Rigshospitalet
Juliane Marie Centret
OuluHealth Labs
October 20th 2015
How to design a new hospital together
with patients and families
Anne-Mette Bang Termansen, project leader Rigshospitalet
Rigshospitalet
Board of Management
Board of
Management
Improvements
Department
Management
Secretariat
Budgeting and
Planning
Communications
and Press Relations
Accounts
and Finance
Abdominal Centre
Finsen Centre
Heart Centre
Centre of Diagnostic
Investigation
Centre of Head and
Orthopaedics
Juliane Marie Centre
Neuroscience Centre
Service Centre
Approx. 55 departments at
the centres
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Rigshospitalet
The Juliane Marie Centre for Children, Women and Reproduction
The Centre has:
228 beds
180.000 out-patient visits per
year
1524 employees (incl. 200
externally financed
researchers)
An a daily basis:
542 out-patients
275 admitted including 116
children
36 surgeries including 5
children
22 children are placed in
incubators
150 pregnant women will be
scanned
20 deliveries
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Our situation today - lack of room
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Rigshospitalet
Press release March 2014
Feasibility study looks at the possibility of
establishing a new world-class motherchild hospital
The A.P. Møller Foundation and Ole Kirk’s Foundation have
teamed up with the Capital Region of Denmark to fund a
feasibility study to identify opportunities to achieve this
goal by establishing the best possible new setting for the
centre.
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Rigshospitalet
Becoming a world class hospital for
women and children stems from 20 % new
building and 80 % organizational
development
Future ”new behavior” decisions
affecting others cannot be made
without involving them. Co-create.
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User panel lays foundation for development
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What have we done to define a future
hospital?
•
Mapping 100 patient pathways
•
7 clinical working groups
•
21 study tours to mother and child hospitals
•
International hospital conferences
•
All on-going Danish hospital construction sites visited
•
Design of future user experience
•
Camps on good patient journeys and building
•
Screening of future health technology
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Mapping 100 different patient pathways
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Rigshospitalet
Planning the clinical future
Recommendations:
• Staff comes to the patient and not vice versa
• Gather all children and adolescents (0-18 years) at Rigshospitalet
in a new hospital
• Establish one surgical ward for children and adolescents
• Establish one PICU for children and adolescents
• Gather all activities related to pregnancy and childbirth at
Rigshospitalet
• Integrate treatment, research and education
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“It would be great if you could
also borrow a bike …”
Study tours
Study tours allowed us to learn from the
experiences of architects, medical staff and
management.
Co-creation camp
Mixing users and staff at the camp led to
solutions that work for both groups.
Interviews
Home interviews created a sense of confidentiality,
allowing the researchers to compare disease
management at home compared to in the hospital.
Participatory observation
Hospital researchers got to see the hospital
through users’ eyes, for example, by having the
children show them around.
Mobil app
The app made it possible for users to also
contribute ideas and solutions.
Authentic experience
As part of their analysis the team behind the
study was “admitted” overnight at various JMC
.
clinics.
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130 patients, relatives and staff gathered for a two-day camp Film
Specialists
Staff
Focus:
To optimise and design future patient pathways for women in labour, children and adolescents
Patients
Relatives
Rigshospitalet
Five design principles for the future user experience
World’s best hospital for
children and families
Integrated play
Designed for everyday
life
See me, ask me, let
me
The good journey
Clear zones
World’s best hospital
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“Bows and ballerina skirts –
even on the operating table.
The hospital princess.”
Kids will be kids
– also in the hospital
“When you can’t control anything
yourself, even your own body, being
able to go out to the kitchen and pick
whether you want juice or a milkshake
makes a huge difference.”
Chronically ill
18-year-old
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Rigshospitalet
Correlation between play and healing
Autonomous
play
(Carnival)
Play
between
hospital and
everyday life
Constructed
play
Integration of
play and
treatment
Therapeutic
play –
treatment
and rehab
Play and
games with
new
technology
Happy play–
play for
handling
grief
Fun, games
and nudging
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Rigshospitalet
Take home messages
•
•
•
The patient pathway should be an integrated part of the design
of a new hospital!
We cannot design a new hospital without involving patients,
families and staff!
Building a new hospital we have every opportunity of designing
a new patient experience, new ways of working and new ways
of organizing and leading the hospital!
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