9/28/2011

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Assuring Nursing Input In The Design Of A $1.27 Billion Parkland Hospital

Wednesday, September 21, 2011

4:15-5:15 PM

Presenters

• Kathy Harper, RN, MBA, EDAC, Director of Clinical Planning NPC, Parkland Health & Hospital System

• Dale Talley, RN, MS, CPNP, Program Director/Clinical Liaison, Women’s Services, OR, Psych & Rehab, Parkland Health & Hospital System

• Gay Chabot, RN, BS, Program Director/Clinical Liaison, Medicine & Surgery Services, Parkland Health & Hospital System

• Jodi Donovan, RN, MSN, PMP, EDAC, Program Director/Clinical Liaison, Clinical Support Services, Parkland Health & Hospital System

Current Parkland Hospital

• 42,000 Admissions/yr

• 672 operating beds

• 1.1 million Clinic Visits/yr

• 45 babies/day

• Level 1 Trauma CenterLevel 1 Trauma Center

• 400 pts/day seen in the ED

• 2nd Largest Delivery Service in US

• Reached projected 2014 clinic volumes in 2011

New Parkland Campus

• Acute Care Hospital• Outpatient Facilities• Central Utility Plant• Logistics Building

Ad i i t ti• Administrative space• Parking structure and lot• $1.271 Billion• More than 3.75 million sq ft.

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Podium WISH TowerAcute Tower WISH Clinic Med/Surg Clinic

ParkingTrauma Tower The New Parkland Hospital

• 1.9 million sq ft

• 862 private Adult rooms

• 96 NNICU private rooms• 108 ED rooms (est. volume 130,000)• 36 OR’s

New Outpatient Facilities

• Approximately 500,000 sq ft

• Includes Med/Surg & WISH clinicsWISH clinics

• Over 525 exam and procedure rooms

Other New Buildings

• 24 bays for Supply Chain in the Logistic bldg

• Parking for over 6000 cars

• CUP will support our LEED Silver campus

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Parkland’s Foresight

• Background and why I was hired

• The idea for clinical liaison role

• Birth of the role

• Why the role

• Vision of the role

What We Brought With Us

• Background

• What is unique about the three of us

• Establish relationships with each other and staff

• Learn from one another

• Listen with different ear

• A voice from across the street

Jodi Donovan Gay Chabot

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Dale Talley

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Quarterly Clinical Director’s Meeting

What We Do

• Jumped in with both feet

• Learn a new language

• Co-location

• Subject matter experts

• Role past/present/future – other duties as assigned

Gay Chabot

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Clinical Liaison Team Under Construction…

Sea of Cubicles Chaos – AKA “DD”

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Co-Lo Reviewing the plans

Inmate Headwall

Go-To-Girl

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Parkland FoundationFundraisingg

Event

Mock Up Rooms

Current Facility Tour Personality Profiles

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What We Saved

• Schedule Preservation

• Cost Savings

• Communication Improvements

• Donation Generation

• Future Savings

Design Development Schedule

“Liaisons are our advocates for what we need for best practice & service in NPH. They are our eyes, ears, & voice in this project when we are not there by providing us regular feedback. Their role has saved operations management time and what time you used was spent wisely.”

Carrie Berge, Associate Director Pharmacy

9/28/2011

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Design Development Sign off

“The liaisons have been able to anticipate questions, concerns, and issues - allowing the architects to bring excellent options for consideration by staff & physicians. This allows the project to move at a much faster pace, with excellent results. Without the liaisons, I believe we would be behind schedule.”

Paula Turicchi, Sr. VP WISH

Refinement Examples

Reductions Savings

Remove 2 data drops per pt room $500,000

Trauma Room reductions (based on mockup rooms) $1,000,000

Portable reductions (X‐ray, US, C‐arms) $1,500,000

Card Readers reductions $1 200 000Card Readers reductions $1,200,000

Removing Privacy Curtains (952 rooms) $480,000

Electrical Outlet reduction $295,000

Shelling and/or Outfitting  LDRs $660,000

Patient Room

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Critical Care NNICU

Operating Room Trauma Room

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Mock Trauma Scenario

Communication is Key

• Main Role is communication

• Bridge between current operations & the new hospital design team

• Defining key stakeholders – right people to right meetings to make decisions

• Follow-up and issues resolution

“The Clinical Liaisons have brought a high level of clinical expertise, wealth of knowledge and experience from their daily interaction with the patients they care for providing a consistent voice for all aspects of the project. This has been a distinctive advantage to the Architect, Project Team and the Consultants associated with the New Parkland Hospital project.”

Joshua Tenisci, Medical Equipment Planner GBA

Parkland Foundation

9/28/2011

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New Parkland HospitalClinical Liaisons

Gay ChabotDale Talley

Jodi DonovanJodi Donovan

What It Takes To Be Successful

• Commitment both from your employer and from you

• There is no formal education yet, so broad experience is required. Need to be a subject matter expert in several areas

• You have to be self motivated, bright and a quick learner

• You must be willing to look at the bigger picture and take on tomorrow today