3/21/16 Impacting the Design, Construction and Activation of - - PDF document

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Impacting the Design, Construction and Activation of Health Care Facilities

Nursing Institute for Health Care Design

Judie Walker, RN, MS, NEA-BC Director of Clinical Facilities Planning SCL Health Denver, CO

¨ Specific nursing role in the Planning and

Construction department of a health system.

¨ Designed to assure that the knowledge and

voice of the clinician is included in design/ build projects for the health system.

¨ Utilizes the clinical knowledge base of the

nurse in all aspects of a project.

¨ Requires nursing degree and experience as well

as some experience with new or remodeled facility projects.

¨ Courage ¨ Self confidence ¨ Life long learner ¨ Beginner’s mind ¨ Seek resources ¨ Identify teachers and

mentors

¨ Language/

communication/ translation

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¨ How did I get here? User vs. Owner’s Team ¨ Differences ¡ Meetings and colleagues ¡ Nomenclature – old and new

ú CAD, ROM, BIM, BMI, GMP ú Value Engineering

¨ Similarities ¡ Evidence based practice/design ¡ Learning new clinical practices and focus on

impacting outcomes Design Team Construction Outside Consultants Clinical Facilities Planner Facility Leadership Clinical User Groups

Educator Translator Coordinator Advocate Facilitator Resource q Understand the big

picture of clinical care delivery

q Communication skills

– listening to all team members to understand their perspective

q Crucial

Conversations

q Relationship/trust

building

q Anticipatory skills q Plan and manage

change – in the project; in the culture as needed; in preparation for relocation and

• perations in a new

area.

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Visioning and Guiding Principles

Conceptual Design Space Program

Functional Narrative

Schematic Design

Equipment planning Workflow analysis

Design Development

IT/ Low Voltage Planning Furniture and Finishes

Ø Engage with the leadership team that will form

the vision and guiding principles

Ø Recommend membership to assure clinical

representation

Ø Provide examples as needed Ø Assure alignment with

• rganizational vision and

mission – and create a healing environment 3P Lean Events to determine desired space design

§

Multidisciplinary Clinical Teams with Design Team

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¨ Purpose: determines and defines functional space

needs, appropriate adjacencies, based on inter and intra departmental work flows.

¨ Translates the vision for the project into a description

for design and quantifies spacial needs. It serves to –

¡ Align people, spaces, processes and technology ¡ Account for future growth in programs and volumes ¡ Anticipate future care models, technology and functions and is

flexible to meet those needs

¡ Question “business as usual” ¡ Address issues of access, functional organization and

circulation within and outside of the department

¡ Provide an opportunity to make operational changes

STANDARDIZED OR CURRENT STATE WORKFLOW

¨ Provide education to clinicians on the process,

phases and activities

¨ Evaluate the initial draft of schematic design and

provide input to the design team to assure that the clinicians’ concepts have been included.

¨ Assist in presenting the design to the user groups ¨ Support creation of rapid prototyping of the

proposed schematic design

¨ Collect feedback and summarize for the design

team

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¨ Organize user group review sessions for

various equipment

¨ Coordinate sessions with equipment planner

and vendors

¨ Record feedback and facilitate decision making

processes that results in the best choice both from performance and budget.

VENDOR EVALUATION FORM

Your Name: Date: Dept.: Title: Rating Scale: Please rate all responses on a scale of 1-4 (1-Poor, 2-Fair, 3-Good, 4-Excellent) Importance: Please rate the top three Criteria for each category as 1, 2, or 3 in order of importance Note: Maximum Height for patient room cart = 32"; Maximum height for NICU patient room cart = 36" Evaluation Criteria Vendor A Vendor B Vendor C Vendor D Vendor E PATIENT ROOM SUPPLY CARTS Size/ Height Options 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Drawer Configuration/Flexibility 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Lock Options 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Accessory Options 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Caster Options 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Color Options 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Maneuverability 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Design/Overall Appeal 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Is this product acceptable YES/NO YES/NO YES/NO YES/NO YES/NO Write in 1,2 for top two vendors COMMENTS:

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MOCK UP FOR ICU BOOM CONFIGURATION FOR ED TRAUMA

¨ Work with clinicians

to evaluate the new proposed layout

¨ Help identify areas for

change – improve on

• ld processes

¨ Record to assure these

are carried over for

• perations planning

Future state ICU workflow diagram

¨ Getting down to the details ¨ Helping clinicians understand their choices ¨ Clarify the decision making structure and sign

• ff process

¨ Record decisions made for owner records ¨ Finished mock up coordination and review

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Room type: Typical Patient Room Comment

Bed Placement relative to work counter and toilet room wall (note: required floor clearance around bed limits location of bed. Nothing can be built in this zone around the bed) Potential Headwall design and elements (such as patient monitor, medical gas and electrical

• utlets).

Counter top and sink next to door (integral sink with solid surface counter all at one continuous height) Clinical storage needs in the room (storage under countertop either in a locking cart or casework with locks) Clinical storage needs in the room (storage under countertop either in a locking cart or casework with locks) Toilet Room (orientation of door, opening toward room entry or opening toward the family space) In addition, think of your workflow and potential placement of computer workstation; wall placement of sharps containers and gloves; placement of trash and linen hamper.

¨ Help coordinate with IT/LV consultants ¨ Identify areas where clinical input and

participation is necessary such as processes for alarm/alerts to clinicians; central displays; wireless devices used by clinicians

¨ Coordination of nurse call design and testing ¨ Electronic boards for census/patient

information display

¨ Infant security layout plan ¨ Patient video monitoring cameras

Furniture and Fixtures

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Colorado Artist Selections

Communication and Information

Communication Plan

Shared Leadership Models

Transition Planning

Operations Planning Training and Orientation

Relocation Planning

Patient and Department Move Planning Opening Events and Activation

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q Assist clinicians in establishing a communication plan for:

ú Exterior stakeholders and public ú Hospital wide ú Physicians ú Individual departments

q Provide examples of communication tools

q Encourage use of virtual information sharing for ease of access by all clinicians

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Coordinating Council Unit Council(s) Multidisciplinary Council Leadership Council Education Council Sub Work Group(s) 1:1

communication Sub Work Group(s) 1:1 communication Sub Work Group(s) Sub Work Group(s) 1:1 communication

¨ Operations Planning ¨ Coordinate all Ops planning teams ¡ Workflow design to match the design intent ¡ Apply workflow information that was identified

during the design phases

¡ Test to see if it works ¨ Day in the Life ¡ Planning ¡ Conducting

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¨ Command Center

• rganization and

structure

¨ Go-Live support ¨ Communication Hub ¨ Daily reports to

leadership

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¨ Strategy – After move follow up ¡ Conduct POE survey on Transition and Relocation

Process soon after the move

¡ Email survey ¡ Present to transition participants ¨ Long term strategy ¡ Goals and Guiding Principles ¡ Design intent ¡ Focused areas for assessment ¡ Surveys, interviews, observations ¡ Present results to integrated team

and clinicians

COMMENTS

THANK YOU FOR ATTENDING