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

2. "You never get a second chance to make a good first impression."
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INTRODUCTION
"You never get a second chance to make a good first impression."
AMEK NAKURU

3. INTRODUCTION Applied to health care facilities.
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INTRODUCTION
Applied to health care facilities.
The state of healthcare facility conveys a message to
Patients
Visitors,
Volunteers,
Vendors, and
Staff.
AMEK NAKURU

4. INTRODUCTION Beautiful garden creating a healing environment
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INTRODUCTION
Beautiful garden creating a healing environment
Healthcare Facility front view.
AMEK NAKURU

5. PATIENT EXPECTATIONS When patient visit the hospital they expect;
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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 NAKURU

6. HEALTHCARE FACILITY Ideally, that message is one that conveys
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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 NAKURU

7. Research - Roger Ulrich et al (2004)
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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”
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8. 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 NAKURU

9. “Good” Design
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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
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10. Weighting Issues Transient issues (Management processes)
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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
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11. FACTORS TO CONSIDER ON DESIGN
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FACTORS TO CONSIDER ON DESIGN
Patient room Versus support space
Ease of supervision
Nurse travel time
Patient toilet configuration.
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12. PATIENT ROOM A well designed patient room has three distinct zones
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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 NAKURU

13. HEALING ENVIRONMENT Connect the patient nature.
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HEALING ENVIRONMENT
Connect the patient nature.
Low wide windows for outside view
Cross ventilation
Natural light
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14. IMPACT OF QUALITY HEALTHCE SPACE
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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 NAKURU

15. Thanks for your audience. Questions and comments.5
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Thanks for your audience.
Questions and comments.5
AMEK NAKURU