Difference between revisions of "Diane Dutcher"

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('''August 28, 2007 | Craig Zimring: Environments of Healing''')
('''Things to Check Into''')
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* Hillandale Hospital (where Julia Jones used to work)
 
* Hillandale Hospital (where Julia Jones used to work)
 
* Hughes Spalding website
 
* Hughes Spalding website
 +
* [[Center for Health Design website]]
  
 
=='''August 21, 2007 | Intro'''==
 
=='''August 21, 2007 | Intro'''==

Revision as of 02:55, 22 October 2007

A Little about Me

Nyctrip.jpg

I am a fourth-year senior in Psychology and Architecture and I currently work on Dr. Lamb's research team over at Emory, where we are studying how nurses coordinate care in the hospital. I'm looking forward to graduating in the spring and I am truly excited about seeing how this class unfolds.

Outside of classes, I have been coaching youth soccer teams (with kids under the age of 6, yes...pure craziness!) for the past four years, as well as serving as an adviser to a freshmen leadership team, Freshman Activities Board (FAB). I also teach several fitness classes at our very own CRC, including cycling and cardio kickboxing.

My other interests include running, photography, reading the newspaper and perusing IKEA catalogs :) My email is ddutcher(a)gatech.edu.

Link to CITI Completion Report

Things to Check Into

August 21, 2007 | Intro

Notes

As the professors for this course were discussing their individual perspectives, some common themes about 'designing for children' (especially when using Hughes Spalding as a model) rose to the forefront:

  • Wide range of users: the range of users in a children's hospital includes both patients + families
  • Decision support: families and patients need better resources when making important decisions in the hospital setting
  • Security: the urban setting of Hughes Spalding presents different security issues than a suburban, non-community hospital
  • Child-friendly environments: the materials, colors, textures, etc. are incredibly important when considering children as the primary users
  • Wow! factor: aiming for a "Wow!" response from children pushes the design team to be creative and innovative
  • Timeliness of care: possibility of transforming the waiting room into another type of environment, where the emphasis is not on the "waiting"
  • Accommodation for all the "stuff" that families bring: ability to accommodate all the toys, clothes, bags, food, other children that families tote along with them
  • Transparency: role of technology in the healing/care-giving processes
  • Building access: how will the family drive up, drop off their belongings, get the kids inside safely, etc?
  • Flexibility: designing for adaptable change

Thoughts

'Pushing design innovation deeper into the building' is an interesting concept that promotes creativity, innovation, and focus beyond simply the lobby. Innovation can and should happen at the level of the patient room, the nurses' station, the hallways, the operating rooms, the restrooms, the cafeteria. Change at all these levels can really spark a health-care culture revolution.

August 23, 2007 | Julia Jones: CHOA

Notes

  • Hillandale: old site that Julia worked at; was converted to a digitally-based hospital
  • Julia now works at Hughes Spalding as the VP of Operations
  • The State of GA has to give you a "Certificate of Need"
  • 86-90% of the patients at Hughes Spalding are on Medicaid, whereas 55% of the patients at other childrens' hospitals are on Medicaid
  • Guiding principles of Hughes Spalding:
    -- spending a lot of money from the philanthropic community
    -- must strictly follow the budget in order to meet the donors' guidelines
    -- building must be flexible
    -- patient-base is mostly primary and speciality care with less inpatient treatment than most other children's hospitals
    -- now that Hughes Spalding has been turned over to CHOA, it MUST meet the quality level of Egleston and Scottish Rite
  • Centers of Excellence at Hughes Spalding:
    -- sickle cell
    -- asthma 
    -- child advocacy (because of abuse/neglect that pervades the HS community) 
  • Hughes Spalding has a continuity clinic between Morehouse and Emory medical school students
  • The dental clinic at HS is large
  • There are 21,000 primary care visits + 12,000 outpatient specialty care visits each year
  • 53,000 outpatient visits to the Emergency Dept (ED)
  • Less trauma (Level 5) at HS than at Egleston
  • New sectors of Hughes Spalding:
    -- 20 bed inpatient unit
    -- Revamped emergency department that is more connected to primary care
    -- Primary care with extended hours for walk-ins
    -- Focus on COEs above

August 28, 2007 | Craig Zimring: Environments of Healing

Notes

  • There is a ton of money revolving around reducing patient falls, etc
  • "We must ensure that we aren't hard-wiring error and harm into the built environment."
  • Evidence-based medicine --> evidence-based practice --> evidence-based design
  • We need a good description of the physical design variables that support decision-making

August 30, 2007 | Hughes Spalding Site Visit

September 4, 2007 | Gerri Lamb: Patient-Centered Care Process

September 6, 2007 | Perkins+Will: Practical Innovation

September 11, 2007 | Ellen Do: Technology in the Care Environment

September 13, 2007 | DJ Feather (CHOA): Building for Children and their Families

September 18, 2007 | David Cowan: Facilitating Team Process

September 20, 2007 | Team Presentations

September 21, 2007 | Southside Medical Center Visit

September 25, 2007 | Identifying the Problem

October 2, 2007 | Final Group Presentations

Interesting ideas that came out of the other group presentations:

-- CHCA: database for pediatric facilities

-- Vanderbilt's Children Hospital: conducted a focus group with children and families and what they need at the hospital

-- Helford Hospital at City of Hope: idea of the privacy of patient movement

-- How will MinuteClinics (at Walgreen's, CVS, etc) change the role of the ED at hospitals?

-- Five main categories of Anjali Joseph's suggestions for better hospital design:

    -- Eco-diversity
    -- Spatial transparency
    -- Functional inconvenience
    -- Human scale
    -- Neutral zones

--

October 4, 2007 | Final Group Presentations