1. Futureward CICC GIM Symposium April 8, 2001 Advanced Communication Technologies for Medicine and How to Design The Spaces that Fit Them Patrick Spear, M.Arch, BScH All Content Copyrighted Patrick Spear 2009-2011

3. Human- Computer Interfaces

6. International Clientbase

9. Technology, summarized.

10. What 100 years of progress looks like.

12. Medical Industry Most Industries Uh oh. “I guess I’ll have to take this back”

13. Better Outcomes Happier Staff Greater Efficiency Capability of Technology Time

17. Part 1 – Why projects like this are important THE NEED FOR RADICAL DESIGN Part 2 – How projects like this should be done THE RELATIONSHIP OF INFORMATION + SPACE

18. Information Plane Intangible | Ephemeral Simple to change | Instantaneous to traverse Physical Plane Tangible | Permanent Difficult to change | Difficult to traverse

20. Information Plane Physical Plane

21. Information Plane Content Medical Records Diagnostic Imaging Scheduling Interprofessional Comms Notifications Database Architecture Graphic Design Interface Design Devices Life Systems Patient’s Devices Tablets Wallscreens Imaging Machines Hardware Research Industrial Design People Doctors Nurses Patients Family Medical Training Cognitive Psychology Faimly Needs Research Evidence Based Design Spaces Patient Rooms Ward Layout Storage Nursing Stations Architecture Engineering Functional Planning Systems Manufacturers Physical Plane

22. Close, but no.

23. Better precedents for medical buildings.

24. Information Plane Content Medical Records Diagnostic Imaging Scheduling Interprofessional Comms Notifications Database Architecture Graphic Design Interface Design Devices Life Systems Patient’s Devices Tablets Wallscreens Imaging Machines Hardware Research Industrial Design People Doctors Nurses Patients Family Medical Training Cognitive Psychology Faimly Needs Research Evidence Based Design Spaces Patient Rooms Ward Layout Storage Nursing Stations Architecture Engineering Functional Planning Systems Manufacturers Physical Plane

26. Because medical work is so dependent on both information and space, No project that seeks to explore the promise of new medical technology can afford to ignore the spaces in which those technologies will work

27. Part 2 – How projects like this should be done THE RELATIONSHIP OF INFORMATION + SPACE Part 3 – What we’ve come up with FUTUREWARD’S CARE CORE

29. Allied Health Workers

30. Patients

31. Family Members

32. Functional Planners

33. Architects

34. Prototypes available in 2-3 years

35. Available for mass production in 7-8 years

36. Commonplace in 20 yearsPatient Room Design

37. Semi-Private Balcony Patient Room Medical Patient / Visitation Entrance Charting

38. Patient Room

39. Care Core

44. Wallscreens

45. CRT OLED LCD

48. Environment Extension Information Display Contamination Highlighting Remote Visitation Patient Education

50. Shell Walls

53. Wallscreen Partition Storage Equipment Furniture

57. 3D Printers

59. RepRap

62. Robotic Delivery Systems

63. Findings from the Procedure Cart Project It can take a practitioner an hour to find the materials for a 20 minute procedure. Humans are bad at the mechanical task of keeping centralized resources stocked Infection control issues arise with centralized resources.

69. Integrated Nursing Stations

72. Increase in usable space Large reduction in shared surfaces

73. Electronic ICU

81. Life-System Equipped Bed

82. Large part of patient’s despair is caused by a loss of locus of control

87. Pulled out during emergency Facing wall for remote visitation Standard configuration Moved towards window

89. AI Environment Monitoring

93. Kinect

94. Watson

95. $200 Computing Power 2010 $200 Computing Power 2030

96. Kinect being used at Sunnybrook Hospital to allow surgeons to operate computers without breaking chain of contamination

97. Total Lack of a Conclusion™

98. Questions? Project website: futureward.org Email me about Futureward: pfs@pfspear.net All Content Copyrighted Patrick Spear 2011