PALOMAR MEDICAL CENTER–A hospital of the future–San Diego, CA


>>I WENT TO SEE PALOMAR MEDICAL CENTER, WHICH BILLS ITSELF AS THE HOSPITAL OF THE FUTURE. WHEN I GOT THERE, IT WAS WEIRD. IT DID NOT FEEL LIKE A HOSPITAL. PARTLY BECAUSE THEY BUILT IT ENTIRELY, FROM THE GROUND UP. IT INCORPORATES ALL OF THE NEW THINKING AND TECHNOLOGIES TO ADDRESS INEFFICIENCIES AND HEALTHCARE.>>WHAT ABOUT THE ESTABLISHED HOSPITALS OUT THERE NOT STARTING FROM SCRATCH? WHAT CAN THEY TAKE AND LEARN FROM PALOMAR?>>IT THINKS OF ITSELF AS A LABORATORY FOR HEALTHCARE TECHNOLOGY. MANY OF THE INNOVATIONS THEY ARE PIONEERING RIGHT NOW MIGHT YOU ROLLED OUT TO OLDER ESTABLISHED HOSPITALS IN THE FUTURE. WE ARE HEADED TO THIS NEW HOSPITAL. BRAND-NEW. THEY BASICALLY STARTED WITH A CLEAN SHEET ON HOW TO DESIGN A HOSPITAL, AND THE EQUIPMENT THEY HAVE IN IT. TO CREATE SOMETHING MORE EFFICIENT AND ABLE TO HANDLE A LOT OF THE STRESSES OF THE HEALTH OR SYSTEM IS GOING THROUGH.>>HOW YOU BUILD TODAY THAT ALLOWS YOU TO GO AND THAT FUTURE? WHATEVER WE WERE GOING TO BUILD NEEDED TO BE VERY PATIENT CENTRIC, FLEXIBLE. THE CHALLENGE FOR US IS, HOW DO WE TAKE TWO STEPS FOR EVERY 10 THAT WE TAKE TODAY? TECHNOLOGY CAN HELP US GET THERE.>>I IMAGINE AND A LOT OF HOSPITALS AND INSTITUTIONS IN GENERAL, THERE IS A RESISTANCE TO INNOVATION.>>THIS IS A LIVING LAB IN ITS OWN WAY. IF YOU HAVE AN IDEA AND WANT TO TEST IT OUT, WE ARE WILLING TO TAKE A LOOK AT THAT AND HELP MAKE YOU BETTER IN THAT PROCESS.>>HI, I AM SAM.>>WELCOME TO SAN DIEGO.>>I HAVE SPENT SOME TIME IN HOSPITALS. THEY DON’T USUALLY LOOK LIKE THIS RID>>THAT IS OUR OBJECTIVE.>>SEEMS MORE LIKE A HOTEL. DEFINITELY NOT MEDICAL. YOU’LL GET THAT FEEL AS YOU EXPLORE THE BUILDING.>>THIS IS THE RESULT OF A HEALTHCARE BOND ASKED IN CALIFORNIA, THE LARGEST ONE IN CALIFORNIA HISTORY.>>HOMAGE TO THIS WHOLE OPERATION COST?>>ABOUT $1 BILLION.>>EXCELLENT.>>THE FIRST THING YOU DO WHEN YOU COME IN AND GET REGISTERED.>>WHICH USUALLY MEANS A CLIPBOARD AND ABOUT 38 PAGES OF PAPER.>>WE DON’T DO THAT HERE.>>PLEASE COME CLOSER TO THE CAMERA. WE HAVE FINISHED TAKING PICTURES OF YOUR EYE.>>THAT IS IT.>>CAN MOVE MY HEAD NOW?>>YES YOU CAN. YOU ARE NOW REGISTERED. IN A HOSPITAL WHEN TESTS ARE ORDERED FOR YOU, WE CAN IDENTIFY ALL OF THAT INFORMATION AND ASSOCIATE IT WITH YOU TO MAKE SURE THAT ALL OF THE RECORDS ARE STORED IN ONE PLACE.>>IS LIKE MONITORING VITAL SIGNS — ONE I THINK OF THE TIMES I HAVE BEEN IN THE HOSPITAL, IT IS EXCEEDINGLY ANNOYING.>>WE HAVE JIM WITH US TODAY FROM A WIRELESS COMPANY. THIS IS THE OLD WAY OF DOING SPOTCHECK MONITOR. WE ARE THE FIRST HOSPITAL IN THE WORLD TO IMPLEMENT THIS NEXT GENERATION PHYSIOLOGICAL MONITORING PLATFORM.>>THE DEVICE ITSELF IS A WRIST- WORN DEVICE. VERY LIGHTWEIGHT. ALL OF THE VITAL SIGNS DATA FLOWS WIRELESSLY FROM THE PATIENT TO OUR SYSTEM AND INTO THE ELECTRONIC MEDICAL RECORD. THAT FREES NURSES UP TO DO IT SHOULD BE DOING, CARING FOR PATIENTS, RATHER THAN KEEPING RECORDS.>>I AM HERE WITH MELISSA.>>HI.>>WHAT CAN YOU TELL ME YOU ARE DOING HERE?>>I AM LOOKING UP ELECTRODES TO YOU SO WE CAN START GETTING YOUR HEART RATE, YOUR SKIN TEMPERATURE.>>THIS WAY? I NEVER KNOW.>>YOU ARE AT A 106 HEART RATE RIGHT NOW. IF I WANTED TO, I COULD TOUCH THAT HEART RATE THERE AND SEE THE RHYTHM. YOUR OXYGEN IS 96 RIGHT NOW.