The document summarizes research into nine domains of design decision-making that impact operational flexibility in acute care medical-surgical units: peer lines-of-sight, patient visibility, multiple division/zoning options, proximity of support, resilience to move services, inter-unit movements, service expansion options, adjustable support core, and expandable support core. The research identified several factors that can impede designing for optimal operational flexibility, including systemic, cultural, human, financial, and physical factors. Examples of impediments discussed include unanticipated consequences of information technology, lack of standardized communication platforms, and assumptions about IT implementation timelines not being realized.
The document summarizes a study that assessed how different room configurations in adult medical-surgical units impact patient care activities. Participants ranked 23 criteria and evaluated 6 room layouts. Non-designers and designers had some differences in criteria rankings. Layouts B and F received the highest suitability scores while layouts with inboard toilets received negative ratings. The findings could help programming and design but questions remain about reliability and validity. Performance-based evaluation frameworks may improve traditional decision-making.
This document summarizes a presentation on how emergency department design impacts safety and efficiency. It discusses 14 domains of physical design that were studied, including entry/public waiting, patient intake, configuration, care-giver work areas, and physician work areas. Certain design elements like visibility, queuing, and security provisions in the entry area significantly affect both safety and efficiency. The study's findings can help hospitals optimize their emergency department design.
Heather Brosnan has over 7 years of experience as a Histology Technician and 2 years experience as a Denier. She has excellent clinical laboratory skills including embedding, microtomy, special stains, instrument maintenance, and problem solving. Brosnan is accurate, reliable, and able to work well under pressure and time constraints within high-volume environments. She has a background in forensic science and sciences and has worked in several pathology laboratories.
Brandy Alderman is a certified and licensed radiologic technologist with over 10 years of experience working in various clinical settings including hospitals, urgent care, and private practice. She has extensive skills in positioning patients, operating different x-ray equipment models, and performing fluoroscopy and surgical examinations. Alderman received her Associate of Applied Science in Radiologic Technology from Sinclair Community College in 2016.
Michael Robertson is a highly motivated and experienced radiologic technologist seeking a position in San Francisco, California. He has over 15 years of experience performing diagnostic imaging examinations including CT, MRI, x-ray, and ultrasound. His background includes positions at Stryker Shapematch, Alameda County Hospital, Synarc Inc., and University of California San Francisco Medical Center. He is certified as a radiologic technologist by the state of California and maintains credentials in basic life support, venipuncture, and radiologic technologist advanced placement.
Michael Grupac has over 20 years of experience in medical device technical support, ultrasound exams, and healthcare sales. He currently provides technical support for Zoll Medical, addressing product issues for patients, medical professionals, and field staff. Previously, he served as an ultrasound department supervisor, performing exams and overseeing operations. Grupac has a background in business management and holds an associate's degree in diagnostic medical sonography.
Rian Early has over 5 years of experience as both an orthodontic assistant and laboratory technician for Dr. James A. Homon, DDS. She has extensive experience with 4-handed dentistry, scheduling, diagnostic imaging, impressions, instrument sterilization, infection control, Invisalign impressions, and utilizing Orthotrac software. She is certified in OSHA training, dental radiography, CPR, and as an Ohio dental assistant. Rian received her dental assisting certification from the Delaware Area Career Center and holds a high school diploma from R.B. Hayes High School.
The document summarizes a study that assessed how different room configurations in adult medical-surgical units impact patient care activities. Participants ranked 23 criteria and evaluated 6 room layouts. Non-designers and designers had some differences in criteria rankings. Layouts B and F received the highest suitability scores while layouts with inboard toilets received negative ratings. The findings could help programming and design but questions remain about reliability and validity. Performance-based evaluation frameworks may improve traditional decision-making.
This document summarizes a presentation on how emergency department design impacts safety and efficiency. It discusses 14 domains of physical design that were studied, including entry/public waiting, patient intake, configuration, care-giver work areas, and physician work areas. Certain design elements like visibility, queuing, and security provisions in the entry area significantly affect both safety and efficiency. The study's findings can help hospitals optimize their emergency department design.
Heather Brosnan has over 7 years of experience as a Histology Technician and 2 years experience as a Denier. She has excellent clinical laboratory skills including embedding, microtomy, special stains, instrument maintenance, and problem solving. Brosnan is accurate, reliable, and able to work well under pressure and time constraints within high-volume environments. She has a background in forensic science and sciences and has worked in several pathology laboratories.
Brandy Alderman is a certified and licensed radiologic technologist with over 10 years of experience working in various clinical settings including hospitals, urgent care, and private practice. She has extensive skills in positioning patients, operating different x-ray equipment models, and performing fluoroscopy and surgical examinations. Alderman received her Associate of Applied Science in Radiologic Technology from Sinclair Community College in 2016.
Michael Robertson is a highly motivated and experienced radiologic technologist seeking a position in San Francisco, California. He has over 15 years of experience performing diagnostic imaging examinations including CT, MRI, x-ray, and ultrasound. His background includes positions at Stryker Shapematch, Alameda County Hospital, Synarc Inc., and University of California San Francisco Medical Center. He is certified as a radiologic technologist by the state of California and maintains credentials in basic life support, venipuncture, and radiologic technologist advanced placement.
Michael Grupac has over 20 years of experience in medical device technical support, ultrasound exams, and healthcare sales. He currently provides technical support for Zoll Medical, addressing product issues for patients, medical professionals, and field staff. Previously, he served as an ultrasound department supervisor, performing exams and overseeing operations. Grupac has a background in business management and holds an associate's degree in diagnostic medical sonography.
Rian Early has over 5 years of experience as both an orthodontic assistant and laboratory technician for Dr. James A. Homon, DDS. She has extensive experience with 4-handed dentistry, scheduling, diagnostic imaging, impressions, instrument sterilization, infection control, Invisalign impressions, and utilizing Orthotrac software. She is certified in OSHA training, dental radiography, CPR, and as an Ohio dental assistant. Rian received her dental assisting certification from the Delaware Area Career Center and holds a high school diploma from R.B. Hayes High School.
