Kristin Hermann - Revision history

Khermann3 at 01:09, 24 September 2007

2007-09-24T01:09:23Z

Khermann3 at 01:02, 24 September 2007

2007-09-24T01:02:36Z

Khermann3 at 01:01, 24 September 2007

2007-09-24T01:01:59Z

Khermann3 at 00:46, 24 September 2007

2007-09-24T00:46:10Z

Khermann3 at 00:25, 24 September 2007

2007-09-24T00:25:46Z

Khermann3 at 20:02, 13 September 2007

2007-09-13T20:02:32Z

Khermann3 at 19:53, 13 September 2007

2007-09-13T19:53:36Z

Khermann3 at 19:52, 13 September 2007

2007-09-13T19:52:26Z

Khermann3 at 19:51, 13 September 2007

2007-09-13T19:51:49Z

Khermann3 at 20:06, 4 September 2007

2007-09-04T20:06:01Z

@@ Line 70: / Line 70: @@
 I loved seeing the pictures of the Perkins + Will hosptial designs!  One message from the presentation was "operations drives design."  This message emphasized the importance of obervations and learining existing processes in order to design an space that promotes imrpoved processes.  I was amazed by the "adopt-a-rooms!" They were beatiful and cutting edge, and think the idea should be expanded to more hospitals around the country.  These rooms really created a healing, home enviroment for pediatric, cancer patients and allowed for upgrades in space, technology and features that many hospital rooms cannot afford.  I was also interested in the Halifax Medical Center ER.  I loved the ideas of the modules that allowed for increased sightlines and the ability to see all rooms from the nurse station as well as two other modules.
@@ Line 84: / Line 82: @@
 =='''9/13 - DJ Feathers CHOA'''==
-DJ Feathers from CHOA did a great job of explaining the hospital design process.  DJ emphasized the need to include caregivers in the design process because the will be working in the space and can focus on the details that make a design successful.  The CHOA principles of design were:
+DJ Feathers from CHOA did a great job of explaining the hospital design process.  DJ emphasized the need to include caregivers in the design process because they will be working in the space and can focus on the details that make a design successful.  The CHOA principles of design were:
 * growth / future expansion
@@ Line 106: / Line 104: @@
 =='''9/18 - David Cowan'''==
-David's presentation focused on engineer's role in healthcare, the current status of the healthcare in the US, and important aspects of pediatrics.  The biggest problems facing healthcare today are access, quality, and cost, and all three are linked.  Engineers bring project management to healthcare through a systems and quantitative approach. I thought the discussion on successful teams was very helpful and a good to keep in mind as we move forward with the design process.  Some of the key components of a successful team are:
+David's presentation focused on engineer's role in healthcare, the current status of the healthcare in the US, and important aspects of pediatrics.  The biggest problems facing healthcare today are access, quality, and cost, and all three are linked.  Engineers bring project management to healthcare through a systems and quantitative approach. I thought the discussion on successful teams was very helpful and good to keep in mind as we move forward with the design process.  Some of the key components of a successful team are:
 * leadership
@@ Line 115: / Line 113: @@
 * action
-It was also important to think about what makes pediatrics unique and how this should impact out design decisions.   Some of the important qualities that stood out to me are:
+It was also important to think about what makes pediatrics unique and how this should impact our design decisions.   Some of the important qualities that stood out to me are:
 * A wide range of ages - impacts everything from design and entertainment to the size of equipment, food requirements, and pharmaceutical needs
@@ Line 121: / Line 119: @@
 * Developmental needs - adjusting to the varying need of children from social to physiological
-Other aspects that make pediatrics unique is the atmosphere.  Working with children creates an environment that is positive, high energy, and appreciative.   It is also important to focus on the long term value of healing children because they are out future.
+Other aspects that make pediatrics unique is the atmosphere.  Working with children creates a different environment.  Childrens bring positivity, high energy, and appreciation.   It is also important to focus on the long term value of healing children because they are our future.
 =='''9/20 Group Presentations'''==

