Project

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Contents

Phase 1 Problems and Issues

Onsite Member Page: http://www.hsi.gatech.edu/onsitecenter/index.php/Onsite_Health_Center_of_the_Future:Current_events

'Project #1 - Defining Onsite Health Center'

Project Group 1

Lauren, Nadu, Chung,

  • Productivity
  • Cost Effectiveness
  • Predictive Health

Media:Onsite_Health_Center_presentation_25_August_2009.pdf‎

Project Group 2

Sunandha Gunaseelan, Tina Lee,and Hyungsin Kim

  • Worksite health promotion/ intervention programs
  • Web-based health education
  • Implement Electronic Medical Record systems

Media: Onsite_clinic_03.pdf

Project Group 3

Scott Gilliland, Ariel Garcia, Gourab Kar, Gabriele Seppi


Analysis of Problems

Management of information
  • privacy concerns
  • scheduling at the office
  • medical history
  • prescriptions
    • misfilled due to bad handwriting
    • conflicting medication
  • managing wait times
Acquired infections
  • how to reduce infections without physical segregation
  • especially with children
  • shark-fin material
Stress induced errors
  • study of workflow patterns of care givers
  • understanding the cogntive load
  • also reduce stress levels in the patient

Presentation

Project Group 4

Aby,Andy,Kezban

  • Health Centers Benefits
  • Main issues/ properties
  • The one we are intersted in : welness center
  • Evidence Based Architechture
  • Engineering point of view
  • Different cases

Presentation

Note

Project Group 5

Brett LaBrecque, Szu-Chia Lu, Wenhong "Chris" Neoh

  • Communication of information, education, diagnosis, analysis, statistics
  • Reduce errors in data entry and communication between physicians, nurses and patients
  • Efficiency of entry, exit procedure to expedite overall process to allow for patients to spend more time with physicians and reduce time out-of-office for employees
  • Patient experience - waiting room environment, ambiance & furniture

Media:On-site Health Centers - Team 5.pdf

Project Group 6

Mugdha Barve, Whitney Haller, Pei-Lin Liao, Ekta Nagar

  • Case Study of Existing Onsite Clinics

1) Cisco

2) Humana

3) Disney

4) Toyota

Onsite Clinic Case Studies

Project Group 7

Amaya, Mano, Niquelle

Smaller scale on-site health centers

  • Affordability
  • Feasibility
  • Technological capabilities
  • Aesthetics and patient experience

Media:On-Site_Health_Centers_The_Age_of_the_Health_ATMs_Aug_25th_2009.pdf

Project Group 8

Indu, Jiasheng, Ruchika

  • Ambient Experience
  • Information Kiosk

Media:OHC_presentation.pdf‎

Project Group 9

Subhav, Dinesh, Manas

A Study on Future of remote Health Provisions

  • TeleMedicine
  • Mobile Healthcare

Media:‎OnSiteHealthCenter.pdf

Project Group 10

Rupal, Siddharth

On-Site Health Centers - Diverse Contexts

  • Military on field
  • Community Centers
  • Schools and Universities
  • Residential Complexes, Villages, etc
  • Ships and Cruises

Presentation

Phase II Defining Problems and Inventing Innovations

Project #2 - Role Playing Skit

'Project Group 1'

Lauren, Nadu, Chung

Easy Patient Check-In & Triage

The skit starts at an onsite healthcenter with an employee checking in with the receptionist. The employee is asked to proceed to a kiosk where they can check that their information is correct in the system, indicate their symptoms, as well as have their vital signs read by the computer. Once finished the patient can then view informational videos/slides about flu season, flu shots, and other health center happenings. The patient is then quickly escorted into the exam room where the Doctor already has a preliminary diagnosis. The patient undergoes 1 test/exam and then is on their way with a perscription.

The moral of the skit is that by using expidited check-in services, patient length of tiem spent in the health center can be reduced. Additionally this type of check-in would allow the health center to keep patients entertained while they are waiting, which would decrease complaining and boredom in the waiting room.

With this skit the idea of patient privacy also came up - who would be able to see what was being put into the computer while the person was at the kiosk. Also, a question of how accurate could the computer readings be is another question to be answered.

'Project Group 2'

Sunandha, Tina, Hyungsin

Issue: Communication problem:  Language barriers,  Medication errors , Waiting times,  Compensation claims

In our skit, we performed the problems that could happen in the process of checking in. An old lady who cannot speak English had a problem to check in due to the language barriers. So she had to wait almost two hours in a waiting room. Her daughter stopped by the clinic to see how her mother was. She realized the fact (waiting for two hours without any information) and got angry. Then she talked with the receptionist and she helped to her mother to check in. then she left for her class. Her mother again had a problem communicating with a doctor. The communication problem caused the doctor to make medication errors. The next day, they had to visit again because of the wrong medicine. Then we described the issues of compensation claims. the attached file includes the scenes we used for the performance.

