The document discusses plans to integrate a hospital, primary health care clinic, and long term care facility in Kelvington, Saskatchewan through a $15 million project. It will pursue right-sized services and efficiencies to create a patient-centered facility providing flexibility to meet future needs. A 3P process was approved in March 2013 to design the integrated facility focusing on health, team communication, patient care, and value through space design and reduced travel distances for staff.
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Kelvington Integrated Health Facility Addition and Removal
1. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
2. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
Current State
• Two stand alone facilities - without
renewal, the existing facilities would
not last for the next generation.
Proposed Actions
• KTHR, the MOH and the Kelvington
and area steering committee agree
to pursue a project to add the
hospital and primary health care
clinic to the existing LTC, with
renovations to LTC
• Project is approved for a Lean 3P
process for March 2013
3. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
Project Metric
• $15M Project Budget
Future State
• Pursue “right size” integrated services to include Acute
Care, ER/outpatient, Lab and Diagnostics, Support
Services, Primary Health Care Clinic
• Create efficiencies to find savings to reinvest into
significant LTC renovations.
• Together with patients, providers and community,
design a patient-centred facility that will provide the
flexibility to meet the needs of Kelvington and area
residents into the future.
4. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
better health
• Family Focus
• Long Term Care Connection
• Health and Wellness
Education
• Patients & Families at the
Centre of the Process
5. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
better teams
Design:
• facilitates communication
• improves flows
• breaks down professional
barriers
• improves patient care
6. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
better care
• Design focuses on the real
physical needs for the spaces
• Design will allow providers to
spend more time with patients
• Integration of services and
providers will improve the
care for the Patients and
Residents
7. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
7 Ways
better health
• Long Term Care Connection
better teams
• Integrated Team with LTC
8. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
7 Ways – Option 3
better health
• Long Term Care Connection
better teams
• Integrated Team with LTC
9. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
3P Event Week
better health
better teams
better care
10. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
3P Event Week
better health
• Health Education and
Wellness
• Family Focus
11. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
3P Event Week
better teams
• Facilitates
communication
• Breaks down
professional barriers
12. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
3P Event Week
better teams
• Improves Flows
• Improves Patient
Care
• Release Time to Care
13. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
3P Event Week
better care
• Design focuses on the real
physical needs for the spaces
14. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
3P Event Week
better care
• Design will allow
providers to spend more
time with patients
• Integration of services
and providers will
improve the care for the
Patients and Residents
15. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
30/60 Day Work
7Flows / 7Wastes
• Trace all 7 Flows
• Patients
• Family
• Clinicians
• Medication
• Supplies
• Equipment
• Information
• Evaluate the Waste
• Edit the Design
16. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
30/60 Day Work
7Flows / 7Wastes
• Evaluate the Waste
• Edit the Design
17. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
30/60 Day Work
7Flows / 7Wastes
• 30/60/90 Day work
included the design of 3P
Sub-teams in a 2 day event
focussed on the 7
Flow/7Wastes.
• This event design,
developed by our team has
become the standard work
for our 30/60/90 Day work.
18. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
Results
better value
• Primary Care Clinic
rooms 40% larger
than typical for
Collaborative
Primary Care
• Staff flows greatly
reduced.
• The 12hr Nurse shift reduced travel
distance by 18%, and the 8 hour
nurse reduced travel by 55% for a
savings of over 4700 steps in daily
19. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
Results
better value
• Construction budget for
addition from $12.5M to
$9.1M
• Capital dollars freed
for desperately
needed renovations
to the existing LTC
facility
20. 3P & BEYOND KELVINGTON INTEGRATED HEALTH FACILITY
better health
better teams
better care
better value
Editor's Notes
Full Scale mock-ups
Is it the Right Space?
What goes where.
Is there room for the people who should be there?
Reduced Steps
What You Need, Where You Need It, When You Need It