The document discusses wrong site surgery errors and proposes a new solution. It describes how current site marking practices can be ambiguous and fail to meet Joint Commission standards, leading to errors. The proposed solution is a single-use sterile surgical site marking stamp that provides a consistent and unambiguous mark that can withstand preparation and meets Joint Commission requirements. Case studies show how the stamp could help address common errors by standardizing the marking process.
Full Arch Teeth Express Dental Implants presented by Dr. Irfan AtchaNew Teeth Chicago
This document announces a continuing education course on advanced dental implant techniques taking place on August 21, 2015. The full-day course will provide 6 hours of CE credits and cover topics like patient selection, treatment planning, surgical protocols, immediate loading, and complications management for full-arch dental implants. The course is intended for experienced clinicians and will include a hands-on component demonstrating impression taking and abutment switching. The speaker, Dr. Irfan Atcha, is a highly trained implant dentist with extensive experience in full-arch immediate load cases who has published articles and lectured widely on the topic. Seating is limited and registration is required by contacting the course coordinator.
First Aid for the Wards Presentation with Dr. Tao Lefirstaidusmlerx
The document provides an overview of common tasks and responsibilities for medical students on inpatient wards rotations. It discusses a typical day, including morning rounds, work time, conferences and afternoon duties. Key tasks like admissions, notes and documentation are outlined. Survival tips include prioritizing tasks, using organizational aids and getting feedback. Challenges like difficult patients, evaluations and scheduling future rotations are also addressed.
Robert Kirk has over two years of experience as a radiologic technologist at a Level 1 Trauma Center. He has experience with various imaging equipment brands and modalities including DR, CR, fluoroscopy, x-ray, CT, and MRI. He is looking for new opportunities to expand his skills and offers a strong work ethic and commitment to patient care.
This document summarizes a study examining the impact of decentralizing nursing units at MD Anderson Cancer Center. Data was collected before and after the transition to new units with decentralized nurse stations, medication rooms, and supplies. Findings included an increase in time spent walking and documenting for nurses, though collaboration was mixed with some improvements but staff also feeling more isolated at times. Overall, the study found that simply changing the physical design did not automatically achieve the desired outcomes and that operational processes and culture change are also needed to fully realize benefits from decentralization.
Kaila Edwards is a dental assistant specialist who graduated from Keystone Technical Institute in Harrisburg, PA in June 2015 with an Occupational Associates Degree. She has a variety of chair side and expanded function skills including assisting with four-handed dentistry, taking diagnostic radiographs, placing temporary crowns and restorations, and applying topical anesthetic. She has worked as a server at various restaurants since 2012.
Jewel Kristan Gillus is a certified dental assistant seeking employment in Baltimore, MD. She has over 5 years of experience as a full-time and part-time dental assistant providing chairside support, clerical duties, and radiography services. Her education includes a certificate from Fortis Institute and certifications in dental assisting, infection control, and dental radiology. She is proficient in various clinical and administrative tasks including restorative procedures, impressions, patient care, and software programs.
Brian Steele is a certified prosthetic assistant with over 10 years of experience fabricating, fitting, and maintaining prosthetics to help patients return to their normal lives. He is detail-oriented, compassionate, and takes pride in providing excellent patient care.
Carey Griffin has over 20 years of experience as a certified surgical technologist, having worked in various hospitals and surgery centers in Texas. She is currently a surgical technologist at Baylor Hospital in Plano, where she assists in a variety of specialties and precepts students. Griffin also has experience managing surgical technology programs and training other technicians.
This document provides guidance for conducting research at a surgeon's offices to understand the patient journey. It outlines activities to be observed such as patient appointments, order writing, and scheduling. It also provides templates for guided tours, staff interviews, surgeon interviews, and a patient interview. The goal is to understand each step of the surgical process from multiple perspectives in order to identify opportunities for improvement and safety.
Yelena Damyan is seeking a position as an Oral Surgery Assistant. She has over 5 years of experience as a dental assistant and oral surgery assistant. Her skills include vital signs, radiographs, instrument sterilization, patient care, appointment scheduling, and maintaining HIPAA compliance. She is trilingual in English, Russian, and Romanian. Her education includes a dental assisting diploma and she has multiple certifications. She provides references from her current and previous employers.
This document discusses using parametric modeling to optimize nurse walking distances and enhance workflow in hospital unit design. It presents a theoretical framework for how walking distance as a driver can impact environmental quality, human outcomes like time in patient care, and organizational outcomes. A case study compares centralized and decentralized nurse stations in a 36-bed unit, finding decentralized reduced distances by up to 36%. Future research opportunities include building parametric tools to automatically generate and evaluate design alternatives based on user-defined criteria.
These images taken by Tom Powel Imaging show NXT Health's Patient Room 2020 prototype which was created with the help of over 30 partners. We’re honored to have been one of those partners, providing the project management, permitting and construction estimates for the project.
Just a few years ago, the concept of “green schools” was a vision of the future, based on the bold belief that applying green design and construction principles to school facilities would positively impact the learning and teaching experience. At Skanska, we shared that belief and committed to applying our advanced skill set and sustainable mindset to make the green school vision a reality.
Today, students and teachers across the country are realizing the benefits of learning and working in optimized green environments. And Skanska continues to lead the construction industry in identifying and implementing new materials and methods that positively impact student health, school operational costs and the environment.
PDC_2011_Building Smart Without Compromising EfficiencyUpali Nanda
The document discusses how larger inpatient bed units can be designed to efficiently use nursing time through optimized flow and reduced walking distances. Two case studies, Summerlin Hospital and Texoma Medical Center, incorporated racetrack unit designs that reduced travel distances and times spent walking compared to national benchmarks. Post-occupancy data found the units' time distributions across tasks and activities, as well as walking distances, were similar to other top performing hospitals, demonstrating how larger bed counts can be achieved without compromising efficiency.
