1 unit EDAC continuing education
1 unit AIA continuing education
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This webinar is free to our Affiliate+ members.
Patient-level medical records data has been a largely untapped resource in healthcare design research, despite its potential to help our field generate stronger evidence of the impact of design on patient outcomes. This webinar will highlight how patient data can be used in research, discuss the process of requesting and acquiring patient data, and explain how to conduct analyses to test design hypotheses.
Patient outcomes, such as length of stay and occurrence of adverse events, are of upmost importance in healthcare settings. Most hospital design studies have focused on nursing staff, and those that have investigated impact on patients have tended to use aggregated HCAHPS scores that do not get to the most important aspects of care at an individual patient or encounter level. Hospital medical records can bridge that gap and provide a rich data source for evaluation of actual patient outcomes.
Presenters will discuss how to engage healthcare organizations in design research using patient data, while complying with the HIPAA Privacy Rule. Topics include definitions of key terms, data use agreements, coordinating a data request and defining the parameters of a limited data set. Assessment of risk and IRB review will also be covered. Research coordination and logistical issues from a recent hospital study will be used to illustrate the process of working with clients in a real-world setting. Then, using length of stay (LOS) as an outcome of interest, presenters will walk through the steps of an analysis comparing patient data before and after a design intervention.
By applying an appropriate statistical model and controlling for patient characteristics and condition, such as demographics, socioeconomic status, acuity, and comorbidities, any remaining difference in LOS can be at least partially attributed to the difference in care environments. Presenters will explain how sample sizes are determined to detect a significant effect, the steps taken to designate independent variables to include for the best model fit, and the assumptions needed to form a valid statistical analysis. Data from a recent hospital study will be used to demonstrate the analysis and subsequent findings.
Susan Puumala, PhD, Senior Researcher, HDR
Dr. Susan Puumala is an epidemiologist and senior researcher at HDR. Susan has a doctoral degree in epidemiology from the University of Minnesota and a master’s degree in statistics from Iowa State University. Prior to joining HDR, Susan designed and conducted biomedical and public health research studies for over 15 years and has been a co-author on over 70 scientific publications and has received funding from foundations and the NIH. Dr. Puumala has expertise in design of experimental and observational studies, analysis of complex data, and assessing and accounting for possible biases. She is currently working on HDR-led studies in healthcare.
Francesqca Jimenez, MS, Researcher, HDR
As Researcher at HDR, Francesqca Jimenez investigates the ways in which the built environment impacts human health, performance, and well-being. Francesqca has a Master of Science in Applied Research in Human-Environment Relations from Cornell University’s Department of Design and Environmental Analysis with a minor in Organizational Behavior, and a Bachelor of Arts in Psychology, English and Women’s Studies from the University of California-Los Angeles. Prior to joining HDR, Francesqca contributed to a multi-state evaluation of school gardens’ influence on students’ physical activity and nutritional knowledge. She also co-authored the chapter entitled “Children and Nature” for the Oxford Textbook of Nature and Public Health. Francesqca’s primary research interests are in environmental psychology, and in linking environments to health. She is currently working on HDR-led studies in healthcare and higher education.
Renae Rich, MS, EDAC, Research Analyst, HDR
A research analyst at HDR, Renae Rich strives to connect the work we do with the strategic outcomes our clients care about. Renae plays an integral role in HDR’s research initiatives, including hypothesis development, research design, coordination with project teams and clients, as well as analyzing and interpreting data. Being naturally curious, Renae enjoys that research is about defining clear questions and systematically searching for answers. With a background in advertising and marketing and a Master of Science in statistics, Renae combines her analytic mindset with her creative side to explore complex problems by diving into data. She enjoys working on diverse projects and is compelled by the opportunity to affect people’s lives by influencing change in the buildings and environments where they work, live and spend time.
Jeri Brittin, PhD, Allied ASID, EDAC, Director of Research, HDR
Dr. Jeri Brittin is a public health research scientist with a design and business background encompassing senior-level strategic and client service roles. Her strategic orientation informs her work in the realm of outcomes-oriented design. Jeri believes that design, as it defines and shapes our places and spaces, can and should be leveraged to achieve outcomes that matter to people, organizations, communities, and populations. Jeri has led HDR’s research team and programs since 2016. Her research portfolio addresses human and health outcomes related to healthcare, workplace, learning, and community environments. Dr. Brittin’s expertise includes quantitative and mixed methods designs and analyses, as well as approaches from systems and decision science. An engaging speaker, she is compelled to bring science and design together, believing that each has much to offer the other.
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