Simple, clear purpose and principles give rise to complex and intelligent behavior.Dee Hock
I read this quote one evening last week, while we were in the midst of design sessions at the 3-D Cave on North Campus, and thought it was very fitting for the amazing work being done by our teams within Pathology and in connection with our design team for the PRR Project. United by a common vision for new space developed around ideal specimen, people and material flows, the team made advances in laying out equipment, processes, and work spaces.
The UH Renovation teams met at the Virtual Reality cave, where we first did a "virtual" 2-D walkthrough of the space with our architect, Laurie DaForno, "walking" the teams through the space. Then, we alternated time at the table laying out equipment and discussing workflow with an experience in "immersion" in the 3-D Cave. The methods of viewing the space provided the following benefits:
We asked a few teams afterwards for feedback—and received positive comments related to the helpfulness of the Design Team (the architects and equipment planners) as well as the fascinating experience of getting to see and experience the space in the Cave. One user said "I have been very concerned with things up to this point, but now having worked with Joe and Laurie today and now seeing the space in the cave, I am really excited".
Most groups will continue to meet in this manner, further laying out equipment and processes, and then testing it with spaghetti charting. The groups will start having mock-ups—one group each month—starting with the Blood Bank neighborhood in November.
Hello from PRR Headquarters!
This is our first of what we plan to be many updates delivered via our webpage. We hope you find these updates useful for keeping up to date on the project and for general awareness of activities going on within the project. Sometimes at PRR Headquarters, we all start reading the same book or talking about the same topic. Two weekends ago, my husband and I had a lot of driving packed in to one short weekend. To help pass the time, I downloaded a few new podcasts.
We both really enjoyed a podcast called "How to Get More Grit in your Life" by Freakonomics Radio. Grit, as defined by author Angela Duckworth, is 'perseverance and passion for long-term goals.' In the podcast and in her book, called "Grit: The Power of Passion and Perseverance", she argues that a person's level of success is directly related to their 'stick-to-itiveness'. This means that your success in any given situation isn't predetermined talent that you are born with, but rather the work and effort you put in to the task at hand. While we all can’t be Olympic athletes or obtain elite levels of success, it was inspiring to hear her perspective that effort and focus pay off.
This resonated not only with me, but with the PRR team members I shared it with upon coming back to the office the following week. We see 'Grit' in all of our interactions with the teams within Pathology. It’s an honor to be here doing this work among so many everyday superheroes. We see 'Grit' and perseverance not only in the miracles that are performed on a daily basis in Pathology, but in the hard work and effort that goes into designing our new spaces. With all of the upcoming design and activation work coming towards us this fall—'Grit' is fast becoming our theme for the next few months.
If you have a long drive facing you over the upcoming holiday weekend, I highly recommend listening to the podcast---it's well worth your time and effort!
Meanwhile, here are a few of the things keeping us feeling "gritty" in the coming months…
For the UH Renovation Design teams, we have Lean Design sessions coming up the weeks of Sept 8th and Oct 10th. If you are unsure of dates or times, or what sessions you should attend, please reach out to Christine or Brendon. During the week of Oct 10th, we’ll be in the Virtual Reality cave on the engineering campus!
We are tentatively marking Oct 24th from 11-1pm (lunch included) as a "milestone meeting" where we review overall layouts and process flow with our senior leadership before proceeding into more detailed design. More info to come on that event.
For the NCRC Activation planning, our first Activation meeting is today—Aug 25th—and subsequent meetings falling near the end of each month through the fall. We are still working hard to schedule some of the additional planning sessions related to Equipment list updates, Casework selection, and potentially some work in the Waste Thread.
By Jeffrey Myers | 25 January
The week of January 25 brought some major milestones in our multi-year Pathology Relocation and Renovation (PRR) project as various leaders and managers signed off on detailed designs for our new space at North Campus Research Center (NCRC). We are using a unique Lean approach to design laboratory space, a process that embraces the importance of capturing the unique knowledge and experience of those closest to the work for which the space is intended. We hope to capture the power of prototyping when it comes to innovation! There is little doubt that your substantial investments of time, energy and insights will deliver state of the art clinical laboratories fundamental to our success in transforming the patient experience in the new paradigm of a value (rather than volume) based health care ecosystem.
What may be less visible is the work being done to ensure that our non-laboratory space is equally innovative, designed to do better tomorrow what we may already do well today. One of the consequences of our current geographically dispersed state is the emergence of subspecialty based, geographically hardened subcultures that may serve as barriers to working more effectively with one another. This divides CP from AP, subspecialties within our divisions from one another, AP and CP from Pathology Informatics and administrative support, and our clinical enterprise from an equally dispersed research community.
These important questions have been front and center for our Pathology Relocation Education Signout Training & Office space (PRESTO) work group, a cross-functional team dedicated to designing effective and efficient non-laboratory work space for staff, trainees and faculty that encourages collaboration and supports digital workflows in a future that is sometimes difficult to envision.
