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

A place where very sick people went to die

Early 20th Century

Segregation based on race, religion, gender

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Functional Zoning based on sterility and workflow segregation Acute care of chronic disease with an emphasis on wellbeing

Early 21st Century

Segregation based on payer Functional Zoning but additional Focus on Patient Flow Long Stays Short Stays (Outpatient Model of Diagnosis)

People smoked everywhere (but not in their rooms) Paternalistic Care

Early 20th Century

In the mid 20th century, women with Cancer were often not informed (but their husbands were)

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Patients receiving ‘charitable’ care had no rights (including being experimented on) No smoking anywhere Patients Encouraged to be Active in all Facets of Care (not to mention ‘Dr. Google’)

Early 21st Century

Commitment to Transparency

• Informed Consent

(but still needs improving) Patient Rights & Responsibilities well-defined

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The Game Changers

• EMRs
• Mobility & WiFi
• Telemedicine
• Patient Self-Service
• IP Remote Monitoring /

Telemetry

• Sensors & Wearables
• RTLS
• Personalised Medicine (Omics)
• Supply Chain Automation

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• 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

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• 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)

• 21st Century Hospitals promote wellness and wellbeing by creating

healing spaces – waiting areas, retail/hotel-style atriums, healing gardens, etc

Our Challenge is to make Digital Complementary to Wellbeing

• 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

Need to Focus on Digital Engagement When Re-Purposing Space

• Digital Hospitals draw power and lots of it!
• Upgrading existing electrical switchboards and providing adequate

emergency power is expensive

Power is a Problem

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• Architects Need to be Digital First Champions
• IT Leaders need to articulate IT Value during

concept and schematic design

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The Ray and Maria Stata Centre at MIT If IT Professionals Designed Buildings… If Architects Designed IT Systems…

At Queensland Health we have beefed up

• ur Tier 2 & Tier 3 Support…

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