1. Field Observations and Solution Proposal Musheer Ahmed Shayna Brownstein Lesley-Anne Harris Wassa Panont

2. Shepherd Center 132 Beds, with 10 Beds in their ICU 2:1 Patient to Nurse Ratio Average stay in ICU: 4-5 Days, but rehab starts immediately Rehabilitation hospital located in Atlanta, GA (Ranked in the top 10)

3. Shepherd Center ICU layout is a standard U shape Remote stations for charting, computer use, etc Issue with visibility from the nurses’ station, especially the low pressure room Courtesy of Shepherd Center Patient Joseph

4. Shepherd Center Interesting Approaches to Care: Remote telemetry monitoring for other units On site family housing Patients transferred when they are capable of starting rehab

5. ICU Area: 25,000 SF Completion Date: Spring 2008 Twenty-eight patient rooms each with private bath and family zones with built-in support areas including desks, daybeds, and storage for overnight stays State of the art patient care delivery including nurse stations at each room with visible access, patient lift in each room, wall- mounted Hill-Rom latitude booms, and through wall nurse server for supply storage.

6. Layout

7. Clinical Documentation

8. Lack of Communication

9. Emory University Hospital

11. Courtesy of Wanlin Xiang

13. Piedmont Hospital 482 Beds, all private rooms 3,000 Employees and medical staff More than 800 board-certified physicians

14. Shift Change Recording/Communicating Critical Information

15. Equipment Cleaning & Maintenance

16. Common Problems Patient Visibility Problems Found in Older hospitals

17. Common Problems Family Involvement Paradox Patient and Family’s Comfort vs. the Staff

18. Common Problems Multitude of Monitoring Equipment Inter-operability Information Overload

19. Proposed Solution Dashboard: Handheld Built-in Extension of Existing System Solves: Monitoring Equipment Problem Patient Visibility

20. Proposed Solution Patient/Family Interaction Device: 2 or 3 Way Communication Real Time Observation Solves: Family Involvement Problem Patient Visibility