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BTC Competition 2020

HCD Innovation Challenge

Healthcare Design Magazine's "Breaking Through" is a conceptual design competition that encourages industry members to forget the traditional rules and restrictions of healthcare design to answer the challenges anticipated for the future of healthcare delivery. 

The Challenge

Sensory disabilities have many causes, while some are unknown. If not diagnosed early and treated, these can lead to developmental delays. However, it can be challenging to recognize the subtleties of patient processing issues in a traditional exam setting.


Ariela Lenetsky, AIA, LEED AP



James Liu, LEED AP

Architectural Desiger



Architectural Designer

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Erica Parker, EDAC



Asher Salzberg



Jason Harper


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The Concept

G.I.S.M.O. changes the way physicians interact with patients by providing a holistic pre-exam experience powered by artificial intelligence. The solution assists and guides physicians in the diagnosis and treatment of sensory-impaired individuals by allowing medical teams to passively observe patients as the system collects data. G.I.S.M.O. is also able to aid the sensory disabled by leveraging technology to comfort and ease the physiological and psychological needs and stressors that present during a typical appointment.

Initial Storyboard

Storyboards were created to outline the entire user journey of this concept. Beginning with how Anna enters the futuristic facility to her interactions within the spaces we created. We wanted to tie together the user story with our idea to create a more empathetic approach and understanding for users with disabilities. 


Hand Drawn Digital Artwork

A series of hand drawn comics  to enhance storytelling to guide the audience through the concept from a patient perspective. Each image was hand drawn digitally in Autodesk Sketch and enhanced in Adobe Illustrator/Photoshop. 3D architectural elements were built in Rhinoceros 5+


Moving Walls

The G.I.S.M.O touch sensor capabilities can transform an interior corridor to match any users needs instantaneously. In the animation to the left, you can see how the corridor walls can quickly turn into seating if a patient requires rest. 

The Details

Composed of thousands of microscopic pins coded to read and adapt to a variety of patients, G.I.S.M.O. is responsive to patient needs and able to transform into an infinite number of configurations. For example, the pins might morph into handrails in a corridor at the exact height a patient requires or become seating that’s adjustable and ergonomic for that individual. The pins can also emit sound and light and expand and contract while collecting and storing data. 

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The Exam Room of the Future

The surrounding contours reverberate and capture sound as well as emit noises. These metrics are recorded and stored as a part of the patient testing experience.

In the section you can see the doctor two-way screen which allows for silent observation of a patient as they interact with the room. 

Similar to the corridor, the interior of the exam room is flexible and adaptive to a patient's needs. The patient room can mold into seating or exam tables.

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