From “The View of One Adolescent” to
Hospital-Wide Patient-Focused
Perioperative Design
Presented by
Helen DeVos Children’s Hospital
Jonathan Bailey Associates
Smith Hager Bajo, Inc.
Grand Rapids, Michigan
Presentation Outline
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Introductions/Overview
Process Analysis/Redesign
Design Integration
Implementation Plan
Key Measures for Success
From a Parent’s Perspective
Introductions
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Michele Pietras
Curtis Qualls
Judy Hager
Rhonda Hoyle
Overview
Introductions/Overview
Project Scope
Planning Process
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“Making the Case” for a Children’s Hospital
Market Analysis & Volume Projections
Bed Need Analysis
Board Support
Operational Process Analysis/Redesign
Space Planning/Programming
Site Analysis/Conceptual Nursing Unit
Schematic Design
User Group & Space Planning Group Structure
CORE TEAM
SUPER USER
GROUP
SPACE PLANNING
GROUPS
USER GROUPS
CARE BEARS
OR/ENDOSCOPY
SEDATION
TREATMENT
SERVICES
PROCEED
WITH CARE
LAB/IMAGING
PHARMACY/RT
NUTRITION
SERVICES
CARE
NECESSITIES
ENVIRONMENTAL
SERVICES
SECURITY
IT
COMM/FINANCE
MAT MGM’T
STERILE PROC.
INFRASTRUCTURE
PATIENT ROOM
FAMILY AMENITIES
ED SERVICES
AMBULATORY
CLINICS
FAMILY/PUBLIC
SPACES
Analysis - Perioperative
Process
Currently Perioperative Services are provided through the adult
OR’s
 While some spaces are dedicated to children, many of the
processes are experienced adjacent to, or as part of, the adult
Environment
 Very complex process
 Many Steps (a minimum of 6 different locations for
outpatients)
 Too Much Time (often taking 8 hours for an outpatient
surgery)
 Long Transport Distances (over ¾ mile for outpatients)
 Car to Car transport is a total of 2 miles
 Interactions with Many People
 Very Low Satisfaction
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Redesign - Perioperative Process
Revised Processes
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The revised intake process includes valet parking,
greeting and registration
Care consolidated to a single floor with horizontal
adjacencies between the stages of the peri-operative
process
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Induction Rooms
OR Suites
Sterile Processing
Phase II Recovery
Cardiac Cath Labs
Design Integration
Design Integration
hospital
site
Design Integration
public
elev
registration/
information
patient/
staff
elev
valet
drop-off
Design Integration
public
elev
surgery
patient/
staff
elev
service/ staff
connection to
butterworth
hospital
patient/
public
elev
Design Integration
clean
core
or
or
clean
core
hybrid
or
or
public
elev
or
induction
control
hybrid induction
or
cardiac
or
future
or
central
sterile
or
mri
patient/
staff
elev
Design Integration
family
wait
public
elev
consult
reception/
admit
patient/
staff
elev
family
lockers
service/ staff
connection to
butterworth
hospital
patient/
public
elev
Design Integration
public
elev
pacu
service/ staff
connection to
butterworth
hospital
patient/
staff
elev
patient/
public
elev
Design Integration
parent
entry
recovery
bays
recovery
work- support
bays
support
station
iso
patient entry
recovery
bay
patient exit
patient/
staff
elev
Design Integration
public
elev
cath
lab
service/ staff
connection to
butterworth
hospital
patient/
staff
elev
patient/
public
elev
Design Integration
public
elev
second stage
recovery
service/ staff
connection to
butterworth
hospital
patient/
staff
elev
patient/
public
elev
Design Integration
shell
shell
patient
patient exit
entry
playroom
recovery
rooms
support
workstation
bed
hold
recovery
rooms
recovery
rooms
support
recovery
recovery rooms
recovery
rooms
Design Integration
public
elev
patient/
staff
elev
locker
room
central
sterile
service/ staff
connection to
butterworth
hospital
staff
lounge
patient/
public
elev
Key Measures for Success
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Improved quality care
Increased patient and family satisfaction
Improved staff efficiency
Decreased process time
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Many Steps (a minimum of 6 different locations for
outpatients)
Too Much Time (often taking 8 hours for an outpatient
surgery)
Long Transport Distances (over ¾ mile for outpatients)
Car to Car transport is a total of 2 miles
Interactions with Many People
Implementation Plan
From a Parent’s Perspective
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Eliminate travel through adult
spaces
Personal experience
Revised care process
maximizes time spent with
child
Design will reduce confusion
and anxiety