FuturewardAdvanced Communication Technologies for Medicine

and How to Design The Spaces that Fit Them

CICC GIM SymposiumApril 8, 2001

Patrick Spear, M.Arch, BScH

All Content Copyrighted Patrick Spear 2009-2011

Bachelors Cognitive Science

Masters of Architecture

• Computer Science + Psychology

• Human-Computer Interfaces

• Graphic Design

• Interactive Architecture

• Medical Architecture

Healthcare Architecture Firm

Futureward Project

• Based in Toronto

• International Clientbase

• Specializing in Patient-Centered Design

• Extension of Masters Thesis

• Project Lead

Part 1 – Why projects like this are importantTHE NEED FOR RADICAL DESIGN

Part 2 – How projects like this should be doneTHE RELATIONSHIP OF INFORMATION + SPACE

Part 3 – What we’ve come up withFUTUREWARD’S CARE CORE

Technology, summarized.

What 100 years of progress looks like.

Uh oh.“I guess I’ll have

to take this back”

Medical IndustryMost Industries

Time

Cap

ab

ility

of Tech

no

log

y Better Outcomes

Happier Staff

Greater Efficiency

Part 1 – Why projects like this are importantTHE NEED FOR RADICAL DESIGN

Part 2 – How projects like this should be doneTHE RELATIONSHIP OF INFORMATION + SPACE

Information Plane

Physical Plane

Intangible | Ephemeral

Simple to change | Instantaneous to traverse

Tangible | Permanent

Difficult to change | Difficult to traverse

Information Plane

Physical Plane

Information Plane

Physical Plane

Content

Devices

People

Spaces

Medical Records

Diagnostic Imaging

Scheduling

Interprofessional Comms

Notifications

Life Systems

Patient’s Devices

Tablets

Wallscreens

Imaging Machines

Doctors

Nurses

Patients

Family

Patient Rooms

Ward Layout

Storage

Nursing Stations

Database Architecture

Graphic Design

Interface Design

Hardware Research

Industrial Design

Medical Training

Cognitive Psychology

Faimly Needs Research

Evidence Based Design

Architecture

Engineering

Functional Planning

Systems Manufacturers

Close, but no.

Better precedents for medical buildings.

Information Plane

Physical Plane

Content

Devices

People

Spaces

Medical Records

Diagnostic Imaging

Scheduling

Interprofessional Comms

Notifications

Life Systems

Patient’s Devices

Tablets

Wallscreens

Imaging Machines

Doctors

Nurses

Patients

Family

Patient Rooms

Ward Layout

Storage

Nursing Stations

Database Architecture

Graphic Design

Interface Design

Hardware Research

Industrial Design

Medical Training

Cognitive Psychology

Faimly Needs Research

Evidence Based Design

Architecture

Engineering

Functional Planning

Systems Manufacturers

Because medical work is so dependent on both

information and space,

No project that seeks to explore the

promise of new medical technology

can afford to ignore the spaces in

which those technologies will work

Part 2 – How projects like this should be doneTHE RELATIONSHIP OF INFORMATION + SPACE

Part 3 – What we’ve come up withFUTUREWARD’S CARE CORE

Patient Room Design

Primary Qualitative

Research (Interviews)

Research into

Technology Trends

• Physicians

• Allied Health Workers

• Patients

• Family Members

• Functional Planners

• Architects

• Prototypes available in 2-3 years

• Available for mass production in 7-8 years

• Commonplace in 20 years

Patient / Visitation

Charting

Semi-Private

Balcony

Medical

Entrance

Patient Room

Patient Room

Care Core

Wallscreens

CRT LCD OLED

Environment Extension Information Display Contamination Highlighting

Remote Visitation Patient Education

Shell Walls

WallscreenPartition Storage

Equipment Furniture

3D Printers

RepRap

Robotic Delivery Systems

1) It can take a practitioner an hour to find the materials for

a 20 minute procedure.

2) Humans are bad at the mechanical task of keeping

centralized resources stocked

3) Infection control issues arise with centralized

resources.

Findings from the Procedure Cart Project

Integrated Nursing Stations

1) Increase in usable space

2) Large reduction in shared surfaces

Electronic ICU

Life-System Equipped Bed

Large part of patient’s despair

is caused by a loss of locus of control

Standard configuration Moved towards

window

Pulled out during

emergency

Facing wall for remote

visitation

AI Environment Monitoring

1)Camera

2)A Smart Computer• Detect People and Their Motions

• Understand Context

5-6 Years

Kinect

Watson

$200 Computing Power

2010

$200 Computing Power

2030

Kinect being used at Sunnybrook Hospitalto allow surgeons to operate computers without breaking chain of contamination

Total Lack of a Conclusion™

Questions?

Project website: futureward.org

Email me about Futureward: pfs@pfspear.net

All Content Copyrighted Patrick Spear 2011