Ideas for hospitals

Idea # 1 - 21Ideas about communication.

Idea # 22 - 26Ideas about food and medicine.

Idea # 27 - 39Ideas about infrastructure and equipment.

Idea # 1

Use walls to communicate

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Idea # 2

Use checklists

Survey shows that teams using checklists were

74% less likely to miss key life-saving steps in care during emergency situations

than those working from memory alone.

http://www.hsph.harvard.edu/news/press-releases/checklists-in-operating-rooms-improve-performance-during-crises/

Clayton Christensen. Business of Software 2011, October 24th, 2011.http://www.aei.org/docLib/20081028_Christensen.pdfChristensen, Clayton: The Innovator’s Prescription, p. 421.

Idea # 3

Publish results of treatments on the Internet

http://jyllands-posten.dk/indland/ECE6394460/hospitaler-offentliggoer-behandlingsresultater/http://www.rigshospitalet.dk/topmenu/Om+hospitalet/Kvalitet/Kvalitetsdeklaration/

Publish results of treatments on the Internet.

Idea # 4

Copy ideas from another team

The team, who copies an idea / process from another team and uses it to create more value, gets a prize.

Adapted fromhttp://blogs.hbr.org/schrage/2012/12/a-simpler-way-to-get-employees-to-share.html

Competition # 1

The team, that gets an idea / process copied by another team, also gets a prize.

Adapted fromhttp://blogs.hbr.org/schrage/2012/12/a-simpler-way-to-get-employees-to-share.html

Competition # 2

Idea # 5

Put videos on the Internet

Examples

http://www.youtube.com/user/ClevelandClinic/videoshttp://www.youtube.com/user/mayoclinic/videoshttp://www.youtube.com/user/TeamMedicine/videos

Idea # 6

Use social media

Sources

http://curetogether.com/

http://www.dlife.com/

http://www.diabeticconnect.com/

http://e-patients.net/

http://www.kevinmd.com/blog/

http://www.patientslikeme.com/

http://www.webmd.com/

http://www.krebsforum.ch/forum/viewforum.php?f=18&sid=1a785b5f786e4f5407262de87c738ac9

http://www.facebook.com/gigtforeningen

Clayton Christensen. Business of Software 2011, October 24th, 2011.http://www.aei.org/docLib/20081028_Christensen.pdfChristensen, Clayton: The Innovator’s Prescription, p. 421.

https://twitter.com/Berci

https://twitter.com/kevinmd

11 advantages of using a blog for teaching

http://www.slideshare.net/frankcalberg/11-advantages-of-using-a-blog-for-teaching

Idea # 7

Help patients monitor their own health

https://play.google.com/store/apps/details?id=si.modula.android.instantheartrate

Instant heart rate app

http://www.withings.nl/en/bloodpressuremonitor

The Fitbit Flex tracks steps, distance, calories and sleep - and syncs with your smartphone

http://www.fitbit.com/http://edition.cnn.com/2013/01/10/tech/gaming-gadgets/health-tech-ces-2013

Diabetes Manager App

http://www.bgstar.com

Idea # 8

Help patients use clouds to store and share their

health information

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Sourceshttps://drive.google.com/https://www.dropbox.com/http://skydrive.com/http://wuala.com/

Idea # 9

Create fitness plan with individual patients

When a patient comes to the hospital, what if the responsible doctor creates fitness plan with this patient.

Examples of what could be in a personalized fitness plan Training in hospital fitness centre at certain times. Walks inside and outside the hospital.

Idea # 10

Proactively go to patients

The nursing team came up with the idea of checking on

patients every two hours without waiting for a call button, to see if they need help walking to the

bathroom or moving about their rooms.

10% of fatal falls by the elderly in the U.S. occur in hospitals. This one change at Providence reduced falls by 25%, according to chief nursing officer Kim Williams.

http://www.businessweek.com/magazine/content/10_03/b4163040943750.htm

Idea # 11

Proactively call patients

Patients with dementia discharged from the William S. Middleton Memorial Veterans

Hospital received weekly phone calls from

a nurse for 4 weeks or until the patient transitioned to a primary care provider.

This simple initiative reduced readmissions and cut $1,225 in costs per patient.

http://www.fiercehealthcare.com/story/telephone-calls-nurses-reduce-readmissions/2012-12-11

In Denmark, at least 20% of all hospital patients on “medicine functions” would not have to be sent to the hospital.

Savings potential per year: Around DKK 1,5 billion.

http://www.berlingske.dk/danmark/mange-aeldre-indlaegges-uden-grund

Idea # 12

Use language of the patient

Ask the patient, “In what language do you prefer to discuss your health care?”

http://www.healthcarechaplaincy.org/userimages/doc/A_Roadmap_for_Hospitals.pdf, p. 10.

http://translate.google.com/

Use translation technology on your smartphones

What is your language strategy?

http://issuu.com/frankcalberg/docs/languages

Idea # 13

Involve patientsat nurse shifts

http://www.healthleadersmedia.com/page-1/NRS-298879/Why-You-Should-Involve-Patients-in-Nursing-Handoffs

After a 2011 pilot program, nurses on every medical and surgical unit at St.

