The Public Library Healthcare Design Opportunities Plus COVID-19 Considerations Nursing Institute for Healthcare Design May 21, 2020 – 12 p.m. Eastern Presented by: Susan E. Ziel, Consultant Integrity Health Strategies, LLC 12800 N. Meridian Street, Suite 305 Carmel, IN 46032 Phone: 317-796-5678 Email: sziel@ihsconsultinggroup.com www.kriegdevault.com www.integrityhealthstrategies.com
Disclaimer • This program is presented for general information purposes and is not intended as legal advice. Please consult with your organization’s legal counsel to advise your regarding these matters. 2
Objectives • Key Terms • Applicable Requirements • Healthcare Design Opportunities to Transform the Public Library • Healthcare Design Opportunities – Five Case Studies • COVID-19 Considerations 3
The Public Library • Mission – To nourish minds, transform lives and build community together. • Vision – To ensure that every person has the opportunity and resources to read, graduate, engage, work and learn. • Strategic Plan Objectives – services, collections, engagement and collaboration, access, innovation, creativity and diversity, public-private partnerships, leadership. 4
The Public Library (cont.) • Board of directors, librarians, staff, patrons, volunteers, safety and security personnel • Books, CDs, DVDs, newspapers, magazines, online resources, media center, pianos, assistive technologies • Conference and meeting spaces • Central locations, access to transportation enhancements • Outreach and community-based services • Free and open to the public, benefits perceived differently across differing cultures and socio- 5 economic groups
The Public Library in the Literature • Library Futures: Knowledge Keepers to Creators • Libraries as Second Responders • The Library in the City: Challenging Demands and a Challenging Future • Liberating Libraries • Living Libraries: Integrating Nurses into Interprofessional Homeless Healthcare Teams • The Nurse Will See You Now, In the Library • Health Happens in Libraries • Health Care Comes to the Library • Nurses in the Library With the Stethescope 6
Key T erms • Optimal Healing Environment • Evidence-Based Design • Human-Centered Design • Design Thinking • Health • Health Literacy • Universal Care Platform 7
Optimal Healing Environment • Optimal Healing Environment means that space or place where certain internal, interpersonal, behavioral and external elements come together to facilitate healing and the achievement of health. Swanson (2004). 8
Evidence-Based Design • Evidence-Based Design means the process of (1) building an interdisciplinary team; (2) conducting an investigation; (3) benchmarking findings against national initiatives; and (4) documenting the process. Cama (2009). 9
Human Centered Design • Human Centered Design means those processes used by innovators to “explore the way people live, what they think and how they feel about things” before the innovators can truly understand the nature of the problem and the possible value of a new or modified item or service that is being considered. McCreary (2010). 10
Design Thinking • Design Thinking means that process, often referred to as “co-creation” that involves four very basic questions: • What is (which explores the current reality)? • What if (which envisions possibilities, a new future)? • What wows (which results in some choices)? • What works (which takes the choices into the marketplace)? Liedtka and Ogilvie (2011). 11
Health • Health has been defined across generations, cultures and health perspectives to mean (1) the absence of illness or injury: (2) the capacity to adapt; (3) functional health; and (4) happiness and personal well-being. Smith (1981). 12
Health Literacy • Health Literacy means the degree to which an individual has the capacity to obtain, communicate, process and understand basic health information and services to make appropriate health decisions. Patient Protection and Accountable Care Act (2010). Three goals: (1) provide access to information; (2) • deliver person-centered information and services; and (3) support lifelong learning and skills necessary for health. HHS Plan (2010). 13
Universal Care Platform • The Universal Care Platform means a centrally located space that can perform a range of functions, as necessary, using flexible use of persons, spaces and processes. Cama (2009). 14
Applicable Requirements • Laws • Regulations • Ethical Principles • Industry Standards • Professional Standards 15
