using sim to_improve_hc_design_112514 (3)
DESCRIPTION
Facility design developed with Lean principles in mind reduces long-term operating costs, increases patient and staff satisfaction, and improves clinical quality and outcomes. Just back from the Healthcare Design Conference in San Diego, SIMUL8’s Brittany Hagedorn will share insights from discussions with architects and designers, and share real life examples of how simulation has been used to improve layout design. We’ll also showcase LeanHDX, designed for architects and planners, to create evidence-based healthcare facility designs that both eliminate waste and maximize performance. Register today and join us as we explore how simulation is transforming healthcare facility design. If you're unable to attend don't worry, you can still register to receive access to the workshop recording and slides.TRANSCRIPT
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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]
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SIMUL8 Corporation | SIMUL8.com | [email protected]
Housekeeping
1. Audio
2. Q & A
Recording available on SIMUL8Healthcare.com
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SIMUL8 Corporation | SIMUL8.com | [email protected]
Presenters
Brittany Hagedorn
SIMUL8 Healthcare Lead, North America
LEED AP
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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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SIMUL8 Corporation | SIMUL8.com | [email protected] SIMUL8 Corporation | SIMUL8.com | [email protected]
Healthcare Design Conference
Context for Today’s Discussion
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SIMUL8 Corporation | SIMUL8.com | [email protected]
HCD Conference
“Better Care through
Better Design”
#HCDCon
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SIMUL8 Corporation | SIMUL8.com | [email protected]
4,000 Attendees
50%
20%
15%
10%
5%
Architects
Clinicians & HospitalAdministrators
Builders
Exhibitors
Interior Designers
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SIMUL8 Corporation | SIMUL8.com | [email protected]
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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SIMUL8 Corporation | SIMUL8.com | [email protected]
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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SIMUL8 Corporation | SIMUL8.com | [email protected] SIMUL8 Corporation | SIMUL8.com | [email protected]
Happening Today
The Current State of Healthcare Design
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SIMUL8 Corporation | SIMUL8.com | [email protected]
What do we mean by “Design”?
Intentional decision making about a
spatial layout and flow through a built
environment.
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SIMUL8 Corporation | SIMUL8.com | [email protected]
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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SIMUL8 Corporation | SIMUL8.com | [email protected]
State of the Art
Charrettes
Cardboard Mock-Ups CAD Renderings
Virtual Reality
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SIMUL8 Corporation | SIMUL8.com | [email protected]
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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SIMUL8 Corporation | SIMUL8.com | [email protected] SIMUL8 Corporation | SIMUL8.com | [email protected]
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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SIMUL8 Corporation | SIMUL8.com | [email protected] SIMUL8 Corporation | SIMUL8.com | [email protected]
Crazy Ideas
Innovations & Lessons Learned
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SIMUL8 Corporation | SIMUL8.com | [email protected]
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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SIMUL8 Corporation | SIMUL8.com | [email protected]
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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SIMUL8 Corporation | SIMUL8.com | [email protected]
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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SIMUL8 Corporation | SIMUL8.com | [email protected]
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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SIMUL8 Corporation | SIMUL8.com | [email protected]
The New WayThe Old Way
New Facility Design
Community Needs Assessment
& Health Impact Assessment
What worked well in the past?
?
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SIMUL8 Corporation | SIMUL8.com | [email protected]
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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SIMUL8 Corporation | SIMUL8.com | [email protected] SIMUL8 Corporation | SIMUL8.com | [email protected]
Evolution or Revolution?
LeanHDX: Design with Your Process in Mind
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SIMUL8 Corporation | SIMUL8.com | [email protected] SIMUL8 Corporation | SIMUL8.com | [email protected]
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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SIMUL8 Corporation | SIMUL8.com | [email protected]
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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SIMUL8 Corporation | SIMUL8.com | [email protected]
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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SIMUL8 Corporation | SIMUL8.com | [email protected]
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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SIMUL8 Corporation | SIMUL8.com | [email protected]
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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SIMUL8 Corporation | SIMUL8.com | [email protected] SIMUL8 Corporation | SIMUL8.com | [email protected]
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SIMUL8 Corporation | SIMUL8.com | [email protected]
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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SIMUL8 Corporation | SIMUL8.com | [email protected] SIMUL8 Corporation | SIMUL8.com | [email protected]
To try it out for yourself and
request a trial license:
www.LeanHDX.com/trial-leanhdx/
Join the Revolution!
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SIMUL8 Corporation | SIMUL8.com | [email protected] SIMUL8 Corporation | SIMUL8.com | [email protected]
Join us next year at the Healthcare
Design Conference to learn more!
November 14th – 17th 2015
Washington D.C.
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SIMUL8 Corporation | SIMUL8.com | [email protected] SIMUL8 Corporation | SIMUL8.com | [email protected]
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