@@ Line 123: / Line 123: @@
 Other aspects that make pediatrics unique is the atmosphere.  Working with children creates an environment that is positive, high energy, and appreciative.   It is also important to focus on the long term value of healing children because they are out future.
-=='''9/20 Group Presentations'''===
+=='''9/20 Group Presentations'''==
 Important focus areas for our designs include:

← Older revision		Revision as of 01:01, 24 September 2007
Line 122:		Line 122:

	Other aspects that make pediatrics unique is the atmosphere. Working with children creates an environment that is positive, high energy, and appreciative. It is also important to focus on the long term value of healing children because they are out future.		Other aspects that make pediatrics unique is the atmosphere. Working with children creates an environment that is positive, high energy, and appreciative. It is also important to focus on the long term value of healing children because they are out future.
		+
		+	=='''9/20 Group Presentations'''===
		+
		+	Important focus areas for our designs include:
		+	* way finding - moving beyond existing technology
		+	* distractions for sickle cell and asthmas - focusing on the balance between entertainment and educations
		+	* waiting room - adjustable and comfortable to all ages with aspects that keep people informed and in control
		+	* recurring patients - how to make their visit more efficient and customized
		+	* fear - how to effectively ease patient's fears through the feeling of control, limiting the unknowns, and education
		+	* remote monitoring - remotely monitoring chronic care to reduce hospital visits and give patients more control over managing their illness
		+	* hand-offs - how to effectively manage hand-offs from one caregiver to another or from the hospital to the home

← Older revision		Revision as of 00:46, 24 September 2007
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	=='''9/18 - David Cowan'''==		=='''9/18 - David Cowan'''==
		+
		+	David's presentation focused on engineer's role in healthcare, the current status of the healthcare in the US, and important aspects of pediatrics. The biggest problems facing healthcare today are access, quality, and cost, and all three are linked. Engineers bring project management to healthcare through a systems and quantitative approach. I thought the discussion on successful teams was very helpful and a good to keep in mind as we move forward with the design process. Some of the key components of a successful team are:
		+
		+	* leadership
		+	* brainstorming - nominal group technique
		+	* structured decisions
		+	* divide and conquer
		+	* deference - honoring decisions
		+	* action
		+
		+	It was also important to think about what makes pediatrics unique and how this should impact out design decisions. Some of the important qualities that stood out to me are:
		+
		+	* A wide range of ages - impacts everything from design and entertainment to the size of equipment, food requirements, and pharmaceutical needs
		+	* Patients are not alone - must design spaces to accommodate families (waiting rooms, patient rooms, and common areas)
		+	* Developmental needs - adjusting to the varying need of children from social to physiological
		+
		+	Other aspects that make pediatrics unique is the atmosphere. Working with children creates an environment that is positive, high energy, and appreciative. It is also important to focus on the long term value of healing children because they are out future.

