HIC 2015 Challenges and Opportunities in Brownfield Environments - PowerPoint PPT Presentation

HIC 2015 Challenges and Opportunities in Brownfield Environments Mal Thatcher Chief Health Information Officer Queensland Department of Health

Often a design cacophony of: • Clinical drivers • Socio-cultural and Demographic factors • The existing Built Environment • Town Planning & Master Planning considerations • Economic Value considerations

Royal Brisbane Hospital, 1883

St Helens Hospital, 1896 (Methodist Church – Uniting Care Health)

Mater Hospital 1906

Royal Brisbane Hospital, 1954

Winnie Palmer Hospital for Women & Babies Orlando, FL, USA

St. Rose Dominican Hospital Siena Campus – Las Vegas, NV, USA

Bumrungrad International Hospital Bangkok, Thailand

The Lady Cilento Children's Hospital

Early 20 th Century Early 21 st Century A place where very sick people Acute care of chronic disease with went to die an emphasis on wellbeing Short Stays Long Stays (Outpatient Model of Diagnosis) Functional Zoning based on sterility Functional Zoning but additional and workflow segregation Focus on Patient Flow Segregation based on race, religion, Segregation based on payer gender 12

Early 20 th Century Early 21 st Century People smoked everywhere No smoking anywhere (but not in their rooms) Patients receiving ‘charitable’ care Patient Rights & Responsibilities had no rights well-defined (including being experimented on) In the mid 20 th century, women with Commitment to Transparency Cancer were often not informed - Informed Consent (but their husbands were) (but still needs improving) Patients Encouraged to be Active in Paternalistic Care all Facets of Care (not to mention ‘ Dr. Google’) 13

The Game Changers • EMRs • Mobility & WiFi • Telemedicine • Patient Self-Service • IP Remote Monitoring / Telemetry • Sensors & Wearables • RTLS • Personalised Medicine (Omics) • Supply Chain Automation 14

• The Physical Environment has just about every material that frustrates RF signals • If you open WiFi to patients and visitors then quantity of devices is significant • Unlike your home WiFi, people and their devices are highly mobile so handoff an issue • LAN segmentation and QoS Critical in a Medical Grade Network 15

• For a Brownfield Site, biggest issue is accommodating the Network Edge • With density of both wireless access points and wired comms ports digital hospitals need a mini data centre on each floor! (power/cooling) 16

Our Challenge is to make Digital Complementary to Wellbeing • 21 st Century Hospitals promote wellness and wellbeing by creating healing spaces – waiting areas, retail/hotel-style atriums, healing gardens, etc Need to Focus on Digital Engagement When Re-Purposing Space • Digital Signage for Patients, Visitors and Staff • Inpatient interaction with technology and clinicians using technology • Breakout space for clinicians to interact with technology away from patients Power is a Problem • Digital Hospitals draw power and lots of it! • Upgrading existing electrical switchboards and providing adequate emergency power is expensive 17

• Architects Need to be Digital First Champions • IT Leaders need to articulate IT Value during concept and schematic design If IT Professionals Designed Buildings… If Architects Designed IT Systems… The Ray and Maria Stata Centre at MIT 18

At Queensland Health we have beefed up our Tier 2 & Tier 3 Support…

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