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星期日, 2月 05, 2023

麻州州長奚莉搭地鐵巡視營運中心 強調將致力改善地鐵的安全、可靠及可負擔程度

麻州州長奚莉 (Maura Healey)誓言要讓麻州地鐵營運透明,可靠,安全,還可負擔。右起為麻州副州長 Kim Driscoll,交通廳副廳長
Monica Tibbits-Nutt,交通廳廳長Gina Fiandaca巡視麻州地鐵營運控制中心後,發表說法。(周菊子攝)

麻州州長奚莉 (Maura Healey) (中)和副州長 Kim Driscoll (左),以及麻州地鐵
代理總經理Jeff Gonneville從南車站走到地鐵營運控制中心去巡視。 (周菊子攝)
(Boston Orange 周菊子麻州報導) 麻州州長奚莉 (Maura Healey) 、交通廳廳長Gina Fiandaca等人,22日和麻州地鐵代理總經理Jeff Gonneville等人,一同搭乘紅線地鐵,巡視麻州地鐵的營運控制中心,強調她的政府和麻州地鐵致力為民眾提供安全、可靠的公共交通工具。

            奚莉州長說,親身體驗民眾搭乘地鐵的感受很重要,所以她和副州長Kim Driscoll,交通廳廳長Gina Fiandaca,副交通廳長Monica Tibbits-Nutt等人,這天一起從麻州地鐵公園街站,搭到南車站這一站,在地鐵上和乘客聊,再走到高街 (High Street) 45號的麻州地鐵營運中心去,巡視麻州地鐵營運控制中心,了解一下地鐵如何監控地鐵及巴士的行駛狀況。

           

麻州地鐵代理總經理Jeff Gonneville (左二)像麻州州長奚莉 (Maira Healey)等人匯報地鐵
營運概況。 (周菊子攝)
在巴士上,一名乘客告訴他們,從麻州法蘭克林鎮到波士頓,開車來回要2小時,搭地鐵卻只要58分鐘。奚莉州長說,這種服務,就是他們想要為民眾提供的。他們也希望人們多利用公共交通工具,更少開車,以追趕達到縮減對氣候影響的目標。

麻州地鐵營運控制中心的調派員得隨時盯著監控螢幕,查看各條路線地鐵及巴士的
營運狀況。(周菊子攝)
            奚莉說,她們希望州民了解,政府知道人民在上班,上課或去醫院時,遭遇公共交通工具延誤,停駛等等狀況時的沮喪感,也在致力改善,更何況麻州的經濟也得靠良好交通來支撐。她 同時希望地鐵工作人員了解,她和副州長及交通廳廳長等人很感激他們的辛勤工作。知道地鐵人手不足,大家都很不容易,但是很清楚的,要改善目前狀況,她們有很多工作要做。他們這天搭乘的地鐵是1986年建的,已經十分老舊,所以如何促使紅線及橘線的新地鐵車廂早日完工也很重要。

            奚莉指出,州政府知道位於春田市的中車公司在製造紅線及橘線地鐵車廂上,工程延誤嚴重,州政府已派人員駐守,了解狀況。麻州地鐵也將組織一個專家團隊,從管理、施工,零件,營運,以及合約內容等各種角度去找出問題,加以改善。州政府將要求麻州地鐵深入了解,並辨識優先順序的來加速解決造成製作車廂延誤所面對的挑戰。

            她說,州政府也知道受過訓練的人手是問題,她已承諾將在即將遞出去的第一份麻州政府預算案中,編列經費,增聘1000名員工來協助麻州地鐵營運。未來數週,她將和民眾分享預算內容,州政府還將和社區學院,公立學校,以及技職學校合作來培養人手,並從精簡招聘入職過程開始,給予充分升遷機會,使之成為很有發展潛力的職業,來吸引更多人才。奚莉表示,這將是交通廳廳長和麻州地鐵總經理的共同目標。

