EDRA_2015_Being the change

1. BEING THE CHANGE
HKS
Bringing Research to Practice

2. TEAM
• Upali Nanda, PhD
• Heath May, AIA
• Tom Harvey, FAIA
• Chris Mundell, AOA

3. • What’s changing in practice- Research!
• Resistance to change
• Being the change:
– A model of using a project as a lab for
research

4. Why Research is “In”

5. Changing Market Culture
• Focus on “Value” not Cost
• Increase in Accountability
• “Educated” consumer
• Data-driven culture
• Increased computational ability
• “Green” conscience

6. 3 Initiatives

7. #1: TECHNOLOGY

8. LINE

17. #2: SUSTAINABILITY

18. DesignGreen

19. DesignGreen
• Compared and ranked
various renewable power
systems based on costs
and energy produced.

20. • Analyzed actual roof
space for solar power
system based on
clearance, shading
and existing support
structure.
DesignGreen

21. #3: HUMAN &
ORGANIZATIONAL BEHAVIOR

22. CADRE

23. HEALTHCARE RESEARCH
STAYING INFORMED
5 point agenda for Healthcare Research
Improve Patient &
Family Experience
Reduce stress, pain
perception, anxiety
Improve comfort,
satisfaction, sense of
control, wayfinding,
family presence
Improve Safety /
Mitigate Risk
Reduce risk of
infections, falls, injury
and errors
Improve patient
monitoring; improving
environmental health
Increase Staff
Effectiveness &
Safety
Reduce staff fatigue,
injury, errors
Improve efficiency,
communication,
collaboration and
satisfaction
Improve performance
and patient interaction
Lower Life Cycle
Costs
Operational flexibility;
Balancing one-time
capital cost with life-
time operational cost,
accounting for
improved outcomes
and return on
investment
Improve
Organizational
Outcomes
HCAHPS; LOS (Length
of Stay); LWBS (Leave
without being seen
rate); Return Rate;
Referrals; Turnovers

24. HEALTHCARE RESEARCH
STAYING INFORMED
Evidenced Based Design Case Study: Emory Neuro ICU Design
Research Team: HKS and Georgia Tech
Objective:
Design for Patient/Family focused Care
Location:
Emory University Hospital
Procedure:
Industry survey and benchmarking of award-
winning Neuro ICU designs.
Design Charrettes with user groups.
Key findings:
Private family zone inside patient room increased
family satisfaction
Dissemination:
Wall Street Journal Article

25. Objective: To assess the performance of
membrane ceiling technology in controlling
air particulate dispersion in exam rooms.
Location: Washington Hospital Center Mock-up
Published: Journal of Healthcare Engineering
Method: Computational Fluid Dynamic (CFD)
Modeling
Key outcome: A membrane diffuser directed
airflow ventilation provides a less
turbulent airflow pattern and less mixing of
the air between the patient and others in
the room.
Membrane Ceilings in ED Exam Rooms
Research Team: CCRD; Fluid Dynamics Solutions Inc.
PI: D. Pati; Mik Pietrzak

26. HEALTHCARE RESEARCH
STAYING INFORMED
Evidenced Based Design Case Study: View and Acute Stress
Objective:
Ascertain impact of view duration and content on
acute stress and alertness of nurses
Location:
Children’s Healthcare of Atlanta
Procedure:
Measured acute stress, chronic stress and
alertness before and after shift
Key findings:
Nature view reduces staff stress
Nature view
Reduced Staff
Stress
Reduced Staff
Turnover?
Improved
Patient
Interaction
Improved
Patient
Satisfaction
More referrals,
More
reimbursement,
More $$$

27. Convergence

28. LINE
CADREGREEN

29. CADRE
Overall Goal:
Individual,
Organizational and
Environmental
Wellbeing
MATERIALS
& SYSTEMS
LINE
DESIGN GREEN
TECHNOLOGYHUMAN
BEHAVIOR

30. LINE
DESIGN GREEN
CADRE
HUMAN BEHAVIOR TECHNOLOGY MATERIALS & SYSTEMS
Overall Goal: Individual; Organizational and Environmental Wellbeing

31. Resistance Factors
Billability
Time
ProcessCulture
Tools

32. Resistance

33. • Billability
• Time
• Process
• Culture
• Tools
• Billability

34. Sharing Liability

35. A Project is a Lab
preomedica

36. Reported Data Observed Data Spatial Data
16 Interviews
(6 RN; 3 PCS; 3 Leadership;
2 NA; 1 UC; 1 care navigator)
17 hours of RN Shadowing
(day + night)
Travel distance from point
to point using parametric
modeling tools
Surveys (31 responses) Behavior Maps (6) + Sound
Readings (10)
Sight Lines
FIELD RESEARCH + SIMULATION
Human Behavior
Existing Use of Environment
Energy Performance
Environmental Affordance

37. ProMedica New Patient Tower 37May 13, 2014
RESEARCH FINDINGS: 7TH FLOOR MED-SURG
17 6 3 2Hours of Minute to Minute
Shadow Data
RN Interviews Patient Care
Supervisor
Interview
3
Leadership
Interview
1
Care Navigator
Interview
1
31
Survey Responses
10
Sound readings; Behavior
Maps
Nursing
Assistants
Interview
Unit Clerk
Interview
DETAILED PARAMETRIC
ANALYSIS

38. ProMedica New Patient Tower 38May 13, 2014
Need Parametric Modeling Visuals

39. ProMedica New Patient Tower 39May 13, 2014

40. ProMedica New Patient Tower 40May 13, 2014

41. ProMedica New Patient Tower 41May 13, 2014
Integrating Research into Practice: One Project at a Time

42. To conclude-let’s begin
preomedica

43. • Skills cannot be restricted to a few
• “research” with a big “R” must be in
collaboration with academia
• research in design practice must be
integrated throughout the process- not as
an “add-on”
• Please add thoughts here