Cerami & Associates, Inc.’s Post

While #EIFS has long been used as an #exteriorcladding for the #hospitality and #entertainment industries (e.g. the Walt Disney World Swan and Dolphin and the Bellagio are just two excellent examples of EIFS projects), EIFS - especially EIFS with Drainage - has become a "go-to" cladding in the #healthcare sector as well. The Mayo Clinic's Expansion in Phoenix, AZ is a case in point. The project expanded three major areas of the Mayo Clinic’s North Phoenix campus, including vertical expansion of the clinic and horizontal expansions of the hospital and east cafeteria buildings as part of the hospital’s larger goal of increasing its patient capacity and laying down the foundations for further expansions down the road. Designed by Shepley Bulfinch and built by McCarthy Building Companies, Inc., this 330,000 sq ft, $145-million expansion project won a "Best Project, Health Care and Award of Merit, Safety" by Engineering News-Record Southwest. With respect to the exterior #cladding, the article below (subscription may be required) makes the following point. "The project deployed a unitized #curtainwall skin system for the clinic’s vertical expansion. The unitized panels allowed for large sections to be prefabricated, simplifying installation, minimizing disruption to the existing facility and reducing the construction schedule to deliver care to patients sooner... This approach not only accelerated construction but also reduced the risks associated with traditional welding methods." This project recently won an "Award of Merit" at the EIFS Industry Members Association (EIMA)'s 2023 Architectural "Hero" Awards too. The project entry form mentioned that the expansion of this hospital "was designed using EIFS to match the existing main building. Prefabricated panels were chosen over field applied EIFS because of lower cost to install, reduced installation time, room for scaffolding, and safety to pedestrian traffic. The façade was comprised of 1,500 panels, which were 24 feet by 15 feet in size." https://lnkd.in/ghcUfcMw Even though RSMeans Data from Gordian points out that EIFS is MUCH less expensive than traditional, heavyweight cladding materials like #brick,#stone, #precast, #curtainwall and #metal panel, it is interesting to note that the cladding is frequently used on major projects - commissioned by some of the world's largest companies and organizations - on projects costing hundreds of millions of dollars - and frequently more. But when one understands that EIFS with Drainage offers a combination of #aesthetics, #performance, #energyefficiency and #financialvalue that #oldfashioned materials just can't match, then the use of EIFS makes sense. With #continuousinsulation integrated into a singular wall system that can mimic #brick, #stone, #wood, #metal, #stucco and #multiclad exteriors, there has never been a better time to consider EIFS for a #newconstruction or #retrofit project. www.eima.com #eima

Off-campus is the new on-campus for build-to-suit medical outpatient and specialty hospital projects. Over the past 24 months, it has become incredibly challenging to close on-campus MOB and specialty hospital projects when a ground lease is involved. Hospitals, lenders and developers can't seem to get on the same page with respect to use restrictions and purchase options. This is causing more MOB and specialty hospital projects to move off-campus. What are others seeing in this space?

"Today, as I address this esteemed gathering, I am proud to herald the dawn of our own epoch-making endeavor—the Primary Care Moonshot—A Joyful Practice, in 5 years or less. Our mission is clear and ambitious: to revolutionize primary care practices into realms of joyful physicians working in effective systems. This quest transcends the necessity of survival; it is about flourishing, about reimagining our practice environments so that every health care professional can render their finest care and every patient can receive it... This vision is not merely aspirational — it is imperative. Echoing Kennedy’s words, “We choose to go to the moon in this decade and do the other things, not because they are easy, but because they are hard, because that goal will serve to organize and measure the best of our energies and skills.” In a parallel spirit, we commit to this Primary Care Moonshot not because it is effortless, but because the challenge is noble, and the changes are necessary. The rewards — human, professional, and societal — are vast and essential." Link to video https://lnkd.in/eVY5GFki

Arts in Health/Mental Health MUST involve credentialed Art Therapists under many standards. These location-specific mural projects are simply Art. Artmaking and art exposure for inspiration or historic preservation are freely within separate “arts and culture” statutory domain. So hospitals are encouraging mural making. That’s fantastic. It will brighten up hospital walls. However, if consumer healthcare or healing claims are made, that is, by definition, and qualified workers’ rights, Art Therapy. Art Therapists train at least 8 years for our credentials. Please discern Arts in Healthcare (intervention, goal, and regulated profession) from gorgeous, inspired Art. Consumers deserve at least that.

Mayo Clinic’s Bold. Forward. Unbound. in Rochester Initiative: A New Chapter for Destination Medical Center    At Destination Medical Center (DMC), we are thrilled and inspired by the news that Mayo Clinic has announced a $5 billion dollar commitment to expanding its Rochester campus as part of the Bold. Forward. Unbound. in Rochester initiative. This is a historic moment for Mayo Clinic, the city of Rochester, Olmsted County, the state of Minnesota, and DMC. Mayo Clinic’s newest commitment to the city demonstrates the success and impact of the 20-year economic development initiative first authorized by a bipartisan group of Minnesota legislators and the Governor in 2013. Not only is this the largest investment in Mayo’s 160-year history, but it is also the largest public or private investment in Minnesota’s history! This comes on the heels of Minnesota's well deserved designation by President Biden as a national innovation hub for medical technology, MedTech3.0. Clearly, Minnesota is a go to place for medical innovation and Category One health services. https://lnkd.in/gsQBY64R #dmcmn #rochestermn #Healthcaretransformation #MayoClinic #HealthcareInnovation #BoldForwardUnbound GREATER MSP Partnership Medical Alley #medtech3.0

