Health By Design Compendium - Winter 2024

A Compendium of Student Work

UNIVERSITY OF MICHIGAN

EXPERIMENTAL SEMINAR: ARCH 509/409

TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING

Introduction

The world is in crisis today. It has more than ever before- and more to lose as well. At the core of this crisis is our health as a planet, as people, and as a society. This course is set up to explore systemic issues of health and address them along the design continuumfrom information, to product, to place, to policy, while being anchored on the environments we live in, and the human minds & behaviors that shape them. It is practice-based and focused on making real, actionable, meaningful change. This semester it zeroes in on primary care, and the role of CAREGIVERS in enhancing health and wellbeing, within a healthcare system that is under extreme stress today. Through this course you will join (and shape) a growing a growing HealthBYDesign Community.

This course is founded on the belief that design makes a difference. We will learn how to link design intent to health outcomes and explore what it means to truly improve health and wellbeing. What are the measures? Are they meaningful? Do they matter? We will learn about evidence-based design and evidence-challenging design. We will learn about core areas like public health, clinical outcomes, safety, technology, and human perception- and then seek to bridge this insight, across disciplines, towards the foundation of any health delivery system- Primary Care. Guest speakers will join most of these classes, held in the evening to better include professionals- from private companies, health systems, and nonprofit agencies. Each session will have a catalyst presentation, an interdisciplinary conversation, and a point of view generation. The outcome of the course will be an open-source web publication on the healthbydesign website with a proposed design intervention/ innovation that is actionable, bridges disciplines, and addresses the design continuum. We encourage students from various disciplines to take this course- so we can have a rich dialogue and an actionable outcome.

Dr. Upali Nanda

May 2024

University of Michigan

Experimental Seminar Arch 509/409

Taubman College of Architecture + Urban Planning, Professor Dr. Upali Nanda

Winter 2024 Compendium

Final Edit Compilation By Srinjayee Saha

Website: healthbydesign.cargo.site

Acknowledgment

Reviewers

Dr. Jenny Yu 

Chief Health Officer | Oculoplastic Surgeon | Social Entrepreneur | Travel Health Expert

Dr. Joy Knoblauch 

Associate Professor of Architecture at Taubman College, University of Michigan

Matias del Campo 

Architecture and AI expert | Director of AR2IL, Taubman College, University of Michigan

Jonathan Rule  Assistant Professor of Practice, Taubman College, University of Michigan

Betsy Williams  Principal, Studio Design Leader, HKS Inc.

Camilla Moretti  Healthcare Practice Leader, HKS Inc.

Nikola Gjurchinoski  Architect, Researcher | Research, HKS Inc.

Rutali Joshi  Senior Design Researcher, Associate, HKS Inc

Natalie DeLiso  M.Arch Student, Taubman College, University of Michigan

Prakriti Vasudeva 

M.Arch Student, Taubman College, University of Michigan

Guest Speakers

Dr. Jenny Yu 

Chief Health Officer | Oculoplastic Surgeon | Social Entrepreneur | Travel Health Expert

Meredith Banasiak  Director of Research at Boulder Associates | Host of Science + Design

Tamie Glass 

Associate Professor, Author of Prompt: Socially Engaging Objects and Environments

Von Robinson  Designer and Principal Explorer @ Play Orbit Studio

Dr. Joy Knoblauch  Associate Professor of Architecture at Taubman College, University of Michigan

Camilla Moretti  Healthcare Practice Leader, HKS Inc.

Betsy Williams  Principal, Studio Design Leader, HKS Inc.

Nikola Gjurchinoski  Architect, Researcher | Research, HKS Inc.

Introduction Acknowledgment

Final Projects

Complete Well Health at Home Health as Membership Community Care Cruiser

Class of 2024 Bios

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CarebyDesign

How can telehealth be effectively incorporated into primary care while considering diverse healthcare delivery models to ensure accessibility, affordability, and quality care for all patients?

This semester, in collaboration with RVO Health, students explored the design of primary healthcare spaces beyond traditional clinic walls. Tasked with challenging their assumptions, they were encouraged to investigate innovative ways care can be delivered across the design continuum in both digital and physical realms.

