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1
The Patient Room of the Future: Designing for Millennials
Session #237, February 23, 2017
Joan Saba, Partner, NBBJ
2
Speaker Introduction
Joan Saba,Partner
NBBJ
3
Conflict of Interest
Joan Saba
Has no real or apparent conflicts of interest to report.
4
Agenda
1) Changing Patient Demographics
2) Learning from Other Industries
3) New Technologies in Healthcare Design
4) The Redesigned Patient Room of the Future
5
Learning Objectives• Outline the influx of new types of patients into the American healthcare
system, including their unique needs and the primary reasons they seek treatment.
• Discuss how these changing patient demographics require a new approach to healthcare design that better integrates sensors, VR and projection mapping into the design process.
• Describe how healthcare architects are taking lessons learned from corporate workplaces for tech companies and beginning to apply insights into the design of healthcare spaces.
• Explain how these demographics and tools are leading to the creation of more effective healthcare environments, including patient rooms that promote socialization and rest.
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An Introduction of How Benefits Were Realized for the Value of Health IT
EXAMPLE
#2 TEXT
HERE
supporting text
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A “Booming”
Millennial
Population
There are now
more Millennials in
America than Baby
Boomers, 83.1
million vs. 75.4
million1
Unique
Patient Needs
More Millennials rely
on social healthcare
referrals from friends
than Boomers (70%
to 41%) and more
turn to technology
for health information
(54% vs 39%)2
1 – U.S. Census Bureau, Millennials Outnumber Baby Boomers and Are Far More Diverse, Census Bureau Reports, June 25, 2015
2 – Becker’s Healthcare, Survey reveals 3 differences between millennial & baby boomer healthcare consumers, August 31, 2015
7
Start Presentation Slides Here
60-Minute Lecture
• The speaker must provide a 45-50 minute PowerPoint presentation (approx. 25-30 slides). Please do not exceed this time limit.
• Leave 10-15 minutes at the end for Q&A
8
Generation of Patients, Providers and Practices
The Patient Room
of the FutureDesigning for Baby Boomers and Millennials
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The healthcare
landscape is
evolving
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Patients,
technology, and
processes
11
Baby Boomers Millennials
Stationary technology Mobile technology
Transitioning out of the workforce Transitioning into the workforce
Leading Causes of Hospitalization
Heart disease and pneumonia Pregnancy and childbirth
Ages 52-70 Ages 16-36
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Common themes shared by both generations:
Cost-conscious Social-minded Family-oriented
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14
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By 2020 over 50% of workforce will be millennials
16http://www.medtronic.com/us-en/healthcare-
professionals/products/cardiac-rhythm/pacemakers/micra-pacing-
system.html
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Luckily, we have new
tools and processes to
help address these
changes
18
19
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Patient
Lobby Induction
Rooms
Surgery
Recovery
SEATTLE CHILDREN’SBELLEVUE CLINIC AND SURGERY CENTER
Bellevue, WA
The team created a streamlined surgical flow to allow
parents to stay with their children as long as possible.
21
Surgery Suite Entrance
Induction Rooms
Surgery
Recovery
Patient Lobby
Patient (Child) Journey
Parent Journey
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Surgery Suite Entrance
Induction Rooms
Surgery
Recovery
Patient Lobby
Patient (Child) Journey
Parent Journey
23
Surgery Suite Entrance
Induction Rooms
Surgery
Recovery
Patient Lobby
Patient (Child) Journey
Parent Journey
24
Surgery Suite Entrance
Induction Rooms
Surgery
Recovery
Patient Lobby
Patient (Child) Journey
Parent Journey
25
Surgery Suite Entrance
Induction Rooms
Surgery
Recovery
Patient Lobby
Patient (Child) Journey
Parent Journey
26
27
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RAPID PROTOTYPING
29
INSERT RAPID
PROTOTYPING
IMAGE OF NURSE
AND CARDBOARD
30Digitally Augmented Rapid Prototyping
31Digitally Augmented Rapid Prototyping
32
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ROOM PLAN
ROOM MODEL
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REAL-TIME FEEDBACK
TO MOCKUP USERS
35
Patient Room Area: 282sf
Toilet Room Area: 67sf
Wall Shift Delta: 45sf
Delta x 500 rooms: 22,500sf
Delta x $300/sf $6,750,000
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Process Design
39
VIRTUAL REALITY
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Architects deal with complex visual data sets
such as renderings and drawings.
But getting those files into the hands of
clients is difficult not only because of their
size, but also because they are not often
legible to people outside the profession.
41
Productive
Collaborative
-BUT-
Limited
Participants
Time zone
Considerations
Broader
Participation
Responses are
Documented
-BUT-
Lower
Fidelity
Meeting Email
more inclusive
and efficient
than a MEETING
more immersive
and enjoyable
than an EMAIL
We are focused on filling the massive gap
between meetings and email…
42
Current Design Process
Schedule
internal
meeting
Internal design
meeting
Finalize preliminary
drawings
Schedule design review
meeting with stakeholders,
meet and provide edits and
repeat
Upload to Visual Vocal, stakeholders
can review at their convenience and
provide feedback to inform future
drawings
Visual VocalDesign Process
43
1-2 User Groups
of providers and
patients
44
Virtually endless
user group
45
Distributed to any
location and any
time zone
46
47 47
48
49
50
51
52
NEXT GENERATION
53
Common themes shared by both generations:
Cost-conscious Social-minded Family-oriented
54
Tapping into the Micro
Apartment Movement
Our approach learns from
Millennials and Baby Boomers
who are focused on efficiency
through convertibility as a new
design ethic
54
55
In a universal room, 20-30% of the overall floor area is
set by ICU bed clearances that are often not utilized.
FGI BED
CLEARANCE
MED/SURGFGI BED CLEARANCE
INTENSIVE CARE
A high-performance utilization strategy converts often-wasted floor
area into an amenity zone that could directly improve satisfaction.
3’4
’
3’5
’
3’5’
56
4. D
inin
g C
onfig
urat
ion
3. W
orkp
lace
Con
figur
atio
n
2. S
leep
Con
figur
atio
n
1. C
ompa
ct
Exploring a
Configurable Family
Care SystemThe micro apartment
approach to footwall
design
57
Compact ModeMaintains required clear
floor area around patient
bed for ICU level care
58
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OvernightEnabling a good night’s
sleep for the patient and
their loved ones
60 60
61
Workplace ModeAllowing patient and
family to stay connected
62
63
Family DiningRoom for everyone at the table
64
Now that hospitals are actually
growing and serving nutritious
food, let’s enjoy it together
65
66
PROJECTION
MAPPING
67
68
What's next?
69
A Summary of How Benefits Were Realized for the Value of Health IT
BETTER
UTILIZATION
20%-30% of space
within a universal
patient room goes
unused by non-ICU
patients; new tools
ensure greater
value/stewardship
BETTER
CARE
New patient room
design supports both
the physical and
emotional needs of
the patient, creating
a more holistic
healthcare
experience