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STANFORD UNIVERSITY

                        Crash Course on Creativity
                                Fall 2012




Paying Attention To Hospitals
 Dr. Zaufishan Rahman
 (Pakistan)
Chosen Field of Work For this
              Assignment:

Options: School, Grocery store, Retail Shops,
         Hospital, pharmacies
My Choice: Hospitals



                                      Stanford University
Objective of Assignment
    Observations                     Opportunities
   Select 6 hospitals of your      Identify Opportunities
    city and pay ‘Keen               of development &
    Attention’ to fine details       Improvement from
    that affect patient’s
    experience in hospital           noted observations

Reference:                       Source:
Observation Lab checklist        Your Creativity



                      Stanford University
Key areas of work:
 Before you enter the hospital
 Environment of Premises
 Personnel
 Product/ Services
 Customers
 Others




              Stanford University
Observations


Observations Before you enter
1.   Perceptions of specialized health facilities
      Difficult to reach
      Not cost effective
      Negative attitudes of staff


2.   Busy corridors, long queues and long waiting time
     before doctor consultation

3.   Inaccessible health facilities
      long distances from home
      Difficulty in shifting patients from rural to urban areas


4.   Busy and jammed Parking lots



                       Stanford University
Observation




Stanford University
Observations




Stanford University
Observations




Busy hospital wards and long waiting times




           Stanford University
Opportunity


Opportunities
1.   Public awareness media campaigns for
     community to promote accessible, affordable
     and cost effective health services
2.   Employment of more human resources in health
     and scheduling of available staff in different shifts
     for reduction in waiting time before consultation
3.   Rapid transit bus service for patients from rural to
     urban areas shift
4.   The opportunity for contractors to build new
     parking lots and employment of car caretakers




                     Stanford University
Opportunity

Rapid Transit Bus Service




                   Stanford University
Opportunity




Stanford University
Opportunity



Media Awareness and TV shows




              Stanford University
Observations

Environment
   The hospital interior plays a significant role in patient
    acceptability
     Paediatric hospital with colourful interior and
      cartoonic wall paintings is more acceptable for
      young patients as compared to general ward of
      common hospital

   Moderate to low lightening of hospital rooms
     sharp lights as well as too dim lights are discouraged


   Temperature control is very well accepted
     Hospital that are warm in winters and cold in summers
      due to thermostats and heat adjusting system are
      more warmly welcomed




                       Stanford University
Observations



Environment
   A welcome note/announcement on auto-
    repeat speaker for patients is usually pleasant
    and well accepted

   The floors are usually clean and shiny
       Dusty ones make hospital look with unhygienic
        environment

   The smell is a significant repellent.
       The smelly lounges are less attended by patients




                     Stanford University
Opportunity


Opportunities
   The opportunity for painters and graphic designers
    to design nice wall paintings with health messages

   The opportunity for generator operators for
    uninterrupted power supply to maintain warm and
    cool environments

   The improved lightening system

   The play area establishment and maintenance for
    indoor chronic disease patients




                    Stanford University
Opportunity



Opportunities
   The opportunity for puppet show and magic show
    organizers to hold annual paid functions in
    hospital for young patients

   Long waiting times can be accommodated by
    patient engagement in healthy activities. the
    opportunity for companies to promote the self
    care tests by free camping in beginning
       Bone mineral density test
       Mammogram for breast cancer screening




                   Stanford University
Opportunity




Stanford University
Opportunity



Trainings and Public awareness campaigns




                Stanford University
Observations


Personnel
   Average Time before consultation is usually 30-
    45min

   Doctors who follow the script of patient history
    taking are less appreciated than the ones who
    have an individualized talk according to the
    patient problem.

   Staff uniform practice is variable
     Staff nurses and sanitary workers have the
       uniform while the rest of the staff doesn’t have.




                    Stanford University
Observation


Personnel
 Age and gender of employees are
 variable
      Patient preferences for gender of doctor are
       very discrete
      Women prefer to go to lady doctors for
       gynae and obs problems etc

 Doctor   to patient ratio was low
    It is one of a major reason that make
     patients wait for long times




                 Stanford University
Opportunity


Opportunities
 Opportunity    for training companies
     Periodic trainings to enhance technical
      knowledge, skills and communication of
      hospital staff


 Patient   well being sessions
     Patient groups
     Volunteer activities




                   Stanford University
Opportunity


Opportunities
 Theopportunity for investors and builders
 to build new purpose build specialized
 hospitals for all age groups and genders
    Specialized  paediatric hospital
    Specialized women hospital
    Specialized geriatric hospital
    Specialized eye hospital, cardiology
     hospital, pulmonology hospital etc.