            至於麻州地鐵營運的透明性,無論是延誤、停止服務,發生事故,奚莉表示,他們明白這些都還有待改善、加強,需要更快速的提供資訊,以重新建立人們對麻州地鐵的信任。

            奚莉表示,麻州地鐵正在建立更詳細的減速行駛區域報告,以更快速的向民眾提供資訊,麻州地鐵如何回應聯邦運輸局 (FTA)調查報告的資訊,也將更透明的在麻州地鐵網站上公開,供乘客查閱。麻州地鐵預定在未來一、二個月內將向FTA提交報告,說明在改善營運安全上都採取了那些措施,做了些什麼維修工程,在營運上有些甚麼調整等等

奚莉強調,她不會去美化麻州地鐵的營運,一切都會很透明,她知道及時提供資訊對人們決定採用哪種交通工具出門很重要,她也知道麻州地鐵所面對車廂老齡化,以及人手不足等挑戰,麻州政府和麻州地鐵將攜手改善交通服務。

交通廳廳長Gina Fiandaca表示,她在擔任波士頓市交通局局長時,每天都搭藍線地鐵,對地鐵行駛準時的重要性深有感受。奚莉政府的目標是致力協助人民在安全、可負擔的情況下,及時去到自己需要去的地方。她引用奚莉曾說的,如果沒有一個營運正常的麻州地鐵,麻州不可能有效運作,經濟也不可能發展。


星期六, 2月 04, 2023

麻州地鐵Alewife至Davis站暫停服務 停車場5樓半懸一車

 (Boston Orange 編譯) 麻州地鐵又發生意外,位於劍橋市的Alewife車站,24日下午1點半左右,一輛車衝撞越牆,半懸在車站停車場5樓的屋頂上。麻州地鐵決定在評估事故及損壞狀況期間,AlewifeDavis廣場之間的麻州地鐵暫停服務。

            麻州地鐵發言人Joe Pesaturo表示,交通警察 (Transit Police)的警探們決定,肇事車輛的駕駛是一名男子,他故意開車衝撞停車場頂樓的障礙物,以致水泥塊跌落,砸碎了車站大廳頂和夾層一帶的玻璃板。

            劍橋市消防局在推特上貼出照片,顯示一輛車半懸在麻州地鐵停車場的屋頂上,車頭嚴重毀損。劍橋市的消防局、警察局及急救服務局都派人趕往這一車禍事件現場。

            Joe Pesaturo表示,駕車人士已被送往當地醫院,車站大堂內也有一人手部受輕傷。麻州地鐵Alewife站在清理期間,無限期關閉。Alewife David之間的紅線地鐵服務將暫停,以巴士替代。

            4日下午已有結構工程師前往現場,勘查狀況,評估安全。據說撞碎的那些水泥塊,總重近1萬磅,有部分碎塊被鋼筋結構阻擋,並未全部墜落。相關單位表表示,在評估車站結構安全,清理現場之際,車站將維持關閉狀態。

            消防局透露,他們趕到Alewife車站5樓停車場現場時,發現駕駛在車內昏迷不醒,立即安排送醫。

            麻州地鐵人員表示,幸好事故是發生在星期六,車站內人不多。

            肇事的白色轎車,看起來是一輛新款的本田公民車 (Honda Civic) 。 (所有圖片來自推特)







星期五, 2月 03, 2023

紐英崙中華公所兔年歡迎 5名新董事 大同村工程定名「博愛樓」共85單位

紐英崙中華公所2023年職員主持會議。左起核數張青梅,財政余寶愛、主席雷國輝、中文
書記翁宇才,英文書記阮鴻燦。 (周菊子攝)

              (Boston Orange 周菊子波士頓報導) 紐英崙中華公所131日召開2023年首次董事大會,一口氣通過3次會議紀錄,歡迎5名新董事,說明大同村停車場蓋房子工程已啟動,定名「博愛樓」,和中國超市租約爭議,已訴請法院裁決,預定5月份組團訪台灣。