Our main focus has been on configuration of offices for faculty, administrative partners, and trainees housed in neighborhoods populated for common functions while embracing diversity of thought and practice. Our PRESTO group has imagined a future in which offices are no longer the places to which we preferentially retreat but rather temporary havens for those solitary tasks requiring focus and from which we emerge to work with others in more open and transparent venues to solve problems.
Finding the right balance between “I” versus “we,” and “owned” versus “shared” spaces is the challenge and something for which no single data set can provide the answers. The PRESTO initiative is a perfect opportunity to road test our assumptions in the spirit of P-D-C-A if only to learn what we couldn’t otherwise know. But how to do that on a meaningful and project-appropriate scale is a daunting and, so far as I know unprecedented challenge.
And that’s where Christine Baker and her project team come in – they excel at making the impossible possible! Working with our interior design expert, Kate Stahl, our Lean coaches Corrie Pennington-Block and Brendon Weil, Mary Pinegar-Koster and her Architecture Engineering and Construction (AEC) colleagues, and many others too numerous to name, Christine and her team are hard at work creating an Innovation Suite to test the design principles developed for faculty offices by our PRESTO group. This novel project is located just off the hallway that connects the old Mott hospital (UH South) with the new Mott Hospital (room number = UH South F2003) and will serve as a temporary home for multiple faculty, trainees and administrative assistants as we explore the value of a new model to design differently for collaboration across all of our missions. Like all prototypes this one is imperfect compared to the future state that we imagine in that it is relatively isolated and distant from critical operations that will be much more conveniently located at NCRC. Nonetheless we are hoping that participants can set aside the artificial challenges inherent in any prototype, just as others have done while experimenting with cardboard mock-ups, to learn more about the link between design and culture in a place passionately committed to the power of teamwork. It is, after all, who we say we are when we embrace as the Michigan Difference the rewards realized from working together to achieve excellence in all that we do.
Our Innovation Suite will be open for business on February 1 when we roll in our first brave group of faculty volunteers (Dan Boyer, May Chan, Sandra Camelo-Piragua, Jon McHugh, Kristine Konopka), dedicated to working in this space for a period of weeks while suspending disbelief regarding the artificial barriers referenced above. We will use a variety of tools to gather information about what we got right but more importantly what we might do better. Additional CP and AP faculty volunteers will be participating in this exciting project, a project fundamental to our success in designing for our future at NCRC. Our Innovation Suite will host an Open House on Friday, January 29th, from 12:30 to 2:30 PM. Stay tuned for details and make plans to see for yourself the ways in which we’re thinking differently about how we might work together at NCRC.
In this new video, Corrie leads an exercise to determine how three different Pathology labs will work better together in a new space.
The Board of Regents approved the design for the U-M Hospitals and Health Centers Clinical Pathology Laboratories Relocation and Renovation project. Approximately 186,000 gross square feet of space will be renovated within North Campus Research Complex Buildings 30, 35, 36 and 60, as well as University Hospital and University Hospital South to enhance the clinical lab functions necessary to meet present and future growth in test volumes, improve operational efficiency, and reduce the expense from having labs in their current locations. Hospitals and Health Centers' resources are funding the $160 million project that is scheduled to be completed in the summer of 2019.
View full news article via The University Record
U-M Health System launches $160M project to improve lab tests for patients in Michigan and beyond! The U-M Board of Regents approved the project in a vote April 16, 2015. Now, UMHS will begin creating an entirely new 139,000-square-foot home for most of its clinical pathology activities, and renovating another 47,000 square feet of existing space. To view the full UMHS press release click here.
Over the past 5 years, the Pathology Department's clinical needs have grown at a rate of 7.8% annually. This, along with the general growth of UMHS, has created a demand for a larger footprint and more efficient space.
It has also created the need to bring together faculty, staff, trainees and laboratories long spread out across different campus zones.
As a result, the PRR project is part of a multi-year renovation and relocation that features two phases.
Innovation drives this project. Once completed, the North Campus Research Complex (NCRC) stage of this multi-year project will allow Pathology to call four contiguous buildings home. When fully functional, new laboratories will transform the patient experience and produce better outcomes. Offices and work spaces will be equally innovative, because they are designed to encourage collaborative discovery and cooperation across disciplines at a time when digital technologies play an increasingly important role in how we provide care.
The Innovative concepts and ideas from Phase one are being brought forward into Phase two, with its own unique challenges and opportunities created by a large renovation effort in occupied and operational lab space.
All told, the NCRC and UH renovation and relocation plans affect about 186,000 gross square feet and will drive positive trends related to growth, expenses, and opportunities for collaboration.
The insights gained from our PRR project will allow our team to share best practices with future health system renovations, relocations and activations.
Learn more by perusing the sections on the left-hand navigation of this page.
ON THE COVER
Autopsy Technician, Quintina Glover, draws blood while working in the Wayne County morgue. | Photography by Kelly Root
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Inside Pathology is an newsletter published by the Chairman's Office to bring news and updates from inside the department's research and to become familiar with those leading it. It is our hope that those who read it will enjoy hearing about those new and familiar, and perhaps help in furthering our research.
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