June 2018
Tool

Overview

Healthcare is moving beyond the walls of the hospital. This is partially due to a growing population of patients who require medical care but are stable enough to be treated at home (including older adults with acute and chronic conditions). Caring for these populations in their own home is more convenient and cost effective than providing that same care in a traditional medical setting. Home environments that support medical care can reduce unnecessary hospitalization, influence health and wellbeing, and help to maintain a person's independence.

The majority of design strategies in the Healthcare at Home diagrams apply to Universal Design U, Aging in Place A, and Healthcare at Home H. Strategies associated with only one or two of these approaches are indicated as such with icons.

Click on one of the dots or the thumbnails below to learn more

  • Pathways

    Desirable Outcome
    Accessibility; ease of use
    Design Strategies
    • Minimize thresholds (less than ¼ inch vertical, or up to ½ inch beveled) citation
    • Provide handrails (1-1/4” to 2” in diameter) with a slip-resistant surface adjacent to all sloped surfaces even if the floor slope is not steep enough to require a handrail by code. citation
    • Provide wainscot trim that protrudes from the wall and is securely fastened to offer a frame of reference and a touchstone for balance for level surfaces. citation
    Desirable Outcome
    Caregiver safety; minimize risk of physical injury
    Design Strategies
    • Adequate space to install ramps/stair lifts to accommodate changes in interior and/or exterior levels (e.g., front, side, garage entryways) citation
    • Handrails on both sides of stairs citation
    Desirable Outcome
    Minimize undue strain during recovery
    Design Strategies
    • Adequate space to install ramps/stair lifts to accommodate changes in interior and/or exterior levels (e.g., front, side, garage entryways) citation
    • Handrails on both sides of stairs citation
    Desirable Outcome
    Safety; fall/injury prevention
    Design Strategies
    • Minimize thresholds (less than ¼ inch vertical, or up to ½ inch beveled) citation
    • Adequate space to install ramps/stair lifts to accommodate changes in interior and/or exterior levels (e.g., front, side, garage entryways) citation
    • Handrails on both sides of stairs citation
    • Avoid glare and excessive contrast and patterns on floors, which can be perceived as or conceal actual changes in level which pose a potential trip hazard. citation
    • Provide handrails (1-1/4” to 2” in diameter) with a slip-resistant surface adjacent to all sloped surfaces even if the floor slope is not steep enough to require a handrail by code. citation
    • Provide wainscot trim that protrudes from the wall and is securely fastened to offer a frame of reference and a touchstone for balance for level surfaces. citation
    Desirable Outcome
    Safety; minimize risk of injury
    Design Strategies
    • Avoid glare and excessive contrast and patterns on floors, which can be perceived as or conceal actual changes in level which pose a potential trip hazard. citation
    • Provide handrails (1-1/4” to 2” in diameter) with a slip-resistant surface adjacent to all sloped surfaces even if the floor slope is not steep enough to require a handrail by code. citation
    • Provide wainscot trim that protrudes from the wall and is securely fastened to offer a frame of reference and a touchstone for balance for level surfaces. citation

