Transformative Technologies - Patient Centered Care

The Patient-Centered Healing Environment in the Digital Hospital 19 October 2011: 

The Patient-Centered Healing Environment in the Digital Hospital 19 October 2011 1 John Lambert-Smith Executive Director Health Facilities Planning & Design Health Facility Development Dharmendra Ghai (CPHIMS) Project Manager Healthcare IT Strategy Delivery Health Information Systems

The Role of Technology in enabling a Healing Environment: 

The Role of Technology in enabling a Healing Environment

Planetree model: 

Planetree model Principles of patient-centered care . Patients have the right to open and honest communication in a warm , caring environment. The patients, their families, and the professional staff play unique and vital roles in the healthcare team. The patient is not an isolated unit but a member of a family, community , and culture . The patient is an individual with rights, responsibilities, and choices regarding his or her lifestyle and health . A supportive, friendly, and caring environment is an essential component of providing high-quality healthcare . The physical environment is vital to the healing process and should be designed to promote healing and learning, as well as patient and family participation in care (Gaeta et al., 2000)

Healing environment- Basic components : 

H ealing environment- Basic components Air quality Thermal comfort Noise control Privacy Light Views of natures Visual serenity for those who are very ill Visual stimulation for those who are recuperating Access to nature Positive diversion Access to social support Options and choice (control) Elimination of environmental stressors such as noise, glare, and poor air quality

Technology in the Patient Centered Environment: 

Technology in the Patient Centered Environment Fundamentally , Patient Centered Care is low tech and high-touch Positive attitudes, kindness, compassion and empathy are completely free However , the Patient Centered Environment is enhanced with technology when used with consideration of Evidence-Based Design Principles

Technology in the Patient Centered Environment: 

Technology in the Patient Centered Environment “ Technology has, in most cases, increased the quantity of interactions people are having, NOT the quality of those interactions . To enhance quality we require a shift in thinking and attitudes towards increased creativity and collaboration” - Robert Hargrove

UVC anti-bacterial air treatment: 

Mixing damper Filter Cooling coil UVC Clean Air supplied to building Return air from building contains viruses, bacteria, mold spores, and VOCs Outside air contains viruses, bacteria, mold spores, and VOCs UVC Emitters destroy mold, bacteria, viruses, and VOCs preventing them from re-entering the air Spores reproduce in filter, cooling coil and drip pan TM UVC anti-bacterial air treatment Source:- Schneider

Slide 12: 

Pre-Paid Smart Card Accepts Coins, Notes, Credit/Debit Cards (future) Touch screen. Ease of use But Credit, Top-up Credit, Refund credit. Full account management – Cash –up Scratch card Patient buys a card in shop Scratches off to reveal code Inputs code into terminal Credit card At Vending Machine Mag stripe reader on terminal Post Payment Added to patient bill Digital Hospital –Patient Kiosks & Other Enablers Source:- Advantech & IBM

Digital Hospital –Real Time Location Serivice : 

Digital Hospital –Real Time Location Serivice What to Track and Why? Tracking Patients Increase ROI throughput in Radiology, OR and ED Customer Satisfaction - responsiveness Infection containment Fall Alert Bed Management Tracking Mobile Assets/Equipment Compliance/Maintenance – beds, infusion pumps High Value – computer on wheels, laptops, projectors Customer Immediacy – wheelchairs, beds, portable commodes One of a kind/low quantity – bladder scanner, cameras Improve billing consistency for specialty equipment Tracking Staff Improve billing consistency for care provided Infection containment Efficiently optimize scare critical resources (workflow) Certification levels for equipment maintenance Regulatory Compliance Source:- IBM

Slide 14: 

14 Robotics for the Healthcare Factory Automated Transport and Logistics Integration Systems – Just in time delivery Real- time access to inventory information linked to the EHR – IT Controlled Reduce operating costs (space), improved productivity and service levels Source:-Schneider

Slide 16: 

2010 Computer Cart 2011 Medication Cart 2012 Medicine Cart Innovative Workflow Technologies Source:- Advantech

Slide 17: 

Digital Hospital –Device Integration and Unified Communications Source:- Capsuletech & HP

Digital Hospital –IP Covergence: 

Digital Hospital –IP Covergence Patient terminal LAN/WLAN IP converter ESPA 4.4.4 MDA/ PDA PC Mobile phones (SMS) IP wireless phones OPC, SMTP, SMNP I/O signal converter Digital Pen Patient monitoring medical equipment WiFi tags Facility control Middleware PACS EPR EHC Laboratory etc. Nurses’ portal GSM Nurse call Pager IP phones Source:- Capsuletech & HP

Green Data centre & physical infrastructure: 

Green Data centre & physical infrastructure Source:- Schneider

IT infrastructure - network closets : 

IT infrastructure - network closets Monitor the environment Control the power Manage the cooling Source:- Schneider

Technology Enabling Clinical Workflow: 

Technology Enabling Clinical Workflow The key component in designing for technology is FLEXIBILITY The designs and the spaces must be flexible enough to add new technologies in the future

Thank You: 

Thank You 23