1. The patient is a 42-year-old Sudanese woman diagnosed with a poorly differentiated neuroendocrine tumor of the gallbladder that has metastasized to other organs.
2. She received her first cycle of palliative chemotherapy on December 23rd, which resulted in a significant reduction in tumor size and alleviation of symptoms.
3. Her current treatment plan involves continuing chemotherapy, placing stents in her bile ducts to improve jaundice, managing symptoms, and psychological support.
The document describes key components and features of an innovative patient room design called Patient Room 2020, including a patient ribbon, patient companion, open bathroom, and caregiver workstation. It highlights the patient halo lighting system, which uses LED pixel boards to provide different lighting modes for soothing, emergency, examination, and sterile situations. The modular design allows for infection control and features solid surface materials and LED lighting throughout.
Joan Saba from architecture firm NBBJ discussed designing patient rooms for changing demographics. Both baby boomers and millennials value cost-effectiveness, community, and family. NBBJ is designing more flexible patient rooms that can accommodate family members, allow patients to work or dine together, and convert unused space for amenities through reconfigurable furniture. The firm is also using new technologies like virtual reality and rapid prototyping to gather more user feedback and improve the design process.
3.7.17 DSpace for Data: issues, solutions and challenges Webinar SlidesDuraSpace
Hot Topics: The DuraSpace Community Webinar Series,
“Introducing DSpace 7: Next Generation UI”
Curated by Claire Knowles, Library Digital Development Manager, The University of Edinburgh.
DSpace for Data: issues, solutions and challenges
March 7, 2017 presented by: Claire Knowles & Pauline Ward - The University of Edinburgh & Ryan Scherle - Dryad Digital Repository
The document discusses various facility layout strategies, including their objectives, requirements, and types. It describes fixed-position, process-oriented, office, retail/service, warehouse, and product-oriented layout strategies. For each type, it provides examples and considerations for developing an optimal layout.
The document outlines recommendations for infection prevention and control in the operating room, including maintaining sterile zones, following standard precautions like proper hand hygiene and use of personal protective equipment, and CDC guidelines for preventing surgical site infections such as administering antimicrobial prophylaxis within 1 hour before incision. Risk factors for infection are classified and procedures for cleaning spills of blood and body fluids are described. Evaluation of infection control practices involves using checklists to monitor compliance and surveillance to identify infections and associated risk factors.
The document discusses different types of layout strategies used in operations management. It describes layouts for offices, retail stores, warehouses, and manufacturing facilities. For manufacturing facilities, it outlines process-oriented layouts where similar machines are grouped, work cell layouts that focus on single products, and product-oriented layouts that optimize personnel and machine utilization for repetitive production. Good layouts consider factors like material handling, space usage, and employee and customer flows.
The document discusses wrong site surgery errors and proposes a new solution. It describes how current site marking practices can be ambiguous and fail to meet Joint Commission standards, leading to errors. The proposed solution is a single-use sterile surgical site marking stamp that provides a consistent and unambiguous mark that can withstand preparation and meets Joint Commission requirements. Case studies show how the stamp could help address common errors by standardizing the marking process.
Full Arch Teeth Express Dental Implants presented by Dr. Irfan AtchaNew Teeth Chicago
This document announces a continuing education course on advanced dental implant techniques taking place on August 21, 2015. The full-day course will provide 6 hours of CE credits and cover topics like patient selection, treatment planning, surgical protocols, immediate loading, and complications management for full-arch dental implants. The course is intended for experienced clinicians and will include a hands-on component demonstrating impression taking and abutment switching. The speaker, Dr. Irfan Atcha, is a highly trained implant dentist with extensive experience in full-arch immediate load cases who has published articles and lectured widely on the topic. Seating is limited and registration is required by contacting the course coordinator.
First Aid for the Wards Presentation with Dr. Tao Lefirstaidusmlerx
The document provides an overview of common tasks and responsibilities for medical students on inpatient wards rotations. It discusses a typical day, including morning rounds, work time, conferences and afternoon duties. Key tasks like admissions, notes and documentation are outlined. Survival tips include prioritizing tasks, using organizational aids and getting feedback. Challenges like difficult patients, evaluations and scheduling future rotations are also addressed.
Robert Kirk has over two years of experience as a radiologic technologist at a Level 1 Trauma Center. He has experience with various imaging equipment brands and modalities including DR, CR, fluoroscopy, x-ray, CT, and MRI. He is looking for new opportunities to expand his skills and offers a strong work ethic and commitment to patient care.
This document summarizes a study examining the impact of decentralizing nursing units at MD Anderson Cancer Center. Data was collected before and after the transition to new units with decentralized nurse stations, medication rooms, and supplies. Findings included an increase in time spent walking and documenting for nurses, though collaboration was mixed with some improvements but staff also feeling more isolated at times. Overall, the study found that simply changing the physical design did not automatically achieve the desired outcomes and that operational processes and culture change are also needed to fully realize benefits from decentralization.
Kaila Edwards is a dental assistant specialist who graduated from Keystone Technical Institute in Harrisburg, PA in June 2015 with an Occupational Associates Degree. She has a variety of chair side and expanded function skills including assisting with four-handed dentistry, taking diagnostic radiographs, placing temporary crowns and restorations, and applying topical anesthetic. She has worked as a server at various restaurants since 2012.
Jewel Kristan Gillus is a certified dental assistant seeking employment in Baltimore, MD. She has over 5 years of experience as a full-time and part-time dental assistant providing chairside support, clerical duties, and radiography services. Her education includes a certificate from Fortis Institute and certifications in dental assisting, infection control, and dental radiology. She is proficient in various clinical and administrative tasks including restorative procedures, impressions, patient care, and software programs.
Brian Steele is a certified prosthetic assistant with over 10 years of experience fabricating, fitting, and maintaining prosthetics to help patients return to their normal lives. He is detail-oriented, compassionate, and takes pride in providing excellent patient care.