Four key healthcare delivery models were identified, and through this process, students learned to use their design skills to identify opportunities and propose solutions that are research-driven, people-centered, and rooted in a systems view of health. The course aimed to cultivate a new perspective on healthcare delivery, empowering students to envision primary care in unconventional yet impactful ways

Link to Website

Team Members:

Lauren Jenkins

Rachel Liu

Srinjayee Saha

Irene Wei

Jintao Zhai

Complete Well A Climate Wellness Sphere

Complete Well provides health resources within an enclosed bubble to counteract extreme climate effects, such as mega-fires, air pollution, and unstable water and food systems. As habitable spaces shrink, it ensures safe, accessible primary care through online systems.

Why

Alex and her family face health challenges due to climate conditions. Complete Well seeks to improve their quality of life by enhancing air quality, ensuring access to outdoor spaces, and providing adaptable healthcare solutions tailored to climate change impacts. This approach is crucial for their health and wellbeing.

How

Complete Well integrates air purification and primary care into adaptive environments, offering accessible care locations and programs tailored to individual needs. Supported by online or AI caregivers, it creates optimal conditions for managing health symptoms.

What

Complete Well aims to improve respiratory health, provide access to care amid climate change, protect against environmental diseases, and support mental health. Its flexible, connected spaces are equipped with primary care resources to tackle future health challenges.

So What

Uncertainty from a warming climate disrupts lifestyles and agriculture, demanding proactive health strategies. By 2070, areas south of Michigan will see a 5-10 degree annual temperature increase despite emissions control, emphasizing the need for Complete Well’s comprehensive approach.

Overview and Design to Outcomes

Complete Well provides primary and human health resources within an enclosed health bubble in response to extreme weather patterns brought on by climate change, including mega-fires, air pollution, and unreliable water and food systems. As inhabitable space shrinks, Complete Well creates a safe environment for primary care through accessible online systems.

By 2070, 28 million people could face lasting climate change impacts due to mega-fires, sea level rise, low crop yields, and economic damage. The EPA notes that respiratory illness, environmental diseases, and mental health challenges will become standard. Complete Well aims to create health bubbles that address primary care, environmental quality, and social adaptation through accessible structures.

Complete Well focuses on three stages to tackle climate change and primary care challenges. In the “Now” stage, it creates primary care health hubs offering wellness interventions in pharmacies, community centers, and healthcare facilities through air-purified rooms, hydration stations, dietary needs, and light therapy. The “Near” stage emphasizes air purification and care structures, providing fresh air to people with respiratory illnesses, assisted by primary caregivers. Structures will be accessible in public spaces, transit stations, and institutions. The “Future” stage incorporates breathable AI healthcare structures. The urban-scale bubble serves as an air purifier directed at healing individuals, assisted by AI caregivers who care for people and help clean pollutants from the environment.

NEAR

Air Purification Structures and Facilities

FAR

Complete Nest

Link to Website

Team Members:

Paresh Hemnani

Siya Shah

Elijah Underhill-Miller

Christa Keyrouz

Health At Home Solutions for a Future of Healthcare At Home

The rapid integration of advanced technologies into healthcare marks a pivotal shift in medical service delivery, fundamentally changing patient-care interactions. Health At Home provides a framework of solutions for the “Now,” “Near,” and “Far” futures, envisioning healthcare managed and delivered almost exclusively at home. This approach minimizes unnecessary social aspects and virtually eliminates inefficient hospital visits.

Why

With emerging technologies like physical automation, the shift toward outpatient care, and advancements in AI, the question of where and how healthcare, particularly primary care, will be administered is crucial. Traditional hospital or facility visits can be emotionally taxing, time-consuming, and financially and environmentally wasteful. Health At Home proposes an alternative solution for the future of healthcare:deliveringcaredirectlytothehome.

How

Health At Home engages the capabilities that current and imminent technological breakthroughs in healthcare present, how the digital can meet the physical, and sees how these advancements can take healthcare and primary care to the home.

What

In the “Now” stage, Health At Home emphasizes enhancing compatibility between existing technologies. In the “Near” and “Far” stages, more healthcare technologies are envisioned, presenting both utopian and dystopian possibilities of advanced digital and physical integrations.

