A Class Apart : Patient-Centred Design & The Khoo Teck Puat Hospital
A Class Apart : Patient-Centred Design & The Khoo Teck Puat Hospital
A Class Apart : Patient-Centred Design & The Khoo Teck Puat Hospital
- No tags were found...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
Toa Payoh <strong>Hospital</strong>Changi General <strong>Hospital</strong>(1997)Alexandra <strong>Hospital</strong><strong>Khoo</strong> <strong>Teck</strong> <strong>Puat</strong> <strong>Hospital</strong>(2010)3
NationalUniversity<strong>Hospital</strong>Mount Alvernia <strong>Hospital</strong>Institute of Mental HealthTan Tock Seng <strong>Hospital</strong> Kandang Kerbau<strong>Hospital</strong>Mount Elizabeth <strong>Hospital</strong>Gleneagles <strong>Hospital</strong>Raffles <strong>Hospital</strong>SingaporeGeneral <strong>Hospital</strong>East Shore<strong>Hospital</strong>ChangiGeneral<strong>Hospital</strong>Restructured <strong>Hospital</strong>Private <strong>Hospital</strong>4
MAP OF SINGAPOREKTPHAH5
Hassle Free <strong>Hospital</strong>“I posed the challenge to the AH rebuilding team: builda hospital… designed with patients unambiguously atthe centre of the focus, with technology fully exploitedfor the benefit and convenience of patients…. It will bea hospital which is well linked… and to which thepatients can be transferred seamlessly… It will be ahassle-free hospital.”- Mr Khaw Boon Wan, Minister of HealthParliamentary Debate, 17 March 20046
Transforming HealthcareDo to healthcare what National Library Boardhas done for library7
Pitfalls of <strong>Hospital</strong> Projects• <strong>Design</strong>ed for staff not patients• Details before whole• Body parts care• Unnecessary complexity to “look good”• Fear of criticism• Repeating history• Out of date even before opening8
Lessons From Dr Kwa Soon Bee• Learn from everyone• Built 10 years ahead of time• Do what is right even if there isrisk of criticism• Take care of staff needs• God is in the detailsSingaporeGeneral<strong>Hospital</strong>NationalUniversity<strong>Hospital</strong>NationalSkin CentreSingaporeNationalEye CentreInstitute ofMentalHealthChangiGeneral<strong>Hospital</strong>KKWomen’s &Children’s<strong>Hospital</strong>Tan TockSeng<strong>Hospital</strong>NationalHeartCentreNationalCancerCentre9
“<strong>The</strong> Future Is Already Here.It Is Just Not Evenly Distributed.”- William Gibson10
Finding New PathsLearn from everyoneFollow no oneLook for patternWork like hell11
Star CruiseShopping Centres12
Nursing HomesTempleSingapore Management University13
Kameda Medical CenterSportsplex JapanOume Keiyu <strong>Hospital</strong>14
El Camino <strong>Hospital</strong>Sutter HealthSacramentoLatter-Day Saints (LDS) <strong>Hospital</strong>15
Virginia Mason Medical CentreOverlake <strong>Hospital</strong> Medical Center16
<strong>Patient</strong> Centric• Hassle-free processes designed for patients’convenience• Engaging patients and their families as partners• Safety of patients are of paramount importance• Intuitive, easy movement for patients andvisitors• Minimal movement for patients• Clustering of services and facilities17
Technology As An Enabler• Wireless technology• Digitalized hospital18
Energy Efficient• 50% more energy efficientthan existing hospitals• Tropical building• Natural ventilation• Overhangs• High ceilings• Use of solar & wind power19
Scalability In <strong>Design</strong>• Flexibility and adaptability• Breathability in master planning• Modular design for ease of conversion• Ability for lock-down of the hospital by zoningfor emergencies20
High Touch• Warm, “cuddly” feeling• Calming and cheerfulenvironment21
Healing Environment• <strong>Hospital</strong> within a garden, garden within ahospital• Tranquil, restful, healing environment• Sight, scent and sound of nature• Surrounding patients with nature22
Toyota Production System (TPS)• Define value precisely• Remove muda (waste)• Continuous flow process• Kaizen (continuous incrementalimprovement) and Kaikaku (radicalimprovement)• Pull (rather than push) production• Aim for perfection23
<strong>Design</strong>ing <strong>The</strong> <strong>Patient</strong> FlowMake Visual the <strong>Patient</strong> Process Flow
TPS – Based Principles• Simplification• Streamlining• Standardization25
Focal Group Discussion
Engaging URA,PUB, NParks, LTAand SembawangTown Council indeveloping YishunPond andintegrating withYishun Park29
<strong>Khoo</strong> <strong>Teck</strong> <strong>Puat</strong> <strong>Hospital</strong>Subsidized Ward TowerPrivate Ward TowerMedical CentreEntry & LobbyA&E
Globalization Requires Villagisation• Small is beautiful• Human scale• Human touch, intimacy• TrustIsolated, yet connected to the world37
November 200622 June 200938
Challenges To Architects (2004)• Award winning reference site• WOW for patients, visitors and staff• Criticized by small-minded critics• Reasonable cost39
Green Mark Platinum Award 200940
Episodic Compartmentalized “Illness”CarePre-illness Illness Post-illness• Vaccination• Public Health Education• School Health• Workplace Health Promotion• Clinics, hospitals• Home Care Services• Nursing Homes41
Head-To-Toe Lifelong AnticipatoryHealthcare of Whole PersonPre-illness Illness Post-illnessHealth Maintenance• Vaccination• Public Health Education• Health Screening• Workplace Health promotionIllness Care• Cost effective, efficientcare- systems processes- clinical pathwaysHealth Recovery• Skills-for-life• Homecare support• Follow-up support42
Disruptive Innovation in Healthcare• Intuitive medicine : solution shop• Empirical medicine : value addedprocess• Precision medicine : Facilitatednetwork43
Purpose Built For Different Functions• Fast medicine• Cruise medicine• Slow medicine44
My 2 Cents On <strong>Design</strong>• Simplicity• Small is beautiful (economy of scalevs dis-economy of scale)• Way finding first• Straight is great for- line of sight- way finding- shortest access45
My 2 Cents On <strong>Design</strong>• Timeless design• Nature is pleasing and never out offashion• Minimize waste46
liaktl@gmail.com47
Change language