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Design from Within. Deb Fournier RN-BC, MSB, NHA Maureen Carland RN, BSN, NHA Evan Carroll AIA, LEED, BD+C, Principle. Our Objectives. Identify principles of person directed design Describe the resident architect's experiences and the application of these experiences to the community

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Design from Within

Deb Fournier RN-BC, MSB, NHA

Maureen Carland RN, BSN, NHA

Evan Carroll AIA, LEED, BD+C, Principle


Our objectives
Our Objectives

  • Identify principles of person directed design

  • Describe the resident architect's experiences and the application of these experiences to the community

  • Examine the formation and role of advisory counsels for guiding project development


What Typically & Historically has Happened

  • Decision making by owner or architect

  • Even small decisions made away from the user

  • Management makes decisions


How and w hy this needs to change
How and Whythis Needs to Change

Baby Boomers are Coming!

The next generations wants more choices


Outline
Outline

An administrator’s perspective: Why and how an architect came to MVH

2. An architect’s perspectives: Evan’s experiences

3. Lessons learned from Evan’s visit and applications at MVH

4. Another example: Principles of resident directed design in a large renovation project at St. Mary’s


What happened at maine veterans home
What happenedat Maine Veterans’Home

  • Evan Carroll

  • Architect, Graduate of Roger Williams University

  • Raised in Maine

  • Passionate for designing for aging population


How did this happen
How did this Happen?

Living Through Learning program at UNE

Marilyn Gugliucci, Director of Geriatrics


How we prepared
How we prepared

  • Previous Med students

  • Faux medical conditions

  • Positive results


The best laid plans
The best laid plans…

  • Uneasiness

  • Unprepared staff


Communication
Communication

  • Rationale and learning goals

  • Concerns and anxieties

  • Careful planning

  • Discussion


Outline1
Outline

An administrator’s perspective: Why and how an architect came to MVH

2. An architect’s perspectives: Evan’s experiences

3. Lessons learned from Evan’s visit and applications at MVH

4. Another example: Principles of resident directed design in a large renovation project at St. Mary’s


Living in a veterans home
Living in a Veterans’ Home

  • Why have this experience?

  • How did I prepare?

  • What was it like?

  • What did I learn?


Why have this experience
Why have this experience?

  • People

  • Paradigms are shifting

  • Empathy

  • New solutions


How did i prepare
How did I prepare?

  • Journal

  • Packing

  • Self coaching


HOME

safe

comfortable

familiar

secure


What was it like
What was it Like?

  • Arrival

  • Having a roommate

  • Dependence

  • Shift Changes

  • Smiles


What was it like1
What was it Like?

  • Settling In

  • Staff

  • Socializing

  • Visitors

  • Becoming a household


What was it like2
What was it like?

Two Stories:

The Luau Rose


What was it like3
What was it like?

  • A rewarding experience:

  • The relationships

  • Growing old is a part of life

  • Love can overflow

  • Designers, residents, families and staff must work together


What did i learn
What did I Learn?

  • Kinds of Care

  • My two different roommates

  • Memory/Long Term Care Rehabilitation

  • Build friendships vs. Protect self

  • Settle-In vs. Wait to leave

  • Home vs. Hotel

  • Dependence vs. Hope for Independence


What did i learn1
What did I Learn?

  • Senses

  • Sounds of home

  • Smells of home

  • Sights of home

  • Textures of home


What did i learn2
What did I learn?

Spaces in a Home

Space -

to be alone


What did i learn3
What did I learn?

Spaces in a Home

Space -

to chat


What did i learn4
What did I learn?

Spaces in a Home

Space -

to walk


What did i learn5
What did I learn?

Spaces in a Home

Space -

for a group


What did i learn6

Spaces for things

What did I learn?

  • Identity

  • Ownership


What did i learn7

Spaces for things

What did I learn?

Ledges & Shelves


What did i learn8

Spaces for things

What did I learn?

Frame Rail


What did i learn9

Spaces for things

What did I learn?

Window Dressings


What did i learn10

Spaces for things

What did I learn?

Bedding and Rugs


What did i learn11

Spaces for things

What did I learn?

Shadow Box


What did i learn12

Views and Safety

What did I learn?