Carey Griffin has over 20 years of experience as a certified surgical technologist, having worked in various hospitals and surgery centers in Texas. She is currently a surgical technologist at Baylor Hospital in Plano, where she assists in a variety of specialties and precepts students. Griffin also has experience managing surgical technology programs and training other technicians.
This document provides guidance for conducting research at a surgeon's offices to understand the patient journey. It outlines activities to be observed such as patient appointments, order writing, and scheduling. It also provides templates for guided tours, staff interviews, surgeon interviews, and a patient interview. The goal is to understand each step of the surgical process from multiple perspectives in order to identify opportunities for improvement and safety.
Yelena Damyan is seeking a position as an Oral Surgery Assistant. She has over 5 years of experience as a dental assistant and oral surgery assistant. Her skills include vital signs, radiographs, instrument sterilization, patient care, appointment scheduling, and maintaining HIPAA compliance. She is trilingual in English, Russian, and Romanian. Her education includes a dental assisting diploma and she has multiple certifications. She provides references from her current and previous employers.
This document discusses using parametric modeling to optimize nurse walking distances and enhance workflow in hospital unit design. It presents a theoretical framework for how walking distance as a driver can impact environmental quality, human outcomes like time in patient care, and organizational outcomes. A case study compares centralized and decentralized nurse stations in a 36-bed unit, finding decentralized reduced distances by up to 36%. Future research opportunities include building parametric tools to automatically generate and evaluate design alternatives based on user-defined criteria.
These images taken by Tom Powel Imaging show NXT Health's Patient Room 2020 prototype which was created with the help of over 30 partners. We’re honored to have been one of those partners, providing the project management, permitting and construction estimates for the project.
Just a few years ago, the concept of “green schools” was a vision of the future, based on the bold belief that applying green design and construction principles to school facilities would positively impact the learning and teaching experience. At Skanska, we shared that belief and committed to applying our advanced skill set and sustainable mindset to make the green school vision a reality.
Today, students and teachers across the country are realizing the benefits of learning and working in optimized green environments. And Skanska continues to lead the construction industry in identifying and implementing new materials and methods that positively impact student health, school operational costs and the environment.
PDC_2011_Building Smart Without Compromising EfficiencyUpali Nanda
The document discusses how larger inpatient bed units can be designed to efficiently use nursing time through optimized flow and reduced walking distances. Two case studies, Summerlin Hospital and Texoma Medical Center, incorporated racetrack unit designs that reduced travel distances and times spent walking compared to national benchmarks. Post-occupancy data found the units' time distributions across tasks and activities, as well as walking distances, were similar to other top performing hospitals, demonstrating how larger bed counts can be achieved without compromising efficiency.
1. The patient is a 42-year-old Sudanese woman diagnosed with a poorly differentiated neuroendocrine tumor of the gallbladder that has metastasized to other organs.
2. She received her first cycle of palliative chemotherapy on December 23rd, which resulted in a significant reduction in tumor size and alleviation of symptoms.
3. Her current treatment plan involves continuing chemotherapy, placing stents in her bile ducts to improve jaundice, managing symptoms, and psychological support.
The document describes key components and features of an innovative patient room design called Patient Room 2020, including a patient ribbon, patient companion, open bathroom, and caregiver workstation. It highlights the patient halo lighting system, which uses LED pixel boards to provide different lighting modes for soothing, emergency, examination, and sterile situations. The modular design allows for infection control and features solid surface materials and LED lighting throughout.
Joan Saba from architecture firm NBBJ discussed designing patient rooms for changing demographics. Both baby boomers and millennials value cost-effectiveness, community, and family. NBBJ is designing more flexible patient rooms that can accommodate family members, allow patients to work or dine together, and convert unused space for amenities through reconfigurable furniture. The firm is also using new technologies like virtual reality and rapid prototyping to gather more user feedback and improve the design process.
3.7.17 DSpace for Data: issues, solutions and challenges Webinar SlidesDuraSpace
Hot Topics: The DuraSpace Community Webinar Series,
“Introducing DSpace 7: Next Generation UI”
Curated by Claire Knowles, Library Digital Development Manager, The University of Edinburgh.
DSpace for Data: issues, solutions and challenges
March 7, 2017 presented by: Claire Knowles & Pauline Ward - The University of Edinburgh & Ryan Scherle - Dryad Digital Repository
The document discusses various facility layout strategies, including their objectives, requirements, and types. It describes fixed-position, process-oriented, office, retail/service, warehouse, and product-oriented layout strategies. For each type, it provides examples and considerations for developing an optimal layout.
The document outlines recommendations for infection prevention and control in the operating room, including maintaining sterile zones, following standard precautions like proper hand hygiene and use of personal protective equipment, and CDC guidelines for preventing surgical site infections such as administering antimicrobial prophylaxis within 1 hour before incision. Risk factors for infection are classified and procedures for cleaning spills of blood and body fluids are described. Evaluation of infection control practices involves using checklists to monitor compliance and surveillance to identify infections and associated risk factors.
The document discusses different types of layout strategies used in operations management. It describes layouts for offices, retail stores, warehouses, and manufacturing facilities. For manufacturing facilities, it outlines process-oriented layouts where similar machines are grouped, work cell layouts that focus on single products, and product-oriented layouts that optimize personnel and machine utilization for repetitive production. Good layouts consider factors like material handling, space usage, and employee and customer flows.
Location and layout of hospital, need of hospital to community,planning,factors and data required in planning,fundamentals and objectives,principles,different stages,equipment planning,icu design and layout,quality quantity and temperature and noise control in hospital,conclusion
This document discusses quality improvement in healthcare. It begins by posing questions about defining quality, what quality improvement is, and how quality can be improved. It then discusses the safety paradox in healthcare - that despite highly trained staff and technology, errors are common and patients are frequently harmed. Several studies on adverse event rates in hospitals are summarized. The document discusses concepts for safety and quality improvement like reliability, variation, measurement, and change management. It provides examples of quality improvement tools and approaches like process mapping, care bundles, measurement, and the PDSA (Plan-Do-Study-Act) cycle. Overall, the document provides an overview of key issues and approaches related to quality and safety in healthcare.
