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HMI and Hua Shan Hospital drive rapid development
of new facilities, programs
HMI and Hua Shan Hospital (HSH) in China are already collaborating
on the design of a long-awaited new facility in Pudong, a 250-bed multispecialty
health care center with a special focus on oncology that will fill a critical
need in Shanghai and in China. Now, they have expanded their partnership.
In July, Dr. Robert K. Crone, HMI president and CEO, and Dr. Harvey Makadon,
HMI director of health systems, met with Hua Shan leadership and formalized
a long-term agreement to develop training programs and to design and develop
several state-of-the-art health care facilities.
Said Dr. Da-yu Sun, CEO of Hua Shan Health Development Co., Ltd, and
the visionary behind the partnership, “This expansion of our relationship
is a wonderful opportunity to take the combined knowledge and skills of
our two countries, cultures, and organizations and change the whole mode
of delivering quality health care in this country.”
Dr. Jian-guang Xu of Hua Shan Hospital believes that the partnership
with HMI represents “a good example for developing countries seeking
to improve the quality of their healthcare services, as well as hospital
management, by introducing new models from the world’s top medical
institution, Harvard Medical School.”
Makadon looks forward to a long and productive collaboration. “We
will be working with the leadership of Hua Shan Hospital to assess opportunities
to develop new health care facilities, but perhaps of greater importance,
we will collaborate to build excellence through innovation in clinical programs,
implementation of quality management and professional development programs,
and ongoing education programs for the medical community and the general
public. ”
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| HMI representatives and the leadership of Hua Shan
Hospital met to develop the design of the new hospital at Pudong. |
Building the foundation for quality health care
The expanded agreement builds on an initial partnership that enlisted
the help of HMI in planning for the continued growth of the existing Hua
Shan Hospital as a center of clinical and educational excellence. Currently
that 800-bed facility, located in old Shanghai, is the primary teaching
hospital of Fudan University Medical School (formerly Shanghai Medical
University).
The first major project of the partnership is well underway—the creation
of a sister hospital in Pudong that Hua Shan Hospital’s leaders hope
will set a standard of excellence for screening and prevention, as well
as high-quality cancer treatment for the entire country, where oncology
has not been a major focus.
Sun sees the new HSH facility in Pudong as a flagship hospital for what
he hopes will be a network of such healthcare centers throughout China. “We
believe that the Pudong facility will be the model,” he said. In addition
to serving the citizens of Shanghai, the partners anticipate that the
new Hua Shan Hospital will also cater to the growing international and diplomatic
community in the city.
In creating this and future facilities, the partners are responding to
a rapidly changing Chinese healthcare environment. China’s health
care system, along with all Chinese industry, is moving towards privatization
as the country becomes a world economic power. The Chinese government
has been encouraging private companies to take over many of its hospitals.
These
companies are restoring these hospitals and working on restructuring
the country's health care system at the same time.
A new blueprint for collaboration
In early June, an HMI team traveled to Shanghai to continue their collaboration
on the design process. “Our Hua Shan partners have a real opportunity
to help build a modern healthcare infrastructure from the ground up,” said
Judy Mitchell, HMI director of planning, who, along with Albert Gillis,
HMI director of health care facilities development, worked with clinical
leaders to define program requirements and translate those needs into
the language
of space
and
design. They
also met with the engineers and architects who will build the world-class
health
care structure.
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| Mitchell and Gillis look over plans for the new Hua
Shan Hospital. |
Gillis said that the basic structure for the hospital
was built several years ago—a large, empty concrete structure. “We are working
with our partners to decide what clinical programs will be offered, where
each department will be located along with its layout, and what the staffing
requirements will be,” he said, adding that HMI would also help develop
an information system and equipment specifications, and facilitate the
purchasing process.
Mitchell said that the design process itself is novel. “Instead
of bringing in an international architectural firm as we have on other
projects, we are training people from the Shanghai Institute of Design,
an architectural institute, in the design elements of a first-class health
care institution. So, the work will ultimately be done by local talent,” she
said, adding that HMI hopes this model will work for future projects.
Mitchell and Gillis have been impressed with their Chinese counterparts. “We
cannot say enough about the collaborative nature of these professionals,
their unlimited energy, and their openness to innovative models,” said
Mitchell.
HMI has also agreed to partner with Hua Shan Hospital to deliver a Practi-Med
program next spring, in conjunction with the New England Journal
of Medicine. “This
program will be the centerpiece of our educational efforts,” said
Makadon, who notes that HSH is not only dedicated to leadership in health
care delivery, but in medical education as well. HMI created Practi-Med
as a forum to bring together health care leaders from around the globe
to educate practicing physicians and allied health care professionals
in developing local solutions to common global health care challenges
and disease burdens.
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| A screenshot of the simulation program used to capture workflow in
the planned surgery and invasive cardiology unit of HSH. |
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An important consideration in the design of the new hospital
in Pudong is planning for the process changes that must occur in each
department. That sounds obvious, but the efficient delivery of quality
care must take into account staff roles and availability, equipment utilization,
and a wide range of other variables. HMI used animated simulation models
to help Hua Shan Hospital staff visualize process flows that would support
patient-focused care.
Models of surgery, radiology, and multi-disciplinary clinical
care allowed planners to show “live” staff and
patients moving from room to room and procedure to procedure
in the new HMI clinical prototypes. The MedModel® technology
(www.promodel.com) used to create the models allows the process
definitions to be tested under a variety of assumptions and
variability in patient loads or procedure times. The models
have been used to study and demonstrate the relative efficiency
of alternative operational processes and also have the ability
to track capital and labor costs associated with alternative
scenarios. HMI’s Judy Mitchell identified some additional
benefits: “The prototypes proved very useful because
they gave the client’s staff a way to explain to us
their existing processes. People who had been quiet during
our earlier meetings were now standing up and getting involved
in the discussion. The simulations really helped the nurses
and other staff members who were there to contribute ideas
based on their own experience.”
The models were developed by Rob Bateman, a PhD candidate
at the University of Utah in the field of knowledge transfer
for developing countries, who is also a vice president at
PROMODEL Corporation, creators of the MedModel technology.
In 20-plus years of experience in technology and knowledge
transfer, Bateman says he has seen simulation used to support
predictive analysis of process changes in a variety of nations
and industries. He indicates that he is not aware of any
other healthcare organization using simulation in the same
way as HMI. In addition to using the models to support the
architectural design process, HMI plans to use the simulations
in conjunction with HMI's quality management programs and
as training tools for department administrators and clinical
staff.
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