cover story one
Minnesota’s Healthcare Workforce Shortage
A growing crisis
By Teri Fritsma, PhD
Health care workforce shortages are not new. For years leading up to the COVID-19 pandemic, communities around Minnesota—particularly those outside major metropolitan areas—have had too few physicians, nurses, mental health, dental and direct care providers to meet both the hiring demand and the need for services. Some of these shortages might be more accurately described as a maldistribution, with rural and small town communities lacking adequate staffing even after accounting for population size.
cover story two
Ambulatory Specialty Center Construction: Finding the intended purpose
BY: DANIEL K. ZISMER, PhD, GARY S. SCHWARTZ, MD, MHA, AND ELLIOT D.
ZISMER MS, MBA
The father of the modern skyscraper, Louis Henry Sullivan, is credited with the maxim, “form follows function”. Sullivan believed that a building should enable its intended purpose. Finding “the intended purpose” of an ambulatory medical specialty center should precede facility design and construction. The balance of this article focuses on the presentation of a blueprint for the thinking that leads to consensus on form and function of the integrative ambulatory specialty center.
Engineering
Energy use in Health Care Facilities: Higher performance and lower costs
BY MARK BRADBY, PE, AND NED RECTOR, PE, LEED BD+C, CEM
The health care industry focuses on continuous improvement and adoption of best practices. Therefore, It may come as a surprise that health care facilities are the second highest energy consumers in the built environment and consume close to 10% of the energy used across all commercial buildings There are good reasons for health care facilities to consume more energy–stringent codes, standards, best practices around indoor air quality, heating and cooling parameters and infection control require complex mechanical and electrical systems which are energy-intensive.
interview
Providing Leadership in Sexual and Gender Health
Eli Coleman, PhD
University of Minnesota Medical School
Health Care Architecture Honor Roll 2022
Recognizing outstanding achievement in new facilities design
Cardiology
4D Holographic Surgery: Advances in treating Atrial Fibrillation
By JACOB DUTCHER, MD, FACC
A trial Fibrillation (Afib) is a very common heart arrhythmia affecting approximately six million people in the U.S. and is one of the most important risk factors for stroke. To reduce the risk of stroke, many patients with Afib are treated for years with blood thinners, and while effective in reducing the risk of stroke, they do pose a significant risk of bleeding complications
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