  • Layout - Overall

    Desirable Outcome
    Accessibility; ease of use
    Design Strategies
    • Adequate space for durable medical devices (e.g., hospital beds, wheelchairs, walkers) and medical equipment (e.g., oxygen tanks, home-dialysis units, infusion pumps, blood glucose meters, feeding tubes, catheters, commodes, ambulation aids, patient lifts/hoists and specialist equipment) near bed/chair/lounge/care areas to support changing levels of care citation
    • Designated space and provisions for pets (bed, built-in feeding system, outdoor access, fenced in yard, self-cleaning litter box), if appropriate citation
    • Clear/turn space at least 5-foot by 5-foot citation
    Desirable Outcome
    Caregiver safety; minimize risk of physical injury
    Design Strategies
    • Adequate space for durable medical devices (e.g., hospital beds, wheelchairs, walkers) and medical equipment (e.g., oxygen tanks, home-dialysis units, infusion pumps, blood glucose meters, feeding tubes, catheters, commodes, ambulation aids, patient lifts/hoists and specialist equipment) near bed/chair/lounge/care areas to support changing levels of care citation
    • Layout that allows for reorganization of space (e.g., easily movable furniture, modular elements) to accommodate changing needs
    • Adequate space to install ramps/stair lifts to accommodate changes in interior and/or exterior levels (e.g., front, side, garage entryways) citation
    • Care areas on main level (street level) when possible, or entire home on one level citation
    • Minimum 42-inch wide hallways citation
    • Clear/turn space at least 5-foot by 5-foot citation
    Desirable Outcome
    Efficient delivery of care
    Design Strategies
    • Adequate space for durable medical devices (e.g., hospital beds, wheelchairs, walkers) and medical equipment (e.g., oxygen tanks, home-dialysis units, infusion pumps, blood glucose meters, feeding tubes, catheters, commodes, ambulation aids, patient lifts/hoists and specialist equipment) near bed/chair/lounge/care areas to support changing levels of care citation
    • Easy access to sink or alcohol gel dispenser in care areas A H
    • Visual and auditory separation of care area from distractions (visitors, pets, children, etc.) when needed A H citation
    • Layout that allows for reorganization of space (e.g., easily movable furniture, modular elements) to accommodate changing needs
    Desirable Outcome
    Minimize patient stress/anxiety
    Design Strategies
    • Access to positive/meaningful distractions (e.g., nature-themed artwork, window with views of nature, music, TV, Internet, reading materials)
    • Designated space and provisions for pets (bed, built-in feeding system, outdoor access, fenced in yard, self-cleaning litter box), if appropriate citation
    Desirable Outcome
    Minimize undue strain during recovery
    Design Strategies
    • Adequate space for durable medical devices (e.g., hospital beds, wheelchairs, walkers) and medical equipment (e.g., oxygen tanks, home-dialysis units, infusion pumps, blood glucose meters, feeding tubes, catheters, commodes, ambulation aids, patient lifts/hoists and specialist equipment) near bed/chair/lounge/care areas to support changing levels of care citation
    • Layout that allows for reorganization of space (e.g., easily movable furniture, modular elements) to accommodate changing needs
    • Adequate space to install ramps/stair lifts to accommodate changes in interior and/or exterior levels (e.g., front, side, garage entryways) citation
    • Care areas on main level (street level) when possible, or entire home on one level citation
    • Clear/turn space at least 5-foot by 5-foot citation
    Desirable Outcome
    Patient recovery
    Design Strategies
    • Space designated to support and encourage physical therapy and/or light daily exercise routine
    Desirable Outcome
    Patient satisfaction and comfort
    Design Strategies
    • Access to positive/meaningful distractions (e.g., nature-themed artwork, window with views of nature, music, TV, Internet, reading materials)
    Desirable Outcome
    Psychosocial support
    Design Strategies
    • Space for people to sit with the individual receiving care without obstructing the provision of care A H citation
    • Designated space and provisions for pets (bed, built-in feeding system, outdoor access, fenced in yard, self-cleaning litter box), if appropriate citation
    • Clear/turn space at least 5-foot by 5-foot citation
    Desirable Outcome
    Safety; fall/injury prevention
    Design Strategies
    • Adequate space for durable medical devices (e.g., hospital beds, wheelchairs, walkers) and medical equipment (e.g., oxygen tanks, home-dialysis units, infusion pumps, blood glucose meters, feeding tubes, catheters, commodes, ambulation aids, patient lifts/hoists and specialist equipment) near bed/chair/lounge/care areas to support changing levels of care citation
    • Layout that allows for reorganization of space (e.g., easily movable furniture, modular elements) to accommodate changing needs
    • Adequate space to install ramps/stair lifts to accommodate changes in interior and/or exterior levels (e.g., front, side, garage entryways) citation
    • Care areas on main level (street level) when possible, or entire home on one level citation
    • Minimum 42-inch wide hallways citation
    • Clear/turn space at least 5-foot by 5-foot citation
    Desirable Outcome
    Safety; infection control
    Design Strategies
    • Easy access to sink or alcohol gel dispenser in care areas A H
    Desirable Outcome
    Safety; medication safety
    Design Strategies
    • Easy access to sink or alcohol gel dispenser in care areas A H
    • Visual and auditory separation of care area from distractions (visitors, pets, children, etc.) when needed A H citation

