The Medical Ward of the 21st Century: A living laboratory for innovation in health care. - PowerPoint PPT Presentation

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The Medical Ward of the 21st Century: A living laboratory for innovation in health care.

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Title: The Medical Ward of the 21st Century: A living laboratory for innovation in health care.


1
The Medical Ward of the 21st Century A living
laboratory for innovation in health care.
2
Overview
  • Description of exciting new clinical care
    infrastructure in Calgary, Alberta
  • Description of the related research and
    innovation agenda
  • Description of the planned infrastructure for
    research
  • Creation of a living laboratory for innovation
    in health care

3
W21C background
  • Futuristic initiative involving U of Calgary,
    CHR, and the province of Alberta
  • Concept of a Ward of the 21st Century
  • Initiative launched in late 2002
  • Relocation of medical teaching unit to unit 36 of
    SSB
  • Not simple renovation of space
  • Process guided by stakeholder consultation, and
    review of literature

4
Why Calgary?
  • University of Calgary
  • Strategic integration with Calgary Health Region
  • Coordinated regional strategies (IT, KT,
    simulation)
  • Centre for Engineered Care
  • Other complementary initiatives
  • Calgary Health Region
  • Large health region, fully regionalized
  • VP Research, VP Safety Quality, VP Pt
    Experience
  • New South Hospital
  • Electronic health record initiative

5
W21C background
  • Ward opened officially in May 2004
  • Novel features
  • Enhanced infection control features
  • Wireless communication capabilities
  • Abundance of computer terminals for staff
  • Enhanced comfort for patients and families
  • Inter-professional educational facilities
  • Moveable walls and expandable capacity
  • Workplace enhancements for staff
  • etc.

6
The Design of the Medical Ward of the 21st
Century
7
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8
Education/Tele-health Intra-ward Amphitheatre
9
21st Century Ward
  • Goals
  • Enhance the multidisciplinary approach to
    learning
  • Enhanced patient safety
  • Create an environment that promotes critical
    inquiry and innovation
  • Anticipate, create and support future endeavors
    in the CHR (i.e. EHR project)
  • Knowledge translation
  • Improve participant satisfaction

10
21st Century Ward
  • Goals
  • Provider access to POC information
  • Information
  • Safety
  • Laboratory
  • Communication

11
Complementary Initiatives
  • Centre for inter-professional collaboration
  • Engineered Care Institute
  • BSc in Biomedical Engineering
  • Graduate studies program in Psychology
  • Graduate studies in Computer Science
  • Technology commercialization (Industry)
  • Tele-health Program
  • CHR health informatics, QIHI, Corporate Data
  • Calgarys new South Hospital
  • Calgary Clinical Performance Research Centre

12
W21C
  • The next step
  • to develop a research and innovation agenda for
    the University of Calgary and the Calgary Health
    Region, with W21C as the focal point.

13
W21C
  • The next step
  • to develop a research and innovation agenda for
    the University of Calgary and the Calgary Health
    Region, with W21C as the focal point.
  • targeting the challenges of suboptimal safety and
    quality of care in Canadian health care

14
Research and Innovation
  • There is a need for innovation in health care
  • Preventable deaths
  • Evidence-care gaps
  • Workforce retention
  • Sub-optimal communication and information flow
  • Frequent dissatisfaction among patients
  • Lack of continuity across care sectors
  • Inefficiency
  • Poorly coordinated organizational policies

15
Research and Innovation
  • Concept of living laboratory presented
  • State-of-the-art clinical infrastructure
    juxtaposed with research space and infrastructure
  • Multidisciplinary interaction
  • Vision to define the future of health care
  • Mission to establish infrastructure that
    attracts multidisciplinary researchers to
    collaborate on developing innovative health care
    solutions to enhance safety and quality of care

16
Research and Innovation
  • Concept of living laboratory

W21C Patient Rooms
Proposed Research Space
17
Research and Innovation
  • Concept of living laboratory

