Healthcare Design - September 2016 - 73

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(such as patient satisfaction or reduced patient fall rates). For this project, five quality
categories were identified based on projectspecific, data-driven needs. Operational and
clinical outcome metrics were matched to
each CtQ to measure and assess baseline and
future-state performance. The sidebar on
page 76 provides the CtQs, matched evidencebased needs, and measures used to evaluate
them.
STEP 4: ENLIST AND EMPOWER
FRONTLINE

S TA F F

IN

DECISION

MAKING

Moving from a centralized to a decentralized environment was difficult for staff to
envision. There was skepticism that their
voices wouldn't be heard, which led to angst
that the new environment wouldn't meet
their needs. To address these concerns, not
a single project meeting was held unless at
least one clinical nurse was present. In the
beginning, a few nurses served as primary
participants, but toward the end of the project more than 50 percent of the unit's nurses
had participated in at least one meeting. It's
important to note that the staff most resistant to change were also invited to the project meetings, enabling them to express their
concerns as needed.
STEP

5:

ENABLE

S TA F F

VOICE

T H R O U G H M O C K - U P S I M U L AT I O N S

As the design progressed, three different
room layouts were mocked up to full scale,
each with a different square footage to accommodate various patient room counts on the
unit, confined to 19,400 square feet, including a 32-, 28-, and 24-bed unit. Staff simulated
a series of common activities in each room
to determine which best fit patient and staff
needs. After each room simulation, staff assessed the rooms' performance according to
the list of CtQs. Pros and cons were outlined
and reviewed, and a consensus was made to
move forward with a larger patient room at
326 square feet and to decrease the unit size to
a 24-bed unit.
Senior hospital executives were present
during the mock-up simulations. Working
through the simulation activity was paramount in receiving their buy-in, mostly because the total bed count was going to be
reduced by eight beds. The staff felt reassured
that their needs were being heard, with the
presence of the executives.

SEPTEMBER 2016

73


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Healthcare Design - September 2016

Table of Contents for the Digital Edition of Healthcare Design - September 2016

Healthcare Design - September 2016
Contents
Editorial
Show Talk
Photo Tour
Conversations Tarters
First Look
The Hcd 10
The Next Wave
Caring for the Caregivers
Color My World
Research
Product Spotlight
The Center
Aia-Aah
Face Time
Healthcare Design - September 2016 - Healthcare Design - September 2016
Healthcare Design - September 2016 - Cover2
Healthcare Design - September 2016 - 1
Healthcare Design - September 2016 - Contents
Healthcare Design - September 2016 - 3
Healthcare Design - September 2016 - 4
Healthcare Design - September 2016 - 5
Healthcare Design - September 2016 - 6
Healthcare Design - September 2016 - 7
Healthcare Design - September 2016 - Editorial
Healthcare Design - September 2016 - 9
Healthcare Design - September 2016 - Show Talk
Healthcare Design - September 2016 - 11
Healthcare Design - September 2016 - Photo Tour
Healthcare Design - September 2016 - 13
Healthcare Design - September 2016 - 14
Healthcare Design - September 2016 - 15
Healthcare Design - September 2016 - 16
Healthcare Design - September 2016 - 17
Healthcare Design - September 2016 - Conversations Tarters
Healthcare Design - September 2016 - 19
Healthcare Design - September 2016 - 20
Healthcare Design - September 2016 - 21
Healthcare Design - September 2016 - First Look
Healthcare Design - September 2016 - 23
Healthcare Design - September 2016 - 24
Healthcare Design - September 2016 - 25
Healthcare Design - September 2016 - The Hcd 10
Healthcare Design - September 2016 - 27
Healthcare Design - September 2016 - 28
Healthcare Design - September 2016 - 29
Healthcare Design - September 2016 - 30
Healthcare Design - September 2016 - 31
Healthcare Design - September 2016 - 32
Healthcare Design - September 2016 - 33
Healthcare Design - September 2016 - 34
Healthcare Design - September 2016 - 35
Healthcare Design - September 2016 - 36
Healthcare Design - September 2016 - 37
Healthcare Design - September 2016 - 38
Healthcare Design - September 2016 - 39
Healthcare Design - September 2016 - 40
Healthcare Design - September 2016 - 41
Healthcare Design - September 2016 - 42
Healthcare Design - September 2016 - 43
Healthcare Design - September 2016 - 44
Healthcare Design - September 2016 - 45
Healthcare Design - September 2016 - 46
Healthcare Design - September 2016 - 47
Healthcare Design - September 2016 - The Next Wave
Healthcare Design - September 2016 - 49
Healthcare Design - September 2016 - 50
Healthcare Design - September 2016 - 51
Healthcare Design - September 2016 - 52
Healthcare Design - September 2016 - 53
Healthcare Design - September 2016 - 54
Healthcare Design - September 2016 - 55
Healthcare Design - September 2016 - 56
Healthcare Design - September 2016 - 57
Healthcare Design - September 2016 - Caring for the Caregivers
Healthcare Design - September 2016 - 59
Healthcare Design - September 2016 - 60
Healthcare Design - September 2016 - 61
Healthcare Design - September 2016 - 62
Healthcare Design - September 2016 - 63
Healthcare Design - September 2016 - 64
Healthcare Design - September 2016 - 65
Healthcare Design - September 2016 - Color My World
Healthcare Design - September 2016 - 67
Healthcare Design - September 2016 - 68
Healthcare Design - September 2016 - 69
Healthcare Design - September 2016 - Research
Healthcare Design - September 2016 - 71
Healthcare Design - September 2016 - 72
Healthcare Design - September 2016 - 73
Healthcare Design - September 2016 - 74
Healthcare Design - September 2016 - 75
Healthcare Design - September 2016 - 76
Healthcare Design - September 2016 - Product Spotlight
Healthcare Design - September 2016 - 78
Healthcare Design - September 2016 - 79
Healthcare Design - September 2016 - 80
Healthcare Design - September 2016 - 81
Healthcare Design - September 2016 - The Center
Healthcare Design - September 2016 - 83
Healthcare Design - September 2016 - Aia-Aah
Healthcare Design - September 2016 - 85
Healthcare Design - September 2016 - 86
Healthcare Design - September 2016 - 87
Healthcare Design - September 2016 - Face Time
Healthcare Design - September 2016 - Cover3
Healthcare Design - September 2016 - Cover4
Healthcare Design - September 2016 - S1
Healthcare Design - September 2016 - S2
Healthcare Design - September 2016 - S3
Healthcare Design - September 2016 - S4
Healthcare Design - September 2016 - S5
Healthcare Design - September 2016 - S6
Healthcare Design - September 2016 - S7
Healthcare Design - September 2016 - S8
Healthcare Design - September 2016 - S9
Healthcare Design - September 2016 - S10
Healthcare Design - September 2016 - S11
Healthcare Design - September 2016 - S12
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