The document outlines a project presentation by a group from Oslo kommune focused on systems-oriented design for healthcare services in the region. It discusses the challenges of communication and standardization in healthcare reform, highlights design directions to keep individuals at home, and provides a detailed timeline for staff and patient relocations among various healthcare facilities. Key insights are shared regarding the complexity of managing resources and staff competencies during the transitions expected over the next 14 months.

1. ON THE SAME PAGE
Liz LeBlanc, Simon Søgnen Tveit, Line T. Bogen, Rickard Jensen
8 December 2014
Sykehjemsetaten
Oslo Kommune
Systems Oriented Design Fall 2014
A project in partnership with:

2. ON THE SAME PAGE // Final Presentation 8.12.14
INTRODUCTION
SHORT & LONG TERM
MITT HJEM HELSE HUS

3. ON THE SAME PAGE // Final Presentation 8.12.14
MOVING VIDEO

4. ON THE SAME PAGE // Final Presentation 8.12.14
PROJECT LANDSCAPE
NORD
BYDEL
HELSEHUS
MITT HJEM
HJEMMETJENESTE
SENTRUM VEST SØR
BESTILLERKONTORET

5. ON THE SAME PAGE // Final Presentation 8.12.14
FINAL COMMUNICATION TOOL

6. ON THE SAME PAGE // Final Presentation 8.12.14
FIRST CHAT WITH SYE

7. ON THE SAME PAGE // Final Presentation 8.12.14
RUNNING INTO THE WOODS
Bjørn
AHUS
Marit
Alna
Bestillerkontoret
Teresa
Solvang
Honey Fee
Lilleborg
Bente
Grorud
Hjemmetjeneste

8. ON THE SAME PAGE // Final Presentation 8.12.14
MAIN TAKE AWAYS
Effects of
Reform
Lack of
Communication
Nothing is
standard

9. ON THE SAME PAGE // Final Presentation 8.12.14
MAIN TAKE AWAYS
Effects of
Reform
Lack of
Communication
Nothing is
standard

10. ON THE SAME PAGE // Final Presentation 8.12.14
MAIN TAKE AWAYS
Effects of
Reform
Lack of
Communication
Nothing is
standard

11. ON THE SAME PAGE // Final Presentation 8.12.14
FIRST BIG MAP

12. ON THE SAME PAGE // Final Presentation 8.12.14
FOUR DESIGN DIRECTIONS
Keeping people at home
Dynamics within the Helsehus
Evaluation Process
Organizational Structure
impact radius
ripple effect

13. ON THE SAME PAGE // Final Presentation 8.12.14
FOUR DESIGN DIRECTIONS
Keeping people at home
Dynamics within the Helsehus
Evaluation Process
Organizational Structure
medium medium

14. ON THE SAME PAGE // Final Presentation 8.12.14
FOUR DESIGN DIRECTIONS
Keeping people at home
Dynamics within the Helsehus
Evaluation Process
Organizational Structure
small high

15. ON THE SAME PAGE // Final Presentation 8.12.14
FOUR DESIGN DIRECTIONS
Keeping people at home
Dynamics within the Helsehus
Evaluation Process
Organizational Structure
high high

16. ON THE SAME PAGE // Final Presentation 8.12.14
FOUR DESIGN DIRECTIONS
Keeping people at home
Dynamics within the Helsehus
Evaluation Process
Organizational Structure
high high