W21C Patient Rooms
Proposed Research Space
18
Research and Innovation
  • Multidisciplinary team
  • Medicine
  • Nursing
  • Para-medical disciplines
  • Engineering
  • Computer Science
  • Environmental Design
  • Communications
  • Psychology
  • Sociology
  • Anthropology
  • Various faculty from outside Calgary
  • Industry partnerships

19
Research Themes
  • Over-riding theme enhancing quality of care and
    patient safety.
  • Sub-themes
  • Technology integration
  • Data, information, and knowledge flow
  • Communication and interaction
  • Organizational and regulatory factors

20
Conceptual Framework
  • Focus on structure, process and outcomes

Quality and Safety
Process
Structure
Outcomes
21
Research and Innovation
  • Multidisciplinary team representing
  • Health disciplines
  • Social sciences
  • Engineering
  • Science
  • Industry

22
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23
Research and Innovation
  • Two parallel thrusts
  • A large CFI application to request funding to
    establish unique infrastructure for research
  • Multidisciplinary demonstration projects
    already underway

24
CFI application
  • Requested infrastructure
  • On-site electrical engineering laboratories
  • On-site computer science laboratories
  • On-site human factors simulator
  • On-site qualitative interviewing laboratory
  • Multidisciplinary common space
  • Equipment for each of the above
  • Office/desk space for each of the above
  • Site renovation and/or construction costs
  • Database servers and associated infrastructure

25
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26
Research Examples by Theme
  • Technology Integration
  • Smart Camera with motion sensing ability
  • Wireless vital sign monitoring
  • Database, Information, and Knowledge Flow
  • Implementation and Evaluation of POC Technologies
  • Visualization of Data in Health Care Visualizing
    Uncertainty
  • RFID and WiFi tracking of a complex hospital ward
    system
  • Communication and Interaction
  • High fidelity Human Factors simulation
  • Development, Implementation, and Evaluation of a
    Web-based Communication Tool for Seamless
    Discharge of In-patients
  • Innovations for enhancing communication and
    information flow in asynchronous
    inter-professional collaboration
  • Organizational Regulatory
  • The organizational safety culture
  • RCT assessing hospital design features on W21C
    vs a traditional ward

27
Why this W21C ?
  • Calgary uniquely positioned to house this
    research and innovation agenda
  • CHR fully regionalized
  • CHR VP Quality and Safety portfolio
  • CHR/U of C partnership
  • New CHR/U of C VP Research
  • New South Hospital
  • Electronic health record initiative
  • Regional knowledge translation strategies being
    developed

28
Barriers to Telehealth
  • Adoption ,implementation, and integration of ICT
  • Understanding context and culture
  • Health system transformation and emerging
    technologies
  • Business models and framework
  • Evaluation, evidence, and best practises
  • Policy,standards,regulations, and partnerships

29
W21C and Telehealth
  • Several initiatives around Enabling Technology
    Transfer
  • E-Health Prototype Testing (E-Health Industry
    Project)
  • testing of E-health technologies and simulated
    clinical environments to evaluate a tool for
    integration into practice
  • End-user participation focus group, sandbox, and
    proof-of-concept

30
W21C and Telehealth
  • PDA project
  • Multidisciplinary
  • Will help break down barriers
  • Expectations
  • Technologically naïve environment
  • Will help lead other projects
  • Smart camera
  • Other end user POC devices
  • Simulation and usability studies

31
W21C and Telehealth
  • Contacts, information exchange, W21C ward tours
  • Finland visit (Oulu and Helsinki)

32
Website
  • www.w21c.org
  • Knowledge translation and exchange
  • Building collaboration and partnership!

33
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34
Questions?
  • wghali_at_ucalgary.ca
  • baylis_at_ucalgary.ca
  • Shandra.kimpton_at_calgaryhealthregion.ca
  • www.w21c.org

35
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