ARCH7140_UrbanHealthcare_Lupien

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Thesis Statement

To create micro-pharmacies that will be built within a city’s existing public transportation infrastructure and will provide residents with access to pharmacutical, clinical and wellness services more conveniently, affordably and efficiently.

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Design Model

ent i c Effi Each Prototype Provides:

Profitable

t n e

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Space saving strategies Technologically advanced systems One on one connections with professional health care providers Affordable care for customers Easily accessible locations Distribution of wellness education

Co n v e n i


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Design Model

56%

ent i c Effi

Of Boston residents own a smart-phone.

Of Boston workers commute via the MBTA system each work day.

t en

32%

T Con v e ni

People ride the MBTA daily.

Profitable

1.29 mil.


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Design Model

56%

Of Boston workers commute via the MBTA system each work day.

Spaces in a CVS Supporting a Pharmacy

t en

T Con v e ni

32%

Spaces in a CVS Supporting an Exam Room

Profitable

People ride the MBTA daily.

70%

ent i c Effi

Of Boston residents own a smart-phone.

1.29 mil.

98%


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Design Model

56%

Of Boston workers commute via the MBTA system each work day.

Spaces in a CVS Supporting a Pharmacy

t en

T Con v e ni

32%

Spaces in a CVS Supporting an Exam Room

Profitable

People ride the MBTA daily.

70%

ent i c Effi

-Of Boston residents own a smart-phone.

1.29 mil.

98%

Rx

Pharmacy Technician

=

$32,000 Per year

Licensed Pharmacist

=

$161,000 Per year

Average Cost per Visit: Retail Clinic $100 Urgent Care $175 Primary Care $150 Emergency Room $575


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Advancing Pharmacy Technology

Join

Receive

Schedule

CVS/ Express App

Track users daily weight, blood pressure and cholesterol & Test Results from Physicians Calorie counter with an exercise & sleep activity tracker Locater notifies a pharmacy technician of your soon arrival for drug pickup Track and remind user of upcoming prescription refills and doctor appointments Syncs wirelessly to MinuteClinic website and Pharmacy Portal Notify user of virtual retail deals Home

Activity

Weight

Friends

More

Retrieve


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Virtual Retail: Shopping without the Overhead

Virtual Retail as a Solution:

People waiting for theis train can use a mobile shopping application on their smartphones to scan all the virtual product QRs, fill a virtual cart and complete their daily or weekly shooping just from walking along the large panels. At the end, they can check out and pay with their own credit card using the regular virtual retail portal.

Idea:

Let the store come to the people and save on excessive overhead costs.

How does it work? 1 Set up an account online for QR Shopping. 2 Scan the QR code of a product with your smartphone. 3 The product automatically lands in your online cart. 4 When the online purchase is finished, it is delivered to your door after your arrival.

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Existing Pharmacies

Pharmacies: CVS Pharmacy Rite Aid Pharmacy Walgreen's Pharmacy Target Pharmacy Walmart Pharmacy Stop & Shop Pharmacy Green Cross Pharmacy Brown’s Rexell Drug Osco Pharmacy Inman Pharmacy Gary Drug Company

Of Boston’s 635,000 residents, 572,000 of them require at least one prescription per month.


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Program Distribution

Typical MinuteClinic

Necessary Prototype Program

CVS Medway: 8100 Square Feet Minute Clinic: 160 Square Feet 1 Pharmacist + 3 Pharmacy Technicians + 4 Retail Salesmen

Prototype 1

1

Compounding Room

2

Service Counter

3

Drug Storage & Pharmacy

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Doctor’s Office

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Exam Room

6

Waiting Area

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Retail Space

2

3


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Thesis Proposal Diagram

Prototype 1

Prototype 2

Prototype 3


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Identifying Prototypes

Convenience

Prototype 1: Fast Farmacy Dispenser w/ Bus Shelter

A technologically advanced prescription drug dissension prototype that would not be fully staffed and would allow customers to access filled prescriptions for a longer period of time. This prototype will feature telemedicine in order to access a pharmacy and would allow customers the luxury of being able to pick up their prescriptions at any time. On an hourly rotation schedule, certified pharmacy technicians will be able to dispense prescriptions into a secure locked area, where the medication will stay until the customer picks it up at a given time. These prototypes will exist in micro locations such as bus stops and above ground subway stations. Drug Distribution

