edra_2015_being the change
TRANSCRIPT
• What’s changing in practice- Research!
• Resistance to change
• Being the change:
– A model of using a project as a lab for research
Changing Market Culture
• Focus on “Value” not Cost
• Increase in Accountability
• “Educated” consumer
• Data-driven culture
• Increased computational ability
• “Green” conscience
DesignGreen
• Compared and ranked
various renewable power
systems based on costs
and energy produced.
• Analyzed actual roof
space for solar power
system based on
clearance, shading
and existing support
structure.
DesignGreen
HEALTHCARE RESEARCH
STAYING INFORMED
5 point agenda for Healthcare Research
Improve Patient & Family ExperienceReduce stress, pain perception, anxietyImprove comfort, satisfaction, sense of control, wayfinding, family presence
Improve Safety / Mitigate RiskReduce risk of infections, falls, injury and errors
Improve patient monitoring; improving environmental health
Increase Staff Effectiveness & SafetyReduce staff fatigue, injury, errorsImprove efficiency, communication, collaboration and satisfaction
Improve performance and patient interaction
Lower Life Cycle CostsOperational flexibility; Balancing one-time capital cost with life-time operational cost, accounting for improved outcomes and return on investment
Improve Organizational OutcomesHCAHPS; LOS (Length of Stay); LWBS (Leave without being seen rate); Return Rate; Referrals; Turnovers
HEALTHCARE RESEARCH
STAYING INFORMED
Evidenced Based Design Case Study: Emory Neuro ICU Design
Research Team: HKS and Georgia Tech
Objective:
Design for Patient/Family focused Care
Location:
Emory University Hospital
Procedure:
Industry survey and benchmarking of award-winning Neuro ICU designs.
Design Charrettes with user groups.
Key findings:
Private family zone inside patient room increased family satisfaction
Dissemination:
Wall Street Journal Article
Objective: To assess the performance of membrane ceiling technology in controlling air particulate dispersion in exam rooms.
Location: Washington Hospital Center Mock-up
Published: Journal of Healthcare Engineering
Method: Computational Fluid Dynamic (CFD) Modeling
Key outcome: A membrane diffuser directed
airflow ventilation provides a less
turbulent airflow pattern and less mixing of
the air between the patient and others in
the room.
Membrane Ceilings in ED Exam Rooms
Research Team: CCRD; Fluid Dynamics Solutions Inc. PI: D. Pati; Mik Pietrzak
HEALTHCARE RESEARCH
STAYING INFORMED
Evidenced Based Design Case Study: View and Acute Stress
Objective:
Ascertain impact of view duration and content on acute stress and alertness of nurses
Location:
Children’s Healthcare of Atlanta
Procedure:
Measured acute stress, chronic stress and alertness before and after shift
Key findings:
Nature view reduces staff stress
Nature viewReduced Staff
Stress
Reduced Staff Turnover?
Improved Patient
Interaction
Improved Patient
Satisfaction
More referrals, More
reimbursement, More $$$
CADRE
Overall Goal: Individual, Organizational and Environmental Wellbeing
MATERIALS
& SYSTEMS
LINE
DESIGN GREEN
TECHNOLOGYHUMAN
BEHAVIOR
LINE
DESIGN GREEN
CADRE
HUMAN BEHAVIOR TECHNOLOGY MATERIALS & SYSTEMS
Overall Goal: Individual; Organizational and Environmental Wellbeing
Reported Data Observed Data Spatial Data
16 Interviews
(6 RN; 3 PCS; 3 Leadership;
2 NA; 1 UC; 1 care navigator)
17 hours of RN Shadowing
(day + night)
Travel distance from point
to point using parametric
modeling tools
Surveys (31 responses) Behavior Maps (6) + Sound
Readings (10)
Sight Lines
FIELD RESEARCH + SIMULATION
Human Behavior
Existing Use of Environment
Energy Performance
Environmental Affordance
ProMedica New Patient Tower 37May 13, 2014
RESEARCH FINDINGS: 7TH FLOOR MED-SURG
17 6 3 2Hours of Minute to Minute Shadow Data
RN Interviews Patient Care Supervisor Interview
3LeadershipInterview
1Care NavigatorInterview
131Survey Responses
10Sound readings; Behavior Maps
NursingAssistantsInterview
Unit ClerkInterview
DETAILED PARAMETRIC
ANALYSIS
ProMedica New Patient Tower 41May 13, 2014
Integrating Research into Practice: One Project at a Time