                   Stanford University
Opportunity




Staff trainings of doctors & Staff nurses




                      Stanford University
Opportunity




Stanford University
Opportunity




      Well-lit room and temperature maintenance




Stanford University
Opportunity




A hospital can be a fun and happy place too



           Stanford University
Opportunity




Stanford University
Opportunity




Patient wellbeing message




                       Stanford University
Observations

Products
   Indoor services
        Curative Health services
        Operation theatres
        Specialized Wards (Medical
         unit, nephrology, neurology, cardiology etc)

   Out door services
       Preventive health services
       Walk in patients


   Emergency
   Diagnostic services




                    Stanford University
Opportunity


Opportunities
1.   The opportunity to extend the services….

If a high number of patients are turning up, the
programs of preventive health, immunization
and malnutrition can be launched.
    o   Polio drops for every child under 5 years of
        age
    o   EPI Immunization for every child
    o   Malnutrition interventions for needy
        patients




                  Stanford University
Opportunity



Opportunity
   The opportunity for government health
    department to synchronize different programs
    to achieve more than one objectives (Millennium
    Development Goals):


        Reduction in maternal mortality ratio
        Reduction in infant mortality ratio
        Reduction in illiteracy
        Reduction in malnourishment of children
        Reduction in complicated cases of HIV AIDS, TB
         and epilepsy



                     Stanford University
Observations


Customers
   All patients are accompanied by relatives and come in
    groups to seek health services

   Age and gender is variable according to hospital and
    speciality
          Younger patients to Children hospital
           (Average age: 8 to 10 y)
          Middle age to older age group: Institute of Cardiology
          Women to Lady Willington maternity hospital


   Average stay in hospital 2 – 3 hours
   All customers/ patients are seeking health services not
    browsing the services like general consumer products




                        Stanford University
Opportunity



    Patient engagement & well being activities
A beautician having a session with a cancer patient




              Stanford University
Opportunity




 Showing Solidarity with Cancer Patients
                      &
Call for donations to support more patients




                   Stanford University
Opportunity




Opportunity for Politicians & Administrators
 for fund raising & Social work for patients

                       Stanford University
Opportunity




Opportunity for Public engagement &
       Fund raising activities


         Stanford University
Opportunity




IMPROVING HEALTHCARE PROVISION TO PUBLIC
    BY KEEN OBSERVATION OF PROBLEMS &
       DESIGNING CRAETIVE SOLUTIONS


           Stanford University
Thankyou




Thankyou for your time….

Dr. Zaufishan Rahman
    Public Health Consultant/
 Manager Drug Information Centre
            Pakistan
      zaufishan@msn.com




                                   Stanford University

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Paying attention To Hospitas - Stanford University (Crash Course on Creativity)

