u n i v e r s i t y o f c a l i f o r n i a s a n d i e g o ( U C S D )j a c o b s m e d i c a l c e n t e r

“ i n t e g r a t e d i m a g i n g / o p e r a t i n g r o o m s u i t e s – e n d u s e r d e s i g n c o n s i d e r a t i o n s ”

C A R S 2 0 1 1 , J u n e 2 2 – 2 5 , B e r l i n , G e r m a n y

S p e a k e r s :C a r l o s A m a t o – C a n n o n D e s i g n

G e r r y D e w i t t - I M R I S

Authors:B. Bob S. Carter, MD, PhD (1)C. William S. Bradley Jr., MD, PhD, FACR (2) Carlos L. Amato, AIA, ACHA, LEED AP, EDAC (3)Jennifer Ries, LEED AP (3)Annie Lehatto, AIA, LEED AP, EDAC (3)

1 University of California San Diego (UCSD) Medical Center, Neurosurgery, San Diego, CA, USA 2 University of California San Diego (UCSD) Medical Center, Radiology, San Diego, CA, USA3 Cannon Design, Architecture and Planning, Los Angeles, California, USA

Team:BrainLab: Thom Eaton / Jeff Mamalakis / David MachtIMRIS: Gerry Dewitt

u c s d j a c o b s m e d i c a l c e n te r

a g e n d a

• Introduction

• Design / Drivers

• Results and Challenges

• Conclusion / Future Considerations

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3 H o s p i t a l s i n o n e : A d v a n c e d S u r g e r y / C a n c e r / W o m e n a n d I n f a n t s

2 4 5 n e w b e d s1 0 8 M e d i c a l / S u r g i c a l b e d s3 6 I n t e n s i v e C a r e U n i t ( I C U ) b e d s1 0 n e w o p e r a t i n g r o o m s + 4 r o o m i n t r a o p e r a t i v e M R I / C T s u i t e8 L a b o r a n d D e l i v e r y r o o m s3 2 p o s t - p a r t u m i n p a t i e n t r o o m s3 - r o o m B i r t h i n g C e n t e r3 r o o m s f o r C - s e c t i o n d e l i v e r i e s5 2 P r i v a t e N e o n a t a l I C U R o o m s

G a r d e n - b a s e d d e s i g n t o m a x i m i z e n a t u r a l l i g h tD e d i c a t e d f a m i l y a r e a s a n d L i v i n g R o o m s o n e a c h b e d f l o o rC o n s t r u c t i o n c o m p l e t i o n s c h e d u l e d f o r J u n e 2 0 1 6

108 MS/IMU BEDS

ADVANCED SURGERY

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I n n ov a t i o n : w a l l o f k n o w l e d g e

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te c h n i c a l c h a l l e n g e s

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f i r s t t i m e C T w i l l b e s u s p e n d e d f r o m a b o v e ( n o f l o o r r a i l s )

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p hy s i c i a n s l o u n g e

i n te r i o r s i n s p i r a t i o n

p hy s i c i a n s l o u n g e

• Focused on providing a non-clinic environment, a place for relaxation and relief from the stressful work environment.

• Monitoring tools:How rooms are progressing from patient set up, clean up, etc. Ability to monitor resident’s progress throughout the rooms and other ORs related to the program. Communication and software collaboration tools to connect with other specialists about current and future work.

c o l l a b o r a t i o n c o r e

c o r e

i m r i s p e r s p e c t i ve

BrainLab Video

Improved Outcomes

• Patient-centered

• Increased Safety

Enhanced, Efficient Treatments

• Designed for the surgical procedure

• Integrated technologies

Strong Business Model

• Asset Utilization

• Intraoperative and diagnostic imaging

I M R I S : i m a g e g u i d e d t h e r a p i e s

Overview

4 O R – t w o m o d a l i t y s e t u p a l l o w s s u r g e o n s t o h a v e t h e a p p r o p r i a t e t e c h n o l o g y d e d i c a t e d f o r e v e r y p r o c e d u r e t h a t t h e y u n d e r t a k e .

I n t e g r a t e d N a v i g a t i o n• I m a g e , d a t a a n d d o c u m e n t a t i o n m a n a g e m e n t• I n t r a - o p e r a t i v e s o f t w a r e e n r i c h m e n t t o o l s f o r a d v a n c e d d e c i s i o n m a k i n g .

b r a i n l a b : b r a i n s u i te m u l t i - O R

b r a i n l a b : M u l t i S u i te - O R

Multi-room, multi-modal options provide exhaustive options for neuro and spine surgical procedures. Right tool for the specific procedure.

• Radiology and surgery can discuss issues in real time and in person.

• Rooms demand specific dedicated staffing from nursing, surgical tech and radiology

• Resident and Fellow Education

Clinical Benefits

b r a i n l a b : b r a i n s u i te m u l t i - O R

Workflow, Information and Documentation Benefits

1. Seamless integration between image modality, navigation, image registration, data management

a) Navigation integration is the key as this ensures image modality information is interpreted accurately

2. Communication,:a) Tele-consultationb) Session sharing/remote planning

3. Image enrichment: advanced decision making tools

4. Surgical image and video documentation for complete surgical record

IMRIS Video

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