中華公所董事們為大同村停車場新樓命名投票。 (周菊子攝)
               在跨過"虎口餘生2022年眾多爭議後,中華公所似乎也迎來象徵溫和的2023 ”玉兔迎春年。開年第一次董事大會,進行得頗為順利。

               紐英崙中華公所主席雷國輝首先歡迎5名新董事,分別為洪門致公堂的游誠康,華裔退伍軍人會的司徒文信,余風采堂的余國華,台山鄉親聯誼會的黃紹培,以及原本是台山鄉親會代表的鄺元傑轉為溯源公所代表。

中華公所職員為物業小組新成員數算投票結果。
               關於大同村停車場的土地發展案,中華公所為因應有關非牟利機構稅務規定,去年底徵得中華耆英會首肯,加入發展案,成為持有21%股權的合作夥伴後,各方已於20221216日簽約,預定今年初由BeaconNEI及中華公所商定日期,舉行破土儀式。

               中華公所董事們當晚就仁愛,博愛,盛世,恆理,大同新村,大同樓等眾多名稱投票表決,最後在第二輪投票後,以19票通過選用博愛樓

波士頓洪門致公堂出席中華公所的新董事游誠康報到。 (周菊子攝)
               雷國輝在主席報告中並說明,中華公所出租夏利臣街288號土地給發展商蓋「博愛樓」,75年租金2125000元已收到。

               應聘為中華公所合約顧問的建築師鄭欣豪,當晚也在會議上以簡報影片報告了工程概況,內容包括這將是一棟高6層,共85個單位的樓宇,會有37個停車位,住戶家庭收入限制為平均中位收入的60%。共同發展商為Beacon社區 (Harrison Affordable LLC)

余風采堂出席中華公所的新董事余國華領取出席章。(周菊子攝)
              這一工程從12月底取得施工許可後,已開始清除地底雜物。二月將蓋地基。

               紐英崙中華公所當晚並投票選出周萬欽、司徒文信加入物業小組,何遠光雖與周萬欽同票,但決定退讓。中華公所還為華埠餐廳租約一事,舉行了閉門會議。

波士頓華裔退伍軍人會會長司徒文信重回中華公所當出席代表。(周菊子攝)
中華公所前行政主任朱蘇珊於去年5月請辭,並以兼職方式持續協助中華公所直到年底。去年11月時,中華公所曾因繼任人選的招聘過程起爭議,這次的會議報告也載明,中華公所共收到過7份履歷,但均非適合人選。這次的董事大會,完全沒人再提聘請行政主任一事。



波士頓市修訂區域規劃法第80章條文9人小組 成員包括沈其樂 (Kairo Shen)

沈其樂和現任波士頓房屋長的Sheila Dillon。(檔案照片,周菊子攝)
               (Boston Orange 編譯) 波士頓市長吳弭130日才遞出家規法提案,要結束市區更新法案,今(3)日再宣佈成立9人指導委員會,修訂關於發展審核流程的第80章條文。

               9人包括曾在波士頓重建局工作22年,離任時已高居波士頓市計畫長一職,現為麻省理工學院物業中心主任的沈其樂 (Kairo Shen) 。

               80章條文 (Article 80)是波士頓市於1960年代制定,對面積超過2萬平方英尺,單位數15個以上的土地發展計畫,做更仔細審視的規定。吳弭市長希望完整檢視這一條文,以確保其可預測性與一貫性,進而協助波士頓市因應興建住宅、繁榮經濟,為波士頓市創造機會的需要。

               在波士頓市長辦公室發出的聲明中,吳弭市長上任後新聘的波士頓市計畫長Arthur Jemison表示,他有信心指導委員會將提供獨特見解,協助波市頓計畫發展局改革。

               9人小組成員包括:

Joseph Bonfiglio,他從2009年起就在代表25000名勞工的麻州及北新英格蘭區域協會擔任商業經理。

Anthony D'Isidoro,奧斯頓公民協會 (Allston Civic Association)會長。他也是Veronica B Smith耆英多元服務中心等機構的董事會主席或董事。

