“The Big Top” – An Innovative Approach to Design Driven by Families and Providers

1. “The Big Top” – An Innovative Approach to Design Driven by Families and Providers Presented by Helen DeVos Children’s Hospital Jonathan Bailey Associates Smith Hager Bajo, Inc.

2. Grand Rapids, Michigan

3. Presentation Outline • Introductions • Process Overview • Design Integration • Design Analysis • Implementation Plan • Key Measures for Success • From a Parent’s Perspective

4. Introductions • Michele Pietras • Curtis Qualls • Judy Hager • Rhonda Hoyle

5. Overview • Project Scope • Planning Process • “Making the Case” for a Children’s Hospital • Market Analysis & Volume Projections • Bed Need Analysis • Board Support • Operational Process Analysis/Redesign • Space Planning/Programming • Site Analysis/Conceptual Nursing Unit • Schematic Design

6. User Group & Space Planning Group Structure

7. Process Overview • Vision developed for future experiences • Idealized a floor to would include the Emergency Department, Diagnostic Imaging Services, Outpatient Lab Draw Services and a Day Hospital • Centralized Support Space • Family Space • Staff Support Space • Scheduling • Check-In Process • “The Big Top”

8. Design Integration

9. Design Integration

10. Design Integration

11. Design Integration

12. Design Integration

13. Design Integration

14. Design Integration

15. Design Integration

16. Design Integration

17. Design AnalysisKey Measures for Success • Space Efficiencies • Wait Space/Check-In • Holding Rooms/Observation • Staff Lounge/Lockers • Conference Room • Staffing Efficiencies • ED/Observation Consolidation • Global Sedation – one location • Transport (time and distance) • ED -> Imaging • Units -> Sedation/Imaging • Patient and Family Satisfaction • ED • Imaging • Sedation

18. Design Analysis Space Efficiencies When evaluating the space efficiencies, a comparison was made between the shared space plan of “The Big Top” and individual spaces for each area. The spaces included: • Shared wait space • Shared check-in space • Shared public toilets • Staff lockers and lounge • The nine-bay holding area shared by sedation and imaging • Observation rooms (moving observation patients to the ED versus an inpatient unit reduced the size of the observation rooms)

19. Design Analysis Space Efficiencies

20. Design Analysis Staff Efficiency • Locating the observation patients in the Emergency Department rather than on nursing units. • Placing sedation services in a single location. • Check-in/registration planned process that will be shared by Day Hospital, Outpatient Lab Draw and Diagnostic Imaging.

21. Design Analysis Patient and Family Satisfaction The final analysis involves comparing patient and family satisfaction in the current facilities with that found in “The Big Top”, once opened. It is planned that satisfaction will be measured (before and after the move) for the Emergency Department, Diagnostic Imaging, Day Hospital Services and the Outpatient Lab Draw Services.

22. Implementation Plan

23. From a Parent’s Perspective • Faith-based, family-centered community • Supportive environment for diagnostic procedures • Services will come to the patient and family • The Emergency Department • Parent will be able to stay and focus on child • Quick access to the most commonly used resources • Overall, decreased stress and anxiety is expected