Michael's Hospital perform handover at their patient's bedside.

http://www.healthleadersmedia.com/page-1/NRS-298879/Why-You-Should-Involve-Patients-in-Nursing-Handoffs

Study shows that patients have a better understanding of and engagement in their care when handoffs are performed at bedside.

Bedside nurse handover is beneficial to both clinicians

and patients as they improve and strengthen communication between both parties, reduce

errors – for example medication - and strengthen the concept of patient-centered care.

Tips for giving and receiving feedback

http://www.slideshare.net/frankcalberg/feedback-tips

Idea # 14

Involve friends and family of patients

At the Narayana health hospital in Mysore, India, family members, who want to help out,

are trained how to care for patients during the 3 days following heart surgery.

Govindarajan, Vijay & Ramamurti, Ravi: Delivering world class health care, affordably.https://archive.harvardbusiness.org/cla/web/pl/product.seam?c=29200&i=29202&cs=60d8e9de1ed0fce80500e63dce3417d6

Idea # 15

Involve young people who want to help out

To help nurses and doctors reduce stress, how about reducing wages of nurses and doctors by about 10% and investing the money in paying young people who want to help out do various tasks in the hospital and/or at people’s homes.

At several hospitals in India, paramedic workers

with 2 years of training after high school help out do various medical jobs.

http://www.washingtonpost.com/opinions/indian-hospitals-could-show-us-hospitals-how-to-save-money-without-cutting-quality/2013/11/01/d02c8e58-3c28-11e3-b7ba-503fb5822c3e_story.html

Youth unemployment in Europe is alarming

http://www3.weforum.org/docs/WEF_GlobalRisks_Report_2014.pdf

Further inspiration

https://delicious.com/frankcalberg/crowdsourcinghttp://www.slideshare.net/frankcalberg/ideas-to-prevent-stress

Idea # 16

Involve people working for other hospitals

Study shows that top hospitals tend to

have a lot of collaboration with other hospitals.

http://www.healthcareitnews.com/news/top-100-hospitals-named-thomson-reuters

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Idea # 17

Leaders walk around the hospital

By regularly seeing and hearing with their own eyes and ears what’s

happening on the front lines of patient care, leaders - including leaders in, for example, finance, cooking, and cleaning - can better understand patient needs and help identify problems and opportunities for improvement.

http://blogs.hbr.org/2013/09/understanding-the-drivers-of-the-patient-experience/

Further inspiration

http://www.slideshare.net/frankcalberg/listening-tipshttp://www.slideshare.net/frankcalberg/good-leadership

Idea # 18

Improve meetings

Further inspiration

http://www.slideshare.net/frankcalberg/facilitationmoderation-of-meetings

Idea # 19

Invite artists to put their art on walls

A survey with heart surgery patients in the intensive care unit showed the following:

Patients, who looked at a large nature photograph showing water and trees, were less anxious and needed fewer doses of strong pain medicine than patients who looked at a darker forest photograph, abstract art or no pictures at all.

http://www.scientificamerican.com/article.cfm?id=nature-that-nurtures

Idea # 20

Use design to make patients happier

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Happy healing!

Idea # 21

Use music to heal people

http://www.cbc.ca/news/arts/music-therapy-offers-hope-for-alzheimer-s-parkinson-s-1.1286293

Research by Frank Russo shows that music therapy can help

Parkinson's patients walk and people with Alzheimer’s remember

A review of 23 studies covering almost 1,500 patients found that listening to music reduced heart rate, blood pressure and anxiety in heart disease patients.

http://www.spring.org.uk/2013/09/10-magical-effects-music-has-on-the-mind.php

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Further inspiration

http://www.slideshare.net/frankcalberg/the-power-of-music-33790370

Idea # 22

Replace fast food with healthy food

Hundreds of hospitals in the United States and Europe are replacing the fast-food joints in their lobbies with farmers’ markets.

http://whatmatters.mckinseydigital.com/social_entrepreneurs/making-health-care-healthy

Vending machines at hospitals

Vending machinestoday

Vending machines tomorrow

Soda.

Chips.

Candy.

Water.

Fresh fruit.

Healthy snacks.

http://www.fastcodesign.com/1664797/six-ways-to-improve-doctors-waiting-rooms

http://www.springwise.com/health_wellbeing/michigan-hospital-builds-greenhouse-grows-organic-produce/http://www.henryford.com/greenhouse

Michigan hospital’s organic greenhouse includes healthy fruits and vegetables

Idea # 23

Use all food

What can be done to use the food that patients - for whatever reason - do not eat?

