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Norton Brownsboro Hospital

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  1. Norton Brownsboro Hospital Providing quality care in a patient-centered environment

  2. How it all Started….. • Sod farm I-71 and Gene Snyder • Families began moving to area • Shopping? • Eating? • Healthcare? • Norton Medical Plaza – July 2006 • Major goal for Norton Healthcare

  3. Not Your Typical Hospital • Did not want to build a new “old” hospital • Had to be different • Feedback from several sources • Clean slate / green field • Most up-to-date practices • Latest technologies • Information systems • Medical equipment

  4. Hospitals Aren’t Typical Construction • More complex • Very schedule driven • High degree of integration with technology • Infection control issues • Moisture/water control during construction • State and regulatory requirements • Budget constraints • New hospitals not built every day

  5. Project Management Challenges • Not to exceed budget - $146 M • Accelerated implementation schedule • High risk • High expectations

  6. Program not a Project • Definition of a program • “Group of related projects managed in a coordinated way to obtain benefits and control not available from managing them individually

  7. Program Management Team Norton Brownsboro Hospital Janice Weaver, PMP Program Manager Program Management Team Information Systems Janet Yackey, PMP, EPMO Program Management Janice Weaver, PMP, EPMO Project Events Lori Beaton Marketing and Communications Design and Construction Greg Blakemore, PMP, Nehemiah Group Information Technology Karen Coke, PMP Processes Jennifer Murley EPMO Emergency Preparedness Tammy Campbell EPMO Training and Education Janet Yackey, PMP, EPMO Integrated Testing Denise Dodd, PMP, EPMO Owner Installed Equipment Bob Gilbert Medical Staff Janet Yackey PMP, EPMO Day 1 Supplies Nadareca Thibeaux, EPMO Staffing Tammy Campbell EPMO Go Live Denise Dodd, PMP, EPMO

  8. Structural Specifics • 298,000 square feet • 5 stories plus a full basement • 127 beds • 10 surgical suites • 24-hour emergency department • 16 bed intensive care unit

  9. Services • 24 hour emergency department equipped to handle serious trauma cases • Inpatient and outpatient surgery • Cardiac catheterization lab • Diagnostic services • MRI • CT scans • Ultrasound • Physical, occupational, respiratory, speech and music therapies

  10. Operational Challenges • People • Processes • Technology

  11. People

  12. The Goal • Attract, train and retain the brightest and best people to enhance the healthcare services • Provide the best and safest environment in which to work and learn • Deliver exceptional care • Be recognized as an employment destination of choice • Provide supportive spaces and amenities for staff

  13. Recruiting Strategy • Job fairs • On site recruiters taking applications • System-wide market adjustments for RNs • Offer to pay for RN student loans that govt wouldn’t pay • News coverage • Employee picnic

  14. Training and Education • Created extensive education and training matrix for each department • Identified all training needs for each different role • Peer review of training matrices • Use of the LMS

  15. Processes

  16. The Approach • Established multi-disciplinary teams from across the system • Macro level processes • Micro level processes

  17. Technology

  18. New Technology • Nurse call system • Bed tracking • Bedside medication verification • CPOE • Emergency department system • Patient self-registration system • Get Well system • Mobile communication devices • Philips vital signs monitoring system • Asset tracking • Pharmacy carousel

  19. Virtual Tour

  20. Hospital Layout

  21. 1st Floor • Main entry – 2 story atrium serves as the hub of the hospital

  22. 1st Floor • Access to the coffee shop or café

  23. 1st Floor • Access to the emergency department; walk-in entrance and ambulance entrance

  24. 1st Floor • Access to various outpatient diagnostic areas

  25. 1st Floor • Access to the Chapel

  26. Outdoor Café

  27. Hospital Layout – 2nd Floor • Engine of the hospital • Dedicated to surgery; PACU, Pre, Post • 625 square feet each

  28. 2nd Floor • Natural light brought into the surgery staff corridors via series of skylights

  29. 3rd Floor • 16 bed ICU

  30. 3rd Floor • Pharmacy

  31. 3rd Floor • Standardized patient rooms • More pleasing surroundings with better headwall usage

  32. 3rd Floor • Regular patient room with family space

  33. 3rd Floor • Rooftop garden respite accessible on 3rd floor brings natural light to patient rooms

  34. Outdoor Staff Lounge

  35. 4th Floor • Additional nursing units – nurses’ station

  36. 4th Floor • Additional nursing units

  37. 5th Floor • 1 nursing unit • Physical, occupational, respiratory, speech and music therapies • Hospital administration • Shelled space for future use

  38. Basement • Mechanical space • Information services • Biomed • Lab • Materiel management • Loading dock

  39. Innovations

  40. Holistic Environment • Pleasing aesthetics and innovative features • Focusing first on the needs of the patient • Reducing stress for patients and staff • Ensuring easy access to service and tools for clinicians to provide safe and effective care • Creating an innovative patient unit design • Offering all private patient rooms • Using more natural light • Standardized patient rooms, storage rooms, etc.

  41. Amenities • Large patient rooms and bathrooms ~ 256 square feet • Comfortable and spacious visitor seating and work area • Family sleeping accommodations • Flat screen TVs • Internet accessibility • Patient education and entertainment • Patient and family refrigerators • Security cabinets

  42. Amenities • Providing refreshment and resource centers for families

  43. Amenities • Comfortable surroundings for visitors and patients

  44. Amenities • Greater privacy and less interruptions for patients

  45. Amenities • Reduced noise level through: • no overhead paging, • new communication technology • carpeting in hallways • nurse call system • Creates a quieter, calmer environment

  46. Sustainability • Use of “Green Guide for Healthcare” • Guided the planning, design, construction, operations, and maintenance of Norton Brownsboro Hospital • Voluntary, self-certifying toolkit of best practices • Reflect the fundamental mission to protect and enhance individual and community health

  47. Summary • Innovative design • Natural lighting • Noise reduction • Design of patient rooms • Evidence based practice • Patient and family centered care • Staff amenities • Healing environment • Access to needed tools and technology

  48. Background • Opened Wednesday, August 26, 2009 • 5th hospital in Norton Healthcare family • Located in eastern Jefferson County, Ky • Addresses much needed healthcare services in this growing region

  49. Norton Brownsboro Hospital