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The Ultimate Hospital Architect: THE NURSE! GCC Healthcare Innovation Congress DUBAI 17 May 2016 George Schutte [B.Com; LLB; MBA] Chief Operating Officer, Samaya Specialized Center, Abu Dhabi

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Page 1: The Ulitmate Hospital Architect- The NURSE!

The Ultimate Hospital Architect:

THE NURSE!

GCC Healthcare Innovation CongressDUBAI

17 May 2016

George Schutte

[B.Com; LLB; MBA]

Chief Operating Officer, Samaya Specialized Center, Abu Dhabi

Page 2: The Ulitmate Hospital Architect- The NURSE!
Page 3: The Ulitmate Hospital Architect- The NURSE!
Page 4: The Ulitmate Hospital Architect- The NURSE!

Agenda

1. Introduction

2. Challenges of a Successful Project

3. Symptoms of non-operational involvement

4. Treatment to ensure operation’s involvement

5. Conclusion

Page 5: The Ulitmate Hospital Architect- The NURSE!

Agenda

1. Introduction

2. Challenges of a Successful Project

3. Symptoms of non-operational involvement

4. Treatment to ensure operation’s involvement

5. Conclusion

Page 6: The Ulitmate Hospital Architect- The NURSE!
Page 7: The Ulitmate Hospital Architect- The NURSE!
Page 8: The Ulitmate Hospital Architect- The NURSE!
Page 9: The Ulitmate Hospital Architect- The NURSE!
Page 10: The Ulitmate Hospital Architect- The NURSE!

Introduction

Growth in Healthcare

More projects

Growth in Revenue

Growth of Efficiency……..?

Page 11: The Ulitmate Hospital Architect- The NURSE!

IntroductionSuccessful Project?

In TIME

On BUDGET

Expected QUALITY

PROJECT benchmarks

(± 2 years)

Page 12: The Ulitmate Hospital Architect- The NURSE!
Page 13: The Ulitmate Hospital Architect- The NURSE!
Page 14: The Ulitmate Hospital Architect- The NURSE!
Page 15: The Ulitmate Hospital Architect- The NURSE!
Page 16: The Ulitmate Hospital Architect- The NURSE!
Page 17: The Ulitmate Hospital Architect- The NURSE!
Page 18: The Ulitmate Hospital Architect- The NURSE!
Page 19: The Ulitmate Hospital Architect- The NURSE!

IntroductionSuccessful Project?

In TIME

On BUDGET

Expected QUALITY

“NURSE FRIENDLY”

PROJECT benchmarks

(± 2 years)

OPERATIONAL benchmarks

(20 years+)

Page 20: The Ulitmate Hospital Architect- The NURSE!
Page 21: The Ulitmate Hospital Architect- The NURSE!
Page 22: The Ulitmate Hospital Architect- The NURSE!

Why must a project be NURSE FRIENDLY?

Studies

Nurses= Good intentions

Latent Conditions

IntroductionSuccessful Project? (cont.)

“Conditions that lie

dormant within a system

for a long time, only

becoming evident when

they combine with other

factors to breach the

system’s defenses”

Page 23: The Ulitmate Hospital Architect- The NURSE!
Page 24: The Ulitmate Hospital Architect- The NURSE!
Page 25: The Ulitmate Hospital Architect- The NURSE!

Why must a project be NURSE FRIENDLY?

Studies

Nurses= Good intentions

Latent Conditions

Result

IntroductionSuccessful Project? (cont.)

Page 26: The Ulitmate Hospital Architect- The NURSE!

Agenda

1. Introduction

2. Challenges of a Successful Project

3. Symptoms of non-operational involvement

4. Treatment to ensure operation’s involvement

5. Conclusion

Page 27: The Ulitmate Hospital Architect- The NURSE!

• Funding?

• Documentation?

• Expertise?

• Scarcity of Nurses and doctors?

CO-OWNERSHIP!!

• ONE TEAM

• SHARED VISION

Challengesof a Successful Project

Page 28: The Ulitmate Hospital Architect- The NURSE!
Page 29: The Ulitmate Hospital Architect- The NURSE!

Agenda

1. Introduction

2. Challenges of a Successful Project

3. Symptoms of non-operational involvement

4. Treatment to ensure operation’s involvement

5. Conclusion

Page 30: The Ulitmate Hospital Architect- The NURSE!

Short definition: Indication of “Disorder”

1. Project Team

2. “Us & Them”

Symptomsof non-operational involvement

Page 31: The Ulitmate Hospital Architect- The NURSE!
Page 32: The Ulitmate Hospital Architect- The NURSE!

