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

2. 6 principles Increase Social Support for families and patients Reduce Patient Stress Improve Quality of Care Increase Staff Efficiency Improve Communication to Patients Increase Patient Safety

3. Eight problems 1. No interactions between families and patients 2. Lack of technological supports for providing social support for pediatric patients 3. Inefficient patient flow 4. Different medical equipment do not interact with each other 5. Lack of multi-perspective Waiting Area 6. Design of efficient Nursing Units to minimize nurse travel 7. Post-diagnosis care has to be improved and healthcare professionals have to continually improve their service 8. To transfer patients effectively from ambulance to hospital

4. Problem – no interactions occur between families Family area in Pediatric Intensive Care Unit at MCG 4th Floor family area

5. Related work - MCG Children ’ s hospital (Patient room) Private refrigerator Private bathroom Full body length sofa Chair

6. Related work - The children ’ s medical center of Dayton (2007 ICU design winner)

8. Related work - The children ’ s medical center of Dayton Support interactions between “families” Easy to identify person who uses the area Easy to encounter same family members and be familiar with each other Interact more with each other May get emotional and informational support to each other through the interactions

9. Problem – limited access to social support & facilities A play room

10. Problem – limited access to social support & facilities A class room

11. Related work - The Hospital for Sick Children in Toronto, Canada Limited time operation Lack of child life specialists http://www.sickkids.ca/childlife/section.asp?s=Child+Life+programs&sID=7551

12. Problem – limited access to social support Child life program through “Game Engine” Virtual Playroom or classroom Patients can enjoy it anytime. Patients can meet other patients or teachers and interact with them in the virtual environment who accessed from other places

13. Problem – no efficiency in patient flow Patients are frustrated by too many places to go for one visit and not knowing where to go.

14. Related literature - no efficiency in patient flow 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. The worst-case, cardiology, had services in 14 separate locations. 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

15. Related literature - no efficiency in patient flow Developed a guideline for future construction project 1. organize clinical services into patient focused programs and that can be co-located to maximize space, operations, and technology 2. adopt a modular design approach to organizing clinical practices to maximize the long term flexibility Pauly (2005) Planning a Large Ambulatory Care Center at an Academic Medical Center, J Ambulatory Care Manage

16. Problem – Different medical equipment do not interact with each other IV pump Patient Monitor Oxygen cylinder Power column

17. Problem – Different medical equipment do not interact with each other 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.

18. Problem – Different medical equipment do not interact with each other

19. Problem – Lack of multi-perspective Waiting Area Space efficient Source of Distraction for patient’s siblings Aesthetically appealing Family centered Healthy healing environment Gardens @ Vanderbilt (1 st, 4 th & 6 th Floors with different themes) Proposed Atrium, Dublin Methodist Hospital Dublin, OH

20. Problem – Design of efficient Nursing Units to minimize nurse travel for monitoring patients and supply management Optimal monitoring of patients  Remote monitoring using technology? Decentralized vs centralized units Where to locate? Design of units “Decentralized units” The Children’s Hospital of Philadelphia Philadelphia, PA “e-ICUs” Phoenix Children’s Hospital Phoenix, AZ

21. Problem – Post-diagnosis care has to be improved and healthcare professionals have to continually improve their service Effective communication of  diagnosis  medicines to be taken  precautions Continuous improvement from the perspective of Healthcare professionals

22. Problem – To transfer patients effectively from ambulance to hospital How to make the transition  Smooth  Convenient  Effective – shortest possible time, min # of resources A study on the practices being followed currently is required

23. References 1. http://www.vanderbiltchildrens.com/interior.php?mid=799 http://www.vanderbiltchildrens.com/interior.php?mid=799 2. http://www.evelinaappeal.org/hospital/index.html http://www.evelinaappeal.org/hospital/index.html 3. http://www.chp.edu/about/new_building.php http://www.chp.edu/about/new_building.php  Karlsberger, Current Trends in Pediatric Hospital Design : Are they right for your organization?, Karlsberger Knowledge Paper Series – Volume 1, Number 1, October 2005

24. 5 questions Do you have child life program in your hospital? If you have, how does it work? 1) How often does a child life specialist meet a patient? 2) how many patients does a child life specialist meet? 3) I heard there are teachers who involve in patients’ education. Are they also child life specialist or do they belong to other kinds of program related to patients’ education? What other kinds of activities your hospital do for patients’ educational or psychological support?