While #EIFS has long been used as an #exteriorcladding for the #hospitality and #entertainment industries (e.g. the Walt Disney World Swan and Dolphin and the Bellagio are just two excellent examples of EIFS projects), EIFS - especially EIFS with Drainage - has become a "go-to" cladding in the #healthcare sector as well. The Mayo Clinic's Expansion in Phoenix, AZ is a case in point. The project expanded three major areas of the Mayo Clinic’s North Phoenix campus, including vertical expansion of the clinic and horizontal expansions of the hospital and east cafeteria buildings as part of the hospital’s larger goal of increasing its patient capacity and laying down the foundations for further expansions down the road. Designed by Shepley Bulfinch and built by McCarthy Building Companies, Inc., this 330,000 sq ft, $145-million expansion project won a "Best Project, Health Care and Award of Merit, Safety" by Engineering News-Record Southwest. With respect to the exterior #cladding, the article below (subscription may be required) makes the following point. "The project deployed a unitized #curtainwall skin system for the clinic’s vertical expansion. The unitized panels allowed for large sections to be prefabricated, simplifying installation, minimizing disruption to the existing facility and reducing the construction schedule to deliver care to patients sooner... This approach not only accelerated construction but also reduced the risks associated with traditional welding methods." This project recently won an "Award of Merit" at the EIFS Industry Members Association (EIMA)'s 2023 Architectural "Hero" Awards too. The project entry form mentioned that the expansion of this hospital "was designed using EIFS to match the existing main building. Prefabricated panels were chosen over field applied EIFS because of lower cost to install, reduced installation time, room for scaffolding, and safety to pedestrian traffic. The façade was comprised of 1,500 panels, which were 24 feet by 15 feet in size." https://lnkd.in/ghcUfcMw Even though RSMeans Data from Gordian points out that EIFS is MUCH less expensive than traditional, heavyweight cladding materials like #brick, #stone, #precast, #curtainwall and #metal panel, it is interesting to note that the cladding is frequently used on major projects - commissioned by some of the world's largest companies and organizations - on projects costing hundreds of millions of dollars - and frequently more. But when one understands that EIFS with Drainage offers a combination of #aesthetics, #performance, #energyefficiency and #financialvalue that #oldfashioned materials just can't match, then the use of EIFS makes sense. With #continuousinsulation integrated into a singular wall system that can mimic #brick, #stone, #wood, #metal, #stucco and #multiclad exteriors, there has never been a better time to consider EIFS for a #newconstruction or #retrofit project. www.eima.com #eima

getting close to completion

I believe this is where AI in echo can play such an important role. Auto analysis of echo has the potential to free the sonographer from the time consuming, tedious, and highly manual task of measurements. By turning the techs into ‘editors’ vs. ‘doers’ enables them to leverage their expertise, freeing up valuable time to focus on the cardio and Hemo dynamic nuances of the case, instead of spending time scrolling through images trying to eyeball and guess best end dysostilc/systolic frame, and tracing borders, etc. These are all tasks deep learning algorithms have proven to be able to do with lightening efficiency, with zero variability or bias. Complete echos can now be processed in ~2 mins, leaving the techs to focus on image acquisition and analysis, all while reducing the wear and tear on their bodies. These algorithms are available today, are cleared by the FDA, and have been validated in several echo core labs across the globe.

Did you know that operating theatres are 3 to 6 times more energy intensive that the rest of a hospital? Wow! The NHS in Scotland is working hard to make theatres greener with its National Green Theatres Programme. I was glad to help in a small way by reviewing this report and its recommendations moving forward. Key messages and my interpretations in brackets (which apply to much more than just theatres): 1.There is limited published evidence (so we have to work to get it by doing things differently and sharing our learning) 2. A reduction in resource use (stuff we use) can mean higher up front costs in the short term (but cost saving in future so let's plan longer term and invest in sustainable care by doing things differently with fewer single use products) 3. Primary prevention of surgical conditions can greatly reduce the need for surgery (prevention is better than cure and cutting into people, teach people how to live their lives in the best of health with a National Healthy Service rather than a National Illness Service) 4. Small changes can lead to environmental sustainability improvements (every little counts, switch off when not in use, don't use or unpack what you don't need) 5. Barriers to improvements in practice include lack of leadership, workload pressures and limited knowledge (step up, share what works, listen to staff who know the system, think "what if we could" and do it!) Kenneth Barker Alifia Chakera @paulmcconnell Wendy Rayner FCIWM Richard Hixson @ruthinnes Melissa Pegg BSc (Hons) MSc MSc PIEMA Stephanie Terreni Brown, PhD #theatres #greenerhospitals #circulareconomy #sustainability #environment Want to read more? See the full report at https://lnkd.in/evTTvHjM Brbre I, Chappell J, Emengo H, Frank L. (2024). An evidence review of interventions aimed at improving the environmental sustainability of surgical operating theatres. Glasgow/Edinburgh; NHS Healthcare Improvement Scotland https://lnkd.in/eecyhc_K