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39 ideas for hospitals. …

39 ideas for hospitals.

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  • 1. Ideas for hospitals
  • 2. Idea # 1 - 21 Ideas about communication. Idea # 22 - 26 Ideas about food and medicine. Idea # 27 - 39 Ideas about infrastructure and equipment.
  • 3. Idea # 1 Use walls to communicate
  • 4. http://www.fastcodesign.com/1664797/six-ways-to-improve-doctors-waiting-rooms
  • 5. Idea # 2 Use checklists
  • 6. Survey shows that teams using checklists were 74% less likely to miss key life-saving steps in care during emergency situations than those working from memory alone. http://www.hsph.harvard.edu/news/press-releases/checklists-in-operating-rooms-improve-performance-during-crises/
  • 7. Clayton Christensen. Business of Software 2011, October 24th, 2011. http://www.aei.org/docLib/20081028_Christensen.pdf Christensen, Clayton: The Innovator’s Prescription, p. 421.
  • 8. Idea # 3 Publish results of treatments on the Internet
  • 9. Publish results of treatments on the Internet. http://jyllands-posten.dk/indland/ECE6394460/hospitaler-offentliggoer-behandlingsresultater/ http://www.rigshospitalet.dk/topmenu/Om+hospitalet/Kvalitet/Kvalitetsdeklaration/
  • 10. Idea # 4 Copy ideas from another team
  • 11. Competition # 1 The team, who copies an idea / process from another team and uses it to create more value, gets a prize. Adapted from http://blogs.hbr.org/schrage/2012/12/a-simpler-way-to-get-employees-to-share.html
  • 12. Competition # 2 The team, that gets an idea / process copied by another team, also gets a prize. Adapted from http://blogs.hbr.org/schrage/2012/12/a-simpler-way-to-get-employees-to-share.html
  • 13. Idea # 5 Put videos on the Internet
  • 14. Examples http://www.youtube.com/user/ClevelandClinic/videos http://www.youtube.com/user/mayoclinic/videos http://www.youtube.com/user/TeamMedicine/videos
  • 15. Idea # 6 Use social media
  • 16. Sources http://curetogether.com/ http://www.dlife.com/ http://www.diabeticconnect.com/ http://e-patients.net/ http://www.kevinmd.com/blog/ http://www.patientslikeme.com/ http://www.webmd.com/
  • 17. http://www.krebsforum.ch/forum/viewforum.php?f=18&sid=1a785b5f786e4f5407262de87c738ac9
  • 18. http://www.facebook.com/gigtforeningen
  • 19. Clayton Christensen. Business of Software 2011, October 24th, 2011. http://www.aei.org/docLib/20081028_Christensen.pdf Christensen, Clayton: The Innovator’s Prescription, p. 421.
  • 20. https://twitter.com/Berci https://twitter.com/kevinmd
  • 21. 11 advantages of using a blog for teaching http://www.slideshare.net/frankcalberg/11-advantages-of-using-a-blog-for-teaching
  • 22. Idea # 7 Help patients monitor their own health
  • 23. Instant heart rate app https://play.google.com/store/apps/details?id=si.modula.android.instantheartrate
  • 24. http://www.withings.nl/en/bloodpressuremonitor
  • 25. The Fitbit Flex tracks steps, distance, calories and sleep - and syncs with your smartphone http://www.fitbit.com/ http://edition.cnn.com/2013/01/10/tech/gaming-gadgets/health-tech-ces-2013
  • 26. Diabetes Manager App http://www.bgstar.com
  • 27. Idea # 8 Help patients use clouds to store and share their health information
  • 28. http://my.clevelandclinic.org/
  • 29. Sources https://drive.google.com/ https://www.dropbox.com/ http://skydrive.com/ http://wuala.com/
  • 30. Idea # 9 Create fitness plan with individual patients
  • 31. When a patient comes to the hospital, what if the responsible doctor creates fitness plan with this patient. Examples of what could be in a personalized fitness plan  Training in hospital fitness centre at certain times.  Walks inside and outside the hospital.