  • 1. STANFORD UNIVERSITY Crash Course on Creativity Fall 2012 Paying Attention To Hospitals Dr. Zaufishan Rahman (Pakistan)
  • 2. Chosen Field of Work For this Assignment: Options: School, Grocery store, Retail Shops, Hospital, pharmacies My Choice: Hospitals Stanford University
  • 3. Objective of Assignment Observations Opportunities  Select 6 hospitals of your  Identify Opportunities city and pay ‘Keen of development & Attention’ to fine details Improvement from that affect patient’s experience in hospital noted observations Reference: Source: Observation Lab checklist Your Creativity Stanford University
  • 4. Key areas of work:  Before you enter the hospital  Environment of Premises  Personnel  Product/ Services  Customers  Others Stanford University
  • 5. Observations Observations Before you enter 1. Perceptions of specialized health facilities  Difficult to reach  Not cost effective  Negative attitudes of staff 2. Busy corridors, long queues and long waiting time before doctor consultation 3. Inaccessible health facilities  long distances from home  Difficulty in shifting patients from rural to urban areas 4. Busy and jammed Parking lots Stanford University
  • 8. Observations Busy hospital wards and long waiting times Stanford University
  • 9. Opportunity Opportunities 1. Public awareness media campaigns for community to promote accessible, affordable and cost effective health services 2. Employment of more human resources in health and scheduling of available staff in different shifts for reduction in waiting time before consultation 3. Rapid transit bus service for patients from rural to urban areas shift 4. The opportunity for contractors to build new parking lots and employment of car caretakers Stanford University
  • 10. Opportunity Rapid Transit Bus Service Stanford University
  • 12. Opportunity Media Awareness and TV shows Stanford University
  • 13. Observations Environment  The hospital interior plays a significant role in patient acceptability  Paediatric hospital with colourful interior and cartoonic wall paintings is more acceptable for young patients as compared to general ward of common hospital  Moderate to low lightening of hospital rooms  sharp lights as well as too dim lights are discouraged  Temperature control is very well accepted  Hospital that are warm in winters and cold in summers due to thermostats and heat adjusting system are more warmly welcomed Stanford University
  • 14. Observations Environment  A welcome note/announcement on auto- repeat speaker for patients is usually pleasant and well accepted  The floors are usually clean and shiny  Dusty ones make hospital look with unhygienic environment  The smell is a significant repellent.  The smelly lounges are less attended by patients Stanford University
  • 15. Opportunity Opportunities  The opportunity for painters and graphic designers to design nice wall paintings with health messages  The opportunity for generator operators for uninterrupted power supply to maintain warm and cool environments  The improved lightening system  The play area establishment and maintenance for indoor chronic disease patients Stanford University
  • 16. Opportunity Opportunities  The opportunity for puppet show and magic show organizers to hold annual paid functions in hospital for young patients  Long waiting times can be accommodated by patient engagement in healthy activities. the opportunity for companies to promote the self care tests by free camping in beginning  Bone mineral density test  Mammogram for breast cancer screening Stanford University
  • 18. Opportunity Trainings and Public awareness campaigns Stanford University
  • 19. Observations Personnel  Average Time before consultation is usually 30- 45min  Doctors who follow the script of patient history taking are less appreciated than the ones who have an individualized talk according to the patient problem.  Staff uniform practice is variable  Staff nurses and sanitary workers have the uniform while the rest of the staff doesn’t have. Stanford University
  • 20. Observation Personnel  Age and gender of employees are variable  Patient preferences for gender of doctor are very discrete  Women prefer to go to lady doctors for gynae and obs problems etc  Doctor to patient ratio was low  It is one of a major reason that make patients wait for long times Stanford University
  • 21. Opportunity Opportunities  Opportunity for training companies  Periodic trainings to enhance technical knowledge, skills and communication of hospital staff  Patient well being sessions  Patient groups  Volunteer activities Stanford University
  • 22. Opportunity Opportunities  Theopportunity for investors and builders to build new purpose build specialized hospitals for all age groups and genders  Specialized paediatric hospital  Specialized women hospital  Specialized geriatric hospital  Specialized eye hospital, cardiology hospital, pulmonology hospital etc. Stanford University
  • 23. Opportunity Staff trainings of doctors & Staff nurses Stanford University
  • 25. Opportunity Well-lit room and temperature maintenance Stanford University
  • 26. Opportunity A hospital can be a fun and happy place too Stanford University
  • 29. Observations Products  Indoor services  Curative Health services  Operation theatres  Specialized Wards (Medical unit, nephrology, neurology, cardiology etc)  Out door services  Preventive health services  Walk in patients  Emergency  Diagnostic services Stanford University
  • 30. Opportunity Opportunities 1. The opportunity to extend the services…. If a high number of patients are turning up, the programs of preventive health, immunization and malnutrition can be launched. o Polio drops for every child under 5 years of age o EPI Immunization for every child o Malnutrition interventions for needy patients Stanford University
  • 31. Opportunity Opportunity  The opportunity for government health department to synchronize different programs to achieve more than one objectives (Millennium Development Goals):  Reduction in maternal mortality ratio  Reduction in infant mortality ratio  Reduction in illiteracy  Reduction in malnourishment of children  Reduction in complicated cases of HIV AIDS, TB and epilepsy Stanford University
  • 32. Observations Customers  All patients are accompanied by relatives and come in groups to seek health services  Age and gender is variable according to hospital and speciality  Younger patients to Children hospital (Average age: 8 to 10 y)  Middle age to older age group: Institute of Cardiology  Women to Lady Willington maternity hospital  Average stay in hospital 2 – 3 hours  All customers/ patients are seeking health services not browsing the services like general consumer products Stanford University
  • 33. Opportunity Patient engagement & well being activities A beautician having a session with a cancer patient Stanford University
  • 34. Opportunity Showing Solidarity with Cancer Patients & Call for donations to support more patients Stanford University
  • 35. Opportunity Opportunity for Politicians & Administrators for fund raising & Social work for patients Stanford University
  • 36. Opportunity Opportunity for Public engagement & Fund raising activities Stanford University
  • 37. Opportunity IMPROVING HEALTHCARE PROVISION TO PUBLIC BY KEEN OBSERVATION OF PROBLEMS & DESIGNING CRAETIVE SOLUTIONS Stanford University
  • 38. Thankyou Thankyou for your time…. Dr. Zaufishan Rahman Public Health Consultant/ Manager Drug Information Centre Pakistan zaufishan@msn.com Stanford University