Media:Team_2_Acting.pdf

'Project Group 3'

Scott Gilliland, Ariel Garcia, Gourab Kar, Gabriele Seppi

Issue: Privacy, Hospital Acquired infections, Excessive waiting times, Lack of specialists

In our skit, our patient arrives to the registration area after waiting in line with a very sick flu patient. During his registration, his privacy is compromised due unprofessional behavior from the registrar. After receiving treatment, he is informed that he needs to go to another hospital since the on site clinic does not have a specialist to treat his condition. By the way, he gets the flu. :P

'Project Group 4'

Aby, Andy, Kezban

Issue: Doctor's not washing their hands

Patient 1 goes to see the doctor for flu. Doctor notices red spots which she says infectious on patient's skin. She touches these infectious spots and she goes to next patient without washing her hands. Patient 2, who comes just for check up, visits hospital two days later for some skin problems. He has some red spots on his skin and asks doctor how/ where he woul get that from. Nurse reminds doctor that she had not washed her hands between patient1 and patient 2 two days ago.

Issues raised: It is not because doctors or people do not know that they should wash their hands. There are other factors like culture, habits, etc.

'Project Group 5'

Brett LaBrecque, Szu-Chia Lu, Wenhong "Chris" Neoh

Our skit is presenting the waiting time after checking-in in a on-site health care center.

'Project Group 6'

Ekta, Whitney, Mugdha, Pei-Lin

Issues: Scheduling (should be online, updated in real time, available to view by everyone), Privacy

Three patients tried to set up appointments over the phone, but the receptionist is too overwhelmed when answering numerous calls, at the same time, trying to figure out the purpose of one of the appointments when the patient is embarrassed by her problem. As a result, the receptionist messes up the schedules and all three people show up at the same time.

'Project Group 7'

Issue: Information integration between On-Site Health Centers and primary health providers.

Mr. Manohar, the patient, goes to his On-Site Health Center. He is exhibiting behavior indicative of a mental health issue and describes symptoms of depression. Doctor Niquelle prescribes antidepressants and refers him to a psychiatrist, Doctor Amaya. Doctor Amaya has an incomplete file on the patient, and prescribes more antidepressants. The medications interact and the patient is adversely affected. With our skit, we wanted to underline the benefits of a streamlined information flow, including digital patient files. In the subsequent discussion with the professors, Mr. Manohar was commended for his mental patient portrayal (and we're still not sure if that's a compliment or not...) and the issue was brought up of the appropriateness of a mental health patient for this particular example.


'Project Group 8'

Indu, Jiasheng, Ruchika

Issue: Medication Error

The nurse is in a hurry and, even though he shouldn't, he takes two patients' medication from the Pyxis MedStation. He puts one bottle in one pocket, and the other bottle in the other pocket in order to keep them separate. However, due to an irate patient distracting him, he makes a mistake giving medication, and the patient suffers.

'Project Group 10'

Issue: Little Information dangerous thing

An avid 'Googler,' decides to get her illness checked. Upon meeting her doctor, she questions him about everything from his medical background, to why she trusts her in-house doctor 'Google' more than anyone with a degree. Her interaction with the doctor results in the revelation that all her symptoms from sleeplessness to headaches are a result of an obsession with self diagnosis through the internet. The doctor wisely prescribes her a dose of "an internet- less life."

Through the skit, we wished to convey the idea of how a little information can be a very dangerous thing. Also, it taps upon the population of patients that doctors term as 'brain suckers,' meaning those who come to a doctor with an evident lack of trust and leave the doctor no room to retort by putting their entire faith in information they found elsewhere.

'Project Group 11'

Dinesh, Manas, Subhav

Issue: Well and Sick patients should be kept separate.

A person with flu like symptoms comes into the health center where the doctor diagnoses him, prescribes him and sends him home. This person, though diagnosed correctly is a risk to other patients and well people in the health clinic. This is portrayed when he meets a close friend and risks transmitting his illness to his friend. In the other scenario, the health center puts his belongings ( such as cell phone, wallet etc. ) in a plastic bag. He is given a mask to wear and when the doctor diagnoses him, he also informs him of some dos and donts. In this scenario, other patients are better protected and there is a lesser risk of transmission.

Project #3 - Identifying Problems and Challenges

Describe the problems you would like to address in the Onsite Health Center

Each team has 5 minute to report the top 1 (or 2, or more) problems you found would be important to address. If you have thought about some solutions, feel free to include them briefly in the presentation. The focus should be on the problems - what are the components of the problems, and if you can find evidence or research to support your statement.

