Design from Within
This presentation is the property of its rightful owner.
Sponsored Links
1 / 60

Design from Within PowerPoint PPT Presentation


  • 46 Views
  • Uploaded on
  • Presentation posted in: General

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

Download Presentation

Design from Within

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Design from within

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


Design from within

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


Design from within

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 LuauRose


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 friendshipsvs.Protect self

  • Settle-Invs.Wait to leave

  • Homevs.Hotel

  • Dependencevs.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 know2

Now that we Know

New Menu


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”


Results

Photos are used with permission from St. Mary's Health System

Results


Results1

Photos are used with permission from St. Mary's Health System

Results


Results2

Photos are used with permission from St. Mary's Health System

Results


Now that we know5

Now that we know

Future building plans

Future renovation plans- big or small


Design from within

Questions?

Comments?


Contact information

Contact Information

BildArchitecture

PO Box 8235

Portland, Maine 04104

[email protected]

207-408-0168


Contact information1

Contact Information

290 US Route One

Scarborough, ME

207-883-7184

[email protected]

[email protected]


  • Login