So What

Patients would be able to transcend physical hospital visits and access preventive and personalized health care from the comfort of their home.

Overview and Design to Outcomes

Health At Home’s approach to integrating technology into healthcare spans from immediate applications to long-term possibilities. The Smart Health Living Space is an evolved residential environment equipped with smart technology, ergonomic design, and medical facilities, as well as the future of being served by passsionate healthcare robots. It’s structured to adapt to the specific health needs and mobility levels of its occupants, integrating health into the daily living space seamlessly.

Now:

In the now stage, Health At Home employs accesible design and recognises current technologies such as Apple Vision Pro, Apple Watch, and telehealth platforms, with a focus on increasing compatibility between and a streamlined experience between existing technology so that health can be better accessed in the home without needing to extend to providers or facilities.

Near:

Improving preventative care through smart home health devices and sensors. This will be supported by IoT advancements for better interoperability and data sharing, adhering to new government technology standards.

Far:

An advanced AI-controlled healthcare robot that goes directly inside the home administering care to the patient, as well as more significant changes to residential layouts to allow for seamless robot maneuvering as well as sensor coverage for optimal monitoring and data collection.

Now: accesible Design and use of existing technology for health emergencies

Near: interior modifications and cloud enabled intergrated sensors and devices to monitor health in the home.

Far: A health robot that operates autonomously within a home environment is likely to bring about several significant changes to spatial interior architecture: wider and clearer pathways, reducing clutter, rethinking furniture placement, and potentially widening doorways to accommodate robot dimensions and mobility; non-slip and durable flooring; integrated charging stations; a sensor-friendly environments.

Health As Membership Healthier Lifestyle, Greater Rewards

Team Members:

Adriano De Quesada

Beatriz Verazzo

Arlo Delgado Link to Website

Why

The uninsured population poses a risk to public health due to limited access to preventive care and treatment. Healthcare reform would increase accessibility and effectiveness in health services, enhancing health outcomes and reshaping the concept of healthcare for all.

How

Services vary by membership level, which can be upgraded based on each person’s commitment to a healthy lifestyle. All health information, from doctor visits to records and rewards, would be centralized for easy access.

What

This health system aims to provide equitable healthcare access through an integrated approach. It ensures no-cost healthcare for underprivileged families while promoting healthier lifestyles via a structured reward program. Participants who engage in healthimproving activities receive discounts. There are three tiered memberships—Essential, Wellness, and Lifestyle.

So What

This approach benefits participants, the healthcare system, and the population by reducing healthcare costs through incentives for healthier lifestyles. It enables the long-term sustainability of a universal healthcare system, as fewer resources are required to treat lifestyle-related illnesses.

A system that guarantees all can be provided access to their fundamental healthcare needs, while also incentivizing self-care through a rewards setup that offers greater benefits for healthier lifestyles.

Overview and Design to Outcomes

Our innovative model introduces a membership-based approach to wellness that provides tailored support far beyond what conventional health services offer. This system features various packages, each designed to meet diverse needs and preferences; as members opt for higher tiers, the services become increasingly personalized. Moreover, it incorporates a rewards program that motivates members to embrace healthier lifestyles by offering tangible benefits for engaging in health-promoting activities.

Essential Membership:

Outcome: Basic and emergency access

Advanced Practice Clinicians will treat you at a facility by appointment only.

Wellness Membership:

Outcome: Basic, emergency, and treatment access

Doctors will treat you at a facility by appointment only.

Lifestyle Membership:

Outcome: Basic, emergency, treatment, and preventative access Doctor will visit at a place and time convenient to you.

INCREASE IN HEALTH ENGAGEMENT, INCENTIVES TO BE MORE HEALTHY

IMPROVEMENT OF POPULATION HEALTH, RE-EDUCATION OF HEALTH CULTURE

RE-SHIFT FOCUS TO QUALITY AND PREVENTATIVE CARE, GREATER HEALTH EQUITY

Link to Website

Team Members:

Nana Temple

Marianna Godfrey

Chloe Zhang

Kristina Marchand

Community Care Cruiser Mobilizing Healthcare to Meet YOU!