  • Caregiver/Clinical Staff Workspace

    Desirable Outcome
    Caregiver/Clinical Staff Workspace
    Design Strategies
    • Designated space for caregiver to take breaks away from patient, family, and visitors A H citation
    • Telesupport systems (telephone support groups, teleconferencing, telepresence systems) for patients and providers to communicate with supervisors/other medical professionals during home visits A H citation
    Desirable Outcome
    Caregiver safety; minimize risk of physical injury
    Design Strategies
    • Designated location for medical device and patient handling equipment manuals for caregiver access A H citation
    Desirable Outcome
    Efficient delivery of care
    Design Strategies
    • Easily accessible storage and disposal for non-reusable supplies (e.g., medication, incontinence products, bandaging, etc.) citation
    • Designated well-lit clean “workstation” (e.g., a desk) located in a quiet area away from distractions (e.g., pets, children, visitors) for procedures using sharps or medication preparation A H citation
    • Designated location for medical device and patient handling equipment manuals for caregiver access A H citation
    • Safe, easily accessible storage for medications (refrigerated, if needed), supplies, and medical equipment A H citation
    • Easily accessible storage for cleaning supplies when needed immediately (e.g., incontinence on self/seating/floor) A H citation
    Desirable Outcome
    Safety; infection control
    Design Strategies
    • Easily accessible storage and disposal for non-reusable supplies (e.g., medication, incontinence products, bandaging, etc.) citation
    • Designated well-lit clean “workstation” (e.g., a desk) located in a quiet area away from distractions (e.g., pets, children, visitors) for procedures using sharps or medication preparation A H citation
    • Safe, easily accessible storage for medications (refrigerated, if needed), supplies, and medical equipment A H citation
    • Easily accessible storage for cleaning supplies when needed immediately (e.g., incontinence on self/seating/floor) A H citation
    Desirable Outcome
    Safety; medication safety
    Design Strategies
    • Easily accessible storage and disposal for non-reusable supplies (e.g., medication, incontinence products, bandaging, etc.) citation
    • Designated well-lit clean “workstation” (e.g., a desk) located in a quiet area away from distractions (e.g., pets, children, visitors) for procedures using sharps or medication preparation A H citation
    • Safe, easily accessible storage for medications (refrigerated, if needed), supplies, and medical equipment A H citation
    Desirable Outcome
    Safety; minimize risk of injury
    Design Strategies
    • Designated location for medical device and patient handling equipment manuals for caregiver access A H citation
    • Keep defibrillator(s) close to a telephone in a convenient, central and temperature controlled area, where the visual or auditory "ready" indicators can be seen or heard. A H citation

  • Flooring

    Desirable Outcome
    Accessibility; ease of use
    Design Strategies
    • Minimize thresholds (less than ¼ inch vertical, or up to ½ inch beveled) citation
    Desirable Outcome
    Caregiver safety; minimize risk of physical injury
    Design Strategies
    • Avoid deep pile carpet or loose/worn carpet; tack down edges of carpets and rugs; remove loose rugs/mats citation
    Desirable Outcome
    Minimize undue strain during recovery
    Design Strategies
    • Easy-to-clean materials to reduce surface contamination citation
    Desirable Outcome
    Safety; fall/injury prevention
    Design Strategies
    • Minimize thresholds (less than ¼ inch vertical, or up to ½ inch beveled) citation
    • Smooth, non-glare, non-slip or slip-resistant flooring citation
    • Avoid deep pile carpet or loose/worn carpet; tack down edges of carpets and rugs; remove loose rugs/mats citation
    • Avoid flooring materials with intricate high-contrast patterns (especially for patients with impaired vision) citation
    • Install soft, resilient interior flooring materials (e.g., cork, rubber, or linoleum) that are gentler under foot than harder materials and can lessen the impact of falls. citation
    • Avoid glare and excessive contrast and patterns on floors, which can be perceived as or conceal actual changes in level which pose a potential trip hazard. citation
    Desirable Outcome
    Safety; infection control
    Design Strategies
    • Easy-to-clean materials to reduce surface contamination citation
    Desirable Outcome
    Safety; minimize risk of injury
    Design Strategies
    • Install soft, resilient interior flooring materials (e.g., cork, rubber, or linoleum) that are gentler under foot than harder materials and can lessen the impact of falls. citation
    • Avoid glare and excessive contrast and patterns on floors, which can be perceived as or conceal actual changes in level which pose a potential trip hazard. citation