Managing a major hospital website redesignShawn Gross
What's it like to lead a 200-year old academic medical center through a three+ year institution-wide website redesign initiative?
Slides cover planning, implementation and measuring success of the new website for Massachusetts General Hospital in Boston.
The new massgeneral.org has received top health care marketing awards, including recognition from organizations such as MITX, AIGA and WebAwards; and most importantly, continues to receive positive feedback from its patient and health care professional constituents.
Optimize your EMR for Orthopedics: Essential Strategies that Drive Physician ...Wellbe
By this point in time, approximately 80 percent of orthopedic practices and health systems have made conversions to electronic medical records. Regardless of the vendor, the change is always challenging, and creates problems that are magnified in high volume and high margin specialties like orthopedics. The implementation of an electronic medical record should drive your practice or department to adapt, and subsequently adopt new mechanisms of service delivery. These changes not only help your practice or department meet the challenges created by the electronic medical record, but will also help prepare you for the challenges of tomorrow.
About the Speaker:
Joe Greene is currently the Program Manager of Outreach and Development for the University of Wisconsin Hospital and Clinics in the Department of Orthopedics and Rehabilitation. In this role, Joe coordinates business and philanthropic development activities for the UW Hospital department and University of Wisconsin Department of Orthopedics and Rehabilitation. He represents the needs of all orthopedic subspecialties and has worked for the UW since 1991 when he initiated his career there as an athletic trainer and clinician. He has worked in management and administration across the Department since 1997.
In addition to his role with the UW Hospital, Joe also is the CEO and Owner of OrthoVise. OrthoVise is an Orthopedic advisory firm that assists orthopedic practices of all types with operational and business development needs. His experiences have allowed him and his advisors the opportunity to consult formally with orthopedic practices since 2010. He has particular areas of interest that include Orthopedic and Sports Medicine Program Business Development, Service Line Development, Health Information Technology and EMR Operational Optimization for Orthopedics, Innovative Service Delivery Implementation, Smart Staffing, and Workflow Enhancement.
Paper OneLength- 1000- 1200 words- 3-5-4 pages- exclusive of the Work.docxestefana2345678
Paper One
Length : 1000- 1200 words/ 3.5-4 pages, exclusive of the Work Cited page
For your first paper, you’ll be analyzing impediments to your own critical thinking and how they shaped your decision making in a specific decision in your life.
First, think back to a decision you’ve made that you either now see as a bad decision or that you’re still not fully sure you thought through critically. It doesn’t have to be a super-personal decision (why did I date that girl for so long in high school?), and it can even be a decision that’s had a good outcome (why did I choose this university?), as long as you can express how you didn’t really think critically about it at the time .
Elements of Reasoning : For prewriting purposes, go around the circle of elements with this decision as you made it then , paying close attention to who you were when you made it (your Point of View). You’ll want to use these notes as you describe your decision-making process and put any elements of reasoning in bold in your paper. Plan to use between 3-5 elements of reasoning in your paper.
Impediments : Finally, think about what types of impediments got in your way as you made this decision. Develop paragraphs in your paper around these impediments and put them in bold type in your paper as well. Your thesis statement should say something about how the impediments that blocked your critical thinking interacted with the elements of reasoning to keep you from using them effectively.
Because all papers in CRTW must include documented material, make sure you quote Nosich at least once when talking about at least one impediment that hindered your critical thinking. You'll then need to give the page number in MLA format in your paper and create a Works Cited page with Nosich's book on it at the end of your paper.
Hints:
1. Don’t be afraid to use the first person “I.†This is a paper about you and your thinking.
2. You can tell this as a story if you’d like, so long as it’s clear that you’re analyzing your own thinking and which impediments and elements of reasoning were (or weren’t) involved.
3. Whether you tell this as a story or write it as a more formal academic paper, your introduction should give some context to your decision: when was it, what was it, and why did you need to make it?
4. In your conclusion, rather than repeating what you’ve already said in the introduction and body of the paper, please try to reflect on what you’ve learned from analyzing this decision and/or making the decision in the first place. What might you do differently in the future? How might you approach the same impediment(s) if you feel them creeping into your thought process in future decisions?
Proprietary
KATHY FORSYTH
CAPELLA UNIVERSITY
Tele Psych Staff Training Session
Proprietary
What is Telehealth
and Tele psych?
ïµ Technology ïµ Four models
ïµ Closing the gap access to healthcare ïµ Care when they need it, no matter the
distance
ïµ Decreasing cost.
SciMetrika is a minority-owned small business dedicated to advancing public health through innovative scientific and technical solutions. They provide comprehensive public health support services including statistics, epidemiology, health education, program evaluation, environmental consulting, and management consulting. SciMetrika has over a decade of experience working with agencies like CDC, EPA, DoD, and VA on projects ranging from disease surveillance to feasibility studies to program evaluations.
Combining Patient Records, Genomic Data and Environmental Data to Enable Tran...Perficient, Inc.
The average academic research organization (ARO) and hospital has many systems that house patient-related information, such as patient records and genomic data. Combining data from a variety of sources in an ongoing manner can enable complex and meaningful querying, reporting and analysis for the purposes of improving patient safety and care, boosting operational efficiency, and supporting personalized medicine initiatives.
In this webinar, Perficient’s Mike Grossman, a director of clinical data warehousing and analytics, and Martin Sizemore, a healthcare strategist, discussed:
-How AROs and hospitals can benefit from a systematic approach to combining data from diverse systems and utilizing a suite of data extraction, reporting, and analytical tools, in order to support a wide variety of needs and requests
-Examples of proposed solutions to real-life challenges AROs and hospitals often encounter
Making Healthcare Waste Reduction and Patient Safety Actionable - HAS Session 6Health Catalyst
Multiple studies have estimated that at least 30% of US healthcare expenditures are wasteful. But how do you identify and reduce that waste? In this session, we will share with you a three-part framework for understanding, measuring and addressing waste reduction. In particular, we will highlight the importance patient safety and injury prevention, framing the importance of shifting from a system of incident reporting (which creates a culture of blame and guilt) to a system in which patient injury is regarded as a process failure rather than a person failure. To make that transition, health systems will need to 1) define process flows and metrics for each major type of patient injury; and 2) create a learning environment in which team members are engaged in process redesign to prevent process failure and injury. A leading health system in patient safety and quality will also share their best practices in how they have created a culture of patient safety and quality.
