1. From “The View of One Adolescent” to Hospital-Wide Patient-Focused Perioperative Design Presented by Helen DeVos Children’s Hospital Jonathan Bailey Associates Smith Hager Bajo, Inc.

2. Grand Rapids, Michigan

3. Presentation Outline n Introductions/Overview n Process Analysis/Redesign n Design Integration n Implementation Plan n Key Measures for Success n From a Parent’s Perspective

4. Introductions n Michele Pietras n Curtis Qualls n Judy Hager n Rhonda Hoyle

5. Overview n Introductions/Overview n Project Scope n Planning Process n “Making the Case” for a Children’s Hospital n Market Analysis & Volume Projections n Bed Need Analysis n Board Support n Operational Process Analysis/Redesign n Space Planning/Programming n Site Analysis/Conceptual Nursing Unit n Schematic Design

6. User Group & Space Planning Group Structure CORE TEAM USER GROUPS CARE BEARS PROCEED WITH CARE CARE NECESSITIES IT COMM/FINANCE PATIENT ROOM FAMILY AMENITIES FAMILY/PUBLIC SPACES SPACE PLANNING GROUPS OR/ENDOSCOPY SEDATION TREATMENT SERVICES LAB/IMAGING PHARMACY/RT NUTRITION SERVICES ENVIRONMENTAL SERVICES SECURITY MAT MGM’T STERILE PROC. INFRASTRUCTURE ED SERVICES AMBULATORY CLINICS SUPER USER GROUP

7. Analysis - Perioperative Process n Currently Perioperative Services are provided through the adult OR’s n While some spaces are dedicated to children, many of the processes are experienced adjacent to, or as part of, the adult Environment n Very complex process n Many Steps (a minimum of 6 different locations for outpatients) n Too Much Time (often taking 8 hours for an outpatient surgery) n Long Transport Distances (over ¾ mile for outpatients) n Car to Car transport is a total of 2 miles n Interactions with Many People n Very Low Satisfaction

8. Revised Processes n The revised intake process includes valet parking, greeting and registration n Care consolidated to a single floor with horizontal adjacencies between the stages of the peri-operative process n Induction Rooms n OR Suites n Sterile Processing n Phase II Recovery n Cardiac Cath Labs Redesign - Perioperative Process

9. Design Integration

21. Key Measures for Success n Improved quality care n Increased patient and family satisfaction n Improved staff efficiency n Decreased process time n Many Steps (a minimum of 6 different locations for outpatients) n Too Much Time (often taking 8 hours for an outpatient surgery) n Long Transport Distances (over ¾ mile for outpatients) n Car to Car transport is a total of 2 miles n Interactions with Many People

22. Implementation Plan

23. From a Parent’s Perspective n Eliminate travel through adult spaces n Personal experience n Revised care process maximizes time spent with child n Design will reduce confusion and anxiety