  • 32. Idea # 10 Proactively go to patients
  • 33. The nursing team came up with the idea of checking on patients every two hours without waiting for a call button, to see if they need help walking to the bathroom or moving about their rooms. 10% of fatal falls by the elderly in the U.S. occur in hospitals. This one change at Providence reduced falls by 25%, according to chief nursing officer Kim Williams. http://www.businessweek.com/magazine/content/10_03/b4163040943750.htm
  • 34. Idea # 11 Proactively call patients
  • 35. Patients with dementia discharged from the William S. Middleton Memorial Veterans Hospital received weekly phone calls from a nurse for 4 weeks or until the patient transitioned to a primary care provider. This simple initiative reduced readmissions and cut $1,225 in costs per patient. http://www.fiercehealthcare.com/story/telephone-calls-nurses-reduce-readmissions/2012-12-11
  • 36. In Denmark, at least 20% of all hospital patients on “medicine functions” would not have to be sent to the hospital. Savings potential per year: Around DKK 1,5 billion. http://www.berlingske.dk/danmark/mange-aeldre-indlaegges-uden-grund
  • 37. Idea # 12 Use language of the patient
  • 38. Ask the patient, “In what language do you prefer to discuss your health care?” http://www.healthcarechaplaincy.org/userimages/doc/A_Roadmap_for_Hospitals.pdf, p. 10.
  • 39. Use translation technology on your smartphones http://translate.google.com/
  • 40. What is your language strategy? http://issuu.com/frankcalberg/docs/languages
  • 41. Idea # 13 Involve patients at nurse shifts
  • 42. After a 2011 pilot program, nurses on every medical and surgical unit at St. Michael's Hospital perform handover at their patient's bedside. http://www.healthleadersmedia.com/page-1/NRS-298879/Why-You-Should-Involve-Patients-in-Nursing-Handoffs
  • 43. Study shows that patients have a better understanding of and engagement in their care when handoffs are performed at bedside. Bedside nurse handover is beneficial to both clinicians and patients as they improve and strengthen communication between both parties, reduce errors – for example medication - and strengthen the concept of patient-centered care. http://www.healthleadersmedia.com/page-1/NRS-298879/Why-You-Should-Involve-Patients-in-Nursing-Handoffs
  • 44. Tips for giving and receiving feedback http://www.slideshare.net/frankcalberg/feedback-tips
  • 45. Idea # 14 Involve friends and family of patients
  • 46. At the Narayana health hospital in Mysore, India, family members, who want to help out, are trained how to care for patients during the 3 days following heart surgery. Govindarajan, Vijay & Ramamurti, Ravi: Delivering world class health care, affordably. https://archive.harvardbusiness.org/cla/web/pl/product.seam?c=29200&i=29202&cs=60d8e9de1ed0fce80500e63dce3417d6
  • 47. Idea # 15 Involve young people who want to help out
  • 48. To help nurses and doctors reduce stress, how about reducing wages of nurses and doctors by about 10% and investing the money in paying young people who want to help out do various tasks in the hospital and/or at people’s homes.
  • 49. At several hospitals in India, paramedic workers with 2 years of training after high school help out do various medical jobs. http://www.washingtonpost.com/opinions/indian-hospitals-could-show-us-hospitals-how-to-save-money-without- cutting-quality/2013/11/01/d02c8e58-3c28-11e3-b7ba-503fb5822c3e_story.html
  • 50. Youth unemployment in Europe is alarming http://www3.weforum.org/docs/WEF_GlobalRisks_Report_2014.pdf
  • 51. Further inspiration https://delicious.com/frankcalberg/crowdsourcing http://www.slideshare.net/frankcalberg/ideas-to-prevent-stress
  • 52. Idea # 16 Involve people working for other hospitals
  • 53. Study shows that top hospitals tend to have a lot of collaboration with other hospitals. http://www.healthcareitnews.com/news/top-100-hospitals-named-thomson-reuters
  • 54. Development of hospital services until 2020 - Zürich Sources http://www.nzz.ch/nachrichten/zuerich/bedarf_an_pflegetagen_bleibt_unveraendert_1.4203357.html http://www.tagesanzeiger.ch/zuerich/region/Zuerich-braucht-nicht-mehr-aber-andere-Spitaeler/story/16881935
  • 55. Idea # 17 Leaders walk around the hospital
  • 56. By regularly seeing and hearing with their own eyes and ears what’s happening on the front lines of patient care, leaders - including leaders in, for example, finance, cooking, and cleaning - can better understand patient needs and help identify problems and opportunities for improvement. http://blogs.hbr.org/2013/09/understanding-the-drivers-of-the-patient-experience/
  • 57. Further inspiration http://www.slideshare.net/frankcalberg/listening-tips http://www.slideshare.net/frankcalberg/good-leadership
  • 58. Idea # 18 Improve meetings
  • 59. Further inspiration http://www.slideshare.net/frankcalberg/facilitationmoderation-of-meetings
  • 60. Idea # 19 Invite artists to put their art on walls
  • 61. A survey with heart surgery patients in the intensive care unit showed the following: Patients, who looked at a large nature photograph showing water and trees, were less anxious and needed fewer doses of strong pain medicine than patients who looked at a darker forest photograph, abstract art or no pictures at all. http://www.scientificamerican.com/article.cfm?id=nature-that-nurtures
  • 62. Idea # 20 Use design to make patients happier
  • 63. http://www.casttoo.com/Casttoo.com/Design_Catagories/Entries/2007/10/14_Space.html Happy healing!