'Project Group 1'

Amaya, Nicquelle, Mano, Lauren, Chung, Nadu

Presentation

'Project Group 2'

Sunandha, Tina, Hyungsin

Media:OHS_Problem_ver_1.4.pdf

'Project Group 3'

Scott Gilliland, Ariel Garcia, Gourab Kar, Gabriele Seppi

Presentation

Project Group 4

Aby,Andy,Kezban

Presentation‎

'Project Group 5'

Brett LaBrecque, Szu-Chia Lu, Wenhong "Chris" Neoh

Presentation‎

'Project Group 6'

Ekta, Mugdha, Pei-Lin

Information Distribution

'Project Group 7'

Whitney, Subhav, Manas

Airplane Healthcare Presentation

'Project Group 8'

Indu, Jiasheng, Ruchika

Managing Health Records Presentation


'Project Group 10'

Siddharth, Rupal

Slides


Project #4 - Observation Report and Floor Plan Analysis

Each group presents two projects: (1) field observation report, and (2) floor plan analysis (choose from one of the S, M, L example, plus 1 exam room floor plan layout with dimensions and scale)

'Project Group 1'

Lauren, Chung, Nadu


Media:Onsite_Health_Centers_analysis_and_observation.pdf

'Project Group 2'

Sunandha, Tina, Hyungsin

Field Observation & Exam Room and Floor Plan Analysis

'Project Group 3'

Ariel, Gourab, Scott, Gabriele

Field Observation and Floor Analysis

'Project Group 4'

Aby,Andy,Kezban

Exam Room and Floor Plan Analysis & Field Observation

'Project Group 5'

Brett LaBrecque, Szu-Chia Lu, Wenhong "Chris" Neoh

Floor Plan Analysis & Field Observation
Field Observation on GT Health Center

'Project Group 6'

Mugdha, Pei-Lin, Ekta

Field Observations and Floor Plan Analysis

'Project Group 7'

Whitney, Manas, Subhav

Floor Plan Evaluation

Onsite Clinic Visit CVS Minute Clinic

'Project Group 8'

Indu, Jiasheng, Ruchika

Floor Plan Analysis and Aldredge Health Center Observations

'Project Group 9'

Amaya, Niquelle, Mano

Floor Plan Analysis and Site visit

'Project Group 10'

Rupal Deshmukh, Siddharth Gupta

Floor Plan Analysis

Site Observation

Phase III Binging it all Together

Challenges and Opportunities

Each person should identify at least 3-4 problems (more is fine) that you consider to be challenges and opportunities that you would like to work on. For each problem, please write a short statement of the problem, and put your name in parenthesis to indicate that you would be interested in working on the issue.

Next week in class we would look at all the problems/issues/challenges/opportunities and prioritize them and identify top 10 issues that we would work on for the rest of the semester, and the compositions of the teams.

The source of the problems/issues/challenges/opportunities (PICO) could come from presentations from your team, or other team, from current projects, or previous projects.

for example:

  • hand washing compliance (Adam), location of sanitizers (Bravo), incentives or encouragement technique (Cathy)
  • privacy in waiting room, don't want people calling out names (Daryl), easy display showing queue and numbers to be served (Evan)

Now, your turn! Please do so by Monday night, so that we would have all your entries before the class!


  • item 1 (name) (name) more stuff (name)
  • item 2 (name)
  • item 3 (name) xxx (name)


