Transcript
Rigshospitalet Juliane Marie Centret
OuluHealth Labs October 20th 2015
How to design a new hospital together with patients and families
Anne-Mette Bang Termansen, project leader Rigshospitalet
Rigshospitalet Board of Management
Board of Management
Improvements Department Management Secretariat Budgeting and Planning Communications and Press Relations Accounts and Finance
Abdominal Centre
Finsen Centre
Heart Centre
Centre of Diagnostic Investigation
Centre of Head and Orthopaedics
Juliane Marie Centre
Neuroscience Centre
Service Centre
Approx. 55 departments at the centres 2
Rigshospitalet The Juliane Marie Centre for Children, Women and Reproduction
The Centre has: 228 beds 180.000 out-patient visits per year 1524 employees (incl. 200 externally financed researchers)
An a daily basis: 542 out-patients 275 admitted including 116 children 36 surgeries including 5 children 22 children are placed in incubators 150 pregnant women will be scanned 20 deliveries
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Our situation today - lack of room
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Rigshospitalet
Press release March 2014 Feasibility study looks at the possibility of establishing a new world-class motherchild hospital The A.P. Møller Foundation and Ole Kirk’s Foundation have teamed up with the Capital Region of Denmark to fund a feasibility study to identify opportunities to achieve this goal by establishing the best possible new setting for the centre.
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Rigshospitalet
Becoming a world class hospital for women and children stems from 20 % new building and 80 % organizational development
Future ”new behavior” decisions affecting others cannot be made without involving them. Co-create.
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User panel lays foundation for development
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What have we done to define a future hospital? •
Mapping 100 patient pathways
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7 clinical working groups
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21 study tours to mother and child hospitals
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International hospital conferences
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All on-going Danish hospital construction sites visited
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Design of future user experience
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Camps on good patient journeys and building
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Screening of future health technology
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Mapping 100 different patient pathways
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Rigshospitalet
Planning the clinical future Recommendations: • Staff comes to the patient and not vice versa • Gather all children and adolescents (0-18 years) at Rigshospitalet in a new hospital • Establish one surgical ward for children and adolescents • Establish one PICU for children and adolescents • Gather all activities related to pregnancy and childbirth at Rigshospitalet • Integrate treatment, research and education
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“It would be great if you could also borrow a bike …”
Study tours Study tours allowed us to learn from the experiences of architects, medical staff and management.
Co-creation camp Mixing users and staff at the camp led to solutions that work for both groups.
Interviews Home interviews created a sense of confidentiality, allowing the researchers to compare disease management at home compared to in the hospital.
Participatory observation Hospital researchers got to see the hospital through users’ eyes, for example, by having the children show them around.
Mobil app The app made it possible for users to also contribute ideas and solutions.
Authentic experience As part of their analysis the team behind the study was “admitted” overnight at various JMC . clinics.
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130 patients, relatives and staff gathered for a two-day camp Film Specialists
Staff
Focus: To optimise and design future patient pathways for women in labour, children and adolescents
Patients
Relatives
Rigshospitalet
Five design principles for the future user experience
World’s best hospital for children and families Integrated play
Designed for everyday life
See me, ask me, let me
The good journey
Clear zones World’s best hospital
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“Bows and ballerina skirts – even on the operating table. The hospital princess.”
Kids will be kids – also in the hospital
“When you can’t control anything yourself, even your own body, being able to go out to the kitchen and pick whether you want juice or a milkshake makes a huge difference.”
Chronically ill 18-year-old 15
Rigshospitalet
Correlation between play and healing Autonomous play (Carnival) Play between hospital and everyday life
Constructed play
Integration of play and treatment
Therapeutic play – treatment and rehab
Play and games with new technology
Happy play– play for handling grief
Fun, games and nudging
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Rigshospitalet
Take home messages • •
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The patient pathway should be an integrated part of the design of a new hospital! We cannot design a new hospital without involving patients, families and staff!
Building a new hospital we have every opportunity of designing a new patient experience, new ways of working and new ways of organizing and leading the hospital!
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