  • Walls

    Desirable Outcome
    Accessibility; ease of use
    Design Strategies
    • Light switches lowered to 44-inches off the floor citation
    • Preprogrammed and easy-to-adjust thermostat citation
    • Easy-to-read and easy-to-reach operational (remote) controls for window treatments, lighting, temperature, and audiovisual components (e.g., TV, music) from bed/chair locations
    • Light switches at top and bottom of stairs citation
    • Provide handrails (1-1/4” to 2” in diameter) with a slip-resistant surface adjacent to all sloped surfaces even if the floor slope is not steep enough to require a handrail by code. citation
    • Provide wainscot trim that protrudes from the wall and is securely fastened to offer a frame of reference and a touchstone for balance for level surfaces. citation
    Desirable Outcome
    Caregiver safety; minimize risk of physical injury
    Design Strategies
    • Intercom system and/or voice-activated smartphone technology. citation
    • Handrails on both sides of stairs citation
    Desirable Outcome
    Communication/ interaction with care provider/ emergency care
    Design Strategies
    • Neutral color (preferably a light blue or light green) background wall for video-conferencing to enhance visibility of patient and enhance flesh tones A H citation
    • Intercom system and/or voice-activated smartphone technology. citation
    • Electric and internet outlets located at 24-inches (min) above floor [48-inchs (max) above the floor when located above countertops] and in close proximity to locations where telemedicine equipment will be used to ensure that cords will not obstruct walking paths citation
    Desirable Outcome
    Efficient delivery of care
    Design Strategies
    • Electric and internet outlets located at 24-inches (min) above floor [48-inchs (max) above the floor when located above countertops] and in close proximity to locations where telemedicine equipment will be used to ensure that cords will not obstruct walking paths citation
    Desirable Outcome
    Minimize patient stress/anxiety
    Design Strategies
    • Easy-to-read and easy-to-reach operational (remote) controls for window treatments, lighting, temperature, and audiovisual components (e.g., TV, music) from bed/chair locations
    • Intercom system and/or voice-activated smartphone technology. citation
    Desirable Outcome
    Minimize undue strain during recovery
    Design Strategies
    • Easy-to-clean materials to reduce surface contamination citation
    • Handrails on both sides of stairs citation
    Desirable Outcome
    Patient control and independence
    Design Strategies
    • Light switches lowered to 44-inches off the floor citation
    • Preprogrammed and easy-to-adjust thermostat citation
    • Electric and internet outlets located at 24-inches (min) above floor [48-inchs (max) above the floor when located above countertops] and in close proximity to locations where telemedicine equipment will be used to ensure that cords will not obstruct walking paths citation
    Desirable Outcome
    Patient satisfaction and comfort
    Design Strategies
    • Light switches lowered to 44-inches off the floor citation
    • Preprogrammed and easy-to-adjust thermostat citation
    • Easy-to-read and easy-to-reach operational (remote) controls for window treatments, lighting, temperature, and audiovisual components (e.g., TV, music) from bed/chair locations
    • Electric and internet outlets located at 24-inches (min) above floor [48-inchs (max) above the floor when located above countertops] and in close proximity to locations where telemedicine equipment will be used to ensure that cords will not obstruct walking paths citation
    Desirable Outcome
    Safety; fall/injury prevention
    Design Strategies
    • Intercom system and/or voice-activated smartphone technology. citation
    • Handrails on both sides of stairs citation
    • Electric and internet outlets located at 24-inches (min) above floor [48-inchs (max) above the floor when located above countertops] and in close proximity to locations where telemedicine equipment will be used to ensure that cords will not obstruct walking paths citation
    • Provide handrails (1-1/4” to 2” in diameter) with a slip-resistant surface adjacent to all sloped surfaces even if the floor slope is not steep enough to require a handrail by code. citation
    • Provide wainscot trim that protrudes from the wall and is securely fastened to offer a frame of reference and a touchstone for balance for level surfaces. citation
    Desirable Outcome
    Safety; infection control
    Design Strategies
    • Easy-to-clean materials to reduce surface contamination citation
    • Multiple storage locations for gloves and other personal protective equipment throughout the occupied space, especially in care areas, to facilitate proper safety protocols (e.g. in the event of exposure to blood and other bodily fluids) A H citation
    Desirable Outcome
    Safety; minimize risk of injury
    Design Strategies
    • Keep defibrillator(s) close to a telephone in a convenient, central and temperature controlled area, where the visual or auditory "ready" indicators can be seen or heard. A H citation
    • Install smoke detectors throughout the occupied living areas citation
    • Carbon monoxide detectors citation
    • Electric and internet outlets located at 24-inches (min) above floor [48-inchs (max) above the floor when located above countertops] and in close proximity to locations where telemedicine equipment will be used to ensure that cords will not obstruct walking paths citation
    • Provide handrails (1-1/4” to 2” in diameter) with a slip-resistant surface adjacent to all sloped surfaces even if the floor slope is not steep enough to require a handrail by code. citation
    • Provide wainscot trim that protrudes from the wall and is securely fastened to offer a frame of reference and a touchstone for balance for level surfaces. citation

  • Ceiling

    Desirable Outcome
    Safety; minimize risk of injury
    Design Strategies
    • Install smoke detectors throughout the occupied living areas citation
    • Carbon monoxide detectors citation