Laws • Laws and Regulations • Constitutions • Civil Rights • Americans With Disabilities • Medicare and Medicaid Conditions of Participation • Institutional and Professional Licensure • HIPAA - Health (and Other Personal) Information Privacy and Security • COVID-19 Considerations 16
Ethical Principles • Respect for Persons – Autonomy, Honesty, Confidentiality, Fidelity • Do Good – Benefits, Balance Benefits and Risks • Do No Harm • Justice – Fairness, Equality 17
Healthcare Industry Standards • The Triple Aim: Promise to provide health care better and for less by “doing it earlier across the whole population.” Joe Flowers (2012). Reduced hospitalizations/ER visits due to web- • based health literacy. Greene (2019). Sustainable systems that minimize the need for • inputs by the healthcare footprint. WHO/HWCH Report (2013). Living Libraries Pilot Study (Public Health Nursing) • 18
Library Industry Standards • American (and Public) Library Association • Libraries Transform Initiative • Health Literacy, Programs and Consumer Health • Public Libraries Supporting Health and Wellness: A Literature Review (Eliz, Syracuse University) • Design Toolkits for Libraries: Patron Centered Design (IDEO) 19
Professional Standards • Healthcare and Other Related Professionals • Licensure, Services, Privacy, Referrals, Records • Library Professionals • ALA Core Competencies (2009) • Design Professionals • Evidence-Based Design for Healthcare (Cama) • Environments for Care: Core Tenets (Planetree) • Other 20
The Design Process • Interdisciplinary Team, Stakeholders • Inquiry and Investigation • Benchmarking • Design Opportunities • Documentation and Placemaking • Playbook • Post-Occupancy Evaluation 21
Healthcare Design Opportunities • Health Literacy Media Center, Kiosks, Library Website and Online Apps • County Health Department and Public Library Partnership/MOU – Library Nurse • Lease of Space – Health Care Clinic on Premises (Telehealth) • Public Library Branch in Health Care System • Public-Private Partnership: The South Philadelphia Health and Literacy Center 22
Outcomes • Transform Stakeholders • Transform Physical and Virtual Spaces • Transform Staff • Transform Processes and Systems 23
Transform Stakeholders • Patrons • Library professionals • Healthcare professionals • Community and government leaders • Library patrons, healthcare clients and their advocates and representatives • Design and ancillary consultants • Taxpayers 24
Transform Physical -Virtual Spaces • Physical Spaces • Media Centers • Kiosks • Conference and meeting rooms • Adjacent coffee shops • Virtual Spaces • Media Center • Library Website • Online Applications and Social Media • Universal Care Platforms • COVID-19 Considerations 25
Transform Staff • Transform Staff • Governing Board • Librarians • Support Staff • Volunteers • Security • Other 26
Transform Systems and Processes • Transform Systems and Processes, Programs and Services – The Six Aims • Safe • Effective • Patient Centered • Timely • Efficient • Equitable 27
Design Opportunity – Case Study #1 • Health Literacy Media Center, Kiosks in Library, Library Website • Computer/Tablet • Internet Access, Cloud Portals, Online Apps • Videos, Podcasts, Checklists, Other Content • Access to Printer • Health Fairs • COVID-19 Considerations 28
Design Opportunity – Case Study #1 • Online App – “What I Need” (WIN) – Free to all, provided by Our Children LA • Free Services (Category or Keyword) • Menu • Search Filters • Maps • Program Details Benefits and Risks • COVID-19 Considerations • 29
Design Opportunity – Case Study #2 • PIMA County Library and Health Department Partnership/MOU • Job Description: Library Nurse (1.0 FTE) • Nursing assessment, BP screenings • Case management • Nutrition and health education • Resources and Referrals • Outreach • PIMA County Library Nurse Project Wins Lillian Wald Award (APHA, 2014) • Benefits and Risks • COVID-19 Considerations 30
Design Opportunity – Case Study #3 • Lease of Space – Health Care Clinic on Premises • Designated Space On (or Adjacent to) Library Premises • Lease Agreement (Landlord Library, Tenant Clinic) • Designated space, uses • Schedule – full versus part time • Assets – exam room equipment, waiver lab • Access and premises security • Lease payments, utilities • No pharmacy, secure electronic record portal • Benefits and Risks 31 • COVID-19 Considerations
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