Design Session: A Case Study of West Park Healthcare Centre
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Transcript Design Session: A Case Study of West Park Healthcare Centre
Martha Harvey
West Park Healthcare Centre
Cliff Harvey
North York General Hospital
Design Session:
From Theory to Practice
Thinking @ Work
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Ontario’s Quality Journey
Are we any closer?
Etch A Sketch
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Is it our Definition of Quality?
or
Is it our Process to Arrive at Quality?
Or is it Both???
What is the Issue?
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Quality is an Omnipresence Word
IDEAL
Politics- Economics
GOOD
Ethical-Moral
REAL
Aesthetics
TRUE
Scientific
Quality
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System Thinking
Seeking
Patterns
Scenario
Planning
Absolve
Resolve
Solve
Dissolve
Strategic
Foresight
Design Thinking
System vs Design Thinking
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Mental Model
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Scientific Management
Administrative management
Operational Research
Mental Model
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Mental Model
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System Thinking
Complex
Adaptive
Systems
Wicked Problems
(Rittel & Weber)
Messes
(Ackoff)
Design Thinking
Wicked Problems
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Louis Kahn
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What is the shadow of white light …
Black …
I think that it is a time of our sun on trial
of all our institutions on trial
I was brought up when the sunlight was yellow,
And the shadow was blue
Louis Kahn
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Capitalist Dilemma
Invest for:
Performance
Efficiency
Innovation
Capital Dilemma
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System Thinking
Prototyping
Design Research
Simulation
Story Telling
Mental Models
Stakeholders
Mapping
Dialogue
Scenario Planning
Foresight …
Visioning
Analytics
EBD Research
LEAN
Standards
User Groups
Mock-ups …
Design Thinking
Thinking Tools
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Tim Brown
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Bridging the Gap
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Bridging the Gap Between
Strategy and Operations
Bridging the Gap
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Claude Debussy
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Music is
the space
between the
notes
Claude Debussy
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Linear Process
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Linear Process
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Complex Adaptive Systems
Learning / Emerging
Heterarchical
Nested Systems: Ecology
Complex Adaptive Systems (CAS)
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Nested Systems Design
Social
Organization
Service
Design
Nested Systems
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Quality is an omnipresence word
IDEAL
Politics- Economics
GOOD
Ethical-Moral
REAL
Aesthetics
TRUE
Scientific
Quality
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Map out your Problems
4
Regulations
3
Policies
2
Guidelines
1
Standards
Find the Right Tools
Mapping
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Etch A Sketch
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Building an
INTEGRATED CAMPUS OF CARE
Building an Integrated Campus of Care
Date
“Breaking New Ground”
December 8, 2014
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West Park at a Glance
Founded in 1904 as a tuberculosis
sanatorium
Three programs of care:
• Specialized rehabilitation (130 beds)
• Complex continuing care (140 beds)
• Long-term care (200 beds)
Serving 7,000+ patients per year
• 1,400+ inpatient admissions
• 57,000+ ambulatory visits
Serving adults of all ages:
• >45% of rehab patients are less than 65
• >80% of CCC patients are older than 65
Staff:
• 885 employees, 85 physicians, 225
volunteers, residents and students
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West Park Services
West Park’s patients come
from all over Ontario:
Province-wide:
Tuberculosis and Chronic
Assisted Ventilatory Care
(CAVC)
Regional: Specialized
rehabilitation services –
Acquired Brain Injury
(ABI), Respiratory,
Amputee
Local: Rehabilitation,
Complex Continuing Care,
and Long Term Care
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Our Challenge
Expected service demand growth
- 50% over the next two decades
Primary barrier - outdated
facilities and service capacity:
60% of patients are in 4-bed rooms
Only two private rooms per 26-bed unit
Limits ability for:
- isolation capacity
- optimal infection control
- use of modern equipment
and technology
Limited space for patient and
staff consultations
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RFP Road Map
“Building a Plane While Flying”
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Boeing Dreamliner Collaboration
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“Breaking New Ground”
Integrated and Collaborative Model for Planning
Collaborative team to create an integrated project:
Consultant continuity between MoHLTC Capital Planning Stages
2&3
Functional Programming role fully integrated within the overall
design scope of the PDC
Clinical involvement from the start
Holistic approach
Need strong project vision
Greater creativity and innovative thinking when planning
solutions and processes
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“Breaking New Ground”
Pre-functional Programming Toolkit
A set of planning principles based on research, bestpractice and evidence-based design
First Ontario hospital to “pilot” a formal process
Hand-off of toolkit to PDC team to build on
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Elements of Toolkit
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User Groups
Involved from the start - Lean workshops,
Functional Programming, prototyping, etc.
Stakeholders - staff, patients, families,
physicians, volunteers, community agencies,
etc.
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Lean
Bring value to the patient and reduce waste
Operationally efficient
Workshops:
• Current State Patient Flow Maps
• Future State Patient Flow Maps
• Value Stream Mapping
• 3P Workshops
Determine extent of Lean – transitional versus
transformational
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Prototyping
Test workflow, space requirements, placement
of FF&E, etc.
Throughout planning and design phases
On-site design lab, off-site design lab, 3P
process
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‘Day In The Life’ Tool
Capture the patient experience
Validate planning and design from the patient’s
perspective
User stories – test for quality of healthcare design
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“Take Aways”
1. Pre-Functional Programming Toolkit
•
Worth the effort
2. PDC Early Involvement
•
Enhanced integration and collaboration
3. Early Clinical Integration
•
Assists with early translation of clinical perspectives
4. User Involvement
•
Key throughout entire process
5. Lean, Prototyping, Day in the Life
•
Valuable tools
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(picture: P. Hagan)
THANK YOU
Martha Harvey, RN, BScN, MSc Healthcare Quality, EDAC
Senior Project Manager, Clinical Integration
Campus Development, West Park Healthcare Centre
[email protected]
416.243.3600 ext. 2059
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