>>ALL OF THIS DISPLAYED ON THIS DEVICE AND IS GOING SOMEWHERE ELSE, RIGHT?>>WE INVENTED OUR OWN APPLICATIONS.>>$.99?>>HOPEFULLY A LITTLE MORE THAN THAT. PHYSICIANS CAN SEE ALL THE WAVEFORM INFORMATION COMING FROM THE MONITOR.>>THEY CAN BE PROVIDING CARE AND ASSISTANCE ON THE GO, WHAT ARE THEY ARE IN THE BUILDING OR NOT THAT IS MORE EFFICIENT, LOWER COST.>>IS ALL ABOUT ANYTIME, ANYWHERE ACCESS. SEQUOIA WILL BE SELLING THAT TO OTHER HOSPITALS.>>VERY, VERY COOL. WHERE ARE YOU?>>I AM USING THIS DECOY ROBOT. WE HAVE SEVERAL VIEWS AROUND THE HOSPITAL.>>THE BENEFIT HERE IS THAT NOT ONLY CAN YOU HAVE VIRTUAL PRESENCE, BUT YOU CAN MOVE AROUND. CAN WE TAKE A LITTLE WALK?>>LET’S DO THAT.>>I’M ASSUMING DOCTORS AND NURSES ARE ABLE TO GO VISIT PATIENTS.>>WE ENCOURAGE FAMILY MEMBERS NOT IN SAN DIEGO, FROM AROUND THE WORLD, THEY CAN CONTROL THESE ROBOTS AND VISIT WITH PATIENTS. WE HAVE FOUND THAT THEY LOVE IT.>>YOU ARE SITTING AT A LAPTOP?>>YES. JUST SITTING AT A LAPTOP AND USING THE SOFTWARE THAT WE MAKE AVAILABLE, AND THAT IS IT. IT IS VERY EASY TO USE. A GREAT TOOL.>>MUCH CHEAPER THAN AIRFARE.>>EXACTLY.>>I SEE THAT WE ARE IN WHAT APPEARS TO BE A STANDARD ISSUE HOSPITAL ROOM. I CANNOT HELP BUT NOTICE WHATEVER THIS IS. DO NOT TOUCH OR LEAN ON — I HAVE ALREADY NOW DONE THAT. I AM SORRY.>>THIS IS A ROBOTIC ROOM DISINFECTION MACHINE.>>THAT IS THE SCARIEST THING I’VE HEARD IN WEEKS.>>IT USES VERY HIGH INTENSITY LIGHT. IF WE TURNED THIS ON WHILE WE ARE IN HERE, YOU WOULD GET A BAD SUNBURN. WHAT THIS LIGHT DOES IS ATTACK THE DNA OF THE PATHOGENS AND PREVENTS THE PATHOGENS FROM REPLICATING. IN 5-10 MINUTES, THIS DEVICE IS GOING TO STERILIZE ALL THE SERVICES IN THE ROOM.>>HOWARD HUGHES WOULD HAVE LOVED ONE OF THESE. >>IS THIS NEW TO HOSPITALS?>>WE WERE THE FIRST ON THE WEST COAST. THIS IS AN ADDED — TO GO WAY BEYOND WHAT OTHER HOSPITALS ARE DOING.>>HAVE YOU NOTICED ANY CHANGE IN TERMS OF PEOPLE GETTING INFECTED?>>OUR OWN RESEARCH SHOWS A DRAMATIC INCREASE. THIS IS A SUPERBUG KILLER. IT REALLY DOES WORK AS ADVERTISED.>>WE DON’T KNOW WHAT THE NEXT 10 YEARS WILL PRODUCE. BASED ON THE INFRASTRUCTURE WE HAVE CREATED HERE, IT ALLOWS US TO RESPOND TO ANY OF THOSE NEEDS, 10-15 YEARS FROM NOW. WHEREVER YOU GO IN THIS BUILDING, YOU HAVE A SENSE OF WHAT THE FUTURE COULD BE, NOT JUST WHAT TODAY IS.

4 thoughts on “PALOMAR MEDICAL CENTER–A hospital of the future–San Diego, CA

  1. While nice, I can't imagine this hospital being catered towards underserved populations and more urban/dense population/low SES areas.

    Plus… I can't *possibly* guess what might go wrong with the xenon laser.

  2. implementing the action of inefficiencies blitzkrieg in the healthcare industry with patient centred innovations ;D

  3. I've been here for over a month now after a major accident in the heart rate monitor has not been used on me once they still come in every four hours and use the old fashion type that they've talked about was an efficient it's inconvenient for me and I had no idea there was a better way if they're going to brag about it they should use it ! Also I have not seen one of those robots those robots with the camera and the video on them at all. Also the way they sanitize my room is with a mop and a rag no super bug killer special organism killing robot.

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