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Transcript of Using sim to_improve_hc_design_112514 (3)
SIMUL8 Corporation | SIMUL8.com | [email protected]
Healthcare Facility DesignReporting Back from HCD Conference
Brittany Hagedorn, LEED AP
Powerful. Flexible. Fast.SIMUL8 Corporation | SIMUL8.com | [email protected]
SIMUL8 Corporation | SIMUL8.com | [email protected]
Housekeeping
1. Audio
2. Q & A
Recording available on SIMUL8Healthcare.com
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Presenters
Brittany Hagedorn
SIMUL8 Healthcare Lead, North America
LEED AP
SIMUL8 Corporation | SIMUL8.com | [email protected]
Agenda
1. Healthcare Design Conference
2. Happening Today
3. Crazy Ideas
4. Evolution or Revolution?
5. Save the Date!
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Healthcare Design Conference
Context for Today’s Discussion
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HCD Conference
“Better Care through
Better Design”
#HCDCon
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4,000 Attendees
50%
20%
15%
10%
5%
Architects
Clinicians & HospitalAdministrators
Builders
Exhibitors
Interior Designers
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Session Tracks
There were session tracks for many focus
areas of design, including interests such as:
Evidence Based Design Research
Improving the Patient & Family Experience
Designing for Wellness
Optimal Operations
Lean Methodologies & Simulations
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Design Methodology Survey
1. Do you consider process flow when
developing your layout?
2. Do you use Lean principles when
designing a healthcare space?
3. Do you currently use a tool to help you do
this?
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Happening Today
The Current State of Healthcare Design
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What do we mean by “Design”?
Intentional decision making about a
spatial layout and flow through a built
environment.
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Many Challenges
Only one
chance to do
it right.
Lack of
quantifiable
assessment
tools.
ROI is difficult
to calculate.
Long time
horizons for
investment.
Are EBD
conclusions
widely
applicable?
Minimal
feedback
loop.
Rapidly
evolving
facility needs.
Large capital
and financing
needs.
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State of the Art
Charrettes
Cardboard Mock-Ups CAD Renderings
Virtual Reality
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Measuring Success from
Multiple Perspectives
Patient
• Waiting rooms.
• Access to care.
• Satisfaction.
• Clinical quality.
• Distances traveled.
• Convenience &
accessibility.
• Pleasantness of
experience.
Staff
• Workflow efficiency.
• Travel time between
locations.
• Convenience and
safety of hand-offs.
• Likelihood of errors.
• Adequate equipment
and space.
Financial
• Facility maintenance.
• Cost of operations.
• Energy efficiency.
• Flexibility.
• Long-term financing.
• Expansion ability.
• Organizational
reputation.
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With competing priorities &
uncertainty about future facility needs,
organizations are looking for innovative ways
to plan & design their built environments.
Case for Change
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Crazy Ideas
Innovations & Lessons Learned
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Decrease ED visits & inpatient length of stay.
Serve more patients with the existing infrastructure.
Ensure Financial Success
The New Way
Build a new clinic!
Increase inpatient
census!
Improve referral rates!
The Old Way
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The New WayThe Old Way
Reduce Wait Times in the ED
Build a new Fast Track facility. Station medical group physicians at
long-term care facilities in order to
prevent ED visits before they happen.
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The New WayThe Old Way
Reduce Capital Expenditures
Delay a new facility
project until next year.
Build flexible beds that are shared
between ER & OR, in order to
reduce total capacity required.
Operating
Room
Emergency
Room
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The New WayThe Old Way
Station medical group physicians at
long-term care facilities in order to
prevent ED visits before they happen.
Improve Patient Satisfaction
• Repaint to a new color
• Make the room bigger
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The New WayThe Old Way
New Facility Design
Community Needs Assessment
& Health Impact Assessment
What worked well in the past?
?
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Session References
• Financial Success– E22: Strategic Planning Forum: Population Health
– E23: Roadmap to Success: A Community Clinic Increases Efficiency While Reducing Costs
• Waiting Times
– E09: Your Aging Bed Tower – Top 10 Considerations When Renovating
– E22: Strategic Planning Forum: Population Health
• Capital Expenditures
– E13: Using Operational Studies to Improve Healthcare Facility Planning & Design
– E18: Akron’s Children’s Hospital’s Lean Journey
• Patient Satisfaction
– E38: Assessing a Post-Occupancy Evaluation of a Lean MRI Children’s Suite
– E100: Integrated Design Steps to Bind Infrastructure to Clinical Outcomes
• New Facility Design
– E59: Five Ways Population Health Data can Add Value to Healthcare Design
– E97: Converting Big-Box Retail to a Medical Facility
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Evolution or Revolution?
LeanHDX: Design with Your Process in Mind
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Is incremental improvement to the
way we do design enough?
Or do we need to fundamentally
rethink our approach?
Evolution or Revolution?
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Background:
• Inpatient pharmacy rehab.
• To reduce errors, installed an automated picking system.
• Successfully prevented adverse drug events!
• Created physical mock-ups to ensure adequate space.
Challenges:
• No way to adequately test demand timing & queuing.
• Resulted in large queues for the picking system because two
terminals were not enough to meet demand.
Case: Patient Safety
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Background:
• Outpatient MRI facility (expansion)
• Only had funds to do 2 mock-ups
• Tested zone layouts in order to prevent metal accidentally
entering the MRI area
Challenges:
• Only the most likely scenarios were tested;
• Unable to test additional creative layout ideas;
• Unable to test process timing, so ended up building changing
rooms that were unnecessary
Case: Cardboard is Expensive
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A Combined Approach
Construction
1. Voice of the Customer
2. Lean Process Design
3. Charrette-Based Layout Innovation
4. Simulation of Potential Layouts with
Anticipated Processes
5. Mock-Up or Virtual Reality Experience
6. Final Design Decisions
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A Combined Approach
Lean Process Improvement
1. Voice of the Customer
2. RIE-Based Idea Generation
3. Simulation of Potential Modifications
4. Pilot Revised Process & Layout
5. Finalize Future State
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Comments from the Field
Once the project budget is
set, there is not usually
additional money – so we
have to find ways to get
creative with what we have.
We only have one
chance to do this, so
it has to be right the
first time.
I need more ways to
“try before I buy”
my new layouts.
I am an architect –
but I no longer
design buildings. I
design systems.
In the past, I only pulled out
“the big guns” [simulation] for
the really important projects.
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To try it out for yourself and
request a trial license:
www.LeanHDX.com/trial-leanhdx/
Join the Revolution!
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Join us next year at the Healthcare
Design Conference to learn more!
November 14th – 17th 2015
Washington D.C.
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Questions?
Please forward any topics you
would like to see covered to:
Continue the discussion on
SIMUL8 in Health – LinkedIn Group
Next Workshop – Tuesday December 16th