Hospital of the Future

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Rudolf Haynes
5 years ago
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1 Hospital of the Future Seven Habits to the Elder Friendly Hospital Rudi van den Broek MPA, EDAC

2 500 beds $348.6 million m 2 750,000 bricks 65km of cabling Earthquake proof to 8.2 Ground breaking to patients 29 months 2

3 Today Who? Hospital of the Future Why? How? Early results You too?

4 Who?

5 VIHA

6 Island Health Population Health & Wellness Primary Health Care Acute Care Mental Health & Addictions Services Home & Community Care

8 Hospital of the Future: An Elder Friendly Hospital 8

9 Hospital of the Future: An Elder Friendly Hospital Places Worth Walking To clutter-free hallways with handrails 9

10 Hospital of the Future: An Elder Friendly Hospital Places Worth Walking To access to nature (with handrails) 10

11 Hospital of the Future: An Elder Friendly Hospital 11

12 Hospital of the Future: Patient-Centered Care 12

13 Hosp Hospital of the Future: Family Involvement

14 Hospital of the Future: Calm places of respite

15 Hospital of the Future: Quality and Patient Safety 1400 sinks, including in every patient room 15

16 Why? 16

17 Aging An Aging Population (75+) 8x as steep 17

18 An Aging Population (75+) Aging 18

19 An Aging Population (75+) Aging

20 Capacity

21 Capacity

22 Cost Impact of an aging population 22 22

23 Cost Impact of an aging population 23

24 How?

25 Habits Begin with the End Be Proactive Envision the ideal characteristics Your decisions are the primary determining factor for effectiveness First Things First Plan, prioritize, and execute on importance rather than urgency Have Fun Balance and renew your resources to create a sustainable project. Think Win-Win Strive for mutually beneficial solutions Synergize Synopsis: Combine the strengths of people through positive teamwork. Seek First to Understand Empathetically listen and take an open mind

26 Habits Habit #1: Your decisions are the primary determining factor for effectiveness

27 Create a strong team

28 Secure authority and use it Be clear and decisive

29 Begin with the End in Mind Habit #2: Envision the ideal characteristics Elder friendly / Patient centered Healthy, Healing Hospital Irresistible to Staff / A safe environment Sustainable and Green

30 Design Philosophy Patient Centered Staff Informed Universal Flexible Efficient 30

31 Means to staff Single rooms - reduces risk and aid healing Distributed care reduces walking Standardized layout less searching Equipment depot just in time equipment Respite areas Teaching locations Positive distraction 31

32 Proposed Ideal

33 Achieved August 21, 2011: 11:34am Medicine Unit at 100% Occupancy

34 Put First Things First Habit #3: Plan, prioritize, and execute on importance rather than urgency The tyranny of the urgent Quadrant 2 is critical for leadership as it addresses ongoing issues rather than reacting to today s A dedicated project team is key

35 Put First First Things things, First first

36 Win-Win Habit #4: Strive for mutually beneficial solutions

37 Win-Win

38 Win-Win 0

39 Listen Habit #5: Empathetically listen and take an open mind

40 Listen

41 Synergize Habit #6: Synergize/combine Combine the strengths the strengths of people through of positive people teamwork.

42 Synergize

43 Synergize Lots of design considerations have been made to address health and safety issues at other older facilities good work! (Worksafe BC) The vision for nursing practice is exciting. The benefits to practicing in a safe, patient centered environment is truly inspiring. I look forward to the future! - (VIHA-RN) Absolutely fascinating design congratulations on involving staff well done! - (VIHA-RN) I really appreciate the thought that went in to design the space to be elder friendly (VIHA-OT)

44 Have Fun Habit #7: Have Balance fun! Keep and renew up your your capacity resources to by create ensuring a sustainable sustainability project.

45 Have Understanding. Fun engaging

46 Design Outcomes

47 Design Outcomes

48 Design Outcomes

49 Design Outcomes

50 Design Outcomes

51 Validation National award 2009 International award

52 Validation

53 Royal Jubilee Hospital Validation Victoria, Canada Research questions related to a key design issue: preventing falls What are Studies factors suggest that increase that risk from for falls? 12% - What environmental 28% of falls occur factors while are related toileting fewer falls? What patient characteristics are related to falls? Royal Jubilee patients are among oldest in Canada Patients are increasingly sick and overweight Preventing Falls: Research Benchmark Hospitals Research Literature Firm s Studies & Experience Bedrails not effective Design for good visual access to patients important Headwall-mounted door to toilet may reduce falls Many falls occur during toileting Bundles of design factors can be effective (flooring, lighting, handrails) Family presence Wide doors to permit dual assistance Electronic sensors promising

54 Validation Fall Prevention Design Features Ceiling-mounted lifts from the bed to the toilet Room designed for good visual access to patient Nurses located close to patients Single-bed rooms that support family presence Continuous handrails from bed to washroom Wide doors that permit dual assistance Amber nightlights to aid night vision

55 Validation What this means to patients Fewer falls Better sleep Faster healing Incentive to get out of bed Calm and rested Go home healthier

56 Early Results Post occupancy evaluation Pebble Research 6 months post opening Early days Statistical validity being evaluated But.

57 Outcomes Intra-unit transfers: -46%

58 Outcomes Length of Stay: -26%

59 Outcomes Hand washing Rate: +9%

60 Outcomes Overhead pages: -98% Visiting hours: +800% Improved sleeping Reduce aggression Better communications Improved biking and running Access to nature

61 Lessons Consider the 7 habits! Hospitals can heal! So design matters!! You are designing a year asset Make principle based decisions Use the evidence and add to it Be nimble and run until apprehended User groups advise, you dispose

62 Faster Horses

64 Web:

81 Web:

I am the Center of the Universe and so are you!

TEXAS CASA ADVANCED ADVOCACY WEBINAR SERIES THE SEVEN HABITS OF THE HIGHLY EFFECTIVE CASA Brenda Sweeten, LCSW June 11, 2014 I am the Center of the Universe and so are you! Because of the laws of physics,