The Healing Environment

Transcription

1 Rice Memorial Hospital The New Rice The Healing Environment 1

2 The Healing Environment Old Approach Care is based primarily on visits. Professional autonomy drives variability. Professionals control care. Information is a record. Decision making is based on training and experience. Secrecy is necessary. The system reacts to needs. Cost reduction is sought. New Rule Care is based on continuous healing relationships. Care is customized according to patient needs and values. The patient is the source of control. Knowledge is shared and information flows freely. Decision making is evidence-based. Transparency is necessary. Needs are anticipated. Waste is continuously decreased. Preference is given to professional roles over the system. Source: Institute of Medicine, Crossing the Quality Chasm Cooperation among clinicians is a priority. Rice s s Response Rice Memorial Expansion and Renovation Project Goal: To design and build a functional and efficient facility that supports staff in providing a healing environment for patients and their families...a safe environment...provide health care that is timely, effective, and state of the art...meets the needs of patient / family...ensure staff convenience, comfort and efficiencies...ensure quality and value needs are realized, ie, system... 2

3 Rice s s Response, cont. Bottom-up planning involving front-line staff from the beginning. Planned flexibility for future growth. Patient & Family-centered Care. Vertically-oriented patient flow cuts down on transportation time and increases staff efficiencies. Relocation of patient therapies onto the floors. Rice s s Response, cont. Standardization of clinical areas patient rooms, OR suites, ED rooms. Decentralized patient support areas. Decentralized equipment rooms and nurse servers. Ambulatory Care Unit efficient model addresses outpatient-orientation trend. Integration of new technologies designed to create more time for face-to-face visits. Patient charts located in each room open & accessible to the patient. 3

4 Rice s s Response, cont. Hotel-like amenities. Use of color, light, fabrics & art creating a home-like environment. All-private patient rooms private baths, whirlpool tubs in all labor & delivery rooms. Daily newspaper delivered to each patient room. Future capability for room-service food delivery. Efforts to increase communication and cut down on wait times. Surgical waiting beeper system Nurse call light system New patient support areas 4

5 New Staff Areas Decentralized Patient Support Areas Eliminate steps, time and distance Place the nurse at the point of patient care Technology designed to support staff, especially as we become more decentralized Silent Paging system Wireless monitoring Proximity readers Decentralized supplies, linen and cleaning processes Automated medication delivery in separate, decentralized medication rooms eliminating noise & distraction Source: Institute of Medicine, Keeping Patients Safe New Staff Areas, cont. Noise reduction mechanisms Silent paging system Work areas located in interior spaces Glass barrier around Patient Support Area in ED Casters on carts Physician-nurse collaboration areas Shared Staff Lounge & Locker spaces Help to build more inter-disciplinary relationships Provide purposeful get-away space Source: Institute of Medicine, Keeping Patients Safe 5

6 New Patient Rooms New Patient Room Private, large room Separate family & staff zones in each room Families feel more comfortable, more engaged in the care process Sufficient space and lighting to conduct a full physical exam right in patient s room Anticipate future technologies Built-in means for reducing patient s risk for infection One patient per room 2 sinks in separate spaces Large window, providing natural, healing, positive distractions Lighting and temperature controls accessible to patient within his or her room Internet access in each room Each room contains TV, DVD, VCR used for patient education as well as creating distractions when needed Source: Institute of Medicine, Keeping Patients Safe 6

7 3 rd floor, Pediatrics Art featured in The New Rice New spaces feature art chosen and, in some cases, created for our new healing environment. Art committee was created and 42 artists were selected. Pieces were chosen based on the following criteria: That they enhance our healing environment Provide a positive distraction Artists who are either local or have a regional connection Represent a variety of art mediums Images which are recognizable to area residents 7

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9 Public Spaces 9

10 Public Spaces Healing Spaces Use color, light and texture to create sense of calm Art, fish tanks, water features and reading materials create positive distractions Get-away spaces Family Lounges Open dining space Community Health Library Coffee Bar Engage family in care process Engage community in their hospital. Community Health Library 10

11 Public Spaces, cont. Thank You 11