museumnext 2014 - getting better: how multimedia guides and art are helping hospital patients
DESCRIPTION
imagineear's Andrew Nugée gives a presentation on working with Chelsea and Westminster Health Charity to launch a mobile phone app as part of its new arts in health project, Rhapsody. MuseumNext, 20th June 2014.TRANSCRIPT
Art makes you better
Andrew NugéeChief Executive, imagineear
MuseumNextJune 2014, Newcastle Gateshead
What I’ll cover today – and what you’ll take away
About imagineear
What is well?
Is there a problem?
How can art help?
The rhapsody project
So did it help?
What next?
So what for museums?
imagineear
Provides multimedia content solutions
Creates multilingual content, including archive and live audio
Publishes to smartphones and (our own) smart devices
Works with sports venues, cultural sites and the healthcare sector
“Data is vital for … the construction of insight-rich business plans, the changing of organisational cultures to become more visitor focussed and, crucially, … to ensure that continual improvement … delivering a great visitor experience becomes [the] norm.”
Museums & Heritage Magazine Spring 2014
Imagineear regularly collects detailed usage data
And turns data to insight
Data to insight
Seeing exceptions in data patterns
What is well?
Health is not merely the absence of disease or infirmity
It is a state of complete
Physical Mental Social
well-being
From Constitution of the World Health Organization signed on 22 July 1946 by the representatives of 61 States, entered into force on 7 April 1948. Never subsequently modified
First line of defence; the NHS – a large beast
Every Day Is
10,500 GP practices2,300 hospitals150k beds
Over 1.7m people, incl: 370k nurses 40k GPs 20k ambulance staff
Every Day Does
25k emergency calls8k category A - life-threatening
650k patients treated300k are seen60k are seen in A&E
13k operations (in England alone)
Source: NHS Confederation, The NHS, Health and the Social Care Information Centre
How is it doing? Pretty well
Source: The Commonwealth Fund National Scorecard
The problem is one of cost
NHS budget for England next year £100bn £2bn shortfall £2bn transfer to the Better Care Fund 1/3 of NHS Trusts forecasting a shortfall this year
There is “a real risk” of hospitals running out ofmoney this year and next Chris Ham, CEO Kings Fund
“NHS is enduring the most sustainedbudget crunch in its 66 yr history” Simon Stevens, NHS England CEO
So what?
It turns out that integrating visual and performing arts
Induces significant differences in clinical outcomes Reduces amount of drug consumption Shortens length of stay in hospital Improves patient management promotes better doctor‐patient relationships improves patient mental health Contributes towards increased job satisfaction Enhances the quality of service
Source: Rosalia Staricoff PhD et al, based on research carriedout at Chelsea and Westminster Hospital from 1999 to 2002
Note to self
If we can employ art to reduce the average post-op hospital stays by just one day per person, we save
£225 per bed dayfor 13k operations per day
ie £3m a dayor £1bn a year
half of the NHS deficit
How does art help us get well?
Effect on pleasure/reward centres of the brain Releases dopamine, the ‘feel good’
neurotransmitter
Attention – the Hawthorne Effect We respond better when people pay
attention to us, regardless of what they are offering
Placebo Creates endorphins, natural pain killers Changes the patient's perception of pain
How does art help us get well?
Flow Intense focus on the Now Sense of control over the situation Experience intrinsically rewarding Altered sense of time Loss of self-consciousness
Art breaks barriers between healthy and sick Between normal life and hospital Between carer and patient
Mihaly CsikszentmihalyiProfessor of Psychology at the School of Behavioral and Organizational Sciences at Claremont Graduate University and
Co-Director of the Quality of Life Research Center
Rhapsody – a collaborative art project
Partnership between Chelsea and Westminster Health Charity Chelsea and Westminster Hospital Royal College of Music Arts Council England Eric Whitacre Imagineear TNF
Art trail – with a difference
Hospital with a difference Museum status since 2009 Over 1,000 artworks, most in
public atriums, including The Resurrection, by Veronese
Over 350 concerts annually
Rhapsody for patients, visitors and staff Music that engages the listener,
reflects the artwork’s message
Rhapsody Phase 1 – Music and Art
Rhapsody Phase 2 - Composition
15 new bespoke pieces chosen from over 250 applications Royal College of Music Royal Academy of Music Oxford University Cambridge University
6 months composition training by William Mival, Head of Composition at the RCM
Recorded at RCM earlier this year
Rhapsody Phase 2 - Isaac Ssebandeke
Rhapsody Phase 3 – the CD, the Apps
Did it help?
100% of patients were relaxed by the guides, 56% very much so100% of patients had boredom alleviated, 63% very much so100% of patients experienced a psychological lift, 27% very much so
“Without the Rhapsody audio guide, my patient stayed in bed. But now we are using the incentive of the music to go a bit further off the ward each day.” Darren Brown, Physiotherapist
And the one-day hospital bed target? Research to be completed Data appears to indicate … a one day reduction on average
What have we learnt?
The arts programme Helps patients return to health Is valuable to carers and visitors as much as patients Provides a common emotional platform, breaks barriers
NHS projects T…a…k…e T…i…m…e Experimental design, trials, focus groups, alternatives, testing, clinical
trials And this is nothing compared to apps that are classed as ‘medical
devices’
But the arts sector has the potential materially To enrich lives outside the museum To reduce cost and promote health
What Next – at C&W? Tackling pre-operative stress
14% of pre-op patients suffer from stressStress slows recovery, increases painPreliminary research shows music and art can help Lowers anaesthesia by 0.83mg/kg Lowers stress hormones 48% Reduces hospital stay by 1 day on average
What next more generally?
So join us!
Activate the
archives!
Save lives!
Thank you!
Andrew NugéeChief ExecutiveImagineear Ltd
[email protected]+44 20 3289 1416 (direct)+44 7785 368 971 (mobile)andrewnugee (skype)@andrewnugee