Topic setting: Hospital in an Intensive care unit
topic: CAUTI prevention
The portfolio assignment for this course is a proposal defining a problem situation you feel change would improve. Your Change Proposal can continue with the problem you initially proposed for this degree program, a problem project associated with another course, or an entirely new problem. Your Change Proposal can target changing the environment itself or target changing operations within an environmental context; the proposal you put forward must address the environment.
This proposal should be of the highest visual and intellectual quality—this should represent to future employers or peers your ability to persuade and influence change in the built environment for improved healthcare delivery.
It is meant to be a concise, insightful, inspirational guide. paper, strive for three to four pages with 1,000 to 1,500 words.
Before making your decision on what problem you wish to develop for your final portfolio project, I encourage you to first think about what you most enjoy, because what you care about most generally leads to a genuinely creative end-product. Do you enjoy: sports, children, pets, hiking, reading, movies, cleaning, organizing &/or planning events? And yes, all of these relate to the environment and to healthcare! Let what you naturally gravitate toward be your guide in seeking a problem you and only you would succeed at addressing.
1. State your problem
2. Note where your problem is on the theoretical framework for this class as one or more points on the Keystone Star – Accessibility, Affordability, Safety, Quality, or Fulfillment;
3. Note which of the three design facets for the built environment – space, tools, or people – your problem engages;
4. State your overall concept of what you wish to change in one sentence;
5. State the audience that you need to convince for support, funding, or carrying out your change;
6. Suggest a format you think best conveys your change proposal for the required audience;
7. List any key steps, milestones, or processes that are critical to getting this change underway;
8. Finally, consider what will be the measurement of success.
If you’re at a loss for ideas, consider the following:
• Review the Keystone Star model as it relates to Week 5’s “Leveraging Concerns” and create a change proposal based on one or more of the Seven Complaints patients have of the healthcare environment.
• Review the Keystone Star model as it relates to operational changes within an environmental context; example change proposals could be:
• Access – Ease of use – project charter promoting multi-cultural recognition in the public spaces.
• Affordability – Reduce waste – proposal just-in-time supply delivery, etc.
• Safety – Improve outcomes through reduced negative incidents – white paper outlining authorized medication room access by patients and families; policy establishing when use of manual patient lifts overrules installed lifts, etc.
• Quality – Improve outcomes through improved communications – policy establishing seating assignments for non-hierarchical seating plan; white paper outlining the need for patient/family access to exam room electronic medical record; etc.
• Fulfillment – Increase staff retention – proposal for staff-only garden zones; white paper proposing use of ‘light bars’ in the staff lounge, etc.
• Review the Keystone Star model as it relates to architectural changes; example change proposals could be:
• Access – Enhance ease of use – proposal for bus stop canopy installation.
• Affordability – Reduce waste – proposal installing supply dispensing units, etc.
• Safety – Improve outcomes through reduced negative incidents – medication room lighting redesign, equipment installation for patient lifts, etc.
• Quality – Improve outcomes through improved communications. Eliminate offices for open workstations, video equipment installation for remote teaching, training, assessment etc.
• Fulfillment – Increase staff retention – proposal for configuring a roof-top garden relocating the staff lounge for a quieter location, etc.
• Review the Keystone Star model as it relates to the person at the center of the model; that person is part of a population, either as an individual or as part of a group or department in a health system service line. Architects rely on guidelines that address an entire population; these guidelines are specific to the healthcare architecture process known as “Patient-Based Population Design” and example change proposals could be:
• Design Guideline Matrix for patient populations such as: Chronic Pain Patients, Pediatric Obese Patients, Stroke Patients, Bone-Marrow Recipient Patients, etc.; the matrix should have as a minimum the four fields: Clinical Diagnosis, Clinical Presentation, Environmental Goals, and Environmental Features.
• Design Guideline Matrix for departmental populations such as: Hospital Labs, ED, Pharmacy, Ophthalmology Clinic, Mammography Rooms, etc.; the matrix should have as a minimum the four fields: Departmental Context, Departmental Problems, Environmental Goals, and Environmental Features.
paper should be your best expression of design thinking; that may be expressed by incorporating how your change innovates from the past, present, or future conditions, and/or you may emphasize how empathy, creativity, and rationality are all in play for your proposed change. Good luck and have fun!
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