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Wednesday, September 20, 2017  |  8:30 AM - 9:30 AM

Open to Conference Attendees Only

Harnessing the Power of Lean and Research for Inpatient Unit Design

Tyler Carlson
Principal, Clark/Kjos Architects
Scott Combs
Principal and Medical Planner, Clark/Kjos Architects
How can your team harness the power of Lean and research for your next project?  Find out how the design team for Good Samaritan Hospital in Puyallup, WA utilized research in conjunction with an intensive Lean workshop to develop a new efficient layout that achieves reduced travel distances and releases more time for direct patient care.
The design team utilized their own research that was a national study involving 14 hospitals throughout the US, interviews with 140 nurses and was funded in part by the AIA’s Academy of Architecture for Health.  In addition to the surveys and physical documentation of each hospital, there was also a comprehensive literature search that contributed and reinforced the findings, which proved that the location and design of support resources (meds, supplies, linens, EQ, etc) have a direct impact on direct patient care time, documentation time, safety and overall effectiveness.
While the design team conducted a 3-day intensive Lean workshop with the hospital to improve the overall efficiency of the new design, the findings from the research helped to guide the team and reinforced decision making. With a high level of engagement from staff and administrators, the team had confidence in their decision making and resulted in minimal changes during the design process.
Session attendees will learn how to integrate rigorous research with the Lean 3P process of reinvention of work processes to improve key metrics readily available in all hospitals:  HCAHPS scores, patient falls, medical errors, and others.  For example, this team used the existing inpatient unit being replaced to gather baseline metrics, travel distances where measured across multiple design options and compared with the existing layout, yielding a 34% of decreased steps and increased direct patient care time by 22 minutes per nurse per shift in the final design.



SESSION FOCUS AREAS: = Generative Space = NOAH