17. ON THE SAME PAGE // Final Presentation 8.12.14
THE INSIGHTS BOOK

18. ON THE SAME PAGE // Final Presentation 8.12.14
WHAT ABOUT NOW?
SEPTEMBER
OCTOBER
NOVEMBER
DECEMBER
SATURDAY SUNDAY MONDAY TUESDAY FRIDAY SATURDAY SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY SUNDAYMONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
| |Systems Oriented Design (SOD) |Autumn 2014
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
Milestone presentations
AHO WORKS EXHIBITION
09:00 - 16:00
Big & Small
Auditorium
Final
Presentations.
Invite your
project
partners.
Exhibition is part of the
evaluation.
(price for best
exhibition)
09:00 - 16:00
Big & Small
Auditorium
Exhibition
space
presentation.
Exhibition is part of the
evaluation.
(price for best
exhibition)
Exhibition
Setup
Exhibition
Setup
WEDNESDAY THURSDAY FRIDAY
MONDAY TUESDAYMONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY SUNDAYMONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
SATURDAY SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
09:00 - 16:00
Group Room 4&5
Elevator Pitch.
Implementation.
3 posters.
(Pecha Kucha
Format - 20 slides
and 20 seconds
each slide)
09:00 - 16:00
Tegnesal 9
Rich Design
Space and 3
elevator pitch
posters.
09:00 - 16:00
Reverse
Archaeology
Presentation.
The future systems
landscape.
09:00 - 16:00
Tegnesal 9
giga map
presentations
of future
systems.
Proposed
Day
Stakeholder
Workshop
Making DeliverablesConcept DevelopmentInsight Work Testing & Iterations
WEDNESDAY THURSDAY
Decision
Day:
Narrow
Down Scope
Decision
Day:
Individual
Problems
Defined
Decision Day:
Final
Deliverables
Determined
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

