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Transcript of CETS 2012, Diana Halfer & Julia Hooper, handout for Virtual Path: A Novel Learning Solution for New...
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Virtual Path: A Novel Learning Solution for New Hospitals Diana Halfer MSN, RN, NEA-BC Julia Hooper, MS Kim Evans, BA Clinical and Organizational Development Ann & Robert H. Lurie Children’s Hospital of Chicago Chicago, Illinois
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• Replacement children’s hospital project
• Moment One Readiness Orientation and Training Plan
• Virtual Path to the Future
Overview
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Moving
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A Larger Skyscraper Hospital Current State
• Neighborhood-urban • 600K square feet • 270 beds • Small (125 sf) semi-
private rooms • 36% ICU beds • 17 OR/procedure rooms • 26 bed ED • 131 clinic exam rooms
Future State • Downtown-urban • 1.25M square feet • 288 beds • Large (290 sf) private
rooms • 44% ICU beds • 26 OR/procedure rooms • 45 bed ED on 2nd floor • 178 clinic exam rooms
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A multi-year project: 8 years to plan and build
Phase 1 Program Development
’04 ’06 ’07 ’08 ’05 ‘12
Planning & Programming
Site Selection
Phase 2 Program Development
Opening June 9th
2012
Design and Construction
Exterior Design
’09 ’10 ’11
Interior Design
Excavation/ Foundation
Groundbreaking
Steel Frame
Exterior Construction
Interior Construction
Transition Planning
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Commitment to Employees & Physicians • Ensure and validate that all employees and
physicians can work safely and effectively to support patient care within Lurie Children’s.
• This means the ability to – Locate, access and use spaces, systems,
equipment and supplies – With no delays, no adverse events and with
minimal assistance in urgent situations – While delivering exceptional service.
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Summary of Learning Needs • Navigation and Way
finding • Equipment and Supplies • Safety • Systems and Services • Processes and
Procedures
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Way finding The process by which people, “orient and navigate…to accurately relocate from one place to another in a large scale space.” Gluck (1991)
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Way finding Research
4500 hours of annual lost productivity due to poor way finding! Zimring, C., “The Role of the Physical Environment in the Hospital of the 21st Century.” www.rwjf.org/publications/other/RoleofthPhysicalenvironment.pdf.)
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PHASE 1 PHASE 2
Virtual Path to the Future
Online Learning
Building & Safety
Orientation
Department & Workflow Orientation
Hands-On Labs
Simulations
Now to June, 2012
January – March, 2012
February – March, 2012
April - May, 2012
April - May, 2012
April - May, 2012
Move in day: June 9, 2012
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Learning Methods
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Second Life®
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Getting Started in Second Life®
Aug 2007 Concept Introduction to organizational leaders, learning community
Jul 2009 Proposal/Approval: Way finding project for new hospital
Dec 2008 Pilot: Emergency Preparedness inside virtual Children’s Memorial
Jul 2010 Implementation: Virtual Path to the Future education, all Leaders
Sep 2011 Implementation: Virtual Path to the Future education, all Employees and Physicians
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Project Cost/Benefit Analysis • Cost – Development 75-90k – Laptops 30k – Project FTEs
• Benefits – Time savings – Improved productivity,
advanced organizer – Organizational
commitment – Decreased stress,
conflicts
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Virtual Path to the Future • Virtual Hospital in Second Life® • Emphasis on way finding
– (public and department spaces) • Virtual labs • Machinima • Custom presentations
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Implementation Challenges
• Adopting a “pioneer” mindset – Developing the project team
• Finding good business partners – Beyond a Google Search
• Building virtually in advance of physical build • Scoping the size of the virtual build
– Needs assessment by role • Providing sufficient detail
– Key landmarks – No offices
• Adjusting for aging technology infrastructure
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Enhancing the Learning Experience
• Creating customized avatars by role – support diversity
• Consolidating server space for stability – from four islands to one
• Creating a Webpage on Sharepoint – Orientation video clips – Interactive maps and floor plans – Lab schedules and requests
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Web Launch Page
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Enhancing the Learning Experience
• Creating interest at Town Hall Meetings – Making learning fun – Building excitement for the move
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Enhancing the Learning Experience
• Creating a custom viewer – Instant Avatar
selection – Simplified interface – Easy to learn and
move around • Adding the tour guide
application
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Tour Guide Application
• Guides users along predefined routes
• Displays information at “points of interest”
• Dynamic web-based tool for creating and customizing tour routes and information
• Tours are defined and configured via website
• None are hardcoded, all are dynamic
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Tour Guide Application • Guides users along
predefined routes • Displays information at
“points of interest” • Dynamic web-based tool
for creating and customizing tour routes and information
• Tours are defined and configured via website
• None are hard coded, all are dynamic
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Learner Evaluation Data • 4,738 participants • Easily oriented to virtual
environment • Quickly learned navigation
skills • Appreciated preview of
hospital • Some wanted more detail • Identified issues in
preparation for move “For someone who gets stressed by computer games this
was very doable and fun”
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Learner Written Comments
• “I am in the new hospital a lot, and this is very close to how it looks!”
• “While it is very silly to do this, it starts to take away the fear of the move.”
• “Really helpful and not as hard as I thought it would be.”
• “Wow, we can use the elevators in the virtual hospital.”
• “I found the exercise difficult and strenuous on my eyes. I also felt dizzy navigating….”
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Benefits for Learning Department • Recognized by Senior
Management with Earl J. Fredericks Team Award for innovation
• Fostered innovation and creativity: no template to follow
• Supported talent development through new project roles
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Benefits for Learning Department • Gained experience
working with technology consultants
• Provided early building knowledge and planning for Moment One Readiness Orientation
• Impetus for research study
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Media Study
• Compares navigation and way finding knowledge for nurses taught via floor plans and Virtual Path to the Future
• Assesses route knowledge, survey knowledge, and direction giving skills after two hours of instruction
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Preliminary Trends
• Data analysis in progress
• Small differences between groups – Route
Knowledge – Survey
Knowledge – Direction Giving – Confidence
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Preliminary Conclusions • Good instruction trumps medium • Virtual sense of “presence” may boost confidence • Floor Plans tend to help with Survey Knowledge • Direction Giving may be another measure of
Survey Knowledge
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Key “Take Aways”
• Begin with Senior Leaders ― vision and sponsorship • Assess the culture ― must be able to support risk taking • Approach project so that it is
synchronous with strategy and mission
• Establish good business partners
• Turn barriers into constraints e.g. access issues
• To adopt new technology is truly “A leap of faith”
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Questions?
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Contact Information
• Diana Halfer [email protected] • Julia Hooper [email protected] • Kim Evans [email protected] • Ann & Robert H. Lurie Children’s Hospital of
Chicago – http://www/luriechildrens.org – 225 East Chicago Avenue, – Chicago, Illinois 60611-2605 – Facebook | Twitter | YouTube