  • 64. Idea # 21 Use music to heal people
  • 65. Research by Frank Russo shows that music therapy can help Parkinson's patients walk and people with Alzheimer’s remember http://www.cbc.ca/news/arts/music-therapy-offers-hope-for-alzheimer-s-parkinson-s-1.1286293
  • 66. A review of 23 studies covering almost 1,500 patients found that listening to music reduced heart rate, blood pressure and anxiety in heart disease patients. http://www.spring.org.uk/2013/09/10-magical-effects-music-has-on-the-mind.php
  • 67. http://youtu.be/tzwWskM4hN8
  • 68. Further inspiration http://www.slideshare.net/frankcalberg/the-power-of-music-33790370
  • 69. Idea # 22 Replace fast food with healthy food
  • 70. Hundreds of hospitals in the United States and Europe are replacing the fast-food joints in their lobbies with farmers’ markets. http://whatmatters.mckinseydigital.com/social_entrepreneurs/making-health-care-healthy
  • 71. Vending machines at hospitals Vending machines today Vending machines tomorrow  Soda.  Chips.  Candy.  Water.  Fresh fruit.  Healthy snacks. http://www.fastcodesign.com/1664797/six-ways-to-improve-doctors-waiting-rooms
  • 72. Michigan hospital’s organic greenhouse includes healthy fruits and vegetables http://www.springwise.com/health_wellbeing/michigan-hospital-builds-greenhouse-grows-organic-produce/ http://www.henryford.com/greenhouse
  • 73. Idea # 23 Use all food
  • 74. What can be done to use the food that patients - for whatever reason - do not eat?
  • 75. Idea # 24 Encourage patients to go out to eat
  • 76. Some advantages for patients of going out to eat:  Patients get exercise, which help prevent illnesses.  Money is saved on distribution of food to patient rooms.  Depending on the variety of food offered at cafes / food stands near the hospital, patients may be able to choose from more different types of food. This could be an advantage, when there is a high cultural diversity among patients, their family and friends.
  • 77. Idea # 25 Outsource the hospital cafes to professional coffee houses
  • 78. Idea # 26 Ask pharmaceutical companies to make different medicine look different
  • 79. http://www.tagesanzeiger.ch/schweiz/standard/Bis-zu-1700-Kunstfehler-pro-Jahr-in-Schweizer-Spitaelern/story/25773109
  • 80. Idea # 27 Install sanitizers in the right places
  • 81. Sanitizer in door handle http://www.pullclean.com/ http://www.psfk.com/2014/04/hospital-door-hand-sanitizer.html
  • 82. Sanitizer on the wall Source Zollikerberg hospital. Zürich, Switzerland.
  • 83. Each year in the USA, patients get more than 1 million infections in hospitals while they are being treated for something else. http://www.youtube.com/watch?v=-CjWCw5VGQ4
  • 84. Survey findings show that health and safety messages should focus on the people who are perceived as most vulnerable. Example of what a sign in a hospital could say: Hand hygiene prevents patients from catching diseases. Source Pink, Daniel: To sell is human: The surprising truth about moving others, location 2750. http://www.amazon.de/Sell-Human-Surprising-Influencing-ebook/dp/B00AO3K05S/
  • 85. Idea # 28 Use robots to transport things
  • 86. http://www.westerndailypress.co.uk/Robots-help-deliver-meals-patients/story-22867113-detail/story.html At Southmead Hospital in Bristol, automatic guided vehicles deliver meals to patients.