Fernando J. Domenech, Jr., DHK建築公司董事長。

Colleen Fonseca,有色建築工人聯盟 (Builders of Color Coalition) 主任,同時也是房地產金融協會(Real Estate Finance Association )董事。

Beyazmin Jimenez,東北大學計畫及地產系多元、平等、包容及文化主任。他曾任麻州充足住房協會(Abundant Housing MA) 董事會董事長。

Matthew KieferGoulston & Storrs律師樓土地應用律師,他也是該公司氣候變遷韌性工作小組的共同主席。

Steve Samuels,波士頓商業地產發展商Samuels & Associates的創辦人及主席。他同時是公園學校樓宇及場地委員會校董,以及愛默生學院校董。

Kirk SykesAccordia夥伴這波士頓地產投資及發展公司的常務董事經理。他也是波士頓公民設計委員會委員,具競爭力內城計畫房地產主管協會主席。他還曾經是波士頓聯邦儲備銀行董事會主席。

MAYOR WU ANNOUNCES MEMBERS OF STEERING COMMITTEE TO ADVISE ON REFORMS TO ARTICLE 80 DEVELOPMENT REVIEW PROCESS

 Advisory group to shape review of Article 80 for predictability and consistency.  

 

BOSTON - Friday, February 3, 2023 - Mayor Michelle Wu announced today the members of a steering committee of real estate and civic leaders to advise on reforms to Article 80 of the Boston Zoning Code being undertaken by the Mayor’s Office and the Boston Planning & Development Agency (BPDA). She announced her intention to create the committee during her State of the City speech last week as one piece of a comprehensive set of reforms to improve the planning and development process so Boston can meet its housing and economic growth needs. 

Article 80 refers to a section of the Boston Zoning Code adopted in 1996 to establish a more extensive review process for development proposals of more than 20,000 square feet or more than 15 dwelling units. Mayor Wu is undertaking the first comprehensive review of the process after nearly three decades to ensure greater predictability and consistency.  

“I’m grateful to these leaders for lending their expertise and working with us to improve our processes,” said Mayor Michelle Wu. “From reforming planning and updating our zoning code, to streamlining development review and strengthening compliance, we are taking action to set Boston on a course for sustainable growth so all our communities are included in the city’s opportunities.” 

“Working with this group will be integral to comprehensively reforming planning and development in our communities,” said Chief of Planning Arthur Jemison. “I am confident that those selected will bring a unique perspective and help the BPDA reform this process in a way that improves the process and delivers more resilient, affordable, and equitable development across the city.” 

The steering committee will include: 

·     Joseph Bonfiglio, Business Manager of the Massachusetts and Northern New England District Council since 2009. The Council comprises more than 25,000 represented workers, including laborers working in numerous aspects of the general construction trade. 

·     Anthony D'Isidoro, President of the Allston Civic Association. Among many other community roles, Tony also serves as Board President of the Veronica B Smith Multi-Service Senior Center, Inc., a member of the Allston Multimodal Project task force and Harvard Allston task force, and has served on a number of Impact Advisory Groups. He is a product of the Boston Public Schools both as a student and teacher, a small business owner, and author of a weekly community newsletter. As a community leader, organizer and activist, D’Isidoro advocates with the belief that empowering people can achieve great things to ensure a community that works for everyone. 

·     Fernando J. Domenech, Jr., President of DHK Architects, where he has worked on community-based urban housing. Domenech has focused primarily on affordable housing for over thirty years, specifically on the revitalization of inner city neighborhoods through creative planning, imaginative urban design and architecture. 

·     Colleen Fonseca, Executive Director of the Builders of Color Coalition, where she is responsible for leading the development and expansion of programming to increase access and diversity in Boston's commercial real estate sector. Prior to her role with BCC, she served as a Senior Advisor to Mayor Jorge Elorza on COVID Recovery and as the Director of Workforce Development and Economic Opportunity for the City of Providence. She currently sits on the Real Estate Finance Association (REFA) Board of Directors.