  • Windows

    Desirable Outcome
    Accessibility; ease of use
    Design Strategies
    • Easy-to-read and easy-to-reach operational (remote) controls for window treatments, lighting, temperature, and audiovisual components (e.g., TV, music) from bed/chair locations
    Desirable Outcome
    Minimize patient stress/anxiety
    Design Strategies
    • Windows and/or skylight that provide citation
    • View of outdoor nature/garden
    • Easy-to-read and easy-to-reach operational (remote) controls for window treatments, lighting, temperature, and audiovisual components (e.g., TV, music) from bed/chair locations
    • Window treatments that allow natural light to be blocked/reduced during the day if needed
    Desirable Outcome
    Patient satisfaction and comfort
    Design Strategies
    • Windows and/or skylight that provide high quality natural light citation
    • View of outdoor nature/garden
    • Easy-to-read and easy-to-reach operational (remote) controls for window treatments, lighting, temperature, and audiovisual components (e.g., TV, music) from bed/chair locations
    • Window treatments that allow natural light to be blocked/reduced during the day if needed
    Desirable Outcome
    Safety; air quality
    Design Strategies
    • Operable windows that can be opened for cross-ventilation, fresh air (limit openings to reduce risk of disoriented patients going through window) A H citation
    Desirable Outcome
    Support telemedicine exam quality
    Design Strategies
    • Teleconference exam area located away from windows or oriented so that windows will not create glare (avoid windows behind patient which may wash out video image or create extreme shadows) A H citation

  • Doors

    Desirable Outcome
    Accessibility; ease of use
    Design Strategies
    • Easy-to-open doors (consider handle grip, mechanics, and weight of door)
    • Minimize thresholds (less than ¼ inch vertical, or up to ½ inch beveled) citation
    • Minimum 36-inch doors citation
    • At least one exterior double door to facilitate option to bring in large medical equipment that may be necessary for patient care citation
    • Designated space and provisions for pets (bed, built-in feeding system, outdoor access, fenced in yard, self-cleaning litter box), if appropriate citation
    • Install exterior and interior entry doors with dual-height peepholes (Upper at 62” and the lower at 48”), a viewing panel, or security technology to enable outside viewing. citation
    Desirable Outcome
    Minimize patient stress/anxiety
    Design Strategies
    • Designated space and provisions for pets (bed, built-in feeding system, outdoor access, fenced in yard, self-cleaning litter box), if appropriate citation
    • Efficient ventilation to minimize unpleasant smells A H
    Desirable Outcome
    Patient satisfaction and comfort
    Design Strategies
    • Efficient ventilation to minimize unpleasant smells A H
    • Install exterior and interior entry doors with dual-height peepholes (Upper at 62” and the lower at 48”), a viewing panel, or security technology to enable outside viewing. citation
    Desirable Outcome
    Psychosocial support
    Design Strategies
    • Designated space and provisions for pets (bed, built-in feeding system, outdoor access, fenced in yard, self-cleaning litter box), if appropriate citation
    Desirable Outcome
    Safety; fall/injury prevention
    Design Strategies
    • Easy-to-open doors (consider handle grip, mechanics, and weight of door)
    • Minimize thresholds (less than ¼ inch vertical, or up to ½ inch beveled) citation
    • Minimum 36-inch doors citation
    • At least one exterior double door to facilitate option to bring in large medical equipment that may be necessary for patient care citation
    • Efficient ventilation to minimize unpleasant smells A H

  • HVAC

    Desirable Outcome
    Minimize patient stress/anxiety
    Design Strategies
    • Air temperature, relative humidity, and flow speed maintained at comfort level without dramatic difference between spaces
    • Reliable and fully functional heating and air conditioning to reduce risk of heatstroke or hypothermia citation
    • Efficient ventilation to minimize unpleasant smells A H
    Desirable Outcome
    Patient satisfaction and comfort
    Design Strategies
    • Efficient ventilation to minimize unpleasant smells A H
    Desirable Outcome
    Safety; infection control
    Design Strategies
    • Ventilation system with features such as HEPA filters or 100% outside air to minimize air contamination H
    Desirable Outcome
    Safety; minimize risk of injury
    Design Strategies
    • Air temperature, relative humidity, and flow speed maintained at comfort level without dramatic difference between spaces
    • Reliable and fully functional heating and air conditioning to reduce risk of heatstroke or hypothermia citation
    • Efficient ventilation to minimize unpleasant smells A H