← Older revision		Revision as of 00:25, 24 September 2007
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	=='''9/11 - Healthcare IT'''==		=='''9/11 - Healthcare IT'''==
		+	Ellen's presentations was a great way to learn about the current technology advancements in healthcare as well as some blue sky IT ideas for the future. I think information visualization is an interesting topic and one that should be further advanced. Improving the way caregivers and patients see data can help them deliver better care as well educate the patient. This is also critical as EMR and COWs become more popular in healthcare.
		+
		+	I am also interested in patient distractions. I think this is an important healing aspect in pediatrics and can help children feel more comfortable in the hospital setting. If patient distraction tools can balance entertainment with education they can be very successful reducing pain for the child and helping them cope with and treat their illness. Some of the innovative ideas include:
		+
		+	* media centers with x-box, tv, and video
		+	* virtual glasses
		+	* interactive waiting room walls
		+
		+	=='''9/13 - DJ Feathers CHOA'''==
		+	DJ Feathers from CHOA did a great job of explaining the hospital design process. DJ emphasized the need to include caregivers in the design process because the will be working in the space and can focus on the details that make a design successful. The CHOA principles of design were:
		+
		+	* growth / future expansion
		+	* child friendly
		+	* improve / create adjacency
		+	* improve efficiencies
		+	* front/back of house
		+	* enhance security
		+	* increase amenities
		+	* increase parking
		+
		+	Part of the design process is programming. This is where all groups come together to discuss space needs in words and numbers to create a efficient design. In the Workplace Redesign project a committee was formed of caregivers who spend at least 80% of there time at bedside. During the process they focused on the basics to redefine their processes and determine design elements to improve those processes. The team identified and prioritized 122 design elements. Some of the priority one elements include:
		+
		+	* overall unit design
		+	* boom / overhead wall system
		+	* exterior windows
		+	* defined zones in patient rooms
		+	* mini work stations
		+
		+
		+	=='''9/18 - David Cowan'''==

← Older revision		Revision as of 20:02, 13 September 2007
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	=='''9/6 - Perkins + Wills'''==		=='''9/6 - Perkins + Wills'''==
		+
		+	I loved seeing the pictures of the Perkins + Will hosptial designs! One message from the presentation was "operations drives design." This message emphasized the importance of obervations and learining existing processes in order to design an space that promotes imrpoved processes. I was amazed by the "adopt-a-rooms!" They were beatiful and cutting edge, and think the idea should be expanded to more hospitals around the country. These rooms really created a healing, home enviroment for pediatric, cancer patients and allowed for upgrades in space, technology and features that many hospital rooms cannot afford. I was also interested in the Halifax Medical Center ER. I loved the ideas of the modules that allowed for increased sightlines and the ability to see all rooms from the nurse station as well as two other modules.

← Older revision		Revision as of 19:53, 13 September 2007
Line 63:		Line 63:
	* Die comfortably and supported		* Die comfortably and supported

−	Gerri described how the intersection of care processes, culture, and physical design can create patient-centered care that improves quality and safety. Physician and patient interaction is a critical componenet of patient-centered care. The role play exercise showed the difference in the patient's expereince when the caregiver listened carefully to the patient's sypmtoms, needs, and desires. She also dicussed other key components that help create an patient-centered environment: 1. information, communication, and education 2. Physical comfort 3. Emotional comfor 4. Involvment of family and friends. I am interested to learn if there are studies that measure the impact of these components. Can we prove ~~the~~ increasing outlets for patients to stay connected with family and friends will improve outcomes? My personal belief with that it play a major role in patient success.	+	Gerri described how the intersection of care processes, culture, and physical design can create patient-centered care that improves quality and safety. Physician and patient interaction is a critical componenet of patient-centered care. The role play exercise showed the difference in the patient's expereince when the caregiver listened carefully to the patient's sypmtoms, needs, and desires. She also dicussed other key components that help create an patient-centered environment: 1. information, communication, and education 2. Physical comfort 3. Emotional comfor 4. Involvment of family and friends. I am interested to learn if there are studies that measure the impact of these components. Can we prove that increasing outlets for patients to stay connected with family and friends will improve outcomes? My personal belief with that it play a major role in patient success.

@@ Line 58: / Line 58: @@
 =='''9/4 - Patient-Centered Care'''==
 Gerri's presentation on patient-centered care did a great job of linking what people need/what from healthcare to how the environment and caregivers can provide that. The Foundation for Accountability listed the top things people want from healthcare:
-- Stay healthy
+* Stay healthy
-- Get better quick
+* Get better quick
-- Lead a good life
+* Lead a good life
-- Die comfortably and supported
+* Die comfortably and supported
 Gerri described how the intersection of care processes, culture, and physical design can create patient-centered care that improves quality and safety.   Physician and patient interaction is a critical componenet of patient-centered care.  The role play exercise showed the difference in the patient's expereince when the caregiver listened carefully to the patient's sypmtoms, needs, and desires.  She also dicussed other key components that help create an patient-centered environment: 1. information, communication, and education 2. Physical comfort 3. Emotional comfor 4. Involvment of family and friends.  I am interested to learn if there are studies that measure the impact of these components.  Can we prove the increasing outlets for patients to stay connected with family and friends will improve outcomes?  My personal belief with that it play a major role in patient success.

