Anne Morgan & Gareme Webb - Transforming Adult Outpatient Environments to Meet the Needs of Children
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A presentation given by Anne Morgan & Gareme Webb at the October 2012 CHA Conference, in the 'Service Redesign
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Anne Morgan & Gareme Webb - Transforming Adult Outpatient Environments to Meet the Needs of Children
- 1. Christchurch Hospital New Zealand Anne Morgan & Graeme Webb k The Journey Towards Excellence in Children’s Healthcare 2012
- 2. Hagley Park Christchurch New Zealand
- 4. Demographics • 54,000 children are seen in outpatient facilities at Christchurch Hospital • 16,000 of these are seen in a dedicated Children’s outpatient facility • Adult Outpatient areas where children are seen are: Orthopedics, Eyes, ENT, Plastics, Dental, Neurosurgery, Dermatology, Physiotherapy, Speech Language Therapy and Nutrition Services
- 5. The Project Child Health Services, Canterbury District Health Board and the Family Advisory Council undertook a survey of all out patient areas where children were seen. Firstly there is a need to acknowledge Traci Stanbury from the Family Advisory Council who undertook this project. Why do it? To provide information for the development of new facilities
- 6. Method-Research Design Questions were developed after reviewing relevant literature Questionnaire that consisted of 30 questions was trialled in Children's Outpatients The final survey comprised of 20 Y/N questions and three opened ended questions Data was then collected from 10 different Outpatient waiting areas including Children’s over a one month period
- 7. Results 47% said they preferred a child friendly waiting area 7% said they did not mind the adult friendly waiting area 46% did not mind either way
- 8. Recommended Changes to Waiting Area
- 9. What would improve your Childs experience?
- 10. Where to from here? Our Choices Not to do anything! Don’t listen to our users and move forward with re-designing and improvement Develop a partnership with users and co-design improvements to outpatient environments
- 14. The Four Steps of ebd
- 17. Eye Outpatients 23 surveys completed The waiting room was cold The waiting room needs colour Not enough reading material The toys are good for kids – can you get more? More activities geared towards older children 8+.
- 18. Solutions from those in the know! More toys Colouring area Bigger child play area, more child friendly like at Paediatric Outpatients Books and toys about eyes Better reading material Children's posters Newer toys, games, trucks, aeroplanes, Lego, more chalk
- 19. What worked well! Trial of the survey was conducted to evaluate the acceptability of the tool by consumers Acceptance of the survey by the consumer groups and staff Consumer administrating the survey
- 20. Challenges Breaking down perceived barriers to change Maintaining momentum with key stakeholders
- 21. Are we there yet? Long Way To Go! - Started to develop a DVD Library - Staff survey - In-depth interviews - Eye department to identify interested consumers to be part of the working group - Working group to come up with solutions - Identify a mechanism to gain continuous feedback
- 22. Questions?
- 23. Thank You!
Editor's Notes
- Christchurch is the largest city in the South Island of New Zealand with a population of 400,000 people. It is the second largest city in NZIt is known as the Garden City with many parks and gardens. The landscape is mainly flat with the Canterbury plains stretching from the coast to the Southern Alps. Hence the backdrop to our beautiful city are white peaked mountains
- Christchurch Hospital is the largest tertiary hospital in the South Island . It is situated in central Christchurch adjoining Hagley Park. It has approx 500 Beds. Although post earthquakes lost 160 beds. This does not include CWH. On the same campus is Christchurch Women's Hospital which has the Neonatal service, Obstetrics, Gynaecology and day surgery unit.
- With planning for new facilities the FAC wanted to access the needs of Families accessing Outpatient facilities. What worked and what didn’t work. The Aim of the study was to provide documented evidence to assist decision making around the development of a new facility.
- 1. As part of the development of the questionnaire 10 parents were consulted , x3 Paediatricians . and 3 senior staff members of the CH service2.This identified that there were too many questions and that one of the questions needed to be reworded for clarity3To give parents the opportunity to provide ideas for improvements4. Questionnaires were left with the reception staff to hand out to families when they clerked in
- 1. Of the 46% who did not mind either way 58% had never been in Children’s outpatients
- Although a lower percentage of parents chose a child focused room as the child approaches age 15 there is not a corresponding increase in older age groups preferring an adult focused waiting area. Instead the preference for the ‘don’t mind’ category increased, indicating that although the child has outgrown a child only department, an adult focused department is not necessarily the next step. fraction of events and may not reliably identify serious events