  • Electrical

    Desirable Outcome
    Accessibility; ease of use
    Design Strategies
    • Light switches lowered to 44-inches off the floor citation
    Desirable Outcome
    Communication/ interaction with care provider/ emergency care
    Design Strategies
    • Electric and internet outlets located at 24-inches (min) above floor [48-inchs (max) above the floor when located above countertops] and in close proximity to locations where telemedicine equipment will be used to ensure that cords will not obstruct walking paths citation
    • Appropriate electrical system to support reliable internet access citation
    Desirable Outcome
    Efficient delivery of care
    Design Strategies
    • Sufficient electrical system output to support all medical equipment without overloading outlets citation
    • Electric and internet outlets located at 24-inches (min) above floor [48-inchs (max) above the floor when located above countertops] and in close proximity to locations where telemedicine equipment will be used to ensure that cords will not obstruct walking paths citation
    Desirable Outcome
    Patient control and independence
    Design Strategies
    • Light switches lowered to 44-inches off the floor citation
    • Electric and internet outlets located at 24-inches (min) above floor [48-inchs (max) above the floor when located above countertops] and in close proximity to locations where telemedicine equipment will be used to ensure that cords will not obstruct walking paths citation
    Desirable Outcome
    Patient satisfaction and comfort
    Design Strategies
    • Light switches lowered to 44-inches off the floor citation
    • Electric and internet outlets located at 24-inches (min) above floor [48-inchs (max) above the floor when located above countertops] and in close proximity to locations where telemedicine equipment will be used to ensure that cords will not obstruct walking paths citation
    Desirable Outcome
    Safety; fall/injury prevention
    Design Strategies
    • Electric and internet outlets located at 24-inches (min) above floor [48-inchs (max) above the floor when located above countertops] and in close proximity to locations where telemedicine equipment will be used to ensure that cords will not obstruct walking paths citation
    Desirable Outcome
    Safety; minimize risk of injury
    Design Strategies
    • Sufficient electrical system output to support all medical equipment without overloading outlets citation
    • Electric and internet outlets located at 24-inches (min) above floor [48-inchs (max) above the floor when located above countertops] and in close proximity to locations where telemedicine equipment will be used to ensure that cords will not obstruct walking paths citation

  • Lighting

    Desirable Outcome
    Accessibility; ease of use
    Design Strategies
    • Light switches lowered to 44-inches off the floor A H citation
    • Lighting (remote) controls accessible from bed or chair A H
    Desirable Outcome
    Communication/ interaction with care provider/ emergency care
    Design Strategies
    • Diffuse light located in front of individual receiving care to provide even illumination without strong shadows A H citation
    • Moveable and adjustable exam quality lighting options in care areas to illuminate different parts of an individual's body as needed (e.g., when using telemedicine devices) A H citation
    Desirable Outcome
    Efficient delivery of care
    Design Strategies
    • Sufficient illumination level for medication dispensing to minimize errors (for any places where medication dispensing is performed by caregiver or patient) citation
    • Moveable and adjustable exam quality lighting options in care areas to illuminate different parts of an individual's body as needed (e.g., when using telemedicine devices) A H citation
    Desirable Outcome
    Patient control and independence
    Design Strategies
    • Light switches lowered to 44-inches off the floor citation
    • Lighting (remote) controls accessible from bed or chair A H
    Desirable Outcome
    Patient satisfaction and comfort
    Design Strategies
    • Light switches lowered to 44-inches off the floor citation
    • Lighting (remote) controls accessible from bed or chair A H
    Desirable Outcome
    Safety; fall/injury prevention
    Design Strategies
    • Interior motion lighting/sensor-activated lighting without glare, and/or use nightlights A H citation
    • Avoid glare and excessive contrast and patterns on floors, which can be perceived as or conceal actual changes in level which pose a potential trip hazard. citation
    Desirable Outcome
    Safety; medication safety
    Design Strategies
    • Sufficient illumination level for medication dispensing to minimize errors (for any places where medication dispensing is performed by caregiver or patient) citation
    • Moveable and adjustable exam quality lighting options in care areas to illuminate different parts of an individual's body as needed (e.g., when using telemedicine devices) A H citation
    Desirable Outcome
    Safety; minimize risk of injury
    Design Strategies
    • Avoid glare and excessive contrast and patterns on floors, which can be perceived as or conceal actual changes in level which pose a potential trip hazard. citation
    Desirable Outcome
    Support telemedicine exam quality
    Design Strategies
    • Diffuse light located in front of individual receiving care to provide even illumination without strong shadows A H citation
    • Moveable and adjustable exam quality lighting options in care areas to illuminate different parts of an individual's body as needed (e.g., when using telemedicine devices) A H citation