1) The role of health care data analysts is evolving as the volume of available data grows exponentially. With zettabytes of data being generated, analysts must make sense of both structured and unstructured information.
2) Data analytics can provide insights to improve patient outcomes, lower costs, and enhance the health care experience. Examples show how visualizing data helps health systems better understand utilization and identify at-risk patients.
3) As incentives shift from fee-for-service to value-based models, health systems must transform to focus on population health. Advanced analytics and predictive modeling will be crucial to achieving the goals of better care, lower costs, and improved health.
Pharmaceutical Quality - The Office ofAjaz Hussain
The keynote address at the Fall meeting of the CPPR Industrial Advisory Board and the Site Directors held yesterday (27 October 2014) at Purdue University. The talk provides a perspective on the recent organizational changes announced by FDA CDER - the Office of Pharmaceutical Quality.
The document examines how the NHS measures quality of care for people with mental health conditions or a learning disability. It finds that there is a lack of research into quality measurement for this group compared to other areas of healthcare. Additionally, quality measurement often focuses on metrics and minimum standards rather than the cultures and values that could lead to improved care. The paper suggests dimensionalising quality measures into more specific areas like nursing care, food services, and health outcomes to better guide quality improvement efforts.
An overview of clinical healthcare data analytics from the perspective of an interventional cardiology registry. This was initially presented as part of a workshop at the University of Illinois College of Computer Science on April 20, 2017.
In the current phase (controversy-free period) traditional risk-aversion to new technology is muted. The ‘pendulum shifted’ towards commercialization about a decade ago
The need for, and adequacy of, risk-assessment and risk-management in commercial setting is highly variable.
Nanoscience and nanotechnology publications often tout ‘transdisciplinary’; evidence from social science perspective suggests much of the research is ‘uni-disciplinary’.
Tactic knowledge plays a significant role in science to technology transfer; ability to do both within a group or organization is advantageous. A transdisciplinary approach to regulatory policy development would be important for efficient standardization of frameworks, concepts, tools and vocabulary.
Behavioural change presentation from Mobile World Congress 2016Ross Taylor
How industry and agency needs to collaborate with the best of academia in order to create behavioural change programmes that are rooted in robust, validated techniques as well as creative inspiration.
HEC 2016 Panel: Putting User-Generated Data in Action: Improving Interpretabi...Pei-Yun Sabrina Hsueh
Chair/Moderator: Pei-Yun Sabrina HSUEH, PhD (IBM T.J. Watson Research Center)
Panelists: XinXin ZHU, Bian YANG, Ying-Kuen CHEUNG , Thomas WETTER, and Sanjoy DEY
a IBM T.J. Watson Research Center, USA
b Norwegian University of Science and Technology, Norway
c Mailman School of Public health, Columbia University, USA
d, Department of Biomedical Informatics, University of Washington, USA
e Department of Medical Informatics, University of Heidelberg, Germany
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The document provides information about a textbook of orthodontics, including its contributors, copyright information, and cataloging data. It lists the editors and contributors to the textbook. It also provides the copyright notice and legal disclaimers, as well as cataloging information about the book for libraries.
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1. Inflexibility in Flexible Design
Factors that Can Influence
Performance of Design
Health Care Design, Las Vegas, November 13-16, 2010
2. Presenters
Debajyoti Pati
PhD, FIIA, LEED®AP, Vice President,
Director of Research, HKS Architects
Thomas E. Harvey Jr
FAIA, MPH, FACHA, LEED®AP, Senior Vice
President,
HKS Architects
Jennie Evans
RN, BS, LEED®AP, Vice President, HKS
Architects
Doug Bazuin
ME, Researcher,
Herman Miller
3. Learning Objectives
Understand the nine domains of design decision-making that impact
operational flexibility in acute care medical-surgical units.
Learn regarding extraneous factors that could obstruct optimization of
operational performance.
Learn regarding operational interventions that could address some of the
impediments.
Identify design process issues that could address some of the
impediments.