Outline2
Outline

An administrator’s perspective: Why and how an architect came to MVH

2. An architect’s perspectives: Evan’s experiences

3. Lessons learned from Evan’s visit and applications at MVH

4. Another example: Principles of resident directed design in a large renovation project at St. Mary’s


Now that we know
Now that we Know

Small Projects

  • Cafe

  • MVH Multi-Purpose Room Remodel

  • MVH Room Remodel


Now that we know1
Now that we know

  • Jake’s Cafe



Now that we know3
Now that we know

Multi purpose room

  • Residents choose finishes

  • Residents choose window treatments


Now that we know4
Now that we Know

Room Remodel

  • Mock Room

  • Resident interviews and surveys

  • Focus groups

  • Staff Surveys


Outline3
Outline

1. An administrator’s perspective: Why and how an architect came to MVH

2. An architect’s perspectives: Evan’s experiences

3. Lessons learned from Evan’s visit and applications at MVH

4. Another example: Principles of resident directed design in a large renovation project at St. Mary’s


An administrator s journey
An Administrator’s Journey

  • What are our key stakeholders telling us?

    • Expectations have changed

    • Privacy is important

    • Desire to be included in making decisions that affect them

    • They are individuals and not just patients

    • Trust comes from:

      • Honest communication

      • Prompt response

      • Reliable and competent care


Preparing the culture
Preparing the Culture

  • Decision to adopt the principles of patient and family centered care.

    • Changed the wording to patient, resident, and family centered care

    • Researched PRFCC models and tools

    • Provided education to Board, Leadership, & Employees

    • Identified this transition as a corporate goal

    • Shared stories of patient, resident, and family experiences


Principles of patient resident family centered care
Principles of Patient, Resident, & Family Centered Care

Dignity and Respect

Information Sharing

Participation

Collaboration

Reprinted with permission from the Institute for Patient- and Family-Centered Care: www.ipfcc.org."


Patient resident family advisory councils

www.ipfcc.org

Patient, Resident, & Family Advisory Councils

Who:

Former patients, residents, and family members

What:

Serve as advisors to administration and staff


Patient resident family advisory councils1
Patient, Resident, & Family Advisory Councils

Why:

Provides an effective mechanism for stakeholder inputs. Results in more efficient planning.

How:

Careful selection of skilled facilitator

  • Criteria to identify potential council members

  • Initial educational session to introduce roll of advisory councils and principles of PRFCC

  • Ask for membership on the council


Advisory council charter for st mary s rehab center
Advisory Council Charter for St. Mary’s Rehab Center

  • Serve as Advisors for:

    • 2.3 million dollar renovation project

      • Healing environment

      • Evidence based design for seniors

    • Guide program transition from traditional skilled care to rehab center of excellence

      • Deliverables:

        • Customer satisfaction 96% recommend

        • Return to home rate 90%

        • 3 year CARF accreditation


Renovation learnings
Renovation Learnings

  • Use of mock rooms

    • Getting around the bed

    • Swing versus pocket doors

    • Width of bariatric bathroom entrance

    • Location of head of bed

  • Put a picture here?


Renovation learnings1
Renovation Learnings

  • Finishes

    • Use different yet complementary finishes to enhance way finding and deinstitutionalizing environment

    • Consider color, lighting, and noise reduction

    • Consider use of different flooring products

    • Intentional use of language

      • Suites instead of rooms

      • No names outside the suite entrance


Program learnings
Program Learnings

  • Most important to Advisory Council Members

    • Rehab Center Directory

    • Creation of a Dashboard

    • Admission letters for communication

    • Meal service program based on resident choice

    • Use of white boards in resident suites


Advisory councils
Advisory Councils

  • Ongoing – things to consider

    • Terms of advisory council members

    • Process for adding new members

    • Communication mechanisms

    • Opportunities to share learnings with others

    • Program enhancements that add value to the customer

    • Testing the environment: “Nothing about me, with out me”





Now that we know5
Now that we know System

Future building plans

Future renovation plans- big or small


Questions? System

Comments?


Contact information
Contact Information System

BildArchitecture

PO Box 8235

Portland, Maine 04104

[email protected]

207-408-0168


Contact information1
Contact Information System

290 US Route One

Scarborough, ME

207-883-7184

[email protected]

[email protected]


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