Idea # 24

Encourage patients to go out to eat

Some advantages for patients of going out to eat: Patients get exercise, which help prevent illnesses. Money is saved on distribution of food to patient rooms. Depending on the variety of food offered at cafes / food

stands near the hospital, patients may be able to choosefrom more different types of food. This could be an advantage, when there is a high cultural diversity amongpatients, their family and friends.

Idea # 25

Outsource the hospital cafes to professional coffee houses

Idea # 26

Ask pharmaceutical companies to make different

medicine look different

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Idea # 27

Install sanitizers inthe right places

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SourceZollikerberg hospital.Zürich, Switzerland.

Sanitizer on the wall

Each year in the USA, patients get more than 1 million infections in hospitals while they are being treated for something else.

http://www.youtube.com/watch?v=-CjWCw5VGQ4

Survey findings show that health and safety messages should focus on the people who are perceived as most vulnerable.

Example of what a sign in a hospital could say: Hand hygiene prevents patients from catching diseases.

SourcePink, Daniel: To sell is human: The surprising truth about moving others, location 2750. http://www.amazon.de/Sell-Human-Surprising-Influencing-ebook/dp/B00AO3K05S/

Idea # 28

Use robots to transport things

At SouthmeadHospital in Bristol, automatic guided vehicles deliver meals to patients.

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Nurses spend up to 20% of their time wheeling equipment and carts from one location to another or waiting for a cart to arrive.

Self-guided, motorized carts can take on these tasks.

http://www.mckinsey.com/insights/business_technology/disruptive_technologies

Idea # 29

Take equipment to the patient

http://www.businessweek.com/magazine/content/10_03/b4163040943750.htm

Take testing equipment to the patient - not the other way around.

More than 90% of China’s population relies on poorly funded, low-tech hospitals or basic clinics in rural villages. These facilities has no sophisticated imaging centers, and transportation to urban hospitals is difficult, especially for the sick.

When patients can’t come to the ultrasound machines, the ultrasound machines has to go to the patients.

http://files.gereports.com/wp-content/uploads/2009/09/how_ge_is_disrupting_itself.pdf

Idea # 30

Install lightsthat heal people

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Idea # 31

Use LED lights and light sensors to save energy

Idea # 32

Place rooms of doctors and nurses in the centerto reduce walking time

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Idea # 33

Use a cart when serving patients

Two advantages of bringing all material - includingsmartphone / tablet / laptop - on a cart whengoing to see patients:

1. Problems of patients can be solved immediately.2. Nurses and doctors save time when they

need to walk less back and forth betweenpatient rooms and material rooms.

Idea # 34

Use mobile electronic devices when serving patients

2 advantages of using mobile electronic devices such as smartphones / tablets / laptops when working witha patient:

1. The patient feels well served when he/she observesthat needs are documented immediately.

2. By documenting immediately, the nurse / doctor avoids forgetting something.

Idea # 35

Use ”quiet rooms” to work

To nurses and doctors:When you are not serving patients in patient rooms, what about also working on your smartphones / laptops / tablets / Internet / social media in ”quiet rooms”, for example in patient rooms that are not used / used little.

Idea # 36

Use fitness infrastructure inside and outside

the hospital

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Idea # 37

Use gardens to heal people

A survey by Roger Ulrich of patients recovering from gallbladder surgery showed the following:

Patients with bedside windows looking out on leafy trees healed, on average, a day faster, needed significantly less pain medication and had fewer postsurgical complications than patients who instead saw a brick wall.

http://www.scientificamerican.com/article.cfm?id=nature-that-nurtures

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Examples of what makes a garden healing

Adapted fromhttp://www.scientificamerican.com/article.cfm?id=nature-that-nurtures

# 1: Easy entry to the garden.

# 2: 70% green.

# 3: 30% walkways and plazas.

# 4: Infrastructure that encourage interaction. Example: Games so people can play.

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Idea # 38

Use mobile hospitals

http://jyllands-posten.dk/indland/article2004323.ece

The best hospital bed is empty, not full.

http://www.businessweek.com/magazine/content/10_03/b4163040943750.htm

Idea # 39

Do homecare

A report on "recovery-at-home" scheme in England found it could free hospital beds and improve care for patients.

http://www.bbc.co.uk/news/health-23673062

Patient care is moving from the hospital to the outpatient setting and ultimately to wherever the patient happens to be located.

http://blogs.hbr.org/2013/11/saving-academic-medicine-from-obsolescence

A big thank you for inspiration – in a variety of ways – to the following people

Magdalena Stępień.Rajha M. Pereira.Katharina Althaus.Brigitte Müller.Hanne Calberg.Berci Meskó. https://twitter.com/Berci. Thank you for useful tweets.Kevin Pho. https://twitter.com/kevinmd. Thank you for useful tweets.

Thank you for your interest. For further inspiration and coaching services, feel welcome to visit http://frankcalberg.com

Have a great day.