Short definition: Indication of “Disorder”

1. Project Team

2. “Us & Them”

3. Design

4. Route planning signed off?

Symptomsof non-operational involvement

Page 33: The Ulitmate Hospital Architect- The NURSE!
Page 34: The Ulitmate Hospital Architect- The NURSE!

Short definition: Indication of “Disorder”

1. Project Team

2. “Us & Them”

3. Design

4. Route planning signed off?

5. Shute system

6. OPPORTUNITY

Symptomsof non-operational involvement

Page 35: The Ulitmate Hospital Architect- The NURSE!
Page 36: The Ulitmate Hospital Architect- The NURSE!

Agenda

1. Introduction

2. Challenges of a Successful Project

3. Symptoms of non-operational involvement

4. Treatment to ensure operation’s involvement

5. Conclusion

Page 37: The Ulitmate Hospital Architect- The NURSE!

Problem > SOLUTION

Treatmentto ensure operation’s involvement

Page 38: The Ulitmate Hospital Architect- The NURSE!
Page 39: The Ulitmate Hospital Architect- The NURSE!

Problem > SOLUTION

Involve Nursing!!! (Operations)

Short Term (Technical) = OWNERSHIP?

Long Term (Sustainable)

Treatmentto ensure operation’s involvement

Page 40: The Ulitmate Hospital Architect- The NURSE!

Long Term (Sustainable)

People/ Culture = OWNERSHIP!

Treatmentto ensure operation’s involvement (cont.)

Page 41: The Ulitmate Hospital Architect- The NURSE!
Page 42: The Ulitmate Hospital Architect- The NURSE!

Long Term (Sustainable)

People/ Culture = OWNERSHIP!

Project Team

...revenue matters...

…pressure from Management…

…demands from doctors and families…

…quality standards…

Treatmentto ensure operation’s involvement (cont.)

...revenue matters...

…pressure from Management…

…demands from doctors and families…

…quality standards…

Page 43: The Ulitmate Hospital Architect- The NURSE!
Page 44: The Ulitmate Hospital Architect- The NURSE!

Long Term (Sustainable)

People/ Culture = OWNERSHIP!

Project Team

...revenue matters...

…pressure from Management…

…demands from doctors and families…

…quality standards…

COMMUNICATION!

Treatmentto ensure operation’s involvement (cont.)

...revenue matters...

…pressure from Management…

…demands from doctors and families…

…quality standards…

Page 45: The Ulitmate Hospital Architect- The NURSE!
Page 46: The Ulitmate Hospital Architect- The NURSE!

Long Term (Sustainable)

People/ Culture = OWNERSHIP!

Project Team

...revenue matters...

…pressure from Management…

…demands from doctors and families…

…quality standards…

COMMUNICATION!

Planning Meetings

…practical problem solvers…

Treatmentto ensure operation’s involvement (cont.)

...revenue matters...

…pressure from Management…

…demands from doctors and families…

…quality standards…

Page 47: The Ulitmate Hospital Architect- The NURSE!
Page 48: The Ulitmate Hospital Architect- The NURSE!

Long Term (Sustainable)

People/ Culture = OWNERSHIP!

Project Team

...revenue matters...

…pressure from Management…

…demands from doctors and families…

…quality standards…

COMMUNICATION!

Planning Meetings

…practical problem solvers…

…EBD’s…

Site Meetings

…trained to assess, plan, design, implement…

LEADERSHIP

Treatmentto ensure operation’s involvement (cont.)

...revenue matters...

…pressure from Management…

…demands from doctors and families…

…quality standards…

Page 49: The Ulitmate Hospital Architect- The NURSE!
Page 50: The Ulitmate Hospital Architect- The NURSE!

Agenda

1. Introduction

2. Challenges of a Successful Project

3. Symptoms of non-operational involvement

4. Treatment to ensure operation’s involvement

5. Conclusion

Page 51: The Ulitmate Hospital Architect- The NURSE!

Challenges

Symptoms

Treatment

Results-

Motivation & Happiness

Productivity

Delivery of Quality care

Conclusion

Page 53: The Ulitmate Hospital Architect- The NURSE!

Sources

Stichler J. F.; Nursing’s Impact on Healthcare Facility Design, 2016

Reiling J., Hughes R.G., Murphy M.R.; The Impact of Facility Design on Patient Safety, Chapter 28

Eagle A.; Nurses make their rounds in health care design, 2016

DiNardo A.; Healthcare Design, At Bat: Nurses Step Up To Design Plate, 2015

Bonsall K- Halcyon Management Systems, 2016

Van der Walt S-

Van Rensburg R, Dr-