an environmental services room in the food services area.
- Optional spaces depend on the scope of services, specific operational concepts, administrative policy, and the desired level of amenities to be provided. Optional spaces also depend on the availability of shared or centralized spaces elsewhere in the facility. Examples include conference rooms, a sterile processing room, and a coffee shop.
The SpaceMed Guide uses common spaces that can be replicated across departments or facility components within the healthcare facility. This provides future flexibility as well as cost savings as rooms serving comparable functions are similarly sized and finished instead of tailored to the individual occupants — even though the actual equipment and furnishings may be changed or upgraded over time. Spaces that are common to many of the clinical services and support functions — including patient care, support, and administrative spaces — are summarized in an appendix for easy reference.