1. Lego Brainwaves Design of Pediatric Health Center of the Future Team Lego: Randeep Youngseon Choi Lavanavarjit

2. Brainwaves~ # 1 to # 5 We chose the team name Lego since it is spatially efficient and offers several possibilities. Our brainwaves are - • Universal Design Concepts in the ED • Patient Flow • Signage & Way finding • Future Pediatric Center • Video Messaging with Mobile Application

3. Brain~ # 1–Universal Design Concepts in the ED • Implementing the Universal Design concepts in developing modules which can accommodate specific disease types such as 1) Sickle Cell, 2)Asthma etc. • The universal room was defined as the one that could accommodate various case types • Modular design - operational and space efficiency - future flexibility Saba (2004) Universal Design Concepts in the Emergency Department, J Ambulatory Care Manage

4. Brain~ # 1–Universal Design Concepts in the ED • Steps • Determine the module size that depends on • existing grid of the structure • requirements for three specific types of disease • Design the module Saba (2004) Universal Design Concepts in the Emergency Department, J Ambulatory Care Manage

5. Brain~ # 1 Case Study • The Kaiser Permanente Santa Clara Medical Office Building in California • 3 modularly planned building blocks are attached to a “U-shaped” single-loaded corridor • 9 X 11 module for both examination rooms and provider offices Arsenault (2004) Adapting to Change, J Ambulatory Care Manage

6. Brain~ # 1 - Universal Design Concept in the ED Saba (2004) Universal Design Concepts in the Emergency Department, J Ambulatory Care Manage

7. Brain~ # 1 - Universal Design Conceptin the ED Saba (2004) Universal Design Concepts in the Emergency Department, J Ambulatory Care Manage

8. Brain~ # 1 - Universal Design Concept in the ED Saba (2004) Universal Design Concepts in the Emergency Department, J Ambulatory Care Manage

9. Brain~ # 1 - Universal Design Concept in the ED Saba (2004) Universal Design Concepts in the Emergency Department, J Ambulatory Care Manage

10. Brain~~ # 2 - Patient Flow

11. Brain~~ # 2 - Patient Flow • According to MGH (Massachusetts General Hospital), on an average, patients had to travel to more than 4 separate locations in order to receive all their care for a particular disease. • This created a significant amount of frustration for patients, substantial foot traffic and inefficiency within the clinical departments. Pauly (2005) Planning a Large Ambulatory Care Center at an Academic Medical Center, J Ambulatory Care Manage

12. Brain~~ # 2 - Patient Flow • Steps • An analysis of the patient flow through the hospital depending on the disease types. • Mapping the patient flow on the hospital floor to a physical path. • The objective is to determine the optimized path • Positioning of the different services • Designing the hospital floor.

13. Patient Registration Diagnosis Inpatient Critical Care Outpatient No Yes MRI Brain~~ # 2 - Patient Flow – Deliverables • A flow diagram to map the traffic for the different units and decide which units can be co-located. • A hospital model with the floors and a floor plan defining the patient movement. • Compare the existing floor layout with our proposed layout.

14. Brain~~~3 – Signage & Way finding • A technological look to path finding and signage • Kiosks at the entrance with 3D floor plans • GPS enabled hand held tool • Destination specific RFID audio Turn Right, Take Elevator, Stop

15. Brain~~~~4 – Future Pediatric Center • A Futuristic Pediatric Emergency room where the different medical equipment TALK to each other. • The media used include - Bluetooth, Wireless Network, Live Streaming Videos. • Patients with Communicable Diseases and Contagious Air-borne disease.

16. Brain~~ # 4 – Future Pediatric Center • Steps • All Equipment are capable of transmitting signals wirelessly to the server at the nurses station. • The observing nurse checks the vital signs of the patient and decides if any dosage needs alteration. • The equipment receives feedback and alters the dosage accordingly. • Streaming Video monitoring of the patient to view the physical condition.

17. Bring it Together

18. Brain~~~~~5 – Video Messaging for Cell Phones • Anxiety and illness may cause the patient or their family to not completely recall the doctor’s diagnosis. • The patient’s family is not updated on the patient condition. • We propose to record a video of the patient – doctor meeting.

19. Brain~~~~~5 – Video Messaging for Cell Phones • Steps • A webcam in the examining room records the patient – doctor discussion (on patient’s consent). • An application is developed to send the video as a Multimedia Message to the patient’s mobile phone. • The doctor can also record messages for the patient’s family to communicate patient’s condition.

20. Brain~~~~~5 – Video Messaging for Cell Phones