- Start-up: September 2017
- Partial delivery: December 2017
- Completion: Consecutive
The vision for BørneRiget is that in the future, the experts will come to the patient instead of the other way around. In relation to the preliminary examination, employees across Rigshospitalet’s centres have along with patients and families mapped out 100 different patient cases. Here it became clear to everyone that at the current moment, it is largely the responsibility of patients and families to keep track of the necessary examination and treatment and the many appointments and visits across the clinics at Rigshospitalet. This led to the wish for a paradigm shift.
The vision is that throughout the entire outpatient treatment course, it will be the experts who come to the patient. In the future patients will be able to meet the relevant experts, be diagnosed and have their full course of treatment presented in a single day. The patient thus avoids many contacts with the hospital and has early clarity about his or her full course of treatment.
The purpose of the project is to analyse how the pit stop concept will transform and improve the outpatient offer for children, adolescents and pregnant women. We start out with a pilot project in which we have selected outpatient treatment courses from the Department of Obstetrics (Pregnant women with heart sick foetus) and Centre for Rare Diseases (Craniofacial Disorders). Working groups have been set up for both, and there have been a series of meetings with presentations and debates concerning outpatient pit stop treatment. The meetings surveyed the existing practice, a workshop concerned the future perspective. A study tour has been completed to a relevant clinic in London, as well as focus group interviews with patients, relatives, clinicians and project managers.
The work group's activity has both been based on a data analysis that looks closer at the patient base and flows in the outpatient treatment offer, as well as input from competent specialists in the clinics pertaining to the two selected patient cases.
The pit stop treatment at BørneRiget can have several different arrangements. Common to all of them is the desire to gather visits so patients experience streamlined courses adapted to the development of their treatment plan and that families can meet in one place instead of commuting around the entire hospital.
In order to facilitate the pit stop treatment, it is crucial that the building physics is able to facilitate the meeting between clinicians, patients and relatives in the best possible way. The program and the feasibility study present a ground floor that brings together the entire outpatient offer for children and adolescents. It allows for a distinct and clear identity that physically combines the treatment - a treatment which today is spread across all of Rigshospitalet. Already here, the overriding principle of specialists coming to the patients measures up.
A large common pool of flexible outpatient rooms that are not locked to any specific area of specialization will make BørneRiget more agile in terms of dealing with the large patient flow on the ground floor. Clinics have been assigned clinical offices and outpatient offices to ensure that the staff have appropriate working conditions when they are in the outpatient clinics for children and adolescents. This flexibility is crucial for both patients and staff in order for a pit stop model to be able to work, whether it includes that patients go from room to room - or a model where the staff by turns or together enter the patient's room.
The positions of the outpatient clinics in relation to one another is also important for several specialties, as some of the medical specialties often will benefit from a strong relationship with the day hospital, and several surgical specialties will benefit from a strong relationship with the training and rehabilitation section.
The above opens opportunities for staff to more easily deliver interdisciplinary treatment around the patients - something the organization needs to mature into so that the physical conditions at BørneRiget are exploited in the best possible way. The following trends are some of those we believe in related to future outpatient activity.
Both physics as well as the organization must be well prepared to cope with these trends if the future outpatient treatment offer is to be among the world's best.
TENDENCIES we believe in
- More and more treatments will be outpatient
- More and more treatments will in the future be possible do at home
- Rigshospitalet will also in the future handle the most complicated patients
- Faster test results and faster radiodiagnostic examinations will allow outpatient treatments to be shortened
- Self-diagnosis via smartphones, wearables, etc. will be able to contribute to the monitoring and knowledge about the patients, prior to the visit
- Better opportunities for communication between the hospitals when all hospitals in the region work on the health platform.
See list of available documents