3/21/16 ¡ 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 1 ¡
3/21/16 ¡ ¨ 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 Educator Translator Design Team Facility Coordinator Leadership Construction Advocate Facilitator Clinical User Outside Resource Groups Consultants Clinical Facilities Planner q Understand the big q Relationship/trust picture of clinical care building delivery q Anticipatory skills q Communication skills q Plan and manage – listening to all team change – in the members to project; in the culture understand their as needed; in perspective preparation for q Crucial relocation and Conversations operations in a new area. 2 ¡
3/21/16 ¡ Conceptual Visioning and Functional Design Space Guiding Principles Narrative Program Schematic Equipment Workflow Design planning analysis Design IT/ Low Voltage Furniture and Planning Finishes Development 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 organizational vision and mission – and create a healing environment 3P Lean Events to determine desired space design Multidisciplinary Clinical Teams with Design Team § 3 ¡
3/21/16 ¡ ¨ 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 CURRENT STATE STANDARDIZED OR 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 4 ¡
3/21/16 ¡ ¨ 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" Vendor A Vendor B Vendor C Vendor D Vendor E Evaluation Criteria 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 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Drawer Configuration/Flexibility 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 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 Maneuverability 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Design/Overall Appeal YES/NO YES/NO YES/NO YES/NO YES/NO Is this product acceptable Write in 1,2 for top two vendors COMMENTS: 5 ¡
3/21/16 ¡ BOOM CONFIGURATION MOCK UP FOR ICU FOR ED TRAUMA ¨ Work with clinicians Future state ICU to evaluate the new workflow diagram proposed layout ¨ Help identify areas for change – improve on old processes ¨ Record to assure these are carried over for operations planning ¨ Getting down to the details ¨ Helping clinicians understand their choices ¨ Clarify the decision making structure and sign off process ¨ Record decisions made for owner records ¨ Finished mock up coordination and review 6 ¡
3/21/16 ¡ 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 outlets). 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 7 ¡
3/21/16 ¡ Colorado Artist Selections Shared Communication Communication Leadership and Information Plan Models Transition Operations Training and Planning Planning Orientation Patient and Relocation Opening Events Department and Activation Planning Move Planning 8 ¡
3/21/16 ¡ 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 9 ¡
3/21/16 ¡ 1:1 Unit Sub Work communication Council(s) Group(s) Sub Sub Work Group(s) Work Group(s) Education Coordinating Multidisciplinary Council Council Council 1:1 1:1 communication communication Sub Work Leadership Group(s) Council ¨ 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 10 ¡
3/21/16 ¡ ¨ Command Center organization and structure ¨ Go-Live support ¨ Communication Hub ¨ Daily reports to leadership 11 ¡
3/21/16 ¡ ¨ 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 12 ¡
Recommend
More recommend