19. ON THE SAME PAGE // Final Presentation 8.12.14
BLENDING
THEIR
HOMEMADE
SYSTEM
AND OUR
EXPERTISE

20. ON THE SAME PAGE // Final Presentation 8.12.14
MAKING SENSE OF IT ALL

21. ON THE SAME PAGE // Final Presentation 8.12.14
September October November December January
2015 2016
February March April May June July August September October November December January
October
2015
27 1714 9 22
Hoveseter Smestad Sofienberg
7 5
Romsås Grunerløkka
3221 6 917 17 5 16 17
Majorstua Kingosgate
28
Rødtvet Ammerud
2023
FurusetMadserudLambertseter Lillohjemmet Akerselva
17
Akerselva
Vålerenga
29 927 26 10 19 20178
8
13961513
Moving Patients
& Staff Between
Nursing Homes
HOW TO READ THIS MAP
The top portion also shows staff that will need to move in order to fill
the needs of the new patient population. The bottom portion shows
the different type of patients that will be relocated. This lower portion is
based on a time line over the next 14 months.
For example:
Akerselva, a newly long term facility is
moving 17 regular short term patients
spaces to Lilleborg, a new short term
home, or Helse Hus. They are also
receiving 8, regular long term places
in return. Akerselva will send 14.26
FTEs to Lilleborg to assist with this
new patient population. Akerselva will
receive 8 FTEs from Lillohjemmet
because they cannot send patients
to Tåsen, because it is privately held.
MAP LEGEND
POINTS OF INTEREST
Lambertseter
MovingStaffMovingPatients
Langerud
Abildsø
Furuset
Ammerud
Rødtvet
Romsås Madserud
Smestad
Majorstua
Lillohjemmet
Vålerenga
Sofienberg
Kingosgate
Grunerløkka
Akerselva
41
28
33
51.6
1.75
13
14
3.9
14.26
7
24.26
7
44.66
24
6.4
9
8
Lillohjemmet
8
RYEN SOLVANG TÅSEN LILLEBORG
LILLEBORG
Akerselva 14.26
Short Term Patients Long Term Patients
Facilities
Staff
Ordinary RehabRus Ordinary Intensive Care
Unspecified Specialty
UDI
Direction of the move:
Origin Destination
Number of
Patients or
FTEs
17
Public Long Term Home
Private Long Term Home PRIVATE SHORT TERM
PUBLIC SHORT TERM
A
A
B
BB
A
Romsås is becoming private and the Oslo Kommune wants to keep substance
abuse treatment competences within the public sector. This means that the
employees with this special training must also move into Ryen before the
privatization is finalized.
B
Tåsen is private so employees will have to find a new place to work after the
short term patients leave. They will have to move into a different quadrant of the
city to find work at a short term facility, as there is only one health house for each.
D
C C C C C
C
These matches may seem equal, but remember that short term and long term
patients require very different needs. Between Grunerløkka and Lilleborg they
switch the correct amount of FTEs to match the patient move. The other four
are between public and private homes, which makes it difficult to move staff.
D
While the moves have individual deadlines over the next 14 months, the patients
and employees could be moved at any time before their date. The markers here
are spread out in the month prior to their deadline. For instance, a move that
should happen before June 1 2015 looks like it will take place in May 2015.
E
E
FTEs may look easy to trade back and forth, but this does not yet take into
account the different competence such as rehabilitation, physical or ergo
therapies, nurses, or non-medical staff.
Note: There are some exceptions to this moving system. Some patients are moving between long term facilities due to
special medical needs. These are not listed on this version but will be added later on in the project. This map reflects the
knowledge we have as of October 14, 2014 and is subject to change.
FIRST VERSION OF THE MAP
September October November December January
2015 2016
February March April May June July August September October November December January
October
2015
27 1714 9 22
Hoveseter Smestad Sofienberg
7 5
Romsås Grunerløkka
3221 6 917 17 5 16 17
Majorstua Kingosgate
28
Rødtvet Ammerud
2023
FurusetMadserudLambertseter Lillohjemmet Akerselva
17
Akerselva
Vålerenga
29 927 26 10 19 20178
8
13961513
Moving Patients
& Staff Between
Nursing Homes
HOW TO READ THIS MAP
The top portion also shows staff that will need to move in order to fill
the needs of the new patient population. The bottom portion shows
the different type of patients that will be relocated. This lower portion is
based on a time line over the next 14 months.
For example:
Akerselva, a newly long term facility is
moving 17 regular short term patients
spaces to Lilleborg, a new short term
home, or Helse Hus. They are also
receiving 8, regular long term places
in return. Akerselva will send 14.26
FTEs to Lilleborg to assist with this
new patient population. Akerselva will
receive 8 FTEs from Lillohjemmet
because they cannot send patients
to Tåsen, because it is privately held.
MAP LEGEND
POINTS OF INTEREST
Lambertseter
MovingStaffMovingPatients
Langerud
Abildsø
Furuset
Ammerud
Rødtvet
Romsås Madserud
Smestad
Majorstua
Lillohjemmet
Vålerenga
Sofienberg
Kingosgate
Grunerløkka
Akerselva
41
28
33
51.6
1.75
13
14
3.9
14.26
7
24.26
7
44.66
24
6.4
9
8
Lillohjemmet
8
RYEN SOLVANG TÅSEN LILLEBORG
LILLEBORG
Akerselva 14.26
Short Term Patients Long Term Patients
Facilities
Staff
Ordinary RehabRus Ordinary Intensive Care
Unspecified Specialty
UDI
Direction of the move:
Origin Destination
Number of
Patients or
FTEs
17
Public Long Term Home
Private Long Term Home PRIVATE SHORT TERM
PUBLIC SHORT TERM
A
A
B
BB
A
Romsås is becoming private and the Oslo Kommune wants to keep substance
abuse treatment competences within the public sector. This means that the
employees with this special training must also move into Ryen before the
privatization is finalized.
B
Tåsen is private so employees will have to find a new place to work after the
short term patients leave. They will have to move into a different quadrant of the
city to find work at a short term facility, as there is only one health house for each.
D
C C C C C
C
These matches may seem equal, but remember that short term and long term
patients require very different needs. Between Grunerløkka and Lilleborg they
switch the correct amount of FTEs to match the patient move. The other four
are between public and private homes, which makes it difficult to move staff.
D
While the moves have individual deadlines over the next 14 months, the patients
and employees could be moved at any time before their date. The markers here
are spread out in the month prior to their deadline. For instance, a move that
should happen before June 1 2015 looks like it will take place in May 2015.
E
E
FTEs may look easy to trade back and forth, but this does not yet take into
account the different competence such as rehabilitation, physical or ergo
therapies, nurses, or non-medical staff.
Note: There are some exceptions to this moving system. Some patients are moving between long term facilities due to
special medical needs. These are not listed on this version but will be added later on in the project. This map reflects the
knowledge we have as of October 14, 2014 and is subject to change.

