Team Alpha | Patient Room of the Future | Oct. 11, 2007

1. Applying General Design Solutions to Hughes Spalding: Wayfinding + Infection Control Team Alpha | Patient Room of the Future | Oct. 11, 2007

2. The Principle: Wayfinding Design the hospital environment and wayfinding processes in order to reduce stress and anxiety for patients, visitors, and employees

3. Principle Design the hospital environment and wayfinding processes in order to reduce stress and anxiety for patients, visitors, and employees Problem Patient anxiety increases because lack of understanding and control over their environment. Key Points in the Evidence • As floor plan complexity increases, wayfinding performance decreases. • The addition of signage results in 13% increased rate of travel and 62% decrease in backtracking. • As tasks become more difficult, your STM performance deteriorates.

4. Principle Design the hospital environment and wayfinding processes in order to reduce stress and anxiety for patients, visitors, and employees Problem Ineffective wayfinding costs hospitals a significant amount of money. Key Points in the Evidence • Annual cost of wayfinding is $448/bed/year • 4,500 non-designated staff hours (2 FTEs)

5. Principle Design the hospital environment and wayfinding processes in order to reduce stress and anxiety for patients, visitors, and employees Problem Hospitals are not designed for the size or cognitive ability of children. Key Points in the Evidence • Children orient themselves at a “start” position. • Younger children have problems estimating direction and learning a specific route. • Graphical signage produces the greatest rate of travel.

6. Proposed Wayfinding Solutions • Step-by-Step • Getting to the Hospital • Marta: walking maps, shuttle service • Car: large, uniform, graphical signage (for parking + hospital entrance) • On foot: colored footprints that lead to entrance

7. Proposed Wayfinding Solutions • Entering the Hospital • 3D hospital mock-up with light-up directions and ability to print step-by-step customized maps

8. Proposed Wayfinding Solutions • Throughout the Hospital • Interior Layout and Design • Use landmarks (ex: things that everyone can identify--large, physical structures) • Colors/themes to help differentiate areas • Ceiling/floor designs that lead you in the correct directions (subtly, but clearly)

9. Proposed Wayfinding Solutions • Throughout the Hospital • 5 components of signage: • Graphical - for kids + no language barrier • Textual - LED signs + clear and concise + multiple languages • Uniform - Consistent layout + format • Uses landmarks and colors • Placement - for both adults and children

10. The Principle: Infection Control Implement solutions that result in very low infection rates

11. Principle Implement solutions that result in very low infection rates Problem Poor hand washing practices lead to higher nosocomial infections. Key Points in the Evidence • Hand washing compliance rates are typically 15-35%. • There are 2 million nosocomial infections per year in the US.

12. Principle Implement solutions that result in very low infection rates Problem Inconvenient sink locations and forgetfulness are barriers to proper hand washing behavior. Key Points in the Evidence • Hand washing compliance rates are typically 15-35%. • Alcohol-based hand-cleaners at bedside increase hand washing compliance

13. Proposed Infection Control Solutions • “Clean Hands” RFID Tracking System • RFID-based compliance monitoring • Detects doctor’s entrance into room • Alerts doctor if Patient Zone entered without hand washing • Records when doctor washes hands

14. Proposed Infection Control Solutions • “Color me Clean” Antibacterial Gel/Foam • Hand cleaner that changes colors when used • Similar to Coppertone Kids sunblock • Provides visual evidence of sanitizer use

15. Summary of Proposed Solutions • ‘Step-by-Step’ • ‘Clean Hands’ RFID-tracking system • ‘Color me Clean’ Antibacterial Gel/Foam

16. Any Questions?