← Older revision		Revision as of 19:51, 13 September 2007
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	* Julie Jones discussed their plan to co-locate the ER, Urgent Care, and Out Patient Clinics. She explained that many patients may come to the ER, but after triage, they can be better served in Urgent Care. By co-locating these departments Hugh Spalding can easily direct patients to the most appropriate care and best utilize the resources of these departments.		* Julie Jones discussed their plan to co-locate the ER, Urgent Care, and Out Patient Clinics. She explained that many patients may come to the ER, but after triage, they can be better served in Urgent Care. By co-locating these departments Hugh Spalding can easily direct patients to the most appropriate care and best utilize the resources of these departments.
	* The facilities manager discussed that the hospital will remain 100% operations during construction. Managing the transition to new spaces is a critical component of the planning and execution phases.		* The facilities manager discussed that the hospital will remain 100% operations during construction. Managing the transition to new spaces is a critical component of the planning and execution phases.
		+
		+	=='''9/4 - Patient-Centered Care'''==
		+	Gerri's presentation on patient-centered care did a great job of linking what people need/what from healthcare to how the environment and caregivers can provide that. The Foundation for Accountability listed the top things people want from healthcare:
		+	- Stay healthy
		+	- Get better quick
		+	- Lead a good life
		+	- Die comfortably and supported
		+
		+	Gerri described how the intersection of care processes, culture, and physical design can create patient-centered care that improves quality and safety. Physician and patient interaction is a critical componenet of patient-centered care. The role play exercise showed the difference in the patient's expereince when the caregiver listened carefully to the patient's sypmtoms, needs, and desires. She also dicussed other key components that help create an patient-centered environment: 1. information, communication, and education 2. Physical comfort 3. Emotional comfor 4. Involvment of family and friends. I am interested to learn if there are studies that measure the impact of these components. Can we prove the increasing outlets for patients to stay connected with family and friends will improve outcomes? My personal belief with that it play a major role in patient success.
		+
		+
		+
		+	=='''9/6 - Perkins + Wills'''==
		+
		+
		+
		+
		+	=='''9/11 - Healthcare IT'''==

@@ Line 9: / Line 9: @@
-=='''8/22'''==
+=='''8/22 - First Class'''==
 I am excited about working with everyone in the class and the opportunity to collaborate with different disciplines.
-=='''8/24'''==
+=='''8/24 - Julia Jones'''==
 It was a great opportunity to hear Julia Jones speak today.  Her experience and insight into hospital design exposed me to many design elements I would like to further research and incorporate into our project.  I am especially interested in "room messaging" and the impact of information on the patient/family experience, their outcome, and their level of understanding/education.  Other key take-aways from her presentation are; the integration of efficiency, philanthropy, and patient focus into design, and how consideration of payer/service mix is an essential criterion for successful design.
@@ Line 21: / Line 21: @@
 [http://on10.net/Blogs/bcrounse/a-pediatric-hospital-bedside-patient-entertainment--education-system-microsoft-media-center--xbox-36/]
-=='''8/28'''==
+=='''8/28 - Dr. Zimring'''==
 '''Evidence Based Design'''
@@ Line 32: / Line 32: @@
 * 3 zone rooms: family zone, patient zone, and caregiver zone
-=='''Hugh Spalding Tour'''==
+=='''9/1 - Hugh Spalding Tour'''==
 '''Five Observations'''