AfH Presentation - RUH Buro Happold

COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED

AfH 2015


� Approach

� RUH Pharmacy

� RUH OPD Utilisation

AG E N DA


S M A RT H E A LT H C A R E B E N E F I T S / A P P R O AC H T H R O U G H P R O J E C T / B U I L D I N G L I F E C YC L E


S M A RT H E A LT H C A R E E V I D E N C E B A S E D M O D E L L I N G

Experience Costs

Key outcomes

Registry Triage 00

Facility Design

Operational Management

Patient Pathways/Demand


Gather data

Journey analysis

Activity analysis

Identify scenarios

Test options

O U R A P P R O AC H


Case Study 1: OPD Utilisation


GETTING MORE FOR LESS

Royal United Hospital, Bath


We’re too busy!

Need more space!!

Opthalmalogy

Gastro

Pain

Diabetes


U N D E R S TA N D I N G F LO W S A N D D E M A N D DATA G AT H E R I N G

Historical data

Automated technologies for capturing data

Site visits, staff interviews and surveys


• Average 34% observed utilisation during peak

• Average 16% observed utilisation during off peak

Waiting room usage – Max. no. people

Outpatient departments


Waiting room usage – Max. no. people

Outpatient departments


T E S T I N G F U T U R E O P T I O N S AG A I N S T K P I S D Y N A M I C M O D E L L I N G


Case Study 2: Pharmacy


P H A R M AC Y

People Movement Study

• Tracking of staff movements and

behaviour

• Assess current performance

• Layout optimisation to enhance efficiency


Gather data

Journey analysis

Activity analysis

Identify scenarios

Test options

Deliveries

Robot area

Corridor Unpacking area

Stores area

Key scenarios

� Mon – bulk deliveries

� Weds – deliveries throughout the day

O B J E C T I V E S A N D K E Y S C E N A R I O S

Key areas

Key metrics

� Walking distances

� Time spent walking between locations


Gather data

Identify scenarios

Test options

Journey analysis

Activity analysis

DATA G AT H E R I N G A N D K E Y M E T R I C S

Stores area Robot & Dispensary


Gather data

Identify scenarios

Test options

Journey analysis

Activity analysis

Ward boxes

Main Dispensary

Robot Shelves

Terminals

Fridge Unpacking

area

Deliveries

To aseptic suite

IV store

Pigeon holes

Pull-out shelves

Origin of incoming deliveries

Flow of staff

Processing point of incoming

drugs

Storage point of incoming

drugs

J O U R N E Y A N A LYS I S – P R I M A RY F LO W S – S TO R E S S TA F F


Gather data

Identify scenarios

Test options

Journey analysis

Activity analysis

Deliveries

Staff movements

Deliveries

Staff movements

Monday Wednesday

AC T I V I T Y A N A LYS I S – F R E Q U E N C Y O F AC T I V I T I E S

COPYRIGHT © 1976-2014 BUROHAPPOLD ENGINEERING. ALL RIGHTS RESERVED 09:48:20

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09:49:04

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AC T I V I T Y A N A LYS I S – T R AC K I N G S TA F F M O V E M E N T S

Frequencies Dwell times Order of movements


Back of Robot

Robot Terminal Ward Boxes

Pull out shelves

Main Dispensary Pigeon holes Store shelves

Store terminals (1) Fridge

Store terminals (2)

Unpacking area

Out of bounds

Back of Robot 7 10 14 1 4 12 7 6 2 6 7 3

Robot Terminal 25 12 28 6 3 3 3 1 3 4 1 3

Ward Boxes 8 30 11 2 1 4 6 2 0 0 2 5

Pull out shelves 0 5 2 1 21 0 4 0 0 0 1 0

Main Dispensary 2 6 2 18 7 19 6 7 5 9 5 13

Pigeon holes 7 4 5 3 18 6 11 23 0 1 1 4

Store shelves 5 5 5 0 4 19 54 24 2 7 18 10

Store terminals (1) 8 8 2 0 5 12 30 43 2 5 7 17

Fridge 2 1 1 0 2 1 2 2 21 23 18 9

Store terminals (2) 7 5 0 1 10 0 8 6 19 40 48 18

Unpacking area 2 1 0 0 7 0 17 9 19 51 55 37

Out of bounds 6 3 3 1 18 7 3 17 9 17 37 187

From

To

Many movements between :

Store shelves ↔

pigeon holes

Stores terminals ↔

pigeon holes

A high number of trips between any

stores area and:

• Back of robot

• Dispensary area

• Pigeon holes

F R E Q U E N C Y O F T R I P S B E T W E E N A R E A S Stores staff

MON


This analysis shows, stores staff spend:

• In total 307 minutes

• On average 26 minutes (per staff

member)

each day walking between functions

Stores staff MON

T I M E S P E N T WA L K I N G B E T W E E N AC T I V I T I E S


C O M PA R I N G P E R F O R M A N C E

Original proposed layout Existing layout

Original proposed layout offers good access to the robot

but

No significant improvement in walking distances and times

0 10 40m 0 10 40m


D Y N A M I C M O D E L L I N G O F P E R F O R M A N C E

Final proposed layout Existing layout

Proposed layout offers a compact and efficient footprint for the majority of movements


Benefit of Evidence

• Enables informed conversations with consultants and staff

• Enables designs to be optimised with measurable efficiencies

CO N C LU S I O N


smar t.burohappold.com

[email protected] [email protected]

http://www.burohappold.com/

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mailto:[email protected]

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