Using sim to_improve_hc_design_112514 (3)

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Healthcare Facility DesignReporting Back from HCD Conference

Brittany Hagedorn, LEED AP

Powerful. Flexible. Fast.SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com

Housekeeping

1. Audio

2. Q & A

Recording available on SIMUL8Healthcare.com

Presenters

Brittany Hagedorn

SIMUL8 Healthcare Lead, North America

LEED AP

brittany.h@SIMUL8.com

Agenda

1. Healthcare Design Conference

2. Happening Today

3. Crazy Ideas

4. Evolution or Revolution?

5. Save the Date!

SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com SIMUL8 Corporation | SIMUL8.com | info@SIMUL8.com

Healthcare Design Conference

Context for Today’s Discussion

HCD Conference

“Better Care through

Better Design”

#HCDCon

4,000 Attendees

Architects

Clinicians & HospitalAdministrators

Builders

Exhibitors

Interior Designers

Session Tracks

There were session tracks for many focus

areas of design, including interests such as:

Evidence Based Design Research

Improving the Patient & Family Experience

Designing for Wellness

Optimal Operations

Lean Methodologies & Simulations

Design Methodology Survey

1. Do you consider process flow when

developing your layout?

2. Do you use Lean principles when

designing a healthcare space?

3. Do you currently use a tool to help you do

Happening Today

The Current State of Healthcare Design

What do we mean by “Design”?

Intentional decision making about a

spatial layout and flow through a built

environment.

Many Challenges

Only one

chance to do

it right.

Lack of

quantifiable

assessment

tools.

ROI is difficult

to calculate.

Long time

horizons for

investment.

Are EBD

conclusions

widely

applicable?

Minimal

feedback

Rapidly

evolving

facility needs.

Large capital

and financing

needs.

State of the Art

Charrettes

Cardboard Mock-Ups CAD Renderings

Virtual Reality

Measuring Success from

Multiple Perspectives

Patient

• Waiting rooms.

• Access to care.

• Satisfaction.

• Clinical quality.

• Distances traveled.

• Convenience &

accessibility.

• Pleasantness of

experience.

• Workflow efficiency.

• Travel time between

locations.

• Convenience and

safety of hand-offs.

• Likelihood of errors.

• Adequate equipment

and space.

Financial

• Facility maintenance.

• Cost of operations.

• Energy efficiency.

• Flexibility.

• Long-term financing.

• Expansion ability.

• Organizational

reputation.

With competing priorities &

uncertainty about future facility needs,

organizations are looking for innovative ways

to plan & design their built environments.

Case for Change

Crazy Ideas

Innovations & Lessons Learned

Decrease ED visits & inpatient length of stay.

Serve more patients with the existing infrastructure.

Ensure Financial Success

The New Way

Build a new clinic!

Increase inpatient

census!

Improve referral rates!

The Old Way

The New WayThe Old Way

Reduce Wait Times in the ED

Build a new Fast Track facility. Station medical group physicians at

long-term care facilities in order to

prevent ED visits before they happen.

Reduce Capital Expenditures

Delay a new facility

project until next year.

Build flexible beds that are shared

between ER & OR, in order to

reduce total capacity required.

Operating

Emergency

Station medical group physicians at

long-term care facilities in order to

prevent ED visits before they happen.

Improve Patient Satisfaction

• Repaint to a new color

• Make the room bigger

New Facility Design

Community Needs Assessment

& Health Impact Assessment

What worked well in the past?

Session References

• Financial Success– E22: Strategic Planning Forum: Population Health

– E23: Roadmap to Success: A Community Clinic Increases Efficiency While Reducing Costs

• Waiting Times

– E09: Your Aging Bed Tower – Top 10 Considerations When Renovating

– E22: Strategic Planning Forum: Population Health

• Capital Expenditures

– E13: Using Operational Studies to Improve Healthcare Facility Planning & Design

– E18: Akron’s Children’s Hospital’s Lean Journey

• Patient Satisfaction

– E38: Assessing a Post-Occupancy Evaluation of a Lean MRI Children’s Suite

– E100: Integrated Design Steps to Bind Infrastructure to Clinical Outcomes

• New Facility Design

– E59: Five Ways Population Health Data can Add Value to Healthcare Design

– E97: Converting Big-Box Retail to a Medical Facility

Evolution or Revolution?

LeanHDX: Design with Your Process in Mind

Is incremental improvement to the

way we do design enough?

Or do we need to fundamentally

rethink our approach?

Evolution or Revolution?

Background:

• Inpatient pharmacy rehab.

• To reduce errors, installed an automated picking system.

• Successfully prevented adverse drug events!

• Created physical mock-ups to ensure adequate space.

Challenges:

• No way to adequately test demand timing & queuing.

• Resulted in large queues for the picking system because two

terminals were not enough to meet demand.

Case: Patient Safety

Background:

• Outpatient MRI facility (expansion)

• Only had funds to do 2 mock-ups

• Tested zone layouts in order to prevent metal accidentally

entering the MRI area

Challenges:

• Only the most likely scenarios were tested;

• Unable to test additional creative layout ideas;

• Unable to test process timing, so ended up building changing

rooms that were unnecessary

Case: Cardboard is Expensive

A Combined Approach

Construction

1. Voice of the Customer

2. Lean Process Design

3. Charrette-Based Layout Innovation

4. Simulation of Potential Layouts with

Anticipated Processes

5. Mock-Up or Virtual Reality Experience

6. Final Design Decisions

A Combined Approach

Lean Process Improvement

1. Voice of the Customer

2. RIE-Based Idea Generation

3. Simulation of Potential Modifications

4. Pilot Revised Process & Layout

5. Finalize Future State

Comments from the Field

Once the project budget is

set, there is not usually

additional money – so we

have to find ways to get

creative with what we have.

We only have one

chance to do this, so

it has to be right the

first time.

I need more ways to

“try before I buy”

my new layouts.

I am an architect –

but I no longer

design buildings. I

design systems.

In the past, I only pulled out

“the big guns” [simulation] for

the really important projects.

To try it out for yourself and

request a trial license:

www.LeanHDX.com/trial-leanhdx/

Join the Revolution!

Join us next year at the Healthcare

Design Conference to learn more!

November 14th – 17th 2015

Washington D.C.

Questions?

Please forward any topics you

would like to see covered to:

brittany.h@simul8.com

Continue the discussion on

SIMUL8 in Health – LinkedIn Group

Next Workshop – Tuesday December 16th

Using sim to_improve_hc_design_112514 (3)

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