22. ON THE SAME PAGE // Final Presentation 8.12.14
PUT YOUR FINGER ON IT

23. ON THE SAME PAGE // Final Presentation 8.12.14
WE REALIZED
WE WERE
LOOKING
TOO FAR
AHEAD.

24. ON THE SAME PAGE // Final Presentation 8.12.14
PUT YOUR FINGER ON IT

25. ON THE SAME PAGE // Final Presentation 8.12.14
THE TOOL 1.0

26. ON THE SAME PAGE // Final Presentation 8.12.14
ITERATE & IMPROVE

27. ON THE SAME PAGE // Final Presentation 8.12.14
ADDING STRUCTURE
Post2
Korttid1
RUS
Post4
Post5
Bydel Østensjø
Post4
Bydel Østensjo
Post3
Bydel Nordstrand
og RUS
Post2 avd 4
Bydel Østensjø og Søndre Nordstrand
Post1
Bydel Nordstrand
September October November
November
December January
2015 2016
February March April May June July August September October November December January
Establishing
RYEN helsehus
HOW TO READ THIS MAP
The middle portion is illustrating how Ryen helsehus will arragne their
patiens during the move. On the left and right side you will find the
actors involved in the relocation. The timeline on the bottom shows the
tentative schedule.
HOW TO READ THE TIMELINE
The timeline keeps track on important dates regarding the different
movingprocesses.
MAP LEGEND
POINTS OF INTEREST
Short Term Patients Long Term Patients
Facilities
Staff
Ordinary RehabRus Ordinary Intensive Care
Unspecified Specialty
UDI
Direction of the move:
Origin Destination
Number of
Patients or FTEs
17
Public Long Term Home
Private Long Term Home PRIVATE SHORT TERM
PUBLIC SHORT TERM
A
A
C
One department moving from Abildsø to Ryen.
Dpt. 5 at Ryen can only house 26 patients. 3 groups will fit in at dpt. 5.
One group of 8 patients from abildsø will move in to dpt. 2.
Staff will follow patients.
B
Abildsø is getting 6 intensive care patients from Tåsen.
Tåsen iss is run by private - employees will not follow.
Abildsø might need some physical adjustments to their interiour plans before they
can take in the patients from tåsen. The possebility of encreasing the number from 6
to 8 int. care patients is being explored. This may cause less rebuilding at Abildsø as
they may arrange their parients differently. BUT this means economic impact!
C
Internal relocation at Ryen.
Patients from borough Nordstrand are moved from post 3 to post 1,
to make room for the dpt. for RUS.
Post 3 is the most suitble location for the RUS dpt. due to interiour solutions, being
separated from other patientgroups, facilities as smokingroom and so on.
D
D
Lambertseter - Ryen move should happen before the the daily operations of
Lamberseter nursing home is taken over by private business
Lambertseter
Abildsø Langerud
Romsås
A
26
16
16
7
7
23
16
26
6
8
13
12.1111.1110.11
A3 move to
A1
CLEAN and
make ready
for RUS to
move in to
A3
Clear out
A1 - CLEAN
RUS moving
IN to A3 Ryen
B
RYEN
30LT
BESKRIVE ANSATTE I PROTOKOLL
ansatte med turnus overflyttes
Abilds post 2 gr 4
5.46 årsverk renregna - ikke reel
etter prinsipp om gruppeflytt
HR systemet GAT:
Hvem + f.nr.
stilling
stillingsprosent
vedlegg er oversikt over ansatte.
3 gr ansatte flytter med turnus
hjelpeturnus?? midlertidig“overlapp”
Birgit: kan ikke bare flytteog endra arb
tid. beholde turus - varsling - dag/kveld
Varsel for endring. si opp turnus etter
regler+lage ny. 2uker varsel.
finregnet: 20.28
årsverk
til post 2 gr 1,2,3
20.70 årsverk med
turnus
ink leder
flytte avdeling
ikke finregne på årsverk
telle eksisterende årsverk - justere etterhvert!
minus leger fysio ergo renhold
Hjelpeturnus for 3 + 1 gruppe.
Wenche og Birgit setter opp for Ryen
Bygg endring Abildsø:
penger
hvem
hva -
SKJERMA:
armerte glassvegger
hindre hopp. doku stasjoner.
ulåst hus - trenger gjerde
HelgeMorten, Sølvi, Bente
prioritet!! Steinar fransen på befaring
FORSTERKET:
en gruppe i uka - skjermet
gr. 1,2,3,4. ALT fra post 2 Abildsø.
prosjektgrupper som håndterer flytt.
sammen med Nina - Formidl.
17. nov ferdig til 14 .desember
varsle bydel
østensjo
søndre nordstrand
KONTAKTPERSONER
OPPRETTE/AVSLUTTE
senger i gerica; Nina
TRANSPORT:
Ansvar?? - institusjonene.
Prosjektleder kan hjelpe til -
ABILDSØ sjekker og informerer. Tar ansvar for dette.
noen trenger ambulanse
kjørekontor: foresp bidrag
logistikkplan
pasienttransport
Flyttelass - ting og tang priv - sykehjem sjekker
pårørende hjelp
LT har til og med stooore sofaer!!
Korttid 1 Abilds 16 spydspiss
ansatte: 0,78x16 - 12,48 årsverk (xxx realitet)
Hele pakka flytter. uten legel. ikke hjelpeturnus
Avd 4 post 2 Ryen 8 ord. somatisk langtid
ansatte: uten leder.
Abildsø må lage hjelpeturnus.
Abildsø ønsker en 100% vakant hjelpestilling på
skjerma. Om ryen kan legge til rette for dette:)
Flytt i samme periode - tentativt