Telemedicine

Convenience

Prototype 2: Fast Farmacy Dispenser & Walk-Up Counter

This model will not only feature the benefits of the Fast Farmacy Dispenser, but also have a walk up counter to benefit the needs of the elderly. The walk up counter will be staffed by a pharmacy technician and will also feature telemedicine in order for customers to as a certified Pharmacist questions regarding their medications. This model will be occupiable and allow for the storage and mixing of more complicated and time sensitive medications. This prototype will exist in medium sized subway stations as well as subway stations that provide transportation to several subway lines in one stop. Drug Distribution

Telemedicine

Pharmacy Technician

Convenience

Prototype 3: Fast Farmacy Dispenser & Walk-Up Counter with Full Service MinuteClinic

This model will not only include the benefits of the Fast Farmacy Dispenser as well as a full service MinuteClinic. This clinic will staff a pharmacist, NP, and pharmacy technician. The prototypes clinic will not only allow walk in appointments, but also provide full Minuteclinic services provided by a NP. This prototype will exist in large subway stations and as well large commuter hubs for the convenience of regular travelers.

Drug Distribution

Pharmacist

Pharmacy Technician

Clinic with NP


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Program Distribution Prototype 2: Fast Farmacy Walk-Up Service

Mechanical Space & Compounding Room

Prototype 3: Fast Farmacy & Walk-Up Service & Full Service MinuteClinic

Mechanical Space & Compounding Room

Exam Rest Room

Public Seating & Shelter Service Area

Service Area Exam Room

Dispensing Machine

Walk-Up Service Counter & Telemedicine

Walk-Up Service Counter

Dispensing Machine

Dispensing Machine

Dispensing Machine

Walk - Up Counter

Compounding Room

Service Area & Storage

Exam Room

Exam Rest Room


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Program Distribution

Prototype 1: Fast Farmacy & Bus Shelter Object Type

Dispensing Machine

Prototype 2: Fast Farmacy Walk-Up Service

Prototype 3: Fast Farmacy & Walk-Up Service & Full Service MinuteClinic

Object & Embedded Type

Walk - Up Counter

Compounding Room

Service Area & Storage

Embedded Type

Exam Room

Exam Rest Room


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Program Distribution & Privacy Screen

Prototype 1: Fast Pharmacy & Bus Shelter Object Type

Prototype 2: Fast Farmacy Walk-Up Service Object & Embedded Type

Added Privacy Screen

Prototype 3: Fast Farmacy & Walk-Up Service & Full Service MinuteClinic Embedded Type

Total Program Requirements


15 ing at e rS rio e t In

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Sectioning the Screen

all W x Fle

ing at e rS rio e t Ex

ing at e rS rio e t Ex

all W x Fle

ing at e rS rio e t In

5’-0”

1”

18”

Flex Wall Details

Plan Thickness


Condom Dispenser

Used Battery Disposal

Diabetes Testing Box

Educational Literature

Defiribillator

Sharp Objects Box

First Aid Center

Antibacterial Station

Bike Rack

Virtual Retail Wall

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Variations of a Flex Wall & Public Giveback


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Connecting the Pieces

Con nect ing P anel

Exte rior S eatin g

Tr an s Pa itio ne nin g l

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Flex Wall Tran sitio Pan ning el

Inter ior S eatin g


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Materials & Lighting 16' - 6"

Prefabricated, Translucent Resin Panels

LED Cove Up Lighting

Ceiling & Floor Channel

Typical Section


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Front Elevation Prototype 2: Fast Farmacy w/ Walk-Up Service

Prototype 2: Fast Farmacy w/ Walk-Up Service

Front Elevation

Understanding the Geometry

Front Elevation

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Prototype 3: Fast Farmacy w/ Walk-Up Service & Full Service MinuteClinic


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Prototype 1: Bus Shelter Type, Drawings 12'

Public Seating

5'

Public Seating

Temperature Controlled Drug Storage

Plan

2'

8'

20

10'

Virtual Retail Wall

Section


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Understanding the Geometry

P

Drug Dispenser Interior Seating


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Prototype 1: MBTA Bus Integration

Prototype 1: Pharmacies MBTA Bus Stops

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363,500 Riders/day 1,052 Buses 179 Routes


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Prototype 1: MBTA Bus Integration

Prototype 1: Fast Farmacy Dispenser The MBTA bus system is the nation's seventh largest by ridership and comprises over 160 routes across the Greater Boston area. While South Boston houses over 35,000 residents, there are only 2 pharmacies that are easily accessibly. These prototypes can easily attach to MBTA bus shelters and also be located at heavily traveled bus stops. East Broadway and M Street