  • 87. Nurses spend up to 20% of their time wheeling equipment and carts from one location to another or waiting for a cart to arrive. Self-guided, motorized carts can take on these tasks. http://www.mckinsey.com/insights/business_technology/disruptive_technologies
  • 88. Idea # 29 Take equipment to the patient
  • 89. Take testing equipment to the patient - not the other way around. http://www.businessweek.com/magazine/content/10_03/b4163040943750.htm
  • 90. More than 90% of China’s population relies on poorly funded, low-tech hospitals or basic clinics in rural villages. These facilities has no sophisticated imaging centers, and transportation to urban hospitals is difficult, especially for the sick. When patients can’t come to the ultrasound machines, the ultrasound machines has to go to the patients. http://files.gereports.com/wp-content/uploads/2009/09/how_ge_is_disrupting_itself.pdf
  • 91. Idea # 30 Install lights that heal people
  • 92. http://www.smartplanet.com/blog/intelligent-energy/lights-that-heal/11661
  • 93. Idea # 31 Use LED lights and light sensors to save energy
  • 94. Idea # 32 Place rooms of doctors and nurses in the center to reduce walking time
  • 95. Rooms of doctors and nurses Patient room Patient room Patient room Patient room Patient room Patient room Patient room Patient room Patient room Patient room
  • 96. Idea # 33 Use a cart when serving patients
  • 97. Two advantages of bringing all material - including smartphone / tablet / laptop - on a cart when going to see patients: 1. Problems of patients can be solved immediately. 2. Nurses and doctors save time when they need to walk less back and forth between patient rooms and material rooms.
  • 98. Idea # 34 Use mobile electronic devices when serving patients
  • 99. 2 advantages of using mobile electronic devices such as smartphones / tablets / laptops when working with a patient: 1. The patient feels well served when he/she observes that needs are documented immediately. 2. By documenting immediately, the nurse / doctor avoids forgetting something.
  • 100. Idea # 35 Use ”quiet rooms” to work
  • 101. To nurses and doctors: When you are not serving patients in patient rooms, what about also working on your smartphones / laptops / tablets / Internet / social media in ”quiet rooms”, for example in patient rooms that are not used / used little.
  • 102. Idea # 36 Use fitness infrastructure inside and outside the hospital
  • 103. Sport in a park. Beijing, China. http://www.nzz.ch/hintergrund/reportagen/sport_in_pekings_park_1.785960.html
  • 104. http://www.ksw.ch/desktopdefault.aspx/tabid-1152/1771_read-5348/
  • 105. Instructions on how to do exercises
  • 106. http://www.zurichvitaparcours.ch/
  • 107. Idea # 37 Use gardens to heal people
  • 108. A survey by Roger Ulrich of patients recovering from gallbladder surgery showed the following: Patients with bedside windows looking out on leafy trees healed, on average, a day faster, needed significantly less pain medication and had fewer postsurgical complications than patients who instead saw a brick wall. http://www.scientificamerican.com/article.cfm?id=nature-that-nurtures
  • 109. http://inhabitat.com/henning-larsen-designs-lush-green-heart-for-herlev-hospital-expansion/
  • 110. Examples of what makes a garden healing # 1: Easy entry to the garden. Adapted from http://www.scientificamerican.com/article.cfm?id=nature-that-nurtures # 2: 70% green. # 3: 30% walkways and plazas. # 4: Infrastructure that encourage interaction. Example: Games so people can play.
  • 111. http://www.pinterest.com/pin/446700856762622015/
  • 112. http://www.pinterest.com/pin/446700856762433907/
  • 113. Idea # 38 Use mobile hospitals
  • 114. http://jyllands-posten.dk/indland/article2004323.ece
  • 115. The best hospital bed is empty, not full. http://www.businessweek.com/magazine/content/10_03/b4163040943750.htm
  • 116. Idea # 39 Do homecare
  • 117. A report on "recovery-at-home" scheme in England found it could free hospital beds and improve care for patients. http://www.bbc.co.uk/news/health-23673062
  • 118. Patient care is moving from the hospital to the outpatient setting and ultimately to wherever the patient happens to be located. http://blogs.hbr.org/2013/11/saving-academic-medicine-from-obsolescence
  • 119. A big thank you for inspiration – in a variety of ways – to the following people Magdalena Stępień. Rajha M. Pereira. Katharina Althaus. Brigitte Müller. Hanne Calberg. Berci Meskó. https://twitter.com/Berci. Thank you for useful tweets. Kevin Pho. https://twitter.com/kevinmd. Thank you for useful tweets.
  • 120. Thank you for your interest. For further inspiration and coaching services, feel welcome to visit http://frankcalberg.com Have a great day.