29. ON THE SAME PAGE // Final Presentation 8.12.14
FINAL COMMUNICATION TOOL

30. ON THE SAME PAGE // Final Presentation 8.12.14
MAP TEMPLATE

31. ON THE SAME PAGE // Final Presentation 8.12.14
HOW IT IS USED
email meeting update
email
repeat

32. ON THE SAME PAGE // Final Presentation 8.12.14
IMMEDIATE IMPACT
Everyone working on their own papers
Coming late to the meeting
Talking past each other
Communicating to other employees
BEFORE
AFTER

33. ON THE SAME PAGE // Final Presentation 8.12.14
TOTAL DELIVERABLES
The communication tool
The maps for them to reference
The workshops
Insight book and poster

34. ON THE SAME PAGE // Final Presentation 8.12.14
Insight book and poster
TOTAL DELIVERABLES
The communication tool
The maps for them to reference
The workshops
September October November December January
2015
February March April May June July August September
14 9
Hoveseter SmestadAbildsø Kingosgate Langerud
197 5
Romsås Grunerløkka
21 6 7 4117 17 1613
Majorstua
31
Rødtvet Ammerud
23 323
MadserudLambertseter LillohjemmAkerselva
2912 927 31 10 1661513 3232
Lambertseter
FlyttingavansatteFlyttingavplasser/pasienter
Langerud
Abildsø
Furuset
Ammerud
Rødtvet
RomsåsRomsås Madserud
Smestad
Majorstua
Lillohjemmet40
28
30
51
1
13
14
3.9
7
44
22
8
RYEN SOLVANG TÅSEN
A
A
B
BB
D
C C
E

35. ON THE SAME PAGE // Final Presentation 8.12.14
TOTAL DELIVERABLES
The communication tool
The maps for them to reference
The workshops
Insight book and poster

36. ON THE SAME PAGE // Final Presentation 8.12.14
Insight book and poster
TOTAL DELIVERABLES
The communication tool
The maps for them to reference
The workshops

38. ON THE SAME PAGE
Liz LeBlanc, Simon Søgnen Tveit, Line T. Bogen, Rickard Jensen
8 December 2014
Sykehjemsetaten
Oslo Kommune
Systems Oriented Design Fall 2014
A project in partnership with:
ON THE SAME PAGE