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Prototype 1: MBTA Bus Integration Public Giveback: Public Seating

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Prototype 2: Stand Alone Type, Drawings 17' - 0" Public Bench

Privacy Circulation

10' - 0"

Compounding Room 20 SF

Dispensing Machine

Service Space 30 SF

Public Bench

FR

Walk - Up Counter

Privacy Circulation

Public Bench

Plan, Scale 3/8” = 1’

Privacy Circulation

Virtual Retail

Privacy Circulation

Section, Scale 3/8” = 1’


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Prototype 2: Stand alone type, Axon Drawing

Exterior Seating Flex Wall Interior Seating

Fix ed 11 ’6 ”


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Prototype 2: Embedded Type, Drawings

16' - 6"

FR

Dispensing Machine

8' - 0"

Public Bench

Compounding Room 20 SF

Privacy Circulation

Service Space 30 SF

Walk - Up Counter Section, Scale 1/2” = 1’ Privacy Circulation

x’

11' - 6"

Plan, Scale 1/2” = 1’


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Prototype 2: Embedded Type, Axon Drawing

Ad jus tab le x’

Fix ed 8’ 6”

Additional Seating Exterior Seating Flex Wall Interiorl Seating


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Prototype 2: MBTA Heavy Rail Integration

Prototype 1: Pharmacies MBTA Heavy Rail Line Stations

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508,400 Riders/day 51 Stations 4 Transit Lines


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Prototype 2: MBTA Heavy Rail Integration

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Prototype 2: Fast Farmacy Dispenser & Walk-Up Service The Red Line has two branches in the south—Ashmont and Braintree, named after their terminal stations. While Brighton has 43,000 residents, it only has 2 pharmacies to service them. These prototypes can easily be inserted into any heavy rail subway station and allow commuters easy access to medication. Ashmont Station: Red Line


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Ashmont Station Circulation Diagram

Typical Weekday entry count: 6,009 people.

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Ashmont Station Circulation Diagram

Typical Circulation Patters

Prototype 2: Stand Alone Typea

DN

DN


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Ashmont Station Circulation Diagram

Typical Circulation Patters

Prototype 2: Embedded Type

FR

DN

DN


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Prototype 2: MBTA Heavy Rail Integration Public Giveback: Seating, Defibrillator & Virtual Retail

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Prototype 2: MBTA Heavy Rail Integration Public Giveback: Seating, Defibrillator & Virtual Retail

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Prototype 3: Embedded Type, Drawings

FR

21' - 6" Compounding Room 60 SF

Dispensing Machine

Service Space 50 SF

8' - 0"

Bench

Exam Rest Room 50 SF

Exam Room 80 SF

Privacy Circulation

Exam Room

Exam Rest Room

Walk - Up Counter

Section, Scale 1/4” = 1’ Privacy Circulation

x’

19' - 6"

Plan, Scale 1/4” = 1’


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Prototype 3: Embedded Type, Axon Drawing

Ad jus tab le x’

Additional Seating Exterior Seating

Fix ed 19 ’6 ”

Exterior Seating Flex Wall


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Prototype 3: MBTA Commuter Rail Integration

Prototype 1: Pharmacies MBTA Commuter Rail Stations

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135,900 Riders/day 123 Stations 12 Transit Lines


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Prototype 3: MBTA Commuter Rail Integration

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Prototype 2: Fast Farmacy Dispenser & Walk-Up Service The Red Line has two branches in the south—Ashmont and Braintree, named after their terminal stations. While Brighton has 43,000 residents, it only has 2 pharmacies to service them. These prototypes can easily be inserted into any heavy rail subway station and allow commuters easy access to medication Forest Hills Station: Commuter Rail


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Forest Hills Station Circulation Diagram

Hy

de

Pa

rk S

tre et

Washington S tre

et

Typical Weekday entry count: 13,570 people.

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Forest Hills Station Circulation Diagram

Typical CIrculation Patterns

Prototype 3: Embedded Type

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Forest Hills Station Circulation Diagram

Typical CIrculation Patterns

Prototype 3: Embedded Type

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Prototype 3: MBTA Communter Rail Integration Public Giveback: Seating, Vike Rack, Virtual Retail & Purell Station

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Prototype 3: MBTA Communter Rail Integration Public Giveback: Seating, Vike Rack, Virtual Retail & Purell Station

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