Taking Ambulatory Care to the Next Level: How Yale New Haven Heath Designed a State-of-the-Art Advanced Ambulatory Surgery Center


pic_vieira_mario150x180Mario Vieira

Shepley Bulfinch

Mario is a principal in Shepley Bulfinch’s healthcare practice. He works with clients to develop comprehensive project budgets, evaluate regulatory needs, and align project scope to meet their strategic goals.




pic_mueller_scott150x180Scott Mueller

Shepley Bulfinch

With more than 18 years of experience, Scott has worked extensively in NICU, ambulatory, and inpatient settings, marrying his passion for medical planning with his desire to create patient and staff-friendly spaces.



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Taking Ambulatory Care to the Next Level: How Yale New Haven Heath Designed a State-of-the-Art Advanced Ambulatory Surgery Center

Imagine going to an outpatient surgical center for a total hip replacement in the morning and returning home the same day to sleep in your own bed at night. Hip replacement, total joint replacement and other procedures traditionally thought of as being performed in the inpatient realm are now ripe for transition into outpatient surgical settings. Cutting-edge approaches to what have traditionally been inpatient surgical procedures are now possible thanks to carefully designed advanced ambulatory surgery centers (AASC). The concept is so new that surgeons and administrators are still clarifying how to maximize the benefits of this idea for patients and their operations, but a major contributing factor will be the programming and design of the physical space. Topics that differentiate an AASC from a traditional ASC that will be discussed include:

  • Enhanced safety features;
  • Heightened patient and family engagement spaces;
  • How programmatic decisions impact facility flexibility and delivery of cost-effective care;
  • How the business case enables the development of AASCs; and
  • The importance of understanding future process flows.

Secondarily, the presenters will explore a series of supporting topics related to the design and planning of this facility that further contributed to this unique development, including:

  • The challenges and opportunities of creating new space within the confines of an existing building that was not originally designed to support the new program use;
  • The importance of user engagement at all levels – from support services through administration and physicians;
  • The use of mock-ups, augmented reality and walk-throughs as critical design tools;
  • How to assist clients with the extension and enhancement of service-line branding; and
  • How to accelerate project design schedules.

Using the new Center for Musculoskeletal Care McGivney Surgical Center at Yale New Haven Health in New Haven, Connecticut as an example, this session will discuss the design considerations necessary to enable complex surgical procedures on an outpatient basis while maintaining a first-class patient experience and a cost-effective care model. Slated to open in the fall of 2018, a complete renovation of the existing McGivney Building will transform the former cancer center into a state-of-the-art AASC that rivals a traditional inpatient surgical setting. Incorporating 6 operating rooms, 24 patient prep / recovery spaces and areas for patient education, academic teaching and multi-disciplinary collaboration; the facility will be a welcoming space that raises the bar for future AASC development. Presenters will discuss the evolving design process that will result in this leading-edge facility.