  • Health information before airplane flights--When you purchase an airline ticket, the airline would link your EMR to the CDC website and would identify health problems in your destination that pertain to you. For example, if you have asthma and you are going to a place with high smt og, it would tell you to bring an inhaler or would give you tips on how to prevent yourself from getting sick. This could be applied for all kinds of health issues and destinations. (Whitney)
  • Medication Reconciliation- to make sure that right medication is given at right time and to the right person (Ruchika)Patient Records- Smooth transition of patient records from one place to another (Ruchika)
  • Virtual queueing--To prevent people in the workplace from wasting time waiting in line, we could create a virtual queue that tells how many are in line and how long the wait is. The worker could enter the virtual queue and work until it is his turn to be seen. This would allow multitasking and no real wait time. (Whitney) use virtual space with avatars to show the visual representation for virtual queue (Hyungsin)
  • Airplane Pyxis--Can we provide medication/treatment while in the air? (Whitney)
  • Scheduling System: how can we improve efficiency of health centers and decrease waiting times? Can a better or innovative/different scheduling system help? (Gabriele) This seems related to Niquelle's ideas, farther down. (Scott) I think open access scheduling is good for high volume onsite health centers (like Georgia Tech), it might not be be the best one for low volumes (Kezban).
  • Scheduling System (cont.): Is it feasible to standardize the scheduling systems of several related clinics (like our health clinic, women's clinic, dental clinic, and (on the other side of campus) sports medicine clinic?) Do patients have a better experience when they can make appointments for many clinics in a standardized way? (Scott)
  • Privacy concerns and storing of information: how can we keep all our medical history/info in one place (easily accessible) and at the same time prevent some information to be seen by certain people? Can we somehow define a policy for who is allowed to view certain pieces of information? (Gabriele) Do we want to keep information with the patient? Or with their insurance company? Or at their place of work? How about a web portal that allows viewing of medical record history and granting of access rights? Should a patient be able to see all information collected about them?(Scott)
  • Avoid useless visits: can we prevent patients from showing up by allowing them to self diagnose common problems? (Gabriele)
  • Patient privacy & increased productivity: Replace the ordinary waiting room with small individual work rooms which have two doors - one to the front entrance of the clinic, one to the exam room hallway. This will allow patients to continue to work while waiting for the doctor as well as maintain privacy while visiting the doctor at work. (Lauren) This seems to help Turner's situation where they try to avoid patients meeting face-to-face. If you already have access control to your building, is it really necessary to see a receptionist on the way into a work-and-exam room? (Scott)
  • Privacy of patient for being called out by their names as well as chances of encountering other patients. Can it avoided by different check in and check out? Can we have a code to identify patients or to address them?(Aby)
  • Wellness coach online - Online wellness tracking software that allows employees to track their participation in onsite health-related activities. Employees could track their doctor appointments, health history, exercise, and nutrition all from their desk or from home. (Lauren) Use technology for healthier behavior changes to prevent obesity (Hyungsin)
  • Organization in exam rooms - By organizing and optimizing the space in an exam room additional equipment could be stored which could in turn allow more procedures to be done in the center (Lauren) Labeling for the storage in the exam room- in Turner lots of text labels are everywhere in the exam room. There will be better way to be labeled for clinicians. Also, some should not be seen by patients for safety purpose. How can labels indicate well, particularly in exam room? (Tina)
  • Privacy in exam rooms: how to separate a small exam room into "public" (relatively) and "private" spaces, are there better ways than just using screens/curtains? (Pei-Lin)
  • Getting sunlight into rooms at the center of a building: People feel happier when there is natural lighting, but spaces in the inner part can't receive that. Possible solution: light shelf. (Pei-Lin)(Mugdha)
  • Ability to check current waiting status or where to go next without invading other patients' privacy: provide patients with barcoded cards etc. and stations set up outside each area for easy access, but also prevent the patient from viewing others' information (even if it's just a name on the screen). (Pei-Lin) or by assigning each patient with a number and call patients in a numerical order so each patient can judge how much time till his/her turn and at the same time patient privacy is maintained.(Mugdha)
  • Hand washing: to remind medical personnel to wash their hands (Andy) maybe by providing hand-washing cues, more hand washing stations or a better idea! (Mugdha)
  • To reduce time in waiting room: a more efficient scheduling system or queue (Andy)
  • To reduce overall time spent in clinic (check-in, exam, check-out): an all-in-one service model in a single exam room or procedure room (Chung)
  • A protype of clinic by using modular space planning and automated delivery system for medical equip & supplies to achieve cost effectiveness (Chung)
  • To reduce noise: a study of acoustics in terms of material selection and spatial configuration (Chung)
  • (1)Privacy of patients when calling them for entering a clinic or lab (2)Reduce dictation times for Physicians. This will only applies for clinics that may have a fair number of patients, like Georgia Tech.(3)Avoid acquired infections in waiting areas (4)Incentive employees to use onsite heath center as their primary care clinic over their insurance company (Ariel)
  • Sick and well Patient segregation to reduce cross contamination as well as tracking movement patten of patients and objects / people that he comes across or touches, to reduce cross contamination(Aby)


  • Problems addressed:

1) Privacy, Confidentiality and fear of taboo 2) User participation Opportunity: The employees (students) of the company (university) can be members of a virtual community such as Second Life and have access to Health, Wellness & Nutrition advice from the health provider (also an object on the virtual community). The opportunity revolves more importantly around seeking help on sensitive medical topics without having to worry about physical identification or taboo. The opportunity is also to leverage the current trend of mass adoption of virtual communities. (Mano, Nadu)

  • Problems addressed:

1) Cost of reactive health services 2) Low effectiveness of broadcast mechanisms of providing health information Opportunity: It is possible that the On site Health Center could take on the role of a Wellness/Work environment Monitoring system, thus providing targeted preventive health support. This has potential to reduce the company's cumulative health expenditure.(Mano, Nadu)

