Biomaterial Database

Utilizing integrated facility design to improve the quality of a pediatric ambulatory surgery center. 2013

Nicole Pelly, and Brian Zeallear, and Mark Reed, and Lynn Martin

Department of Anesthesiology and Pain Medicine, Seattle Children's Hospital, Seattle, WA 98145-5005, USA. nicole.pelly@seattlechildrens.org

OBJECTIVE The aim was to use Integrated Facility Design (IFD) to design a surgery center that enhances the delivery of health care by developing processes that provide highly efficient patient, family, and provider flows while adding value and utilizing costly resources effectively. BACKGROUND Integrated Facility Design is an adaptation of the Toyota 3P (Production, Preparation, Process) Program. The goal of IFD is to accelerate development time and lower start-up costs. RESULTS The use of IFD produced a savings of $30 million in project costs and enabled a completion date 3.5 months ahead of schedule. The designed patient flow processes resulted in dramatic improvements in patient, family, and provider throughput. CONCLUSIONS The use of IFD in the design of a pediatric ambulatory clinic and surgery resulted in significant cost savings and improved clinical efficiency.

UI	MeSH Term	Description	Entries
D009873	Operating Rooms	Facilities equipped for performing surgery.	Operating Room,Room, Operating,Rooms, Operating
D010372	Pediatrics	A medical specialty concerned with maintaining health and providing medical care to children from birth to adolescence.
D010564	Personnel, Hospital	The individuals employed by the hospital.	Hospital Personnel
D002648	Child	A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL.	Children
D003365	Costs and Cost Analysis	Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.	Affordability,Analysis, Cost,Cost,Cost Analysis,Cost Comparison,Cost Measures,Cost-Minimization Analysis,Costs and Cost Analyses,Costs, Cost Analysis,Pricing,Affordabilities,Analyses, Cost,Analyses, Cost-Minimization,Analysis, Cost-Minimization,Comparison, Cost,Comparisons, Cost,Cost Analyses,Cost Comparisons,Cost Measure,Cost Minimization Analysis,Cost, Cost Analysis,Cost-Minimization Analyses,Costs,Measure, Cost,Measures, Cost
D005160	Facility Design and Construction	Architecture, exterior and interior design, and construction of facilities other than hospitals, e.g., dental schools, medical schools, ambulatory care clinics, and specified units of health care facilities. The concept also includes architecture, design, and construction of specialized contained, controlled, or closed research environments including those of space labs and stations.	Facility Construction,Facility Design,Construction, Facility,Constructions, Facility,Design, Facility,Designs, Facility,Facility Constructions,Facility Designs
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000556	Ambulatory Surgical Procedures	Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.	Ambulatory Surgery,Day Surgery,Office Surgery,Outpatient Surgery,Surgery, Office,Surgery, Outpatient,Ambulatory Surgical Procedure,Procedure, Ambulatory Surgical,Procedures, Ambulatory Surgical,Surgery, Ambulatory,Surgery, Day,Surgical Procedure, Ambulatory,Surgical Procedures, Ambulatory,Ambulatory Surgeries,Day Surgeries,Office Surgeries,Outpatient Surgeries,Surgeries, Ambulatory,Surgeries, Day,Surgeries, Office,Surgeries, Outpatient
D001108	Architecture	Works on the art and science of designing buildings and structures, design of the total built environment, including town planning, urban design, and landscape architecture.
D017046	Cost Savings	Reductions in all or any portion of the costs of providing goods or services. Savings may be incurred by the provider or the consumer.	Cost Saving,Saving, Cost,Savings, Cost