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The Medical Ward of the 21 st Century: A living laboratory for innovation in health care. 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
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The Medical Ward of the 21st Century: A living laboratory for innovation in health care.
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
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
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
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.
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
21st Century Ward Goals: • Provider access to POC information • Information • Safety • Laboratory • Communication
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 • Calgary’s new South Hospital • Calgary Clinical Performance Research Centre
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.
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
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
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”
Research and Innovation • Concept of ‘living laboratory’ Proposed Research Space W21C Patient Rooms
Research and Innovation • Concept of ‘living laboratory’ Proposed Research Space W21C Patient Rooms
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
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
Conceptual Framework • Focus on structure, process and outcomes Quality and Safety Process Structure Outcomes
Research and Innovation • Multidisciplinary team representing • Health disciplines • Social sciences • Engineering • Science • Industry
Research and Innovation • Two parallel thrusts: • A large CFI application to request funding to establish unique infrastructure for research • Multidisciplinary ‘demonstration’ projects already underway
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
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
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
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
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
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
W21C and Telehealth • Contacts, information exchange, W21C ward tours • Finland visit (Oulu and Helsinki)]
Website • www.w21c.org • Knowledge translation and exchange • Building collaboration and partnership…!
Questions? • wghali@ucalgary.ca • baylis@ucalgary.ca • Shandra.kimpton@calgaryhealthregion.ca • www.w21c.org