From “The View of One Adolescent” to Hospital-Wide Patient-Focused Perioperative Design...

From “The View of One Adolescent” to Hospital-Wide Patient-Focused

Perioperative DesignPresented by

Helen DeVos Children’s HospitalJonathan Bailey Associates

Smith Hager Bajo, Inc.

Grand Rapids, Michigan

Presentation Outline

Introductions/Overview Process Analysis/Redesign Design Integration Implementation Plan Key Measures for Success From a Parent’s Perspective

Introductions

Michele Pietras Curtis Qualls Judy Hager Rhonda Hoyle

Overview Introductions/Overview Project Scope Planning Process

“Making the Case” for a Children’s Hospital Market Analysis & Volume Projections Bed Need Analysis Board Support

Operational Process Analysis/Redesign Space Planning/Programming Site Analysis/Conceptual Nursing Unit Schematic Design

User Group & Space Planning Group StructureCORE TEAM

USER GROUPS

SUPER USER GROUP

SPACE PLANNINGGROUPS

CARE BEARS

PROCEED WITH CARE

CARE NECESSITIES

ITCOMM/FINANCE

PATIENT ROOMFAMILY AMENITIES

FAMILY/PUBLICSPACES

OR/ENDOSCOPYSEDATION

TREATMENTSERVICES

LAB/IMAGINGPHARMACY/RT

NUTRITIONSERVICES

ENVIRONMENTALSERVICES

SECURITY

MAT MGM’TSTERILE PROC.

INFRASTRUCTURE

ED SERVICESAMBULATORY

CLINICS

Analysis - Perioperative Process Currently Perioperative Services are provided through the adult

OR’s While some spaces are dedicated to children, many of theprocesses are experienced adjacent to, or as part of, the adultEnvironment Very complex process

Many Steps (a minimum of 6 different locations for outpatients)

Too Much Time (often taking 8 hours for an outpatient surgery)

Long Transport Distances (over ¾ mile for outpatients) Car to Car transport is a total of 2 miles Interactions with Many People Very Low Satisfaction

Revised Processes

The revised intake process includes valet parking, greeting and registration

Care consolidated to a single floor with horizontal adjacencies between the stages of the peri-operative process Induction Rooms OR Suites Sterile Processing Phase II Recovery Cardiac Cath Labs

Redesign - Perioperative Process

Design Integration

Design Integration

hospitalsite

Design Integration

Design Integration

surgery

publicelev

patient/staffelev

patient/publicelev

service/staffconnection tobutterworthhospital

Design Integration

patient/staffelev

cleancore

publicelev

cleancore

induction

inductionhybridor

ormri

futureor

hybridor

cardiacor

control

or

or

or

or

centralsterile

Design Integration

familywait

reception/admit

familylockers

consult

publicelev

patient/staffelev

patient/publicelev

service/staffconnection tobutterworthhospital

Design Integration

pacu

publicelev

patient/staffelev

patient/publicelev

service/staffconnection tobutterworthhospital

Design Integration

patient/staffelev

iso

supportwork-station

supportrecoverybays

recoverybays

recoverybay

parent entry

patient entry patient exit

Design Integration

cathlab

service/staffconnection tobutterworthhospital

publicelev

patient/staffelev

patient/publicelev

Design Integration

second stage recovery

publicelev

patient/staffelev

patient/publicelev

service/staffconnection tobutterworthhospital

Design Integration

recoveryrooms

playroom

recoveryrooms

patient entry

patient exit

bedhold

support

recoveryrooms

recovery rooms

support

recoveryrooms

work-station

recovery

shell shell

Design Integration

centralsterile

service/staffconnection tobutterworthhospital

stafflounge

lockerroom

publicelev

patient/staffelev

patient/publicelev

Key Measures for Success

Improved quality care Increased patient and family satisfaction Improved staff efficiency Decreased process time

Many Steps (a minimum of 6 different locations for outpatients)

Too Much Time (often taking 8 hours for an outpatient surgery)

Long Transport Distances (over ¾ mile for outpatients) Car to Car transport is a total of 2 miles Interactions with Many People

Implementation Plan

From a Parent’s Perspective

Eliminate travel through adult spaces

Personal experience Revised care process

maximizes time spent with child

Design will reduce confusion and anxiety