·     Beyazmin Jimenez, Director of Diversity, Equity, Inclusion, and Culture for the Planning and Real Estate Department at Northeastern University. Jimenez is an urban planner and pro-housing organizer, formerly the Board President for Abundant Housing MA, an organization she co-founded in 2018. Her experience in housing policy and community development has led her to support resident engagement efforts at Madison Park Development Corporation in Roxbury, and lead statewide housing programs at CHAPA. She holds a Master’s in Urban Planning from Boston University.

·     Matthew Kiefer, land use attorney at Goulston & Storrs. Kiefer’s practice focuses on obtaining site control and development approvals from public agencies for complex urban projects. He co-chairs the firm’s Climate Change Resilience Task Force. Kiefer serves on the Advisory Board and Management Committee of ULI Boston; he is the immediate past Chair of the Boston Municipal Research Bureau, which supports best practices in municipal governance; and he co-chairs the Council of Advisors of Historic Boston, a non-profit redeveloper of historic buildings.

·     Steve Samuels, Founder and Chairman of Samuels & Associates, a Boston commercial real estate developer, property manager, and leasing company. Samuels serves on the Board of Trustees at The Park School on Building & Grounds Committee in addition to his Board of Trustees role at Emerson College.

·     Kairos Shen, Executive Director of the Center for Real Estate at the Massachusetts Institute of Technology. Prior to joining MIT, Shen worked at the then-BRA for 22 years, first as Boston’s Chief City Planner, and then as the Director of Planning. He worked on the development guidelines for the Rose Kennedy Greenway, the planning for the South Boston Waterfront Innovation District, the refurbishment of Fenway Park, and the revitalization of Nubian Square.

·     Kirk Sykes, Managing Director of Accordia Partners, LLC, a Boston based real estate investment and development company. He also serves on the Boston Civic Design Commission and is the Real Estate Executive Council Chairman for the Initiative for a Competitive Inner City. Sykes was formerly the head of an urban real estate investment fund called Urban Strategy America Fund, L.P. He was the Chairman of The Federal Reserve Bank of Boston Board.

氣溫可能降至零下30度 波士頓公校及麻州數學區公校2/3停課一天

(Boston Orange 編譯) 波士頓公校及數個麻州學區公校,22日宣佈,天氣太冷,溫度太低,為顧及學生安全,23日週五,停課一天。

波士頓市公校總監Mary Skipper(2)日下午發信給學生家長,稱許多學生上學得走路,或在路邊等候搭巴士,天氣太冷的話,學生安全堪虞,公校體系決定3日停課一天。

麻州的ChicopeeHolyoke、春田( Springfield)、屋斯特 (Worcester),以及傅萊明罕 (Framingham)等市鎮,今日稍後,也都宣佈了公校明日停課,屋斯特校區還在臉書上貼文,稱課前及課餘項目,也都一併取消。

國家氣象局氣象學家Hayden Frank指出,23日週五下午時,波士頓市的氣溫可能降至華氏6度,到晚上時,可能低至華氏零下15度。天氣預報人員稱,這將是自2016年情人節那個週末,波士頓市氣溫驟降至零下9度以來最冷的一天。不過由於風速每小時3545英里,感覺起來會更冷。到週五晚上時,波士頓市內的風寒 (windchill) 程度,甚至能低至零下30度。

氣象服務局針對除了瑪莎葡萄園島(Martha’s Vineyard)和南特基(Nanticket)之外的整個麻州,已於週四早上發出了週五早上至週六的風寒警告,。

波士頓市長吳弭早前已宣佈這週末,波士頓市進入寒冷緊急狀態,波市府正盡快確保市內每一個人都受到保護,市內的青年及家庭中心 (BCYF)開放供民眾取暖。

The Physical Determinants of Health: the Building as a Health Intervention?

 The Physical Determinants of Health: the Building as a Health Intervention?