  • Personal and social on-site guidance robot: After a patient check-in (through a kiosk or in person), she/he will be assigned a robot to keep company with the patient which provides the patient what to do next, where to go next, and how the whole process will be proceed. Also, while waiting, patients can check previous anonymous treatment experience of previous patients recorded in the robot, and they can also share their opinions and thoughts to the clinic through the robot as well. Then, when it’s their turn, the robot will send out a flash notification to the patient, and will inform the nurses as well. The purpose of this design is trying to conform the patients through their waiting time, make the medical experience more human touch, also provide some kind of community awareness among work group members. (SJ)
  • Comforting media(ted) spaces: Space or budget for an on-site health center might be limited to create a comforting enough area for patients/PAs/NPs. Through some media technologies, like video camera or adequate display, can provide interactive and responsive waiting or examination area. For example, a installation of display showing the outside scenery serving as a window can expand the physical on-site health center space by combining virtual and real world together.(SJ)
  • Privacy: Patients may not want to be treated in an open area where others can see/hear them (Niquelle)
  • Appointment Booking: Can patients go online to make appointments rather than making a phone call? For walk-ins, can patients go online and view how busy the clinic is (how many people are already in the queue, how many doctors/PAs/NPs are available, etc.)? (Niquelle) Location for the information - information about how busy the clinic etc., can be viewed in different physical places such as restroom, front lobby, or office wall. (Tina)
  • Virtual Visits: Can doctors/PAs/NPs treat patients virtually using video-conferencing tools and on-site medical equipment to measure patients' vital signs and other necessary information? (Niquelle)
  • Privacy in Patient Room: Is there a solution for providing privacy to patients waiting in an exam room with a paper robe while still giving the patients the ability to know who is coming into the room? (Ekta)
  • Communication: How can we effectively communicate with employees on steps to staying healthy or about common health issues on facility (Ekta) Can we change the perception of hospital to make employees come to health center for regular checks or wellness issues, ex: Resort Hotel idea of Ellen Duo (Kezban)
  • Preventative Care: Can we develop some form of portable vaccination booth that allows for clinicians to administer vaccinations, etc. in multiple areas away from the clinic while providing privacy for patients? (Ekta)
  • Surge: How can on-site health centers efficiently handle huge surges of patients, for example during epidemics? What role do on-site health centers play in epidemic control, awareness and prevention? (Siddharth) Many work places have multipurpose rooms - like the spare event rooms in the TSRB. Could a health center keep an epidemic kit ready: everything needed to set up extra clinic space in a multipurpose room? (Scott) Challenge of multi functional furniture on-site health centers, for example, folding bed or underbed storage in exam room, and stackable chairs or transformable tables in waiting room. (Tina)
  • Enabling wider adoption: How can we convince employees to make regular use of the on-site health care facilities, rather than going to their family doctors etc? The health center would be profitable only if a minimum threshold of employee adoption is crossed, how do we ensure that the minimum number of employees use the facility? (Siddharth)
  • Efficient use of waiting time by multi-tasking: How can we make sure that employees do not waste a lot of time while waiting to be seen? Can we use remote check-in to promote multitasking during wait time? (Siddharth) What kinds of multi tasking the employees really want while in waiting room? They may want to do something outside of their offices. They may want to get some massages, get some naps, watch TV, play games...wii fit, etc.. How the waiting room can support this? How about the foot massage room is connected to the waiting room? (Tina)
  • EMR and usability: design a better EMR system (different platforms such as Tablet PC, Tabletop computing, and Handheld Device) for enhancing usability (Hyungsin)
  • Health Information Delivery ATM - computerized kiosk that can deliver test results as well as perform other functions, for instances where direct contact with a doctor/nurse is not required. (Amaya)(Aby)
  • OTC Medication Machine - OSHC staff complain that employees use them for minor events, like headaches and stomachaches. These afflictions can usually be self-diagnosed and treated with OTC medications, but are rarely available in an office setting. A vending-machine like tecnology could be developed to dispense these, along with a interactive display that could best help you choose your medication. (Amaya)
  • Temporary, modular setups - Can be useful for emergency situations, or when quick set up and take down are needed, for temporary instances like the mass handing out of flu shots. Ideally, the system is self contained, and includes a handle and wheels for moving (like a suitcase). (Amaya)
  • Multiple Location Companies: How can we effectively provide onsite health for multiple location companies? Do we need to find optimum location/ locations or can we have a medical booth like Military Health Systems?(Kezban)
  • Flexible, Modular Spaces - For distributed On-Site Clinics as well as for emergencies and epidemics. Scope of the design should consider the global context with a focus on developing countries. Possible parallels can be found in existing designs and systems used in combat environments and refugee camps etc. (Gourab)
  • Patient Interaction System - Located in the waiting area which allows patient to share health information with the online system, while waiting for his/her turn to see the doctor.(Possibly integrated with each seat.) This system will enable the patient to be better acquainted with health issues and enable a more informed interaction with the doctor. (Gourab)
  • Understanding tele-diagnostics and tele-medicine applications for on-site health clinics. Could potentially reduce physical visits to the clinic and enable greater savings for the employer. (Gourab)
  • Provide waiting room conducive to comfortable waiting. Make flow more intuitive to patient so as not to confuse them. Develop a simple, effective check-in/check-out system that will ensure safety, privacy, and expedience. (Brett)
  • Maximum amount of time is spent in waiting area, challenge is to accommodate this area for different kind of patients and care givers who accompany them. Modular waiting area to handle different density of patients. (Indu)
  • Medication Errors - How to prevent mix-ups from happening in a rushed environment. (Jiasheng)
  • Queuing System - How to efficiently get people to arrive and leave the health center in a timely fashion. (Jiasheng)
  • Patient Records - How to transport them on-person between health center and an off-site location. (Jiasheng)
  • How can the on-site health center contribute to education on work-site health? Education on cleaning your desk after you've a cold, providing antibacterial wipes to clean your work area if you've a cold so you don't spread germs. (Chris)
  • How to maximize efficiency in the event of a pandemic or endemic cases, using modularity or multi-purpose furniture, to accommodate large volumes of patients in a short period of time. (Chris)
  • Remote Triaging to maximize efficient use of employees' time as well as the physicians' time so the physician can spend more time with the patients for education or see more people. (Chris)
  • Preventive Care: Can a system be created where health risks for individual employees can be identified through their health risk profiles and EMRs? Programs can then be set up for preventive care for different groups/individuals.(Rupal)
  • Onsite Healthcare locations: How can an OHC be optimally located for organizations with fragmented employee populations. (Publix Example)-(Rupal)
  • Onsite Healthcare: Explore aspects of Medicine/Mobile Healthcare and remote treatment opportunities. (Subhav)
  • Leverage technology to accomplish these tasks via trivial UI devices. Time Saving System to avoid large queues. (Subhav)
  • Global Patient Details and Records accessibility and maintenance. (Subhav)
  • Privacy of patient is of utmost importance. Maybe implementing an electronic token based system where each patient ais given an electronic token which glows or vibrates when it his/her turn? (Dinesh)
  • How do we pass on the cost benefit to the patient by designing cheaper equipment using commodity components (Dinesh)
  • Using healthcare IT to simplify the documentation process in clinics. (Dinesh)
  • A health information system which provides ubiquitous and consistent view of health records. (Manas)
  • Activated environments are very innovative but technically more challenging, to address these challenges and coming up with a scheme to activate environment in such a way that it prevents spread of disease and also helps to provide privacy. (Manas)
  • How to reduce the cost overhead in speciality drugs. (Manas)

