BY: Anyango P. Amoko Biomedical Engr. Kakamega County . HEALTHCARE FACILITY DESIGN: PATIENT ENVIRONMENT A LIFETIME EXPERIENCE. AMEK 2013: EMPOWERING FACILITY AND HEALTHCARE TECHNOLOGY MANAGEMENT 13-15/11/2013 BY: Anyango P. Amoko Biomedical Engr. Kakamega County . AMEK 2013- NAKURU

"You never get a second chance to make a good first impression." 13-15/11/2013 INTRODUCTION "You never get a second chance to make a good first impression." AMEK 2013- NAKURU

INTRODUCTION Applied to health care facilities. 13-15/11/2013 INTRODUCTION Applied to health care facilities. The state of healthcare facility conveys a message to Patients Visitors, Volunteers, Vendors, and Staff. AMEK 2013- NAKURU

INTRODUCTION Beautiful garden creating a healing environment 13-15/11/2013 INTRODUCTION Beautiful garden creating a healing environment Healthcare Facility front view. AMEK 2013- NAKURU

PATIENT EXPECTATIONS When patient visit the hospital they expect; 13-15/11/2013 PATIENT EXPECTATIONS When patient visit the hospital they expect; Access to health care services Appropriate levels of treatment and care Appropriate use of medicine Appropriate use of medical technology and science Built environment AMEK 2013- NAKURU

HEALTHCARE FACILITY Ideally, that message is one that conveys 13-15/11/2013 HEALTHCARE FACILITY Ideally, that message is one that conveys Welcoming , Caring, Comfort and compassion, Commitment to patient well-being and safety, Where stress is relieved, refuge is provided, respect is reciprocated, competence is symbolized, way-finding is facilitated, and families are accommodated. AMEK 2013- NAKURU

Research - Roger Ulrich et al (2004) 13-15/11/2013 Research Questions What can research tell about “good” and “bad” hospital design? Is there compelling scientifically credible evidence that design genuinely impacts staff and clinical outcomes? Can improved design make hospitals less risky and stressful for patients, their families, and for staff? A visit to a U.S. hospital is dangerous and stressful for patients, families and staff members. Medical errors and hospital-acquired infections are among the leading causes of death in the United States, each killing more Americans than AIDS, breast cancer, or automobile accidents (Institute of Medicine, 2000; 2001). According to the Institute of Medicine in its landmark Quality Chasm report: “The frustration levels of both patients and clinicians have probably never been higher. Yet the problems remain. Health care today harms too frequently and routinely fails to deliver its potential benefits” AMEK 2013- NAKURU

13-15/11/2013 RESULTS - Rigorous studies do link the physical environment to patient and staff outcomes through Reducing staff stress and fatigue and increase effectiveness in delivering care Improving patient safety Reducing stress and improving outcomes Improving overall healthcare quality AMEK 2013- NAKURU

“Good” Design 13-15/11/2013 The more overlap there is between these three quality fields the higher the quality Improving Standards of Design in the Procurement of Public Buildings (CABE/OGC) Impact Delight Functionality Commodity Build Quality Firmness Design addresses the function accommodated, the built fabric and the impact of the facility on people Good design enhances service delivery and outcome, satisfies users and staff, optimises life cycle costs Good design is about getting the balance between function, building and impact right Conversely poor design (and a poor environment) can impede service delivery, increase the cost of service delivery, frustrate and endanger users Design and the Quality of the Environment need to stay constant through the life of the facility GOOD DESIGN Design is not just about aesthetics or a dreary but functional solution. Good design is seen in a toolkit developed by CABE as a concurrance of functionality, building quality and impact. The more overlap there is between these three quality fields the higher the overall design quality will be. These are enduring qualities that were recognised by the Roman architect Vitruvius who said that buildings should display Utilitas (functionality), Firmitas (strength) and Venustas (beauty). Bullet points If design impacts on the quality and value of the life time of service rendered through the facility, the issue then is how does design relate to the life cycle of the facility AMEK 2013- NAKURU

Weighting Issues Transient issues (Management processes) 13-15/11/2013 Transient issues (Management processes) Cleaning and housekeeping Compliance, safety (fire extinguishers, escape routes…) Alterable issues (Design and maintenance) Finishes Equipment, plant, building services (sanitation…) Fire protection Fundamental issues (Design) Shell, layout, structure Maintenance space (ducts, some plant rooms) Accommodation, relationships Fire design AMEK 2013- NAKURU

FACTORS TO CONSIDER ON DESIGN 13-15/11/2013 FACTORS TO CONSIDER ON DESIGN Patient room Versus support space Ease of supervision Nurse travel time Patient toilet configuration. AMEK 2013- NAKURU

PATIENT ROOM A well designed patient room has three distinct zones 13-15/11/2013 PATIENT ROOM A well designed patient room has three distinct zones Care giver zone: work space for staff Work counter Storage space for supplies Family Zone; Should a way form staff zone Patient Zone: Have plenty of space for;- Patient Bed Medical equipment Communication/ entertainment systems Adequate all round. AMEK 2013- NAKURU

HEALING ENVIRONMENT Connect the patient nature. 13-15/11/2013 HEALING ENVIRONMENT Connect the patient nature. Low wide windows for outside view Cross ventilation Natural light AMEK 2013- NAKURU

IMPACT OF QUALITY HEALTHCE SPACE 13-15/11/2013 IMPACT OF QUALITY HEALTHCE SPACE Improving psyco-social Impact of care and recovery Improved physical setting for patient care Colour play an important role in providing spartial orientation and aesthetic Lighting can be manipulaated to meet different needs. AMEK 2013- NAKURU

Thanks for your audience. Questions and comments.5 13-15/11/2013 Thanks for your audience. Questions and comments.5 AMEK 2013- NAKURU