Digitally Transforming Existing Hospitals

The Organising Committee

The Sponsors

The Problem: Brownfield Transformation

• We have just passed through a period of accelerated new hospital builds

• But in bed numbers this is less than 15 % of the hospital beds in Australia,

• There are over 700 public hospitals and more than 500 private hospitals which remain in a slow incremental evolution state. How can they face the triple challenge of cost, equity and quality of care

• They face significant organisational, process and built environment challenges

• How do we develop a new approach to ICT and process design, that productively brings together the three major domains of hospital design and makes a compelling case for change

• Clinical

• Business

• Built environment

Time Theme Speaker

11:00 – 11:15 Welcome and outlining the program Dr Brendan Lovelock: Chair of the Digital Hospital Design Group

11:15 – 11:55 Technology enabled clinical innovation Dr Richard Ashby AMHealth Service Chief Executive Metro South Health

11:55 – 12:30 Delivery of enabling technologies Mal ThatcherChief Health Information Officer Queensland Health

12:30 – 2:00 Lunch

1:00-2:00 Deep Dive (Optional): Introduction to the framework: Setting up the discussion framework for the Group Design

Irina Lindquist: DHD CommitteeDr John Zelcer: DHD CommitteeProf. Nilmini Wickramasinghe: DHD Committee

2:00 – 2:35 Models for Innovation Colin McCririckChief Technology Officer Queensland Health

2:35 – 3:00 Panel Session Dr John Zelcer: DHD Committee to Chair

3:00- 3:30 Setting up Group Design Dr John Zelcer: DHD Committee, Irina Lindquist: DHD Committee, Prof. NilminiWickramasinghe: DHD Committee

3:30-5:00 Group Design: Feed back points at 20 min intervals

Table Groups

5:00-5:30 Reporting back Prof. Nilmini Wickramasinghe: DHD Committee to Chair\

5:30:5:45 Next Steps Dr Brendan Lovelock: Chair of the Digital Hospital Design Group

Convergence of concerns

Built Environment Business

Clinical

Outcomes

Users Technologies

User outcomes

1. No errors

2. Safety & Security

3. Control

4. Privacy

5. Comfort

6. Family Support

7. Organisation &

functionality

8. Technical support

Technology objectives

1. Safety & Security

2. Infrastructure Reliability

3. Production support

4. Compliance

5. Energy & sustainability

6. Adaptability

7. Initial & Operational

costs

Patients

Staff

Family

Visitors

Service Providers

1. Support clinical &

business process

2. Represent desired

functionality

3. Apply to Space-plan &

Interior

4. Connect services

5. Provide meaningful

operational insight

Purpose – What,

Why, How

Composition -

Interdependencies

, tradeoffs,

patterns

Connectedness –

Context,

boundaries,

influence

Emergence –

adaptation,

flexibility, learning

Perspective –

perception, meaning,

separating cause &

effect

Outcomes

Users Technologies

User outcomes

1. Access &

availability of care

2. No errors

3. Safety & Security

4. Control

5. Privacy

6. Family Support

7. Organisation &

functionality

Business outcomes

1. Patient experience

2. Patient outcomes

3. Collaboration and

partnership

4. Governance,

leadership & culture

5. Safety & quality

6. Financial sustainability

Patients

Staff

Family

Visitors

Service Providers

1. Support clinical & business

process

2. Represent desired

functionality

3. Apply to process and measure

outcome

4. Connect people, processes

and services

5. Provide meaningful

operational insight

Outcomes

Users Technologies

User outcomes

1. Ready access

2. No errors

3. Safety

4. Privacy

5. Family Support

6. Organisation &

functionality

7. Participation

Clinical outcomes

1. Access and availability of

care

2. Efficiency and

effectiveness of service

3. Prevention

4. Consistency of service

delivery quality across

settings

Patients

Staff

Family

Visitors

Service Providers

1. Support availability &

reliability of clinical data

2. Providing Streamlined

process

3. Facilitating multi-

disciplinary teams

4. Adopt prevention focus

5. Foster Clinical Risk

management

6. Ensure appropriate use of

technology to plan, monitor

and act

Digital Hospital Design Conference - HIC 2015

Digitally Transforming Brownfield Hospitals: Workshop Framework

Your Tasks for Today

• Listen and engage in discussion

• Nominate a table facilitator to participate in the lunchtime deep dive into the workshop process

• Everyone is welcome to participate in the lunchtime deep dive into the workshop process

• Engage and contribute to the thought leadership

Post Conference

• Become involved in the development of the conference paper

• Become involved in the building of thought leadership groups in the key themes that result from the conference

• Become involved with the Design Enabling Models of Care initiative (more of this later)

Time Theme Speaker

11:00 – 11:15 Welcome and outlining the program Dr Brendan Lovelock: Chair of the Digital Hospital Design Group

11:15 – 11:55 Technology enabled clinical innovation Dr Richard Ashby AMHealth Service Chief Executive Metro South Health

11:55 – 12:30 Delivery of enabling technologies Mal ThatcherChief Health Information Officer Queensland Health

12:30 – 2:00 Lunch

1:00-2:00 Deep Dive (Optional): Introduction to the framework: Setting up the discussion framework for the Group Design

Irina Lindquist: DHD CommitteeDr John Zelcer: DHD CommitteeProf. Nilmini Wickramasinghe: DHD Committee

2:00 – 2:35 Models for Innovation Colin McCririckChief Technology Officer Queensland Health

2:35 – 3:00 Panel Session Dr John Zelcer: DHD Committee to Chair

3:00- 3:30 Setting up Group Design Dr John Zelcer: DHD Committee, Irina Lindquist: DHD Committee, Prof. NilminiWickramasinghe: DHD Committee

3:30-5:00 Group Design: Feed back points at 20 min intervals

Table Groups

5:00-5:30 Reporting back Prof. Nilmini Wickramasinghe: DHD Committee to Chair\

5:30:5:45 Next Steps Dr Brendan Lovelock: Chair of the Digital Hospital Design Group

Design Enabling Models of Care Initiative

Lessons from Digital Hospital Builds in Australia

• Observation:

“in some hospital builds there can be significant disconnects between the aspirations articulated for a new hospital and the final outcomes of that hospital development”

• Objective:

– To enable shared learning of how to improve future hospital builds

• Themes– The Vision Disconnect

– Governance

– Models of Care

– Standards

– Future Proofing Design and Best Practice Adoption

– Project Management and Public Private Partnerships (PPP) Risks and Responsibilities

Digital Hospital Builds Roundtable

• Lack of functional “Models of Care” prior to design and build

• No standardised form for a model of care

• Models of care are not created in a way that can easily inform design

• How do the ICT stakeholders better partner with clinicians to enable ICT informed models of care

• How do we create a ongoing ICT driven innovation cycle for the models of care

Models of Care

Design Enabling Models of Care

DHD is bringing together clinical, design, and technology leaders to create an improved framework to translate clinical and operational

needs into to ICT requirements

Thanks for Your Participation

• Require realistic vision shared by all stakeholders

• Vision needs to be reflected in a clear set of roles for design and build

• Vision needs to be reflected in a clear set of principles for delivery

• Budget needs to reflect realistic costs and possible changes

• Long term nature of the build requires flexibility in technology purchase

• Project ownership and the roles and the responsibly of key stakeholders need to be clear

• The need for a single strong leader to bring together stakeholders

• Continuity of key, leaders, decision makers and project directors

• Transparency and consultation between project groups

• The early engagement of consultants and vendors, new engagement models