Less brick, more bytes and different behaviour Radboud university medical center The Clinic Real Estate of the Next Generation Wednesday, June 28, 2017
Introduction ir. Saskia Kroon senior consultant at ptg advies, an independent and market-oriented consultancy firm in The Netherlands focused on housing issues in the health care sector since 2014 consultant of the building department at Radboud university medical center one of the process managers in the business case project that led to the strategy 'less bricks, more bytes and different behaviour graduated with a master in Real Estate and Housing at the faculty of architecture at the Technical University Delft Pagina 2
Erasmus MC Rotterdam Maasstad Ziekenhuis Rotterdam our expertise housing in healthcare organisations (cure) www.ptg-advies.nl Medisch Spectrum Twente Enschede 3 ptg advies: an overview of our work Amphia Ziekenhuis Breda
p t g a d v i e s i n fa c t s a n d f i g u r e s our work fields 21 employees +1.000.000 m² of programmes of requirements 5 university hospitals housing strategy & process management 17 years of working experience 7 newly constructed hospitals +100 operating theatres programming of healthcare organisations 4 approx. 50 clients +80 renovation projects + 1,0 bln. budget monitoring project management
Introduction Wouter van Wijhe MSc Policy advisor sustainability and project manager at Radboud UMC, The Netherlands. Project manager Technology Team Innovation for the less bricks, more bytes, different behaviour program. Studied Logistics & Economics at the HAN University and Master of Science on Organizational Design and Development at the Radboud University. Pagina 5
Mission and vision Radboudumc To have a significant impact on healthcare We believe we can achieve that by: Excellent quality in our work Participatory and personalized healthcare Operational excellence Sustainable networks The Radboudumc is a frontrunner in stimulating innovative, sustainable and affordable health and healthcare. Pagina 6
Facts & figures 2016 Employees 7,353 FTE Students 3,295 Publications 3,444 Dissertions 202 Outpatients visits 103,333 Hospitalization 29,136 Beds 953 Occupation beds 69% Revenue 1.031 billion Financial result 11,233 million Solvency 22,8% Pagina 7
Where will healthcare be delivered in 10 years? a) Everywhere b) Home c) Hospital d) Doctor Pagina 8
Less bricks, more bytes and different behaviour' 9
One of the 8 umc s in the Netherlands Pagina 10
Campus Heyendaal Radboudumc > 400.000 m 2 Real Estate Pagina 11
Upcoming projects Prekliniek Tandheelkunde Center of Excellence Berchmanianum S Building Gymnasion Demolition Faculteit Sociale Wetenschappen East Erasmus Pagina 12
Ready for the future? Started with the Business Case Project in 2015 What developments do we see, what will be the impact? 1. Technology, revolution and innovation 2. Demography figures and Incidence rates 3. Trends in Healthcare 4. Trends in Research 5. Trends in Education 6. Economy Pagina 13
A growing market? Pagina 14
The impact of technology Epic Facetalk E-health Pagina 15
A compact campus Health Care Research Education Pagina 16
Modelling scenario s Total investment and exploitation planning for the Radboudumc everything will change Including all the facilities we need: Real estate Medical equipment Information technology but when? Consequences for funding Pagina 17
Scenario X We don t know yet when it will happen. But we will be prepared! Scenario 3: We use our capacity to the max We will invest more in IT We reduce our square meters This makes us flexible and financially healthy! Pagina 18
Masterplan 3 19
Current situation Pagina 20
Masterplan 3: compact, reduction of area Pagina 21
Masterplan 3 The S building Pagina 22
Daylight and views for all patient rooms 23
Standardized, flexible in use 24
Ambitions for sustainability Energy performance: 30% reduction compared to legal requirements A compact and flexible building High levels of daylight, view out and thermal comfort Facade of recycled or biodegradable materials Pagina 25
Emerging technologies in healthcare Source: History of Nephrology, Welch Allyn, Medisave, Kinsa Pagina 26
Emerging technologies in healthcare 1. Technology Team Innovation multidisciplinary team proven technologies scope 5 years and building S 2. Gartner Hype Cycles 3. Assessing value 4. Workshops 5. Proof of Concept it s not about technology, it s about behaviour and work processes Pagina 27
Emerging technologies in healthcare 1. Experiental wayfinding (navigation): smart wayfinding and patient support throughout their entire journey, family, employees and students. An app navigates visitors through the hospital. In case of delay a message will appear suggesting alternative route, e.g. coffee or art exhibition. 2. Next generation nurse call en clinical communication/collaboration: real-time (integrated) communication tools enabling point of care Getting the right message to the right person with the option to request more information (Pain? Glass of water? Extra pillow?) 3. Alarms notification platform: monitoring and tracking. Moving from a bed centred approach towards a patient centred approach. Continuous monitoring off vitals with a sticker. Giving freedom to patient to get out of bed while keeping an eye on the risk of falling. Pagina 28
Emerging technologies in healthcare 4. Track & Trace: Locate equipment, monitoring the status of medication (temperature) but also tracking staff and patients. An app navigates visitors through the hospital. In case of delay a message will appear suggesting alternative route, e.g. coffee or art exhibition. 5. Robotics 1. Logistics: automated transport of equipment, food, people... 2. Healthcare: CareBots like Pepper, navigation, companionship, in-check... Pagina 29
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Different behaviour Pagina 35
Different Behaviour Pagina 36
We always overestimate the change that will occur in the next two years and underestimate the change that will occur in the next ten. Don't let yourself be lulled into inaction. Bill Gates Pagina 37