22 Items

Example Of Strike through example

  1. Improving Exam Room Design Optimization
  2. Virtual Environment
  3. Scheduling
  4. Patient Flow and Privacy
  5. Privacy of Information
  6. Modular Design & Prototypes
  7. Nosocomial Infections
  8. Identifying Health Risks
  9. Noise/Lighting
  10. Mobile Health Advice/Medications/ Self-Service
  11. Multiple sites
  12. Waiting Experience
  13. Medication Errors
  14. EMR
  15. Telemedicine
  16. Self Service
  17. Wellness Education
  18. Surge
  19. User Participation
  20. Cost Effectiveness
  21. Supply Management
  22. Throughput


Three Issues (or problems) & Approaches

'Project Group 1'

Lauren, Nadu, Chung

Topics:

3) Physical Space Design/Exam Room Design

Physical Space Document

Physical Space Slides

7) Patient Flow/Privacy

Patient Flow/Privacy

Patient Flow/Privacy Slides

11) Cost Effectiveness - Nadu

Cost Effective Document

Cost Effective Presentation

'Project Group 2'

Rupal, Scott, Siddharth

Topics

3. Topic: Physical Deisign / Exam Room Design: Noise / Lighting / Modular Prototypes

Document

Slides

5. Topic: Nosocomial Infections

Document

Slides

8. Topic: Logistics/ Supply/ Efficiency /Throughput

Document

Slides

'Project Group 3'

Mugdha, Pei-Lin, Ekta

Topics:

1) Mobile Healthcare

Mobile Healthcare Document

Mobile Healthcare Slides

3) Physical Design/Exam Room Design (Noise/Lighting/Modular Prototypes)

Exam Room Design (Light)

Exam Room Design (Light) Slides

7) Patient Flow/Privacy

Patient Flow and Privacy Report

Patient Flow and Privacy Slides

'Project Group 4'

Hyungsin, Tina, and Sunandha

Three Issues:

4. Technology to improve service- EMR, tele-medicine, Virtual Technology

Report: Media:Virtual_Technology_Report.pdf‎

Powerpoint:Media:Virtual_Technology_slides.pdf‎


6. Proactive health service: identifying health risks, wellness and education

Report: Media:Health_Promotion_&_Wellness.pdf‎

Powerpoint: Media:‎Health_Promotion_and_Wellness_ppt.pdf‎


12. User participation/feedback

Report: Media:User_participation_Report.pdf‎

Powerpoint:Media:User_Participation.pdf‎

'Project Group 5'

Brett LaBrecque, Szu-Chia Lu, Wenhong "Chris" Neoh

6. Proactive health services, identifying health risks, wellness education
Report: Media:Proactive_Health_Services_Report.pdf
Slides: Media:Proactive_Health_Services.pdf

7. Patient Flow [Report] [Slides]
12. User Participation, Powerpoint

'Project Group 6'

Ariel Garcia, Gourab Kar, Gabriele Seppi

Topic List

Waiting Time [Slides]

Self-Service Kiosk [Slides]

Patient Surge [Slides]

'Project Group 7'

Whitney Haller, Subtav Mital, Manas Apte, Dinesh Joshi


Our topics were:

Medication

Self-Service Kiosks

Mobile Clinics

User Participation

This is our powerpoint. There are two slides per topic in the presentation.

'For the project, we want to create an online Smart Kiosk that serves as a diagnoser, medication dispenser, and venue to talk to a NP: The program would operate in two modes – in the first mode, it will simply dispense the medication the patient asks for to a central vending area. In the second mode, it will try to determine the patient’s ailment by asking a series of questions. If its able to successfully determine the ailment and recommend a medication, it will dispense it. The second part would be to allow the same process to take place at the patient’s computer via a web-based user interface. Once the appropriate medication is determined, a command will be sent to the patient’s nearest kiosk to dispense the medicine. The billing would be either centralized or done at the patient’s work place and taken out of his pay check.'