1
2
3
4
4. Agenda
• Nine domains that impact operational flexibility
• Study question and objectives
• Study methodology
• Factors affecting design for flexibility
• Questions
5. Acknowledgements
Herman Miller
Dr. P. Phillips Hospital, Orlando, FL
Homestead Hospital, Homestead, FL
St Joseph Mercy Hospital, Ann Arbor, MI
Methodist Charleton Medical Center, Dallas, TX
10. Peer Lines-of-Sight
Operational issue
o Helping hand, mentoring,
socialization, de-stressing
Affects
o Nurse, respiratory therapist
Environmental correlates
o Caregiver work station,
corridor shape, corridor
configuration
Implications
o Simple shape units
o Corner location of caregiver
workstation in support core
o Back-stage corridors linking
caregiver workstations
o Simple circulation configuration
11. Patient Visibility
Operational issue
o Higher acuity, JCAHO
regulations, non-
contiguous patients
Affects
o Nurse, nursing
administration, respiratory
therapist
Environmental correlates
o Caregiver workstation,
medication room, utility
room
Implications
o Multiple caregiver work
centers with proximal
patient rooms
o Unobstructed sightline to
patient rooms
o Outboard toilet location
12. MODIFIED
CORNERS =
PERCEIVED
BARRIER
Multiple Division/Zoning Option
Operational issue
o Perceived barriers
o Assignment problems
Affects
o Nurse, nursing
administration
Environmental correlates
o Stairwell, support spaces,
staff toilets
Implications
o Stairwell and support
spaces located at end of
an array of patient rooms,
or inside the support core
o Simple circulation
configuration
13. Proximity of Support
Operational issue
o Walking distance
o Stress, fatigue
Affects
o Nurse, nursing
administration,
environmental services,
dietary services, materials
management, respiratory
therapy
Environmental correlates
o Patient room, support
spaces
Implications
o Simple shape, symmetrical
units
o Distributed nursing support
spaces proximate to
distributed caregiver
workstations
o Decentralized room-side
supply cabinets
14. Resilience to Move Services
Operational issue
o Long term census
fluctuation
Affects
o Nurse, nursing
administration
Environmental correlates
o Standardization
Implications
o Standardized room
o Standardized support core
15. Inter-Unit Movements
Operational issue
o Multi-unit caregiver
responsibility
Affects
o Nurse, environmental
services, dietary services,
materials management,
pharmacy, respiratory
therapy
Environmental correlates
o Vertical circulation core,
unit proximity, horizontal
access
Implications
o Communicating stair inside
unit
o Proximal location of
vertical circulation core
o Back corridor inter-unit link
o Unobstructed horizontal
circulation
16. Service Expansion Options
Operational issue
o Census fluctuations
o Unit-service misfit
Affects
o Nurse, nursing
administration
Environmental correlates
o Unit size, unit
configuration, unit
adjacency
Implications
o Visual or geographic cues
to help unit subdivisions
o Back corridor links
between adjacent units
N
N
N
C
SOFT SPACE
FOR
SUPPORT
CORE
EXPANSION/
SHARING
SERVICE
SPREAD
INTO
ADJOINING
UNIT
18. Adjustable Support Core
Operational issue
o Supply and equipment
storage
o Shape and size of rooms
Affects
o Nurse, nursing
administration,
environmental services,
dietary services, materials
management, pharmacy,
respiratory therapy
Environmental correlates
o Cabinetry, support room
shape, support room size
Implications
o Modular, movable
compartments or cart
system for storage
o Minimize walls with MEP
elements
20. Expandable Support Core
Operational issue
o Operational changes over
time
Affects
o Nurse, nursing
administration,
environmental services,
dietary services, materials
management, pharmacy,
respiratory therapy
Environmental correlates
o Adjacent functions
Implications
o Soft program adjacent
spaces
N
N
N
C
22. Research Method
SETTING
o Four hospitals
o Recent constructions
SAMPLING
o Purposive
o Maximize variability
DESIGN
o Exploratory
o Qualitative
26. Systemic
o Performance benchmark
o Anticipated IT support
o Infection control
o Regulations
Factors
Cultural
o Inertia
o Physician expectations
27. Human
o Psychology & perception
o Cognition
Financial
o Capital cost
o Personnel cost
o Return on investment (ROI)
Factors
Physical
o Pre-existing condition
29. Factors within Factors
CURRENT OPERATIONS
CULTURE
Regulations
Design Process
DESIGN AND CONSTRUCTION OCCUPANCY
FACTORS
Operational Interventions
Human Resources
Finance
Information Technology
DECISION TO BUILD OCCUPY THE BUILDING
30. Unanticipated Consequences of Information Technology Support
Hands-free Technology Conflicts with Regulatory Agency Requirements
Hands – free Technology not available for all staff
Visibility and Proximity of Support Affected
Systemic: Information Technology
CURRENT OPERATIONS
CULTURE
Regulations
Design Process
DESIGN AND CONSTRUCTION OCCUPANCY
FACTORS
Operational Interventions
Human Resources
Finance
Information Technology
Clearly identify the problem
Thoroughly map operational use in various
situations
Failure Mode Effect Analysis (FMEA)
DECISION TO BUILD OCCUPY THE BUILDING
Information Technology
Operational Interventions
31. Unanticipated Consequences of Information Technology Support
Lack of Standardized Communication Platform
Service Expansion and Inter-Unit Movement Affected
Systemic: Information Technology
CURRENT OPERATIONS
CULTURE
Regulations
Design Process
DESIGN AND CONSTRUCTION OCCUPANCY
FACTORS
Operational Interventions
Human Resources
Finance
Information Technology
Clearly identify the problem
Failure Mode Effects Analysis (FMEA)
Identify return on investment
DECISION TO BUILD OCCUPY THE BUILDING
Information Technology
Operational Interventions
32. Unanticipated Consequences of Information Technology Support
Assumptions are not implemented in time
Visibility, Proximity of Support and Support Core Affected
Systemic: Information Technology
CURRENT OPERATIONS
CULTURE
Regulations
Design Process
DESIGN AND CONSTRUCTION OCCUPANCY
FACTORS
Operational Interventions
Human Resources
Finance
Information Technology
Understand how technology affects workflow
Design for interim model of care
Plan IT implementation concurrent with
building occupancy
DECISION TO BUILD OCCUPY THE BUILDING
Information Technology
Operational Interventions
33. Systemic: Performance Benchmarks
Performance Benchmarks are Independent – Not Interdependent
Individual departments are measured on individual performance
Visibility and Proximity of Support Affected
CURRENT OPERATIONS
CULTURE
Regulations
Design Process
DESIGN AND CONSTRUCTION OCCUPANCY
FACTORS
Operational Interventions
Human Resources
Finance
Information Technology
Identify the return on investment
Create interdependent organization – wide
benchmarks
Create culture to eliminate the waste
DECISION TO BUILD OCCUPY THE BUILDING
Operational Interventions
34. Systemic: Infection Control
CURRENT OPERATIONS
CULTURE
Regulations
Design Process
DESIGN AND CONSTRUCTION OCCUPANCY
FACTORS
Operational Interventions
Human Resources
Finance
Information Technology
Call for more empirical evidence
Identify and communicate case studies of
other facilities
DECISION TO BUILD OCCUPY THE BUILDING
Lack of Standardized Infection Control Guidelines
Infection Control Guidelines are not consistent
Visibility and Proximity of Support Affected
Operational Interventions
35. Systemic: Regulations
CURRENT OPERATIONS
CULTURE
Regulations
DESIGN AND CONSTRUCTION OCCUPANCY
FACTORS
Identify downstream regulatory restrictions early
Plan for future building growth
Plan for flexible use of space
DECISION TO BUILD OCCUPY THE BUILDING
Certificate of Need Restrictions
Restriction of Service Growth
Service Expansion Affected
Operational Interventions
Human Resources
Finance
Information Technology
Regulations
Design Process
36. Cultural: Inertia
CURRENT OPERATIONS
CULTURE
Regulations
Design Process
DESIGN AND CONSTRUCTION OCCUPANCY
FACTORS
Operational Interventions
Human Resources
Finance
Information Technology
Commitment to ensure adoption
Early change management for all stakeholders
Education stakeholders on impact of non-
conformance
DECISION TO BUILD OCCUPY THE BUILDING
Lack of Adoption of New Technologies
Interdependence of team requires team adoption of technology
Visibility and Proximity of Support
Operational Interventions
37. Human: Perception
CURRENT OPERATIONS
CULTURE
Regulations
DESIGN AND CONSTRUCTION OCCUPANCY
FACTORS
Operational Interventions
Human Resources
Finance
Information Technology
Design Process
Education regarding effects of odd shapes on functionality
Checkpoint at conceptual level for operational functionality
Keep design process fluid by exploring alternatives
Provide time to evaluate design options
DECISION TO BUILD OCCUPY THE BUILDING
Some Shapes Attract More Than Others
Curves Attract!
