1. Lego Brainwaves Design of Pediatric Health Center of the Future Team Lego: Randeep Youngseon Choi Lavanavarjit

2. Brainwaves~ # 1 to # 5 We chose the team name Lego since it is spatially efficient and offers several possibilities. Our brainwaves are - Universal Design Concepts in the ED Patient Flow Signage & Way finding Future Pediatric Center Video Messaging with Mobile Application

3. Brain~ # 1 – Universal Design Concepts in the ED Implementing the Universal Design concepts in developing modules which can accommodate specific disease types such as 1) Sickle Cell, 2)Asthma etc. The universal room was defined as the one that could accommodate various case types Modular design - operational and space efficiency - future flexibility Saba (2004) Universal Design Concepts in the Emergency Department, J Ambulatory Care Manage

4. Steps 1) Determine the module size that depends on existing grid of the structure requirements for three specific types of disease 2) Design the module Saba (2004) Universal Design Concepts in the Emergency Department, J Ambulatory Care Manage Brain~ # 1 – Universal Design Concepts in the ED

5. Brain~ # 1 Case Study The Kaiser Permanente Santa Clara Medical Office Building in California 3 modularly planned building blocks are attached to a “U-shaped” single-loaded corridor 9 X 11 module for both examination rooms and provider offices Arsenault (2004) Adapting to Change, J Ambulatory Care Manage

6. Brain~ # 1 - Universal Design Concept in the ED Saba (2004) Universal Design Concepts in the Emergency Department, J Ambulatory Care Manage

7. Brain~ # 1 - Universal Design Concept in the ED Saba (2004) Universal Design Concepts in the Emergency Department, J Ambulatory Care Manage

8. Brain~ # 1 - Universal Design Concept in the ED Saba (2004) Universal Design Concepts in the Emergency Department, J Ambulatory Care Manage

9. Brain~ # 1 - Universal Design Concept in the ED Saba (2004) Universal Design Concepts in the Emergency Department, J Ambulatory Care Manage

10. Brain~~ # 2 - Patient Flow

11. According to MGH (Massachusetts General Hospital), on an average, patients had to travel to more than 4 separate locations in order to receive all their care for a particular disease. This created a significant amount of frustration for patients, substantial foot traffic and inefficiency within the clinical departments. Pauly (2005) Planning a Large Ambulatory Care Center at an Academic Medical Center, J Ambulatory Care Manage

12. Brain~~ # 2 - Patient Flow Steps 1. An analysis of the patient flow through the hospital depending on the disease types. 2. Mapping the patient flow on the hospital floor to a physical path. 3. The objective is to determine the optimized path 4. Positioning of the different services 5. Designing the hospital floor.

13. Brain~~ # 2 - Patient Flow – Deliverables A flow diagram to map the traffic for the different units and decide which units can be co-located. A hospital model with the floors and a floor plan defining the patient movement. Compare the existing floor layout with our proposed layout. Patient Registration Diagnosis Outpatient InpatientCritical Care MRI YesNo

14. Brain~~~3 – Signage & Way finding A technological look to path finding and signage Kiosks at the entrance with 3D floor plans GPS enabled hand held tool Destination specific RFID audio Turn Right, Take Elevator, Stop

15. Brain~~~~4 – Future Pediatric Center A Futuristic Pediatric Emergency room where the different medical equipment TALK to each other. The media used include - Bluetooth, Wireless Network, Live Streaming Videos. Patients with Communicable Diseases and Contagious Air-borne disease.

16. Brain~~ # 4 – Future Pediatric Center Steps 1. All Equipment are capable of transmitting signals wirelessly to the server at the nurses station. 2. The observing nurse checks the vital signs of the patient and decides if any dosage needs alteration. 3. The equipment receives feedback and alters the dosage accordingly. 4. Streaming Video monitoring of the patient to view the physical condition.

17. Bring it Together

18. Brain~~~~~5 – Video Messaging for Cell Phones Anxiety and illness may cause the patient or their family to not completely recall the doctor’s diagnosis. The patient’s family is not updated on the patient condition. We propose to record a video of the patient – doctor meeting.

19. Brain~~~~~5 – Video Messaging for Cell Phones Steps 1) A webcam in the examining room records the patient – doctor discussion (on patient’s consent). 2) An application is developed to send the video as a Multimedia Message to the patient’s mobile phone. 3) The doctor can also record messages for the patient’s family to communicate patient’s condition.

20. Brain~~~~~5 – Video Messaging for Cell Phones