Case Studies & Resources 3.10.2017 over 100 master plans 100% - PowerPoint PPT Presentation

Behavioral Health Design Case Studies & Resources 3.10.2017

over 100 master plans 100% healthcare over 60 behavioral health projects over 250 hospitals over 5,000 healthcare design projects

casestudy

Lifespan Newport Hospital N E W P O R T , R H O D E I S L A N D

Facts • 129 licensed beds • 30,965 ED visits Key issues • Behavioral health • Geriatrics • Summer influx

BACKGROUND: lean 3P event charter VISION STATEMENT To be the best Emergency Department in Rhode Island • FUTURE STATE KEY FACILITY CONCEPTS / GOALS Behavioral Health Pod • No designated rooms (except BH) • Patient & family privacy (Family room) • Facilitating optimal throughput • Supports highest quality process engineering • Efficient Low-acuity design • Pediatric ready design • Geriatric-friendly design • Flexible to support swings in patient volume • Support staff collaboration • Process to enhance capture at ED Registration •

success criteria – flow diagrams

bubble diagrams

floor plan diagrams

spaghetti diagrams to test flow

Purple Pink Green Blue Gold grade solutions against criteria for success Weight Factor Key criteria 3 3 3 5 9 Accomodates increased patient 27 27 27 45 81 volumes 9 5 5 5 5 5 Accomodates Increased security 25 25 25 25 25 presence 5 5 5 5 5 5 Private and Secure Behavioral 45 45 45 45 45 Health Unit 9 5 5 3 5 9 45 45 27 45 81 9 Enhanced Privacy at Triage 3 3 3 3 5 27 27 27 27 45 Improved in - out workflow 9 5 5 5 5 9 enhances dignity and privacy for 25 25 25 25 45 patients 5 9 9 9 9 9 Encourages a cohesive treatment 45 45 45 45 45 team 5 5 5 9 5 5 Allows for optimal flow for Critial 15 15 27 15 15 Decision Unit (CDU) 3 5 5 3 9 9 Provides family room / greiving 25 25 15 45 45 space 5 5 5 5 5 9 Accomodates space for results 15 15 15 15 27 waiting 3 3 3 5 5 5 15 15 25 25 25 5 Potential to flex 9 9 9 9 5 27 27 27 27 15 Integration of Natural Light 3 3 3 5 5 9 15 15 25 25 45 Minimize noise 5 5 9 3 5 9 45 81 27 45 81 Staff Satisfaction 9 396 432 382 454 620 Totals

resulting plan

resulting plan  S e c u r e S t a f f O b s e r v a t i o n & M o n i t o r i n g A r e a  S m a l l A r e a f o r S e c u r i t y a s p a r t o f S t a f f O b s e r v a t i o n  4 S e c u r e H o l d i n g o r T r e a t m e n t  T o i l e t & S h o w e r A r e a w i t h i n t h e B e h a v i o r a l H e a l t h P o d

casestudy

Cohen Children’s Hospital N E W H Y D E P A R K , N E W Y O R K

Cohen Children’s Hospital N E W H Y D E P A R K , N E W Y O R K

ED floor plan

behavioral health pod  D i s c r e e t W a i t i n g A r e a  C o u n s e l i n g O f f i c e  3 S e c u r e H o l d i n g o r T r e a t m e n t  T o i l e t w i t h i n t h e B e h a v i o r a l H e a l t h P o d

podbest practices

K e y P o i n t s : • T w o w a y s o u t S e c u r i t y p r e s e n c e  D i r e c t r o o m s u p e r v i s i o n  W a n d e r i n g s p a c e  D e d i c a t e d u n i t  M u l t i p l e w a y s o u t 

