1. Experience Design and Designing for Experience
By Oviya Thanigaivelan

2. TRICARE Management Activity Healthcare Facility Evidence-Based Design Survey

3. Methods Sample of 4,000 active duty (AD) personnel
Phone interviews regarding proposed healthcare facility design features
-active duty service members who received direct inpatient care 12 months before sample selection

4. Results
10 multiple choice questions

5. Results “Other Comments or Suggestions?”
Importance of having a family area in the hospital room where family or other loved ones could spend the night
Importance of patient privacy
Desire to communicate outside the hospital by telephone and
Access to world outside hospital facility via Internet, television, newspaper, and books

6. The most used and most helpful facilitators for patient-centered medical home implementation

7. Methods
Sample: primary care personnel in the Veterans Health Administration
Purpose: to assess which patient-centered medical home implementation resources are most widely used, by whom, and which resources primary care personnel find most helpful
-from 135 patient hospitals
-done through a survey

8. Results Teamlet huddles were most used and most helpful resource
Quality-improvement methods to conduct small tests of change useful, but least frequently used

9. Utilizing experience-based co-design to improve the experiences of patients accessing emergency departments in New South Wales public hospitals: an evaluation study
This is a study to test the effectiveness of the method: experience-based co-design.

10. Experience-Based Co-Design (EBCD)
seeks to improve users’ experience of the service
-debate over best methods for gathering data on patient experience
-EBCD seeks to understand how people experience a process when they come into contact with it

11. Methods Goal: to improve patient flow and processes between two units
Ex. Referrals from the Emergency Department to radiology department
Seven sites
-using interviews, observations, staff surveys,…

12. Results Common priorities: To improve
Patient and carer comfort and privacy
Physical space
Commutation and information flow
-they implemented different strategies to achieve this

13. Cancer patient-reported outcomes assessment using wireless touch screen tablet computers

14. Methods
Touch screen table computers to assess: anxiety, depression, fatigue, pain interference, physical function, diarrhea, constipation, nausea, vomiting, anorexia, dyspnea, neuropathy, and spiritual values
Patient interviews
-15 cancer patients total so small sample size

15. Results -nearly all requested assistance (14/15)
-most patients indicate that the study was easy to complete
-the population in the study had higher levels of severity for each domain than that of the cancer patient population used to develop the score mean

16. User satisfaction with orthotic and prosthetic devices and services of a single clinic
- evaluation of user satisfaction of both product and services
- participants fill out OPUS satisfaction module -

17. Results
-women were more satisfied from their devices, men were more satisfied from the services

18. References
Casscelis, S. W., Granger, E., Williams, T. V., Kurmel, T., May, L., Babeau, L., Thomas, N. (2009). TRICARE Management Activity Healthcare Facility Evidence-Based Design Survey. Military Medicine, 174(3), Gale, R. C., Asch, S. M., Taylor, T., Nelson, K. M., Luck, J., Meredith, L. S., & Helfrich, C. D. (2015). The most used and most helpful facilitators for patient-centered medical home implementation. Implementation Science, 10(1), doi: /s Piper, D., Iedema, R., Gray, J., Verma, R., Holmes, L., & Manning, N. (2012). Utilizing experience-based co-design to improve the experience of patients accessing emergency departments in New South Wales public hospitals: an evaluation study. Health Services Management Research, 25(4), p. doi: / Ghoseiri, K., & Bahramian, H. (2012). User satisfaction with orthotic and prosthetic devices and services of a single clinic. Disability & Rehabilitation, 34(15), doi: / Stukenborg, G., Blackhall, L., Harrison, J., Barclay, J., Dillon, P., Davis, M., Read, P. (2014). Cancer patient-reported outcomes assessment using wireless touch screen tablet computers. Quality of Life Research, 23(5), doi: /s