Norton Brownsboro Hospital
Providing quality care in
a patient-centered
environment
How it all Started…..
Sod farm I-71 and Gene Snyder
Families began moving to area
– Shopping?
– Eating?
– Healthcare?
Norton Medical Plaza – July 2006
Major goal for Norton Healthcare
Not Your Typical Hospital
Did not want to build a new “old” hospital
Had to be different
– Feedback from several sources
Clean slate / green field
Most up-to-date practices
Latest technologies
– Information systems
– Medical equipment
Hospitals Aren’t Typical Construction
More complex
Very schedule driven
High degree of integration with technology
Infection control issues
Moisture/water control during construction
State and regulatory requirements
Budget constraints
New hospitals not built every day
Project Management Challenges
Not to exceed budget - $146 M
Accelerated implementation schedule
High risk
High expectations
Program not a Project
Definition of a program
– “Group of related projects managed in a
coordinated way to obtain benefits and control not
available from managing them individually
Program Management Team
Norton Brownsboro
Hospital
Janice Weaver, PMP
Program Manager
Program Management Team
Program
Management
Janice Weaver,
PMP, EPMO
Medical Staff
Janet Yackey
PMP, EPMO
Project Events
Lori Beaton
Marketing and
Communications
Owner Installed
Equipment
Bob Gilbert
Design and
Construction
Greg Blakemore,
PMP, Nehemiah
Group
Day 1 Supplies
Nadareca Thibeaux,
EPMO
Information
Technology
Karen Coke,
PMP
Processes
Jennifer Murley
EPMO
Training and
Education
Integrated
Testing
Janet Yackey,
PMP, EPMO
Denise Dodd,
PMP, EPMO
Information
Systems
Emergency
Preparedness
Janet Yackey,
PMP, EPMO
Tammy Campbell
EPMO
Staffing
Go Live
Tammy Campbell
EPMO
Denise Dodd,
PMP, EPMO
Structural Specifics
298,000 square feet
5 stories plus a full basement
127 beds
10 surgical suites
24-hour emergency department
16 bed intensive care unit
Services
24 hour emergency department equipped to
handle serious trauma cases
Inpatient and outpatient surgery
Cardiac catheterization lab
Diagnostic services
– MRI
– CT scans
– Ultrasound
Physical, occupational, respiratory, speech
and music therapies
Operational Challenges
People
Processes
Technology
People
The Goal
Attract, train and retain the brightest and
best people to enhance the healthcare
services
Provide the best and safest environment in
which to work and learn
Deliver exceptional care
Be recognized as an employment destination
of choice
Provide supportive spaces and amenities for
staff
Recruiting Strategy
Job fairs
On site recruiters taking applications
System-wide market adjustments for RNs
Offer to pay for RN student loans that govt
wouldn’t pay
News coverage
Employee picnic
Training and Education
Created extensive education and training
matrix for each department
Identified all training needs for each different
role
Peer review of training matrices
Use of the LMS
Processes
The Approach
Established multi-disciplinary teams from
across the system
Macro level processes
Micro level processes
Technology
New Technology
Nurse call system
Bed tracking
Bedside medication verification
CPOE
Emergency department system
Patient self-registration system
Get Well system
Mobile communication devices
Philips vital signs monitoring system
Asset tracking
Pharmacy carousel
Virtual Tour
Hospital Layout
1st Floor
Main entry – 2
story atrium serves
as the hub of the
hospital
1st Floor
Access to the coffee shop or café
1st Floor
Access to the emergency department; walkin entrance and ambulance entrance
1st Floor
Access to various
outpatient
diagnostic areas
1st Floor
Access to the
Chapel
Outdoor Café
Hospital Layout – 2nd Floor
Engine of the hospital
Dedicated to surgery; PACU, Pre, Post
625 square feet each
2nd Floor
Natural light brought into the surgery staff
corridors via series of skylights
3rd Floor
16 bed ICU
3rd Floor
Pharmacy
3rd Floor
Standardized patient rooms
More pleasing surroundings with better
headwall usage
3rd Floor
Regular patient room with family space
3rd Floor
Rooftop garden respite accessible on 3rd
floor brings natural light to patient rooms
Outdoor Staff Lounge
4th Floor
Additional nursing units – nurses’ station
4th Floor
Additional nursing units
5th Floor
1 nursing unit
Physical, occupational, respiratory, speech
and music therapies
Hospital administration
Shelled space for future use
Basement
Mechanical space
Information services
Biomed
Lab
Materiel
management
Loading dock
Innovations
Holistic Environment
Pleasing aesthetics and innovative features
Focusing first on the needs of the patient
Reducing stress for patients and staff
Ensuring easy access to service and tools for
clinicians to provide safe and effective care
Creating an innovative patient unit design
Offering all private patient rooms
Using more natural light
Standardized patient rooms, storage rooms,
etc.
Amenities
Large patient rooms and bathrooms ~ 256
square feet
Comfortable and spacious visitor seating and
work area
Family sleeping accommodations
Flat screen TVs
Internet accessibility
Patient education and entertainment
Patient and family refrigerators
Security cabinets
Amenities
Providing refreshment and resource centers
for families
Amenities
Comfortable surroundings for visitors and
patients
Amenities
Greater privacy and less interruptions for
patients
Amenities
Reduced noise level
through:
no overhead paging,
new communication
technology
carpeting in hallways
nurse call system
Creates a quieter,
calmer environment
Sustainability
Use of “Green Guide for Healthcare”
– Guided the planning, design, construction,
operations, and maintenance of Norton
Brownsboro Hospital
– Voluntary, self-certifying toolkit of best practices
– Reflect the fundamental mission to protect and
enhance individual and community health
Summary
Innovative design
Natural lighting
Noise reduction
Design of patient rooms
Evidence based practice
Patient and family centered care
Staff amenities
Healing environment
Access to needed tools and technology
Background
Opened Wednesday, August 26, 2009
5th hospital in Norton Healthcare family
Located in eastern Jefferson County, Ky
Addresses much needed healthcare services
in this growing region
Norton Brownsboro Hospital