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CETS 2012, Diana Halfer & Julia Hooper, handout for Virtual Path: A Novel Learning Solution for New Hospital Moves
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CETS 2012, Diana Halfer & Julia Hooper, handout for Virtual Path: A Novel Learning Solution for New Hospital Moves


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  • 1. Virtual Path: A Novel LearningSolution for New HospitalsDiana Halfer MSN, RN, NEA-BCJulia Hooper, MSKim Evans, BAClinical and Organizational DevelopmentAnn & Robert H. Lurie Children’s Hospital of ChicagoChicago, Illinois
  • 2. Overview • Replacement children’s hospital project • Moment One Readiness Orientation and Training Plan • Virtual Path to the Future2
  • 3. Moving
  • 4. A Larger Skyscraper Hospital Current State Future State• Neighborhood-urban • Downtown-urban• 600K square feet • 1.25M square feet• 270 beds • 288 beds• Small (125 sf) semi- • Large (290 sf) private private rooms rooms• 36% ICU beds • 44% ICU beds• 17 OR/procedure rooms • 26 OR/procedure rooms• 26 bed ED • 45 bed ED on 2nd floor• 131 clinic exam rooms • 178 clinic exam rooms
  • 5. A multi-year project: 8 years to plan and buildPlanning & Programming Design and ConstructionPhase 1 Program Exterior Design Development Site Selection Interior Design Phase 2 Program Development Excavation/ Foundation Opening Steel Frame June 9th 2012 Exterior Construction Interior Construction Groundbreaking Transition Planning ’04 ’05 ’06 ’07 ’08 ’09 ’10 ’11 ‘12
  • 6. Commitment to Employees & Physicians• Ensure and validate that all employees and physicians can work safely and effectively to support patient care within Lurie Children’s.• This means the ability to – Locate, access and use spaces, systems, equipment and supplies – With no delays, no adverse events and with minimal assistance in urgent situations – While delivering exceptional service.
  • 7. Summary of Learning Needs• Navigation and Way finding• Equipment and Supplies• Safety• Systems and Services• Processes and Procedures 7
  • 8. Way findingThe process by which people,“orient and navigate…to accuratelyrelocate from one place to another in alarge scale space.” Gluck (1991)
  • 9. Way finding Research4500 hoursof annual lost productivity due topoor way finding!Zimring, C., “The Role of the Physical Environment inthe Hospital of the 21st Century.”
  • 10. Learning Methods PHASE 1 PHASE 2Virtual Path Online Building & Department Hands-On Simulations to the Learning Safety & Workflow Labs Future Orientation OrientationNow to June, January – February – April - May, April - May, April - May, 2012 March, 2012 March, 2012 2012 2012 2012 Move in day: June 9, 2012 10
  • 11. Second Life®
  • 12. Getting Started in Second Life® Concept Introduction to organizational leaders,Aug 2007 learning communityDec 2008 Pilot: Emergency Preparedness inside virtual Children’s Memorial Proposal/Approval: Way finding project for newJul 2009 hospital Implementation: Virtual Path to the Future education,Jul 2010 all Leaders Implementation: Virtual Path to the Future education,Sep 2011 all Employees and Physicians
  • 13. Project Cost/Benefit Analysis• Cost – Development 75-90k – Laptops 30k – Project FTEs• Benefits – Time savings – Improved productivity, advanced organizer – Organizational commitment – Decreased stress, conflicts
  • 14. Virtual Path to the Future• Virtual Hospital in Second Life®• Emphasis on way finding – (public and department spaces)• Virtual labs• Machinima• Custom presentations 14
  • 15. Implementation Challenges• Adopting a “pioneer” mindset – Developing the project team• Finding good business partners – Beyond a Google Search• Building virtually in advance of physical build• Scoping the size of the virtual build – Needs assessment by role• Providing sufficient detail – Key landmarks – No offices• Adjusting for aging technology infrastructure
  • 16. Enhancing the Learning Experience• Creating customized avatars by role – support diversity• Consolidating server space for stability – from four islands to one• Creating a Webpage on Sharepoint – Orientation video clips – Interactive maps and floor plans – Lab schedules and requests
  • 17. Web Launch Page
  • 18. Enhancing the Learning Experience• Creating interest at Town Hall Meetings – Making learning fun – Building excitement for the move
  • 19. Enhancing the Learning Experience• Creating a custom viewer – Instant Avatar selection – Simplified interface – Easy to learn and move around• Adding the tour guide application
  • 20. Tour Guide Application• Guides users along predefined routes• Displays information at “points of interest”• Dynamic web-based tool for creating and customizing tour routes and information• Tours are defined and configured via website• None are hardcoded, all are dynamic
  • 21. Tour Guide Application• Guides users along predefined routes• Displays information at “points of interest”• Dynamic web-based tool for creating and customizing tour routes and information• Tours are defined and configured via website• None are hard coded, all are dynamic
  • 22. Learner Evaluation Data• 4,738 participants• Easily oriented to virtual environment• Quickly learned navigation skills• Appreciated preview of hospital• Some wanted more detail• Identified issues in preparation for move“For someone who gets stressed by computer games this was very doable and fun”
  • 23. Learner Written Comments• “I am in the new hospital a lot, and this is very close to how it looks!”• “While it is very silly to do this, it starts to take away the fear of the move.”• “Really helpful and not as hard as I thought it would be.”• “Wow, we can use the elevators in the virtual hospital.”• “I found the exercise difficult and strenuous on my eyes. I also felt dizzy navigating….”
  • 24. Benefits for Learning Department• Recognized by Senior Management with Earl J. Fredericks Team Award for innovation• Fostered innovation and creativity: no template to follow• Supported talent development through new project roles
  • 25. Benefits for Learning Department• Gained experience working with technology consultants• Provided early building knowledge and planning for Moment One Readiness Orientation• Impetus for research study
  • 26. Media Study• Compares navigation and way finding knowledge for nurses taught via floor plans and Virtual Path to the Future• Assesses route knowledge, survey knowledge, and direction giving skills after two hours of instruction
  • 27. Preliminary Trends• Data analysis in progress• Small differences between groups – Route Knowledge – Survey Knowledge – Direction Giving – Confidence
  • 28. Preliminary Conclusions• Good instruction trumps medium• Virtual sense of “presence” may boost confidence• Floor Plans tend to help with Survey Knowledge• Direction Giving may be another measure of Survey Knowledge
  • 29. Key “Take Aways”• Begin with Senior Leaders ― vision and sponsorship• Assess the culture ― must be able to support risk taking• Approach project so that it is synchronous with strategy and mission• Establish good business partners• Turn barriers into constraints e.g. access issues• To adopt new technology is truly “A leap of faith”
  • 30. Questions?
  • 31. Contact Information• Diana Halfer• Julia Hooper• Kim Evans• Ann & Robert H. Lurie Children’s Hospital of Chicago – http://www/ – 225 East Chicago Avenue, – Chicago, Illinois 60611-2605 – Facebook | Twitter | YouTube