Beacon Club
The Retail Clinic
AFFORDABLE CARE ACT A New Insurance Model “We must reimburse based on the quality and utility of care provided, not just the sheer volume of services. This idea--paying for "value over volume" or "paying for performance"--is now a common refrain in the world of health policy.”
Expanding its scope of services into non-acute areas. This includes CHRONIC “ monitoring and point of care testing for diabetes, hypertension, high cholesterol and asthma. DISEASE ”
1 out of 2
7 out of 10
1 out of 3
Adults in America has at least one chronic illness
Deaths among Americans each year resulted from chronic diseases
American will develop diabetes by 2050
8.2%
27.5%
U.S. adults have asthma
U.S. adults are obese
By age 65, nearly
nine out of ten Americans will have at least one chronic condition.
25.9% U.S. adults have arthritis
BABY BOOMERS
CAPITATED MODEL, RATHER THAN FEE-FOR-SERVICE
When the baby boomers start turning 65 in 2011,
10,000 people will turn 65 EVERY DAY
and continue to do so for the next for 20 years.
By 2030
72 million people will be 65 years or older.
By 2050
between 80 and 90 million
people are projected to be 65+
Thesis As the Baby Boomer generation ages, chronic conditions will increase
OVERALL WELLNESS
dramatically in the population as a whole. This thesis aims to promote optimal wellness and prevention of chronic conditions through programmatic integration of: the health clinic and medical care with the fitness center and the social club.
HEALTH
MEDICAL
FITNESS
SOCIAL
Thesis Utlilizing urban design strategies, public plazas are key moments where flexible combination of programs occur. The public plazas create a multi level form - a building within the building.
DEMOGRAPHIC INTERVIEW: John Stone Pauline Stone Denis Paquin
JOHN
Demographic Research works:
WORKS 40+ HOURS/WK
wants:
EFFICIENCY
needs:
HIGH CHOLESTEROL SUPPLEMENTS
has:
“GOLFER’S ELBOW”
and:
PROCRASTINATES DR. VISITS
David Bourque Jill Parenteau
PAULETTE
Paulette Paquin works:
PART TIME @ GARDEN SHOP
wants:
GUIDED CARE
needs:
LOW IMPACT EXERCISE
has:
“FROZEN SHOLDER”
and:
VEGETARIAN COOKING CLASSES
Event Programming
10PM
12AM
2AM
8PM
4AM
6AM
6PM
4PM
8AM 2PM
12PM
10AM
MONDAY
BASICS OF WELLNESS
TUESDAY
CHRONIC ILLNESS
WEDNESDAY
MENTAL FITNESS
THURSDAY
BONES AND JOINTS
FRIDAY
SKIN AND NERVES
SATURDAY
WELLNESS PLUS
SUNDAY
RELAX AND REJUVENATE
Event Programming 12AM
10PM
2AM
6PM
COO KIN GF OR CHOL TH EST EW ERO EE LS K CR EE NI NG ME DIT AT ARTHR ITIS IO N EX ER CIS ES SPA TR EA
8PM
4AM O DEM NT ME
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
SATURDAY
SUNDAY
BASICS OF WELLNESS
CHRONIC ILLNESS
MENTAL FITNESS
BONES AND JOINTS
SKIN AND NERVES
WELLNESS PLUS
RELAX AND REJUVENATE
General MD
Psychiatrist
Orthopedic
Dermatologist
Pain Management
PT Evaluations
Diabetes Care
Group Therapy
Osteoporosis Care
Stretching for Nerve Health
Vitamin Education
Yoga
Cholesterol Screening
Meditation
Exercises for Arthritis
Spa Treatment Demo
Traveling Mammogram
Wine Tasting
Specialist
6AM
Nutritionist Afternoon Event
Food Pyramid
4PM
8AM 2PM
12PM
10AM
Evening Event
Cooking for the Week
HEALTH MEDICAL FITNESS SOCIAL
Program Mixing 6
SOCIAL + FITNESS
5
SOCIAL + MEDICAL
4
FITNESS + MEDICAL
3
SOCIAL + HEALTH
2
FITNESS + HEALTH
1
SOCIAL + HEALTH + FITNESS + MEDICAL
Client Profile
“Among Brookline adults, 68.8% report meeting the current recommendation to get regular physical activity (30 minutes of more of moderate activity most days a week), compared to 52% of Massachusetts adults.”
SITE DEMOGRAPHICS BROOKLINE, MA
-Brookline Department of Public Health
MEDIAN INCOME AND EDUCATION
* Appropriate Neighborhood for Business Model
100000 80000 60000
High School or Higher: 96.7% Bachelor’s Degree or Higher: 80.0% Graduate or Professional Degree: 50.6%
40000
* Indication of types of Newspapers, Magazines and Promotions to offer.
20000 0
Brookline $95,108
Massachusetts $62,859
GENDER AND AGE Males: 26,454 45% Females: 32,278 55%
* Women Centered Fitness Groups
65 years or older
40-64 years old
6 years or under 7-18 years old 19-24 years old 25-39 years old
* 40-64 age group = 25% Compared to 9.6% in Boston in 2010
Site BENEFITS -Easy Public Transit Access -Existing Large Site Surrounded by small “Main Street” Shops -Street Parking
WASHINGTON SQUARE
- Walkable from many residential areas
Fitness Centers
EVA
D R NS
Site WASHINGTON SQUARE BROOKLINE, MA
N
TO
NG
HI
AS W
WASHINGTON SQUARE
ST
C
BEA
EET
TR ON S
MBTA GREEN LINE
NS
TAPPA
N
H AS W N
TO
G IN
Urban Diagram
ST
CON
BEA
WASHINGTON SQUARE BROOKLINE, MA
WASHINGTON STREET
UNIVERSITY ROAD
NT
CI R
EET
WASHINGTON SQUARE
N STR
RE GE
TAPPA
5 . 2 M-
EET
STR
RD
5 . 1 M
AD
0 . 1 M-
0 . 1 M-
WINTHROP ROAD
RA W
SO
P TA P
D
ON RD T G IN
7 SC N
RD
First Floor Plan: Day Activity
First Floor Plan: Evening Activity
Second Floor Plan: Day Activity
Second Floor Plan: Evening Activity
Third Floor Plan: Day Activity
Third Floor Plan: Evening Activity
Fourth Floor Plan: Day Activity
Fourth Floor Plan: Evening Activity
Fifth Floor Plan: Day Activity
Fifth Floor Plan: Evening Activity
Roof Plan: Day Activity
Roof Plan: Evening Activity
Screen
Open Partition
Private Partition
Gradient
Screen Characteristics
Private Partition
Open Partition
Gradient
Model