EDRA_2015_Being the change

BEING THE CHANGE

HKS

Bringing Research to Practice

TEAM

• Upali Nanda, PhD

• Heath May, AIA

• Tom Harvey, FAIA

• Chris Mundell, AOA

• What’s changing in practice- Research!

• Resistance to change

• Being the change:

– A model of using a project as a lab for research

Why Research is “In”

Changing Market Culture

• Focus on “Value” not Cost

• Increase in Accountability

• “Educated” consumer

• Data-driven culture

• Increased computational ability

• “Green” conscience

3 Initiatives

#1: TECHNOLOGY

#2: SUSTAINABILITY

DesignGreen

DesignGreen

• Compared and ranked

various renewable power

systems based on costs

and energy produced.

• Analyzed actual roof

space for solar power

system based on

clearance, shading

and existing support

structure.

DesignGreen

#3: HUMAN & ORGANIZATIONAL BEHAVIOR

HEALTHCARE RESEARCH

STAYING INFORMED

5 point agenda for Healthcare Research

Improve Patient & Family ExperienceReduce stress, pain perception, anxietyImprove comfort, satisfaction, sense of control, wayfinding, family presence

Improve Safety / Mitigate RiskReduce risk of infections, falls, injury and errors

Improve patient monitoring; improving environmental health

Increase Staff Effectiveness & SafetyReduce staff fatigue, injury, errorsImprove efficiency, communication, collaboration and satisfaction

Improve performance and patient interaction

Lower Life Cycle CostsOperational flexibility; Balancing one-time capital cost with life-time operational cost, accounting for improved outcomes and return on investment

Improve Organizational OutcomesHCAHPS; LOS (Length of Stay); LWBS (Leave without being seen rate); Return Rate; Referrals; Turnovers

HEALTHCARE RESEARCH

STAYING INFORMED

Evidenced Based Design Case Study: Emory Neuro ICU Design

Research Team: HKS and Georgia Tech

Objective:

Design for Patient/Family focused Care

Location:

Emory University Hospital

Procedure:

Industry survey and benchmarking of award-winning Neuro ICU designs.

Design Charrettes with user groups.

Key findings:

Private family zone inside patient room increased family satisfaction

Dissemination:

Wall Street Journal Article

Objective: To assess the performance of membrane ceiling technology in controlling air particulate dispersion in exam rooms.

Location: Washington Hospital Center Mock-up

Published: Journal of Healthcare Engineering

Method: Computational Fluid Dynamic (CFD) Modeling

Key outcome: A membrane diffuser directed

airflow ventilation provides a less

turbulent airflow pattern and less mixing of

the air between the patient and others in

the room.

Membrane Ceilings in ED Exam Rooms

Research Team: CCRD; Fluid Dynamics Solutions Inc. PI: D. Pati; Mik Pietrzak

HEALTHCARE RESEARCH

STAYING INFORMED

Evidenced Based Design Case Study: View and Acute Stress

Objective:

Ascertain impact of view duration and content on acute stress and alertness of nurses

Location:

Children’s Healthcare of Atlanta

Procedure:

Measured acute stress, chronic stress and alertness before and after shift

Key findings:

Nature view reduces staff stress

Nature viewReduced Staff

Stress

Reduced Staff Turnover?

Improved Patient

Interaction

Improved Patient

Satisfaction

More referrals, More

reimbursement, More $$$

Convergence

LINE

CADREGREEN

CADRE

Overall Goal: Individual, Organizational and Environmental Wellbeing

MATERIALS

& SYSTEMS

LINE

DESIGN GREEN

TECHNOLOGYHUMAN

BEHAVIOR

LINE

DESIGN GREEN

CADRE

HUMAN BEHAVIOR TECHNOLOGY MATERIALS & SYSTEMS

Overall Goal: Individual; Organizational and Environmental Wellbeing

Resistance Factors

Billability

Time

ProcessCulture

Tools

Resistance

• Billability

• Time

• Process

• Culture

• Tools

• Billability

Sharing Liability

A Project is a Lab

preomedica

Reported Data Observed Data Spatial Data

16 Interviews

(6 RN; 3 PCS; 3 Leadership;

2 NA; 1 UC; 1 care navigator)

17 hours of RN Shadowing

(day + night)

Travel distance from point

to point using parametric

modeling tools

Surveys (31 responses) Behavior Maps (6) + Sound

Readings (10)

Sight Lines

FIELD RESEARCH + SIMULATION

Human Behavior

Existing Use of Environment

Energy Performance

Environmental Affordance

ProMedica New Patient Tower 37May 13, 2014

RESEARCH FINDINGS: 7TH FLOOR MED-SURG

17 6 3 2Hours of Minute to Minute Shadow Data

RN Interviews Patient Care Supervisor Interview

3LeadershipInterview

1Care NavigatorInterview

131Survey Responses

10Sound readings; Behavior Maps

NursingAssistantsInterview

Unit ClerkInterview

DETAILED PARAMETRIC

ANALYSIS


Need Parametric Modeling Visuals


Integrating Research into Practice: One Project at a Time

To conclude-let’s begin

preomedica

• Skills cannot be restricted to a few

• “research” with a big “R” must be in

collaboration with academia

• research in design practice must be

integrated throughout the process- not as

an “add-on”

• Please add thoughts here

EDRA_2015_Being the change

Design

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