Lucas DiLeo, Contributing Writer for Boston Orange

A growing body of research suggests that the design and architecture of a health care facility substantially influences the health outcomes of the patients in it.  Yet there are few formal experiments to develop and test these ideas about the physical determinants of healthcare and incorporate them into design practices.    This was the conclusion of an interdisciplinary panel of bioethicists last week at the Harvard Medical School Center for Bioethics. 

The speakers, summarizing their three years’ collaboration, called for a more ‘systems based’ approach to exploring, testing and evaluating how design can enhance the care delivery environment and patient health outcomes. And that these insights be brought into the formal health facility design process. 

How can buildings shape the well-being of patients? 

There is an effort to understand how the buildings in which clinicians practice can shape the health and well-being of patients, according to Kelsey Berry, PhD, Associate Faculty Director of the Master of Bioethics Degree Program at HMS and panel Moderator. 

Kerry noted the industry’s increasing focus upon the social determinants of health. There has been a paradigm shift.   And we have the opportunity to do this again. 

So how should healthcare respond?  What the role should health groups play in testing and developing design solutions?  And what values should shape particular design interventions? 

The built environment as a parameter of care 

The built environment is a parameter of care in the view of Diana C. Anderson, M.D., M.Arch., Geriatric Neurology Research Fellow at the VA Boston Healthcare System.   And needs to be considered alongside other parameters of care.   As medical students they took courses on determents of community health.  But no one was talking about the physical determinants of health. 

Their view is the built environment has as much impact on us as other medical interventions, and essentially it is a medical intervention.  It can effect us as much as a medication or a procedure.     

Healthcare design and its impact upon the care environment 

There are a number of qualities of built space that are reasonably well documented, and generally inferable as to how they would affect us, according to William J. Hercules, M.Arch., CEO of WJH Health and former President of American College of Healthcare Architects.   

Such as how it looks; access to as view of nature; lighting or acoustic effects that may have a positive or negative effect on our mood or well-being. 

Hercules’ view is that architecture could benefit from a bioethics lens.  Outside of building codes or various guidelines there is a lack of structure around the health implications of design. Design projects have millions of decisions by many more people than just architects, but these decisions are not well regulated like pharmaceutical development. 

He quoted Winston Churchill: “We shape our buildings and they shape us”.   And Florence Nightingale wrote about how soldiers did not die from battle wounds but from the environment of care. 

However, code changes are really about minimum compliance.  The bigger idea is the codes themselves are not transformational.  We need a different kind of infrastructure and organizational Infrastructure to do these things. 

What is the framework that can be applied to design and healthcare? 

Stowe L. Teti, M.A., Clinical Ethicist at Inova Health System discussed examples of the impact of design on health practices and outcomes.   

Stowe framed the design-ethical issues in clinical care:  incidental events around facility operations and deliberate actions that are taken in terms of physical design.  And he raised the question: is it appropriate to do research on the built environment outside of a research context. There is no oversight required to put people in a physical setting. 

One example from Canada about people living in long term care facilities - approximately 2.1 million, a tiny percentage of the total population.  But around 40% of COVID deaths were from such facilities.  Upon further analysis one third of the nursing homes had multiple occupancy of rooms and communal design.  Those facilities were responsible for 2/3rd of those deaths.  So it is not just the settings but the features of those settings that can have an impact, 

Sometimes our decisions are being influence by the space we are in.  Another study researched the impact of design upon clinical care and child birth. They found facilities which had more surgical suites performed more c-sections than those that devoted more space for natural birth.   

And COVID illustrated how in solving one problem they created another - such a moving IV pumps outside of rooms to lower staff exposure risk.  Which led to patients being less closely monitored, which also coincided with visitation restriction.  During this period they saw increases in pressure ulcers and hospital acquired illness.  

Evidence Based Design leading to differential outcomes.  

A study of Columbia Presbyterian ICU indicated that sicker patients assigned to the corner rooms did not do as well, according to Dr Anderson.   Those had greater morbidity and mortality due to the lower visibility from the staffing stations.   Our expectation is that the care is equal to what the person in the next room receives- but what if not every room in the hospital does not allow the same opportunity to get better. 