  • Fixtures / Furnishings / Appliances / Equipment /Accessories

    Desirable Outcome
    Accessibility; ease of use
    Design Strategies
    • Designated space and provisions for pets (bed, built-in feeding system, outdoor access, fenced in yard, self-cleaning litter box), if appropriate citation
    Desirable Outcome
    Caregiver safety; minimize risk of physical injury
    Design Strategies
    • Adjustable lounge chairs with the ability to elevate footrest, sit-to-stand chairs, or lift chairs containing built-in lift mechanisms, depending on an individual's need for rehabilitation or rest A H citation
    Desirable Outcome
    Caregiver safety; minimize risk of physical injury
    Design Strategies
    • Avoid chairs that restrict the ability to stand without the need for lift mechanisms (e.g., too low, deep, lack arm rests, or don't enable a person to get their feet under the edge of the seat) A H citation
    • Transfer lifts (portable or ceiling mounted) and other repositioning devices that support safe ergonomic conditions for patient handling and movement, if needed. H citation
    Desirable Outcome
    Minimize patient stress/anxiety
    Design Strategies
    • Access to positive/meaningful distractions (e.g., nature-themed artwork, window with views of nature, music, TV, Internet, reading materials)
    • Designated space and provisions for pets (bed, built-in feeding system, outdoor access, fenced in yard, self-cleaning litter box), if appropriate citation
    Desirable Outcome
    Minimize undue strain during recovery
    Design Strategies
    • Easy-to-clean materials to reduce surface contamination citation
    • Adjustable lounge chairs with the ability to elevate footrest, sit-to-stand chairs, or lift chairs containing built-in lift mechanisms, depending on an individual's need for rehabilitation or rest A H citation
    • Avoid chairs that restrict the ability to stand without the need for lift mechanisms (e.g., too low, deep, lack arm rests, or don't enable a person to get their feet under the edge of the seat) A H
    Desirable Outcome
    OUTCOME
    Design Strategies
    • Access to positive/meaningful distractions (e.g., nature-themed artwork, window with views of nature, music, TV, Internet, reading materials)
    Desirable Outcome
    Patient satisfaction and comfort
    Design Strategies
    • Access to positive/meaningful distractions (e.g., nature-themed artwork, window with views of nature, music, TV, Internet, reading materials)
    Desirable Outcome
    Psychosocial support
    Design Strategies
    • Designated space and provisions for pets (bed, built-in feeding system, outdoor access, fenced in yard, self-cleaning litter box), if appropriate citation
    Desirable Outcome
    Safety; fall/injury prevention
    Design Strategies
    • Adjustable lounge chairs with the ability to elevate footrest, sit-to-stand chairs, or lift chairs containing built-in lift mechanisms, depending on an individual's need for rehabilitation or rest A H citation
    • Avoid chairs that restrict the ability to stand without the need for lift mechanisms (e.g., too low, deep, lack arm rests, or don't enable a person to get their feet under the edge of the seat) A H
    • Transfer lifts (portable or ceiling mounted) and other repositioning devices that support safe ergonomic conditions for patient handling and movement, if needed. H citation
    Desirable Outcome
    Safety; infection control
    Design Strategies
    • Easy-to-clean materials to reduce surface contamination citation

  • Casework/ Storage

    Desirable Outcome
    Efficient delivery of care
    Design Strategies
    • Easily accessible storage and disposal for non-reusable supplies (e.g., medication, incontinence products, bandaging, etc.) citation
    • Easy-to-access storage for first-aid supplies
    • Safe, easily accessible storage for medications (refrigerated, if needed), supplies, and medical equipment A H citation
    • Easily accessible storage for cleaning supplies when needed immediately (e.g., incontinence on self/seating/floor) A H citation
    • Adequate storage space (e.g., cabinet that conceals medical equipment) to efficiently store items, reduce clutter, and maintain domestic aesthetic. citation
    Desirable Outcome
    Efficient delivery of care
    Design Strategies
    • Maximize space for medical supplies when needed A H citation
    Desirable Outcome
    Minimize patient stress/anxiety
    Design Strategies
    • Adequate storage space (e.g., cabinet that conceals medical equipment) to efficiently store items, reduce clutter, and maintain domestic aesthetic. citation
    Desirable Outcome
    Minimize undue strain during recovery
    Design Strategies
    • Easy-to-clean materials to reduce surface contamination citation
    Desirable Outcome
    Safety; fall/injury prevention
    Design Strategies
    • Easy-to-access storage for first-aid supplies
    • Adequate storage space (e.g., cabinet that conceals medical equipment) to efficiently store items, reduce clutter, and maintain domestic aesthetic. A H citation
    • Maximize space for medical supplies when needed A H citation
    Desirable Outcome
    Safety; infection control
    Design Strategies
    • Easily accessible storage and disposal for non-reusable supplies (e.g., medication, incontinence products, bandaging, etc.) citation
    • Safe, easily accessible storage for medications (refrigerated, if needed), supplies, and medical equipment A H citation
    • Easily accessible storage for cleaning supplies when needed immediately (e.g., incontinence on self/seating/floor) A H citation
    • Easy-to-clean materials to reduce surface contamination citation
    • Multiple storage locations for gloves and other personal protective equipment throughout the occupied space, especially in care areas, to facilitate proper safety protocols (e.g. in the event of exposure to blood and other bodily fluids) A H citation
    Desirable Outcome
    Safety; medication safety
    Design Strategies
    • Easily accessible storage and disposal for non-reusable supplies (e.g., medication, incontinence products, bandaging, etc.) citation
    • Safe, easily accessible storage for medications (refrigerated, if needed), supplies, and medical equipment A H citation

