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COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
� Approach
� RUH Pharmacy
� RUH OPD Utilisation
AG E N DA
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
S M A RT H E A LT H C A R E B E N E F I T S / A P P R O AC H T H R O U G H P R O J E C T / B U I L D I N G L I F E C YC L E
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
S M A RT H E A LT H C A R E E V I D E N C E B A S E D M O D E L L I N G
Experience Costs
Key outcomes
Registry Triage 00
Facility Design
Operational Management
Patient Pathways/Demand
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Gather data
Journey analysis
Activity analysis
Identify scenarios
Test options
O U R A P P R O AC H
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
GETTING MORE FOR LESS
Royal United Hospital, Bath
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
We’re too busy!
Need more space!!
Opthalmalogy
Gastro
Pain
Diabetes
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
U N D E R S TA N D I N G F LO W S A N D D E M A N D DATA G AT H E R I N G
Historical data
Automated technologies for capturing data
Site visits, staff interviews and surveys
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
• Average 34% observed utilisation during peak
• Average 16% observed utilisation during off peak
Waiting room usage – Max. no. people
Outpatient departments
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Waiting room usage – Max. no. people
Outpatient departments
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
T E S T I N G F U T U R E O P T I O N S AG A I N S T K P I S D Y N A M I C M O D E L L I N G
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
P H A R M AC Y
People Movement Study
• Tracking of staff movements and
behaviour
• Assess current performance
• Layout optimisation to enhance efficiency
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Gather data
Journey analysis
Activity analysis
Identify scenarios
Test options
Deliveries
Robot area
Corridor Unpacking area
Stores area
Key scenarios
� Mon – bulk deliveries
� Weds – deliveries throughout the day
O B J E C T I V E S A N D K E Y S C E N A R I O S
Key areas
Key metrics
� Walking distances
� Time spent walking between locations
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Gather data
Identify scenarios
Test options
Journey analysis
Activity analysis
DATA G AT H E R I N G A N D K E Y M E T R I C S
Stores area Robot & Dispensary
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Gather data
Identify scenarios
Test options
Journey analysis
Activity analysis
Ward boxes
Main Dispensary
Robot Shelves
Terminals
Fridge Unpacking
area
Deliveries
To aseptic suite
IV store
Pigeon holes
Pull-out shelves
Origin of incoming deliveries
Flow of staff
Processing point of incoming
drugs
Storage point of incoming
drugs
J O U R N E Y A N A LYS I S – P R I M A RY F LO W S – S TO R E S S TA F F
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Gather data
Identify scenarios
Test options
Journey analysis
Activity analysis
Deliveries
Staff movements
Deliveries
Staff movements
Monday Wednesday
AC T I V I T Y A N A LYS I S – F R E Q U E N C Y O F AC T I V I T I E S
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED 09:48:20
Camera 1
09:49:04
Camera 1
09:49:08
Camera 2
09:51:27
Camera 3
AC T I V I T Y A N A LYS I S – T R AC K I N G S TA F F M O V E M E N T S
Frequencies Dwell times Order of movements
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Back of Robot
Robot Terminal Ward Boxes
Pull out shelves
Main Dispensary Pigeon holes Store shelves
Store terminals (1) Fridge
Store terminals (2)
Unpacking area
Out of bounds
Back of Robot 7 10 14 1 4 12 7 6 2 6 7 3
Robot Terminal 25 12 28 6 3 3 3 1 3 4 1 3
Ward Boxes 8 30 11 2 1 4 6 2 0 0 2 5
Pull out shelves 0 5 2 1 21 0 4 0 0 0 1 0
Main Dispensary 2 6 2 18 7 19 6 7 5 9 5 13
Pigeon holes 7 4 5 3 18 6 11 23 0 1 1 4
Store shelves 5 5 5 0 4 19 54 24 2 7 18 10
Store terminals (1) 8 8 2 0 5 12 30 43 2 5 7 17
Fridge 2 1 1 0 2 1 2 2 21 23 18 9
Store terminals (2) 7 5 0 1 10 0 8 6 19 40 48 18
Unpacking area 2 1 0 0 7 0 17 9 19 51 55 37
Out of bounds 6 3 3 1 18 7 3 17 9 17 37 187
From
To
Many movements between :
Store shelves ↔
pigeon holes
Stores terminals ↔
pigeon holes
A high number of trips between any
stores area and:
• Back of robot
• Dispensary area
• Pigeon holes
F R E Q U E N C Y O F T R I P S B E T W E E N A R E A S Stores staff
MON
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
This analysis shows, stores staff spend:
• In total 307 minutes
• On average 26 minutes (per staff
member)
each day walking between functions
Stores staff MON
T I M E S P E N T WA L K I N G B E T W E E N AC T I V I T I E S
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
C O M PA R I N G P E R F O R M A N C E
Original proposed layout Existing layout
Original proposed layout offers good access to the robot
but
No significant improvement in walking distances and times
0 10 40m 0 10 40m
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
D Y N A M I C M O D E L L I N G O F P E R F O R M A N C E
Final proposed layout Existing layout
Proposed layout offers a compact and efficient footprint for the majority of movements
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
Benefit of Evidence
• Enables informed conversations with consultants and staff
• Enables designs to be optimised with measurable efficiencies
CO N C LU S I O N
COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED
smar t.burohappold.com
Shrikant.Sharma@burohappold.com Becky.Hayward@burohappold.com
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