Another is a study of sink availability by McGill University.  They found that every additional meter that must be walked by healthcare workers decreased the likelihood of hand washing by 10%. 

To discourage dementia patients from leaving the facility, one home applied masking tape in horizontal bars on the floor in front of the doors.   Where the stripes were applied vertically the patients would walk right past them.  Patients misperceived the horizontal bars as a 3-dimensional stairs which may not be welcoming to someone frail.  The question raised: is there a difference between using medication to limit wandering vs using architecture to induce a psychological state to achieve the same end? 

The natural progression of using illusions that deceive is complete immersion.  An example of a dementia village - the original is in the Netherlands and others have popped up around the globe.  They permit permissive wanderings by the patient.  An artificial reality of a community of streets and retail shops.   An illusion of freedom but does not lead to the outside world.   One can go to a supermarket or barber or pub, but ultimately it is a gated dwelling unit. 

Is there a right to reality for patients with advanced dementia?  

These are examples of the emerging ethical issues in long term care design for which there are no research or oversight but they believe should.  Such as the perception that the patient is free to leave, when they are not.  Or the immersive settings that convince residents they are somewhere else or in a different time period.   Controlling behavior thru design interventions: not different than interventions undertaken in medical pharmaceutical development in their opinion. 

Institutional policy and the built environment 

Do healthcare systems need to rebuild hospitals?  Not necessarily, according to David A. Deemer, M.D., Bioethicist and Internal Medicine Resident at University of Wisconsin, Madison. 

Policies are another tool.   They govern how we operate within buildings and can mitigate harmful effects of a given space.  They offer flexibility and can be rapidly implemented.  And cost a lot less than a new hospital building. 

For instance, a study on visitation polices by 32 hospitals found that strict no visitation policies led to more effective disease isolation.  However, patients experienced increased rates of pressure ulcers, falls and sepsis.  And loss of patient’s connection to ‘reality’. 

Allowing some degree of limited visitation may mitigate some of these adverse association but may cost more. 

Takeaways and Next Steps 

Teti concluded by offering a set of recommendations. 

·       It is time for the built environment to become part of the same calculation as other physical and psychological factors affecting care.

·       funding and research is required to investigate the curative efficacies of specific architectural interventions.

·       The Ethical issues in healthcare architecture experimentation requires an ethical rubric to clarify intent, risks and expected outcomes.

·       Bioethicists need to engage with health architects around issues of equal access and treatment, prevention of co-morbidities, and use of space to influence people. 

Where does the field go next? 

Pierre M. Barker, MD, MBChB, Chief Scientific Officer, Institute for Healthcare Improvement, offered a commentary on the presentations and his thoughts on where the field goes next. 

First is the extent of family and patient engagement in the design process and testing of the design changes.  The starting point is what matters to the patients we are trying to serve   Those closest to the patients have the best ideas for how to respond to the needs identified.  

Second: what can we learn from using the tools of improvement science - particularly iterative learning and systems thinking to guide the designs.  There is an opportunity to incorporate ideas learned from the studies and move into perspective design that use rapid cycle thinking. 

One final point, using improvement study designs to test the interesting data accumulating in this field.  The studies we saw today are observational, and all retrospectives.  He did not see much in terms of good matching.  So, they do risk that the evidence on which some profound decisions are being made are potentially at risk of bias.  

The next step is what do you do with that data.  The idea of co-design and that we can perturb the environment in a prototype way while looking at the results of those tests before committing to expansive, more lasting design changes. 

There is a lot that can be done with the data at hand.  He wondered if there isn’t a lot of opportunity for more testing of ideas and more manipulation of the existing spaces.  

