Laboratory Relocation - Lab Quality Confab€¦ · Department boxes to Open Lab environment •...

2008 Laboratory Quality Confab

Vassilios I. Nicolaou, AIA, NCARBVice President, Senior Laboratory Architect

Peter MaroneDirector, Laboratory Services

Yale New Haven Hospital

New Haven, Connecticut

Presented by:

Laboratory Relocation

Vassilios I. Nicolaou

Vice President, Senior Laboratory Architect at Karlsberger

Presenters

• 48 years of professional experience

• 20 years at Karlsberger

• Laboratory planning and design

expert

• The American Institute of Architects

(AIA) member and award winner

• Biotechnology Association of

Alabama member

• National Council of Architectural

Registration Boards (NCARB)

certified

• University of Alabama in

Birmingham, School of Engineering,

Instructor

Peter Marone

MBA, MT(ASCP) Director, Laboratory Services Yale-New Haven Hospital

Presenters

• 25 years in the clinical laboratory at

Yale-New Haven Hospital

• Began career in Clinical

Microbiology

• POCT Coordinator

• QA/Compliance Coordinator

• Assistant Operations Director

• Currently responsible for general

technical and administrative

functions of the laboratory

• Adjunct Professor of Biomedical

Science, Quinnipiac University,

Hamden, CT.

Learning Objectives

Yale-New Haven Hospital Department of Laboratory Medicine

• Learn how to go from Department boxes to Open Lab environment

• Learn the benefits of eliminating the physical space constrains

Desired Outcomes

• Learn how to indentify and evaluate needs, deficiencies and conditions of your lab and how to improve your operations.

Relocation

Yale-New Haven Hospital Department of Laboratory Medicine

• Performs all clinical laboratory testing for Yale-New Haven Hospital, a 944 bed teaching hospital affiliated with the Yale University School of Medicine

• YNH Children’s Hospital, YNH Psychiatric Hospital, Smilow Caner Hospital (10/09)

• 263 FTEs

• 5.6 million tests/year

• 3000 accessions per day

YNHH Department of Laboratory Medicine

• Department boxes

• Laboratories located on 3 separate floors and one located completely off campus

• Departments divided on different floors

• 10 separate testing laboratories

• Current net square footage of 32, 629

Current Configuration:

Existing Fourth Floor Functions

Existing Fifth Floor Functions

Existing Sixth Floor Functions

Existing Seventh Floor Functions

Images of Existing FacilityHematology

Images of Existing FacilityChemistry

Images of Existing FacilitySpecial Chemistry

Images of Existing FacilityImmunology

Images of Existing FacilityVirology

Images of Existing FacilityMolecular

Images of Existing FacilityComputer Room

Images of Existing FacilityMicrobiology

YNHH Department of Laboratory Medicine

(Place Image(s) flush against either side of this grey area)

Challenges of existing facility:

• Compartmentalized, small

inefficient spaces

• Little or no interaction between

different areas

• Compromised proximity between

spaces

• Walking distances of between

100 -150 feet

Existing Fifth Floor Travel Distances

Existing Sixth Floor Travel Distances

History of Six Sigma at YNHHStart of Six Sigma

• Green Belt Training began in

2001 through partnership with

• Year Two appointed 4 part time

Black Belts, trained 17

additional Green Belts.

• Engagement of senior

management through 4 days

comprehensive Executive

Training sessions.

• Training and other

performance management

integrated into Health System

Class offerings.

History of Six Sigma at YNHHPresent Status

• Deployment to:

• Mission Critical Business

Plan initiatives, Patient

safety, regulatory,

throughput, clinical

quality

• Optimize Lean

applications

• Departmental Specific

Initiatives

• Regular updates/report outs to

Senior Leadership

• Deployment overseen by

Steering Committee and Master

Black Belts

• 87 Green Belts

• 10 Black Belts/Master Black

• 157 Lean Trained

• Use an open lab concept to promote

communications between staff and

allow for flexibility and future

changes.

• Create a physical environment with

people in mind

• Design with the third shift in mind

• Plan for future expansion

• Provide sufficient storage space

• Medical Directors

• Director of Laboratory Services

• Laboratory Managers

• Medical Technologists

• In-house Master Black Belt

• YNHH Facilities Group Project

Manager

• Karlsberger Laboratory and

Technology Team

• Interior Design Consultant

Planning Team

User Group InvolvementVisioning Sessions

New Design

• Maximize productivity/minimize

• Minimize walking distances

• Improve visibility to access the

operations

• Improve communication and

interaction between staff

• Flexibility to accommodate

advanced technologies

• Provide a quality work

environment

Proximity Matrix

Bubble Diagram

Area Analysis

70,000 SF

60,000 SF

50,000 SF

40,000 SF

30,000 SF

20,000 SF

10,000 SF

NSF NSFNSFDGSF DGSFDGSF

EXISTING FINALPROGRAM

32,629

45,223

53,964

62,059

59,957

66,431

0.72 0.900.90EFFICIENCY

New DesignSecond Floor

New DesignThird Floor

New DesignFourth Floor

New DesignFifth Floor

New DesignFifth Floor Future Robotic Line

New DesignSixth Floor

New DesignStacking Diagram

New DesignThird Floor Flow

New DesignFourth Floor Flow

New DesignFifth Floor Flow

New DesignSixth Floor Flow

Flow Process

Front EndExisting New

Hematology and ChemistryExisting New

Computer Assembly RoomExisting New

StorageExisting New

VirologyExisting New

Image of New Facility

• Early involvement of users

• Continuing communication with

• Visioning to get staff to think

beyond their comfort zone

What we did right

Thank You

Questions?

Laboratory Relocation - Lab Quality Confab€¦ · Department boxes to Open Lab environment •...

Documents

Confab London - GOV.UK

Make Your Content Nimble - Confab

Understanding Your Audience (Confab Central 2016)

Confab kate-kiely-2014

Personalized Medicine’s Path from ... - Lab Quality Confab · Personalized Medicine’s Path from Concept to Reality: How Our Lab Uses Lean to Speed the ... Drive quality and service

Confab Higher Ed: Nested Content Strategy

Prototyping UX (Confab Fringe)

Lab Quality Confab 2015 - Learnings on French consolidation

Laboratory Certification Systems - Lab Quality Confab...410‐786‐3531 Judy Yost’s Email: Judith.yost@cms.hhs.gov ... Microsoft PowerPoint - Yost-Laboratory Certification Intersection

Organize Yourself, Organize your Office - Lab Quality Confab · 2017-04-02 · Organize Yourself, Organize your Office Laboratory Quality Confab on Quality Management in Diagnostic

Case Study: Using Lean and Six Sigma ... - Lab Quality Confab · Pre-,Pre beställning Pre-, Pre Provtagning Post Analys Pre-, Pre Examination ... Lab kontaktper telefon Specifikinstruktion

Lab Quality Confab San Antonio, Texas 6 November 2012

Morality constrains the default representation of what … · Morality constrains the default representation of what ... or modal cognition, ... Morality constrains the default representation

TriCore Reference Laboratories - Lab Quality Confab TriCore Reference Laboratories. ... Rhodes Scope Of Information Integration 6 ... • Staff was concerned about job security

Content Planning Workshop: Confab Intensive 2015

Lab Quality Confab 2018 LEAN Principles

Confab 2016: Content Teamwork Workshop

“Inspection Readiness in a CAP15189 ... - Lab Quality Confab

Lab Quality Confab and Process Improvement Institute · Lab Quality Confab and Process Improvement Institute. New Orleans . October 2016

Supercharging Histology Workflow - Lab Quality Confab and the