'Project Group 8'

Amaya, Mano, Niquelle

Topics:

Proactive Health care - Niquelle

Report on Proactive health services, identifying health risks, wellness education

Presentation on Proactive health services, identifying health risks, wellness education

Cost Effectiveness - Amaya

Cost effectiveness report

Cost effectiveness presentation

Technology to Improve Service - Mano

Technology to Improve Service Presentation

Technology to Improve Service Report

'Project Group 9'

'Project Group 10'

Indu, Jiasheng, Ruchika

Topics:

Waiting Experience, Slides

4. Technology to improve service - Telemedicine, Slides

File:Medication Reconciliation.pdf, File:Medication Reconciliation slides.pdf

For the project we are planning to work on building a portable device that would help in medication compliance once the patients are discharged from a hospital. Our target population is the elderly patients who are unable to comply with their medication routine due to forgetfulness, lack of a caretaker/reminders or difficulty to understand the medication routine. Such patients increase the readmission rates and thus increasing the overall costs of the healthcare system. We plan to solve this problem by developing a device (which could be in the form of an alarm system, watch, or iphone application) that could be carried by the patients with them. This device would also provide a room for medicines that will be available to the patient only at the right time of the medication routine. It would also remind the patients about the additional care that they need to take in terms of the food that they eat or exercise etc.

'Project Group 11'

Kezban, Aby, Andy (We were actually team 7)

Topics

1) Logistics, Efficiency, etc


Media: GROUP_7Problem1MultipleLocation.doc‎


report & slides

2) Waiting Experience

report & slides

3) Infection

report & slides


Project Groups and Topics

'Project Ideas/Topics'

Modular flu shot/physical clinic/setup that could travel to multiple company locations [I see that there is already another group working on a similar topic, however if there is anyone else who is interested please let me know - Lauren_Calvert I also like this mobile design - Kezban Yagci

Andy Wu's ideas: I want to continue the project after this semester (evaluation, submission). If you are interested in working on these topics, plz let me know.

  1. Reducing waiting time, improving medical flow and patient experience - using a mobile device.

Andy I like your idea: Abhilasha Jain I guess it would be interesting to find a mobile device which would not increase the infections (if it is touchable) Kezban Yagci

  1. Solving the hand washing problem - wearable computing.

Chung-Lun Kuo's ideas: please see the attached word doc. let me know if you are interested, thanks. Chung's Project Idea Chung-Lun Kuo: I like your idea and would be interested in working with you but need to figure out if 2 people from Architecture can be in one team. Abhilasha Jain


Hyungsin_Kim's ideas

  • Obesity: considering both eating and physical activity together

one approach is to help employees make healthy food choices through better use of the nutrition information Help people to have healthy eating habits Web-based “things to buy” generation( for example, from database of a local grocery store items, we can build a system which can support users to create their grocery shopping list (with healthy ingredients). The activity can be through virtual shopping (3D), interactive 2D web portal, and so on.) the other approach is to encourage employees to walk using pedometers or other sensing technologies Use sensing technology and shared display to encourage people to walk Sensing technology: data collection

Hyungsin Kim - I'd be interested in working with you on the obesity/walking project - Lauren_Calvert Particularly on site health center, obesity is one of the biggest problem of employees. It is a challenge if we could encourage employees to walk through our design. I would like to work on this project with you guys Seunghyun Tina Lee

  • Tablet PC in health centers

I like to understand the use of the Tablet PC and design a better on and evaluate it.

Szu-Chia Lu (SJ)'s idea:

  • The problem of on-site health center I'm thinking to solve here is about alleviating patients'(employee's) psychological uneasiness or anxiety about seeing a doctor or being in a "hospital". The purpose is to make an on-site health center a better and closer, both geologically and psychologically, place for its specific group of members/employee by a personal guidance avatar/doll for each check-in patient. This avatar/doll, which could be general or customizable to the patient, is used to provide social greeting, friendly step-by-step guidance, and to collect feedback from the patients.

'Project Group 3 (previously 6)'

Group members: Mugdha Barve (Computer Science), Pei-Lin Liao (Architecture), Ekta Nagar (Health Systems)

Topics:

Physical Design of Exam Rooms (focus on lighting issues)

We would like to design better ways of bringing sunlight into exam rooms, also focus on the impact of natural light on the patients' conditions and clinicians' productivity.

or Patient Flow/Privacy (focus on portable stalls etc.)

For this topic, the main goal is to create a more efficient but private environment that can be adjusted due to emergencies or other temporary uses.

We can work on either one of these topics.

'Project Group 5'

Brett (Health Systems), Chris (Industrial Design),

The topic we are most interested in is utilizing technology to streamline the registration and check-in /check-out processes. This would utilize an online registration process that could be completed from the employee's work desk and would would preferably incorporate some preexisting corporate technologies such as RFID badges, swipe cards,cell phones, etc. so as to lower cost and increase convenience for the workers. In addition to increasing convenience, these technologies would also minimize the number of "touch points," which could help lower clinic-acquired infections originating from prior patients' illnesses. If there is anyone interested in this type of project who is good at computer coding, please let us know.