Lucas DiLeo, Contributing Writer for Boston Orange

星期四, 2月 02, 2023

波士頓市政府兔年慶祝會 現場好熱鬧 市長吳弭臨時未能出席

洪青體育會瑞獅舞動,博得滿堂采聲。 (周菊子攝)

              (Boston Orange 周菊子波士頓報導) 波士頓市政府21日下午1點半,在市政府大樓3樓大堂,舉辦農曆新年慶祝會,以舞獅、民俗舞蹈、音樂演奏,手工藝,書寫春聯等活動,讓人一覽亞裔文化習俗。

               在波士頓市府大樓內上班的逾千名員工,約有近百人排排坐在一層層階梯上欣賞,聽著喧天鑼鼓,看著瑞獅疊高,拋撒橘子、生菜及彩色紙條時,紛紛大拍手掌。

波士頓市亞裔聯絡員黃楚嵐(左)把波士頓市消防局副局長黃瑞瑜(右二)的父母,黃國麟、
黃周麗桃,伍振中都動員到波士頓市政府的農曆新年慶祝會助陣。
               波士頓市府今年的農曆新年慶祝會由市府的資源中心負責籌辦,市府亞裔聯絡員黃楚嵐擔任司儀,安排的表演節目包括洪青體育會胡天龍擊鼓的祥獅獻瑞,昆士小學的弦樂隊演奏,民俗舞蹈團跳扇舞,幼童醒獅表演等。

               會場內還擺出璞石中華文化工作室由王明德,許淑芬、李明雀、馮文鸞的剪紙、捏麵人,中華書法會的會長黃周麗桃和伍振中的即席揮毫寫春聯等攤位。

               紐英崙中華公所主席雷國輝,美國洪門致公堂總理余麗媖,紐英崙至孝篤親公所主席陳文珊,昆士小學校長司徒玉瑛等人,全都趕到現場共襄盛舉。

波士頓是議會議長Ed Flynn(中)號召波士頓市議員們到市政府大樓三樓大堂,和華人社區
民眾同慶農曆新年。紐英崙中華公所主席雷國輝(右一),全美洪門致公堂總理余麗媖,
(前右三)、黃楚嵐前右四),左一為紐英崙至孝篤親公所主席陳文珊。
             為安排這場活動,黃楚嵐和波士頓市消防局副局長黃瑞瑜,房屋局湯瑞雲等人合作,從華人社區邀來許多團體展演。 

               波士頓市議會這天正好開會,轄區包括華埠的波士頓市議會議長愛德華費連 (Ed Flynn)特地促進議員們都從5樓下來,到3樓大堂感受一下農曆新年氣氛。波士頓市長的幕僚長朱為婷也特地下樓,舉手和場中眾人打招呼。

波士頓市不分區市議員Michael Flaherty在五樓和樓下民眾打招呼。 (周菊子攝)
               波士頓市長吳弭 (Michelle Wu)原本預定出席這活動,當天一早10點半,臨時通知媒體,取消這一公開行程。市長辦公室也不肯透露,到底是何原因,她未能到場。

               波士頓市聯邦關係主任Sam Hyun這天再次代表未能出席的市長,向場中眾人致意。他還發表一番談話,強調亞裔必須發聲,加入決策圈,才能保障亞裔權益。波士頓市平等及包容長 (Equity and Inclusion) Mariangely Solis Cervera 也致詞表示,波士頓市致力平等對待各族裔。 (更新版)







波士頓市府員工坐在3樓大堂石階上欣賞表演,大拍手掌。 (周菊子攝)
樸石中華文化工作室的許淑芬給波士頓市議會議長一隻捏麵人小兔子。(周菊子攝)
昆士小學的學生們表演扇舞。
昆士小學樂隊演奏。
洪青體育會的游成康(右一)帶隊員們到市政府大樓表演
昆士小學的醒獅表演,有模有樣。(周菊子攝)
波士頓市長幕僚長朱為婷(中)也到現場打招呼。(周菊子攝)
波士頓市平等及包容長 (Chief of Equity and Inclusion)
Mariangely Solis Cervera 致詞。
波士頓市聯邦關係主任Sam Hyun代表當天未能到場的波士頓市長吳弭 (Michelle Wu)致意。
(周菊子攝)
波士頓市政府大樓。 (周菊子攝)