  • Patient Handling / Movement Equipment

    Desirable Outcome
    Caregiver safety; minimize risk of physical injury
    Design Strategies
    • Designated location for medical device and patient handling equipment manuals for caregiver access A H citation
    • Avoid deep pile carpet or loose/worn carpet; tack down edges of carpets and rugs; remove loose rugs/mats citation
    • Transfer lifts (portable or ceiling mounted) and other repositioning devices that support safe ergonomic conditions for patient handling and movement, if needed. H citation
    • Adequate space to install ramps/stair lifts to accommodate changes in interior and/or exterior levels (e.g., front, side, garage entryways) A H citation
    Desirable Outcome
    Efficient delivery of care
    Design Strategies
    • Designated location for medical device and patient handling equipment manuals for caregiver access A H citation
    Desirable Outcome
    Minimize undue strain during recovery
    Design Strategies
    • Adequate space to install ramps/stair lifts to accommodate changes in interior and/or exterior levels (e.g., front, side, garage entryways) citation
    Desirable Outcome
    Safety; fall/injury prevention
    Design Strategies
    • Avoid deep pile carpet or loose/worn carpet; tack down edges of carpets and rugs; remove loose rugs/mats citation
    • Transfer lifts (portable or ceiling mounted) and other repositioning devices that support safe ergonomic conditions for patient handling and movement, if needed. H citation
    • Adequate space to install ramps/stair lifts to accommodate changes in interior and/or exterior levels (e.g., front, side, garage entryways) citation
    Desirable Outcome
    Safety; minimize risk of injury
    Design Strategies
    • Designated location for medical device and patient handling equipment manuals for caregiver access A H citation

  • Technology / Monitoring Equipment / Internet

    Desirable Outcome
    Caregiver safety; minimize risk of physical injury
    Design Strategies
    • Intercom system and/or voice-activated smartphone technology citation
    Desirable Outcome
    Communication/ interaction with care provider/ emergency care
    Design Strategies
    • Monitoring devices (sensors or wearables) to record daily living activities and transmit data to caregivers where data is measured against present targets. A H citation
    • Telemedicine exam equipment such as a laptop with integrated medical devices (e.g., otoscopes, stethoscopes, dermascopes, and ultrasound probes, and vital signs monitors, spirometers, and ECG) allowing split screen viewing between the camera and medical devices. A H citation
    • Teleconferencing screen and camera at eye level a few feet from the patient to mimic face-to-face encounters. A H citation
    • Intercom system and/or voice-activated smartphone technology citation
    Desirable Outcome
    Minimize patient stress/anxiety
    Design Strategies
    • Intercom system and/or voice-activated smartphone technology citation
    Desirable Outcome
    Patient control and independence
    Design Strategies
    • Voice-activated connectivity to facilitate activities of daily living (e.g., turning lights on/off, changing television channels, making phone calls, playing music, opening/closing doors).
    • Conveniently located portable electronic devices (e.g., phones, tablets, mobile devices) and charging to support easy connection with family, photos, games, etc.
    • Robotic pets to provide companionship A H citation
    • Opportunities for virtual and augmented reality to connect homebound patients to the outside world. A H
    • Timed medication dispensing system with built in reminders for patients and alerts (email/text) to physician and caregivers if a dose is missed A H citation
    Desirable Outcome
    Psychosocial support
    Design Strategies
    • Conveniently located portable electronic devices (e.g., phones, tablets, mobile devices) and charging to support easy connection with family, photos, games, etc.
    • Robotic pets to provide companionship. A H citation
    • Opportunities for virtual and augmented reality to connect homebound patients to the outside world. A H
    Desirable Outcome
    Safety; fall/injury prevention
    Design Strategies
    • Intercom system and/or voice-activated smartphone technology citation
    Desirable Outcome
    Safety; medication safety
    Design Strategies
    • Timed medication dispensing system with built in reminders for patients and alerts (email/text) to physician and caregivers if a dose is missed A H citation
    Desirable Outcome
    OUTCOME
    Design Strategies