ER One - Institute for Innovation

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ER One has matured into the next phase, redefining the mission that reaches far beyond the ED. This presentation highlights the innovations that have been born from the initial ER One concept. Emphasis will focus on four basic initiatives- the future of the ER One Institute, patient and staff feedback from the first ER One construction project- the Bridge to ER One, preliminary observational outcomes of the "Positive Distraction" interventions implemented in the ED waiting room, and the Institute's next design intervention.

 

In looking ahead to the future of the ER One Institute, discussion will include M12, the new home for the Institute, as well as its purpose to continue the development of innovations in health care building sciences with a solid evidence basis. Additionally, the Institute's collaboration with key partners, and focus on improving operational efficiency, safety, cost reduction, and improved patient outcomes will be discussed, with examples of each.

 

The feedback from patients and staff in their experience in the Bridge to ER One will look at flow, efficiency and ergonomics, while the ED waiting room observations will investigate the influence of strategically placed positive distractions, including kinetic lighting, interactive video, and electronic messaging. These observations look to explore the effect of positive distractions on the perception of patient /visitor wait time and anxiety.

 

And finally, in discussing the ER One Institute's next design intervention- ergonomics and safety in flooring systems, and energy recovery potential in health care facilities- the team of presenters, which includes key players in the concept development, research and construction efforts of ER One, will describe how health care providers and design firms can use these visionary interventions within their own facilities to improve outcomes.

 


About the Speakers:




Ella Franklin, RN, CRC is a nurse researcher with more than 25 years experience in the healthcare industry. Currently serving as the director of External Partnership Relations, Research and Development for the MedStar Institute for Innovation/ ER One in Washington D.C., she leads teams exploring the complex relationships between the physical environment and patient/ staff outcomes. After earning her Bachelor of Science from Georgetown University and training at the National Institute for Nursing Research (NIH) she served as a clinical trial coordinator and held numerous clinical leadership positions in a range of specialties including: critical care, occupational health, infection control and ambulatory surgery.

Ms. Franklin is the research coordinator for the Bridge to ER One, a prototype building project that serves as a test-bed for new technologies and innovative design concepts as well as for solutions developed to enhance infection control and surge capacity. This facility simultaneously operates as a daily-use emergency department that exceeds 80,000 visits annually.

In addition, Ms. Franklin is involved in various public health efforts. She sits on the user-advisory board of CDC's Project BioSense and is a member of the Healthier Hospitals Initiative helping to speed the healthcare sector towards environmental sustainability. As a member of the Metropolitan Washington Council of Government' Regional Pandemic Illness Planning Committee, she helped develop comprehensive response plans for all hospitals in the D.C. region.

Ms. Franklin is a member of The Society for Healthcare Epidemiology of America (SHEA), the Association for Professionals in Infection Control & Epidemiology (APIC) and Sigma Theta Tau, the International Honor Society of Nursing.
 



Barbara J. Huelat, AAHID, FASID, EDEAC, IIDA is nationally recognized for work in evidence based healthcare design and serves as a healing environment interior design consultant to healthcare facilities, product manufacturers, academia, institutions and the architectural design community. Her three decades as a design practitioner cover virtually all types, components and sizes of domestic and international healthcare facilities.

Barbara was a founding board member for the Center for Healthcare Design and former corporate vice president and chief of healthcare interior architecture at Ellerbe Becket in addition to a variety of other professional and academic positions. She is currently president of the American Academy of Healthcare Interior Designers, a credentialing organization to qualify healthcare interior designers. Ms. Huelat received a bachelors of arts in Interior Design, Harrington Institute, Chicago, Il with continuing studies in the divisional master program of Behavioral Science at the University of Chicago. She has been active in national healthcare design committees such as ANSI Taskforce for Barrier Free Design, Environmental Standards Committee, The American Society of Interior Designers, International Interior Design Association and American Academy of Healthcare Interior Designers. Barbara has been honored with numerous design awards for projects of excellence, as well as personal recognition for American Society of Interior Designers, Washington Metro Chapter Designer of Distinction, Humanities Design Award and Fellow.

Ms Huelat has authored two books: Healing Environments, Design for the Body Mind & Spirit, Healing Environments, What's the Proof? and some 60 + healthcare journal articles on a variety of healing design topics including wayfinding, cancer center design, pediatrics, myths and reality, quality and costs and nature and healing. Barbara is a popular speaker; she lectures frequently on a spectrum of healthcare design topics.
 



Michael P. Pietrzak, MD is a physician providing consulting services in the areas where medicine intersects with the built environment. He was a Founding Director of the ER One Institute in Washington DC which is now part of the MedStar Institute of Innovation. He serves as the director of strategic initiatives for MI2. Prior to the establishment of the Institute, he was a Project Principal and Director of Project ER One charged with leading the federally funded initiative developing the design features, concepts and specifications for the "all risks" medical facility in the multi-threat environment. Dr. Pietrzak is the founder and principal of Knowledge Management Solutions, a consulting firm working in areas of medicine, design and technology application. He serves as senior medical consultant to HKS architects healthcare group and has been intimately involved in the development of environments for senior housing.

 
Dr. Pietrzak has held several academic positions including Assistant Clinical Professor of Emergency Medicine at Georgetown University, Associate Clinical Professor at George Washington University and Department of Military Emergency Medicine at the Uniformed Services University of Health Sciences (USUHS) from 1989 - 1994.
 
Dr. Pietrzak is a Fellow of the American College of Emergency Physicians having served as an officer and on numerous committees. He served on the American Institute of Architects committee for Guidelines for the Design and Construction of Hospital and Health Care Facilities. He has also served on several committees and working groups providing input to the government on critical infrastructure protection including the Civil Engineering Research Foundation Workshop on Infrastructure Protection for the White House Office of Science and Technology Policy 23-24 September 2002 and the Rand Corporation working group for medical infrastructure protection for the Office of Homeland Security. Over his career he has over 100 presentations national and international conferences. Dr. Pietrzak has an adjunct faculty appointment at the Uniformed Services University of Health Sciences.