A new tower opened at Seattle Children’s Hospital two days ago, built with “Lean Design” principles and methods, as this story describes: Hospital design started with yarn, cardboard and duct tape.
They call their approach IFD, or Integrated Facility Design. I have no inside knowledge of their work, but the “Integrated” typically refers to the tight collaboration between facility (and staff), architects, and construction firm to have a highly iterative process that leads to space that’s more patient focused and better for the staff.
From the article, written by Todd Johnson, from Seattle Children’s:
IFD is based on lean design principles. Lean design can be used to improve the production of anything from the assembly of a car, to the internal processes of a business, or even the design of a building. The ultimate purpose and concept of IFD and lean design is to achieve customer satisfaction by using efficiencies and limiting the waste of space, equipment, material, effort, time and capital.
For Building Hope, IFD allowed us to look at the new building from every angle to ensure that it will meet the needs of the people who work there and the patients they care for. The process allowed us to learn about the day-to-day issues our providers and patient families face, and to see how we could best address them before we broke ground.
You can read about (and see a great picture) a full-sized cardboard mockup they did of their new emergency department. These mockups allow staff to simulate their work, honing the design or testing different concepts to see if they’ll really work before they are build… it’s easier to iterate cardboard than drywall! Patients and families get to be involved:
By listening to former patients and their families, we were able to understand the real needs of the children and families we serve. Their input was invaluable in designing a building that would make their hospital experience as comfortable and healing as possible.
Cassandra Sage, the mother of a former patient, was one of the many parents who participated in our advisory board. She told me, “To me, the most impressive part of the design process was how earnestly Seattle Children’s Hospital staff wanted patient and family input â€” how much everyone on the team desired to make the stressful experience of being in a pediatric hospital the best it can be by including us and partnering with us.”
More than 17,000 hours of staff time went into this work. Good luck to Seattle Children’s on the launch!
Their previous “Lean Design” effort, which I have seen in person, is their outpatient surgery center. John Toussaint wrote a blog post summarizing their innovative design and patient flow.
You can read more about their Lean journey in their book Leading the Lean Healthcare Journey: Driving Culture Change to Increase Value.
You can also read more about Lean Design in the book Lean-Led Hospital Design: Creating the Efficient Hospital of the Future by my friends Naida Grunden and Charles Hagood.
About LeanBlog.org: Mark Graban is a consultant, author, and speaker in the “lean healthcare” methodology. Mark is author of the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, as well as the new Executive Guide to Healthcare Kaizen. Mark is also the Chief Improvement Officer for the technology company KaiNexus.