The Mobile Healthcare Unit aims to bridge healthcare gaps by offering adaptable,community-orientedservicesinbothruralandurbanareas.Through partnerships, geospatial analysis, and culturally tailored initiatives, it provides essential health education, screenings, and social support, while integrating green spaces to promote well-being and foster personal connections within communities.

Why

Nearly 30 million Americans lack health insurance, leaving many unable to afford copays, prescriptions, or gas for doctor visits. Many people also skip check-ups due to scheduling conflicts, fear, or location, limiting their access to healthcare.

How

Leveraging GIS and RVO’s Healthgrades software, these tools identify underutilized spaces where the Care Cruiser can park and set up its inflatable module. By pinpointing neighborhoods lacking healthcare access and locating nearby health professionals, our mobileclinicefficientlyreachesthecommunities most in need.

What

Our mobile clinic provides convenient access to primary care, adapting to urban and rural sites.Itintegrateswithlocalareasandproviders to deliver top-quality care. The truck acts as a vessel for the inflatable module, offering enclosed spaces with seating, interactive displays, and green spaces. This innovative design makes visiting the doctor engaging and barrier-free, making healthcare a convenience.

So What

Primarycareiscrucialforpreventingdebilitating diseases through routine check-ups. Despite barriers like location, lack of insurance, and fear, the Care Cruiser provides accessible care within communities, improving well-being and primary care access for those in need.

Overview and Design to Outcomes

In-person Care

The Cruiser provides a unique opportunity to provide in-person care rather than relying on virtual appointments. By identifying places to park, technology furthers in-person interaction and connection instead of replacing it.

Collaboration within the Community

By identifying local healthcare providers using Healthgrades and teaming up with local community organizations, businesses, and leaders, the Cruiser helps strengthen the connections and bonds within the community itself.

Welcoming Environment

Instead of a sterile, enclosed doctor’s office, the Cruiser comes to a familiar location within a community. The inflatables include interactive displays, green space, and flexible seating, providing a fun and low-stress place for primary care.

Accessible Care

The Cruiser is more than just a healthcare service. It’s a lifeline for those who may have limited access to primary care. Whether you’re in a rural or urban area, facing financial constraints, or simply feeling anxious about healthcare, the Cruiser is here to bridge the gap., bringing healthcare to communities and aiding them in disease prevention and well-being

Using GIS, RVO’s Healthgrades, and Public Health data, locating sites in need of primary care and bringing inperson care to these places. This model can be scaled up and used to combat the needs from climate change and disaster relief

A proposed layout for the inflatable set up in a park in Detroit with comfortable waiting room, private modular inflatable check-up rooms and room for outdoor activities and health education

HealthbyDesign Class of 2024

The University of Michigan is embodied in this HealthByDesign course with students from the School for Environment and Sustainability and the School of Architecture + Urban Planning. With these different perspectives and wide array of project proposals on the design continuum, we have created ideas that support a full network and spectrum of primary care, inside and outside the clinic.

Upali Nanda is an associate professor of practice at Taubman College of Architecture + Urban Planning, an adjunct faculty at School of Public Health, a fellow of the Institute for Health Policy Innovation, and the research director for HKS, a global architecture firm. She serves on the board of the Academy of Neuroscience for Architecture and was voted as one the 10 most influential people in Healthcare Design by Healthcare Design Magazine in 2015. In 2018 she was awarded the Women in Architecture Innovator Award by Architectural Record for her work linking human outcomes to the design of our environments. She sits on the nexus of many disciplines and believes that we have to put our disciplinary arrogance aside to effect real change, while leveraging the agency our unique skillsets give us.

HealthByDesign Compendium

ADRIANO DE QUESA

TAUBMAN COLLEGE OF ARCHITECTURE+URBAN PLANNING, B.S. IN ARCH

#HealthbyDesign integrates health considerations into the planning, design, and operation of urban spaces and buildings. It emphasizes creating environments that enhance both the physical and mental well-being of individuals and communities. The main goal is to ensure that public health is a core aspect in all areas of urban and architectural design, leading to healthier living conditions and improved quality of life.

