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EDRA_2015_Being the change

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EDRA_2015_Being the change

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EDRA_2015_Being the change

  1. 1. BEING THE CHANGE HKS Bringing Research to Practice
  2. 2. TEAM • Upali Nanda, PhD • Heath May, AIA • Tom Harvey, FAIA • Chris Mundell, AOA
  3. 3. • What’s changing in practice- Research! • Resistance to change • Being the change: – A model of using a project as a lab for research
  4. 4. Why Research is “In”
  5. 5. Changing Market Culture • Focus on “Value” not Cost • Increase in Accountability • “Educated” consumer • Data-driven culture • Increased computational ability • “Green” conscience
  6. 6. 3 Initiatives
  7. 7. #1: TECHNOLOGY
  8. 8. LINE
  9. 9. #2: SUSTAINABILITY
  10. 10. DesignGreen
  11. 11. DesignGreen • Compared and ranked various renewable power systems based on costs and energy produced.
  12. 12. • Analyzed actual roof space for solar power system based on clearance, shading and existing support structure. DesignGreen
  13. 13. #3: HUMAN & ORGANIZATIONAL BEHAVIOR
  14. 14. CADRE
  15. 15. HEALTHCARE RESEARCH STAYING INFORMED 5 point agenda for Healthcare Research Improve Patient & Family Experience Reduce stress, pain perception, anxiety Improve comfort, satisfaction, sense of control, wayfinding, family presence Improve Safety / Mitigate Risk Reduce risk of infections, falls, injury and errors Improve patient monitoring; improving environmental health Increase Staff Effectiveness & Safety Reduce staff fatigue, injury, errors Improve efficiency, communication, collaboration and satisfaction Improve performance and patient interaction Lower Life Cycle Costs Operational flexibility; Balancing one-time capital cost with life- time operational cost, accounting for improved outcomes and return on investment Improve Organizational Outcomes HCAHPS; LOS (Length of Stay); LWBS (Leave without being seen rate); Return Rate; Referrals; Turnovers
  16. 16. HEALTHCARE RESEARCH STAYING INFORMED Evidenced Based Design Case Study: Emory Neuro ICU Design Research Team: HKS and Georgia Tech Objective: Design for Patient/Family focused Care Location: Emory University Hospital Procedure: Industry survey and benchmarking of award- winning Neuro ICU designs. Design Charrettes with user groups. Key findings: Private family zone inside patient room increased family satisfaction Dissemination: Wall Street Journal Article
  17. 17. Objective: To assess the performance of membrane ceiling technology in controlling air particulate dispersion in exam rooms. Location: Washington Hospital Center Mock-up Published: Journal of Healthcare Engineering Method: Computational Fluid Dynamic (CFD) Modeling Key outcome: A membrane diffuser directed airflow ventilation provides a less turbulent airflow pattern and less mixing of the air between the patient and others in the room. Membrane Ceilings in ED Exam Rooms Research Team: CCRD; Fluid Dynamics Solutions Inc. PI: D. Pati; Mik Pietrzak
  18. 18. HEALTHCARE RESEARCH STAYING INFORMED Evidenced Based Design Case Study: View and Acute Stress Objective: Ascertain impact of view duration and content on acute stress and alertness of nurses Location: Children’s Healthcare of Atlanta Procedure: Measured acute stress, chronic stress and alertness before and after shift Key findings: Nature view reduces staff stress Nature view Reduced Staff Stress Reduced Staff Turnover? Improved Patient Interaction Improved Patient Satisfaction More referrals, More reimbursement, More $$$
  19. 19. Convergence
  20. 20. LINE CADREGREEN
  21. 21. CADRE Overall Goal: Individual, Organizational and Environmental Wellbeing MATERIALS & SYSTEMS LINE DESIGN GREEN TECHNOLOGYHUMAN BEHAVIOR
  22. 22. LINE DESIGN GREEN CADRE HUMAN BEHAVIOR TECHNOLOGY MATERIALS & SYSTEMS Overall Goal: Individual; Organizational and Environmental Wellbeing
  23. 23. Resistance Factors Billability Time ProcessCulture Tools
  24. 24. Resistance
  25. 25. • Billability • Time • Process • Culture • Tools • Billability
  26. 26. Sharing Liability
  27. 27. A Project is a Lab preomedica
  28. 28. Reported Data Observed Data Spatial Data 16 Interviews (6 RN; 3 PCS; 3 Leadership; 2 NA; 1 UC; 1 care navigator) 17 hours of RN Shadowing (day + night) Travel distance from point to point using parametric modeling tools Surveys (31 responses) Behavior Maps (6) + Sound Readings (10) Sight Lines FIELD RESEARCH + SIMULATION Human Behavior Existing Use of Environment Energy Performance Environmental Affordance
  29. 29. ProMedica New Patient Tower 37May 13, 2014 RESEARCH FINDINGS: 7TH FLOOR MED-SURG 17 6 3 2Hours of Minute to Minute Shadow Data RN Interviews Patient Care Supervisor Interview 3 Leadership Interview 1 Care Navigator Interview 1 31 Survey Responses 10 Sound readings; Behavior Maps Nursing Assistants Interview Unit Clerk Interview DETAILED PARAMETRIC ANALYSIS
  30. 30. ProMedica New Patient Tower 38May 13, 2014 Need Parametric Modeling Visuals
  31. 31. ProMedica New Patient Tower 39May 13, 2014
  32. 32. ProMedica New Patient Tower 40May 13, 2014
  33. 33. ProMedica New Patient Tower 41May 13, 2014 Integrating Research into Practice: One Project at a Time
  34. 34. To conclude-let’s begin preomedica
  35. 35. • Skills cannot be restricted to a few • “research” with a big “R” must be in collaboration with academia • research in design practice must be integrated throughout the process- not as an “add-on” • Please add thoughts here

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