K e y P o i n t s : • T w o w a y s o u t N e u t r a l c o l o r s  W i d e c o r r i d o r s  W a n d e r i n g  s p a c e M u l t i p l e w a y s  o u t “A patient room in a healthcare facility will not become calming when it is painted blue, because human beings are not structured to simply be aroused or calmed down just because of the color of their surroundings .” Color in Healthcare Environments -2004

usefulresources

DPH – Com pl iance Che ckl is t s for B e hav ioral He al t h Are as h t t p : / / w w w . m a s s . g o v / e o h h s / g o v / d e p a r t m e n t s / d p h / p r o g r a m s / h c q / h e a l t h c a r e - q u a l i t y / h e a l t h - c a r e - f a c i l i t i e s / p l a n - r e v i e w / f o r m s / I P 1 2 :  E m e r g e n c y S e r v i c e s I P 1 0 :  P s y c h i a t r i c N u r s i n g U n i t O P 1 3 :  O u t p a t i e n t P s y c h i a t r i c C e n t e r s O P 1 2 :  M e n t a l H e a l t h C o u n s e l i n g C l i n i c s

DPH – Emergency Services I P 1 2 : C o m p l i a n c e  C h e c k l i s t S u m m a r y S e c u r e H o l d i n g R o o m S t a f f O b s e r v a t i o n &  M o n i t o r i n g o f P a t i e n t s M i n F l o o r A r e a 6 0 s f  M i n W a l l l e n g t h 7 ’ - 0 ” /  M a x W a l l L e n g t h 1 1 ’ - 0 ” M i n C e i l i n g H e i g h t 9 ’ -  0 ”

DPH – Emergency Services  I P 1 2 : C o m p l i a n c e C h e c k l i s t S u m m a r y S e c u r e H o l d i n g R o o m – C o n t . • D e s i g n e d T o P r e v e n t I n j u r y T o P a t i e n t s : t a m p e r r e s i s t a n t f i n i s h e s , l i g h t f i x t u r e s , o g r i l l e s & d i f f u s e r s , s p r i n k l e r s n o e l e c t r i c a l o u t l e t s o n o m e d i c a l g a s o u t l e t s o n o s h a r p c o r n e r s , e d g e s , p r o t r u s i o n s o w a l l s f r e e o f o b j e c t s o r a c c e s s o r i e s o p a t i e n t r o o m d o o r s s w i n g o u t o d o o r h a r d w a r e o n e x t e r i o r s i d e o n l y o m i n . d o o r w i d t h 4 4 ” o s m a l l i m p a c t - r e s i s t a n t v i e w p a n e l i n o d o o r f o r d i s c r e e t s t a f f o b s e r v a t i o n o f • p a t i e n t s

Behavioral Health Facilities References: “ D e s i g n G u i d e f o r t h e B u i l t E n v i r o n m e n t ” p u b l i s h e d b y t h e N a t i o n a l A s s o c i a t i o n o f P s y c h i a t r i c H e a l t h S y s t e m ( N A P H S )

Behavioral Health Facilities References: “ P a t i e n t S a f e t y S t a n d a r d s , M a t e r i a l s a n d S y s t e m G u i d e l i n e s ” p u b l i s h e d b y t h e N e w Y o r k S t a t e O f f i c e o f M e n t a l H e a l t h ( O M H )

Behavioral Health Facilities References: “ P a t i e n t S a f e t y S t a n d a r d s , M a t e r i a l s a n d S y s t e m G u i d e l i n e s ” p u b l i s h e d b y t h e N e w Y o r k S t a t e O f f i c e o f M e n t a l H e a l t h ( O M H )

Behavioral Health Facilities References: “ M e n t a l H e a l t h F a c i l i t i e s D e s i g n G u i d e ” p u b l i s h e d b y t h e D e p a r t m e n t o f V e t e r a n s A f f a i r s ( V A ) , O f f i c e o f C o n s t r u c t i o n & F a c i l i t i e s M a n a g e m e n t

Guiding Principles – Department of Veterans Affairs: T e n F u n d a m e n t a l C o m p o n e n t s o f R e c o v e r y - S e l f - d i r e c t i o n - I n d i v i d u a l i z e d a n d p e r s o n - c e n t e r e d - E m p o w e r m e n t - H o l i s t i c - A c h i e v e m e n t o f f u l l p o t e n t i a l - S t r e n g t h - b a s e d - P e e r S u p p o r t - R e s p e c t - R e s p o n s i b i l i t y - H o p e

thank you! For more information please contact: Bill Repichowskyj, AIA Partner 888.781.8441 brepichowskyj@ e4h architecture.com e4h architecture.com