'Project Group 6'

Ariel (Health Systems), Gabriele (Computer Science), Gourab (Industrial Design)

Our initial research focused on the topics:1) improving the waiting experience, 2) integrating self service kiosks in the onsite health environment and 3) designing dual use, scalable, modular systems to handle patient surge. Following Tuesdays class discussion we also reflected on the topic of nosocomial infections and the idea of using environmental affordances ( e.g. door knobs) to aid the sanitizing process. The simplicity of the idea and the potential for change encouraged us to pursue this line of thought. We propose a detailed user study of the examination/ encounter space to understand the environmental affordances and then shortlist a few concepts based on the research. The final deliverable will be a working prototype that demonstrates the feasibility of the concept. We are open to ideas and inputs from our colleagues in this class.

'Smart Diagnosis/Medication Vending Machine'

Whitney, Subhav, Manas, Dinesh

'For the project, we want to create an online Smart Kiosk that serves as a diagnoser, medication dispenser, and venue to talk to a NP: The program would operate in two modes – in the first mode, it will simply dispense the medication the patient asks for to a central vending area. In the second mode, it will try to determine the patient’s ailment by asking a series of questions. If its able to successfully determine the ailment and recommend a medication, it will dispense it. The second part would be to allow the same process to take place at the patient’s computer via a web-based user interface. Once the appropriate medication is determined, a command will be sent to the patient’s nearest kiosk to dispense the medicine. The billing would be either centralized or done at the patient’s work place and taken out of his pay check.'

'Project Group 8'

Mano (Computer Science), Amaya (Architecture), Niquelle (Health Systems)

'Ubiquitous computing allows sensors to relay information obtained from the environment. Here we consider the case of ergonomics involved in the case of sitting at a work desk. Pressure sensors in an employee’s chair, can record and relay the postural patterns of the employee through the day. This data can be monitored by the on-site health center to check ergonomic usage patterns. In case an employee overshoots the threshold for incorrect posture, the onsite health center can relay targeted ergonomic suggestions and remedial measures such as provision of a more suitable chair. The design of the system also allows the employee to choose if she wants the onsite health center to receive the postural data. If not she could have a choice of having a simple application on her desktop alert her of incorrect posture without having to relay the data to the onsite health center.

We propose to build the sensor equipped chair.

This involves:

1. Study of sitting ergonomics, comfort and correctness thresholds, pressure points and alignment of human spine.

2. Design and implementation of sensory system

3. Design and implementation of the user monitoring application

4. Design of chair that is equipped to house the sensory equipment in a manner that allows robust and unobtrusive usage of the chair.'

'Project Group 10'

Ruchika(Health Systems), Indu(Design), Jiasheng(Computer Science)

We will work on building a portable device that would help in medication compliance once the patients are discharged from a hospital. Our target population is the elderly patients who are unable to comply with their medication routine due to forgetfulness, lack of a caretaker/reminders or difficulty to understand the medication routine. We plan to solve this problem by developing an easy to carry device (which could be in the form of an alarm system, watch, iphone application or something alse) that could be carried by the patients all the time and would tell the patients to take the medicine when the time comes. This device would provide a room for medicines that will be available to the patient only at the right time of the medication routine. It would also remind the patients about the additional care that they need to take in terms of the food that they eat or exercise etc.

'Project Group 2'

Scott(Computer Science), Siddharth(Design), Rupal(Industrial Engineering)

Surge Response Modules The objective of the project is to create a surge handling system. Surge can basically be classified into two types , expected surge: which could be preempted- government policy which requires checkups every 2 months. And unexpected surge- industry accidents, sudden outbreaks of flu.

We would like to design different kinds of Surge response kits for different kinds of occurrences, which could be located at the CHS headquarters, and the CHS clinics. For example there would be a different surge response kit for a massive accident, as opposed to one for the flu(where the kit might have to contain masks, etc).

If the CHS clinic finds that it does not have the surge kit required for a particular occurrence, they would be able to place an order to the HQ to receive the kit.

Our solution methodology would involve determining what kind of surge CHS clinics are likely to experience, what materials would be required to prepare for the same( cubical walls- to set up modular spaces, masks, etc), and the logistics behind how these kits would be stored and deployed. Our project deliverable would thus be a system/model for surge preparedness.

'Project Group Wonder'

Kezban (Health Systems), Chung-Lun Kuo (Design), Aby (Design)

Redefining Care Process: Privacy, Space Efficiency, Communication We are reconsidering the care process and working on a patient room design which would address most common problems at the same time. Our design will provide solution to privacy, efficiecny (mostly space) and communication problems.

Different designs will be considered and evaluate according the constraints, typology and functionality of each one.

1. Constraint: - Space is the biggest constraint

2. Typology: - shape: Rectangular vs square - number of rooms considered: 1 exam room vs a combination of a few exam rooms - types of services

3. Functionality: - patient - physician

final project proposals

Move to Onsite_Health_Center_of_the_Future:Current_events

Final Project Reports

At the Course_Homepage#Final_Project_Report