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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
