Emi Day's profile

GULF COAST MOBILE HEALTH

Dock Doctors Network of Plaquemines Parish
Mobile Health Clinic Concept
In response to the emerging national discussion on fixing the U.S. health care system, this studio was challenged to innovate new healthcare facilities for millions of medically disenfranchised Americans, in an environment of physician and nursing shortages and inadequate funding. The studio explored the concepts of medically underserved areas (MUAs), physician shortages, Federally Qualified Health Centers (FQHCs), and the expectation that federally-sponsored health centers play a critical role in emergencies.

PROGRAM: Off-grid Community Health Center, dual use as disaster recovery power source, & temporary shelter
SIZE: 16,000- 20,000 sq.ft. ambulatory clinical facility with expansion
LOCATION: Hurricane-prone PlaqueminesParish, Louisiana
Staff: 6 FTE primary care providers; 3 nurses; 1 lab tech; 8 clinic clerks; 3 file clerks; 2 businessclerks; 3-4 (.5)FTE visiting MDs and NPs 
SERVICES: primary care, ob/gyn, pediatrics, behavioral health, and visiting cardiology, hearing and speech, vision screening, immunizations, small lab & vendor-run small pharmacy, outreach education 
CLIENTELE: 20,000 potential patients; 40,000 pt.visits/yr. or 3,500 patient visits/month----3 exams/provider, .5 procedure room/provider
In the last 10 years, southern Louisiana has been directly affected by two of the worst environmental disasters of ourtime: Hurricane Katrina in August 2005, and the Deepwater Horizon Oil Spill in May 2010. While these river communities are still rebuilding from the last hurricane and preparing for the next, they nowface oily shores and ruined livelihoods. As this region remains in the national spotlight, this studio responded to their needs with innovative yet feasible designs to help restore this underserved population.

Specifically, this project addressed the lack of reliable healthcare in Plaquemines Parish. This scheme is based on the understanding that to serve the entire parish, the health clinics must be mobile. With fixed docking sites at three different points along the Mississippi River, the barge clinics plug in to create a complete healthcare complex, or operateas in independent unit in emergency situations. These components intend to connect people to heathcare; waterto land; and community to community.

Having spent 4 months volunteering in the neighboring St. Bernard's Parish, I was able to contribute a bit of first-hand knowledge about the southern Louisiana culture. However, this was my first health-related design challenge, which inevitably led to discussions of the influence of social factors, including poverty, racial inequality, and distrust of government.
Credits: Eva Peterson & Kent Wu

Collaborators:
Jonathan Chapman MBA, Project Manager, Capitol Link (www.caplink.org)
Tracie Ingram, HSD Mgr., Bureau of Primary Care & Rural Health, Louisiana Dept. of Health and Hospitals (www.dhh.gov) 
Cindy Barr RN, Operations and Facilities Planner, Capitol Link (www.caplink.org)
Frank Folino FACHE, Administrator, St. Bernard Health Center, Arabi, La. (www.ololrmc.com) 
Calvin R. Young, Community Development Director, Louisiana Primary Care Association (LPCA), (www.lpca.net) 
Jeri Weeks, CEO, CHC of Lane County, Oregon Primary Care Association, Eugene (www.orpca.org)
Chris Hong AIA, NBBJ Architects, Portland, OR. (www.nbbj.com) 
Erik Goodfriend AIA LEEDAP, Assoc. Principal, Mahlum Architects, Portland, OR. (www.mahlum.com) 
Jim Sokol P.E., Principal, AEI Engineers NW, Seattle, WA. (www.aeieng.com)
GULF COAST MOBILE HEALTH
Published:

GULF COAST MOBILE HEALTH

Mobile health clinic system for rural river communities in southern Louisiana.

Published:

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