Feature Projects

 Health As Membership

ARLO DELGADO

TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, M.ARCH

#HealthbyDesign considers health parameters as it look at the entirety of the health spectrum so to enhance and maximize possibilities

Feature Projects

 Health As Membership

MARIANNA GODFREY

TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, M.ARCH

Health is an indicator of wealth. Only competent design can remove that barrier.as the importance of social relationships and a supportive environment.

Feature Projects

 Community Care Cruiser

PARESH HEMNANI

TAUBMAN COLLEGE OF ARCHITECTURE+URBAN PLANNING, M.ARCH

The comprehensive design approach of “health by design” aims to create built environments that promote physical and psychological well-being. Designers have an obligation to develop sustainable and healthy cities that enable a holistic lifestyle. Strategies could include walkable communities, controlled light pollution, collective social spaces, ergonomic workspaces, and regenerative design.

Feature Projects

 Health At Home

LAUREN JENKINS

TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, M.ARCH/MUD

#HealthybyDesign is an intricate process of positively assisting human health through scalable design methods. We must understand human health through multiple, meaningful lenses in our communities to develop an optomistic built environment.

Feature Projects

 Complete Well

CHRISTA KEYROUZ

TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, B.S. IN ARCH

Feature Projects

 Health At Home

RACHEL LIU

TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, M.ARCH

Feature Projects

 Complete Well

KRISTINA MARCHAND

TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, M.ARCH

#HealthbyDesign is a way of thinking as well as a methodology that allows for health, wellness, and evidence based design to become more integrated in the built environment. Through the agency of the designerthe user, patent, and/or caregiver can have a more benefited experience through their primary care. This includes improved access care, better facilitated care, and care-centered environments that allow people to thrive: all dictated by the built conditions or lack there of.

Feature Projects

 Community Care Cruiser

SRINJAYEE SAHA

TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, M.ARCH

#HealthbyDesign is a concept that emphasizes the importance of creating environments that support both the physical and mental health of an individual. A healthy environment is one in which a person can thrive and be the best version of themselves in all aspects.

Feature Projects

 Complete Well

SIYA SHAH

TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, B.S. IN ARCH

#HealthbyDesign is the fusion of deeply understanding healthacre stakeholders (those who have the power to impact, and those impacted) along with sustainable design solutions to engineer resilient environments and systems, at varying scales, that inherently promote individual as well as public health and well-being.

Feature Projects

 Health At Home

NANA TEMPLE

SCHOOL FOR ENVIRONMENT AND SUSTAINABILITY, M.LARCH

#HealthbyDesign is understanding and recognizing the intersection of how our environments have the potential to serve as vital conduits for physical and mental well-being. Through intentionality, we can create vibrant spaces and places that help facilitate and inspire the qualities that help folks build and sustain healthy, happy, and abundant lives.

Feature Projects

 Community Care Cruiser

ELIJAH UNDERHILL-MILLER

TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, B.S. IN ARCH

Feature Projects

 Health At Home

BEATRIZ BRITTO VEZZARO

TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, B.S. IN ARCH

#HealthbyDesign is the process of acknowledging and understanding the many ways in which design can impact the quality and impact of healthcare. The goal is to design spaces that promote well-being in every aspect.

Feature Projects

 Health As Membership

IRENE WEI

TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, M.ARCH

#HealthbyDesign encompasses all aspects of human centric design in the built environment with a focus promoting equity and equal access to all its services.

Feature Projects

 Complete Well

JINTAO ZHAI

TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, M.ARCH

HealthbyDesign approaches every aspect of medical space design from a user-centric perspective, ensuring that from the outset of the design process, the utmost care is given to those who need it most, with genuine compassion.

Feature Projects

 Complete Well

HealthByDesign Compendium

CHLOE ZHANG TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING, M.ARCH

Feature Projects  Community Care Cruiser

EXPERIMENTAL SEMINAR: ARCH 509/409

UNIVERSITY OF MICHIGAN TAUBMAN COLLEGE OF ARCHITECTURE + URBAN PLANNING Winter 2024 HealthByDesign Compendium