Visibility, Proximity, and Adaptability Affected
Design Process
38. Human: Cognition
CURRENT OPERATIONS
CULTURE
Regulations
DESIGN AND CONSTRUCTION OCCUPANCY
FACTORS
Operational Interventions
Human Resources
Finance
Information Technology
Design Process
Create unit mock-ups
Preferably with walls and equipment
3D – visualization of rooms and units
Create virtual reality model
DECISION TO BUILD OCCUPY THE BUILDING
Cognition of Non-Designers
Translation of 2D to 3D
Peer Line of Sight, Visibility, Multiple Division Affected
Design Process
39. Human: Cognition
CURRENT OPERATIONS
CULTURE
Regulations
DESIGN AND CONSTRUCTION OCCUPANCY
FACTORS
Operational Interventions
Human Resources
Finance
Information Technology
Design Process
Mock-up “pods” or groups of rooms
Tape OK – walls better
Create virtual reality model
DECISION TO BUILD OCCUPY THE BUILDING
Cognition of Non-Designers
Scaling UP from Architectural Drawings
Visibility, Proximity of Support, Inter-Unit Movement Affected
Design Process
40. Financial: First Costs
CURRENT OPERATIONS
CULTURE
Regulations
DESIGN AND CONSTRUCTION OCCUPANCY
FACTORS
Operational Interventions
Human Resources
Information Technology
Design Process
Value stream map flow of materials, waste, linen,
patients
Create early study (not DD) of cost of material and
people flow
Identify return on investment for people movement
Finance
DECISION TO BUILD OCCUPY THE BUILDING
Vertical and Horizontal Connections
Location and Number Matters
Inter-Unit Movement, Service Expansion Affected
Finance
Design Process
41. Financial: Human Resources
CURRENT OPERATIONS
CULTURE
Regulations
DESIGN AND CONSTRUCTION OCCUPANCY
FACTORS
Operational Interventions
Human Resources
Information Technology
Finance
Design Process
Identify human resource changes early
Identify first costs with performance
benchmark improvements
Implement a culture to eliminate waste
DECISION TO BUILD OCCUPY THE BUILDING
Personnel Cost
Right People Doing the Right Job
Proximity of Support Affected
42. Financial: Return on Investment
CURRENT OPERATIONS
CULTURE
Regulations
DESIGN AND CONSTRUCTION OCCUPANCY
FACTORS
Operational Interventions
Human Resources
Information Technology
Finance
Design Process
Focused attempt to calculate Life Cycle
Cost
Identify new performance benchmarks
DECISION TO BUILD OCCUPY THE BUILDING
Missing Life Cycle Cost
Similar to Sustainability Challenges
All Domains Affected – Healthcare Design Could Change
Finance
43. Physical: Site Restrictions
CURRENT OPERATIONS
CULTURE
Regulations
Design Process
DESIGN AND CONSTRUCTION OCCUPANCY
FACTORS
Operational Interventions
Human Resources
Finance
Information Technology
Identify downstream implications of site challenges
early
Verify master plan assumptions
Explore alternatives to optimize functionality of design
DECISION TO BUILD OCCUPY THE BUILDING
Form Dictates Function
Site Restrictions Require Particular Shape
All Domains Affected
Regulations
Design Process
45. Summary
9 Domains of
Operational
Flexibility
Factors that
Inhibit
Flexibility
Tactical
Solutions
• Flexibility to Adapt
• Flexibility to Convert
• Flexibility to Expand
• Systemic
• Physical
• Financial
• Cultural
• Human
• Identify Life Cycle Costs
• Breakdown Silos
• Value Stream Mapping
• FMEA and 5Y
• Identify downstream risks
N
N
N
C
46. Integrated Thinking
CURRENT OPERATIONS
CULTURE
DESIGN AND CONSTRUCTION OCCUPANCY
FACTORS
DECISION TO BUILD OCCUPY THE BUILDING
Finance
Information Technology
Design Process
Human Resources
Operational Interventions
Regulations
47. Process Rethinking
Establish Clear Goals
Ensure Compliance with Goals
Identify Metrics for Evaluation
Identify Strategic Checkpoints for
Operational Review (metrics)
Perform Functional Facility Reviews
Post Occupation
Begin Change Management At Decision
to Build or Before
Finance
Human
Resources
Information
Technology
Operations
Design
Process
Regulations
Integrated Project Delivery for Operational Planning….