I N T E G R AT E D M E D I C A L FAC I L I T I E S P L A N N I N G
INTEGRATED MEDICAL FACILITY PLANNING Healthcare providers must contend with numerous, complex challenges, both internal and external to their company. While each client’s challenges are unique, the goal is essentially the same: provide high quality health care in an affordable and cost-effective manner. We assist our clients to achieve this goal by integrating strategic planning with facility master planning - the Integrated Medical Facility Planning (IMFP) process. IMFP identifies the highest and best use of facility capital assets over time in support of the client’s strategy.The focus is on operational efficiency, quality of care, patient and staff experience and flexible use of space. IMFP can be comprehensive or focused depending on the needs of the client. The result of IMFP is not a one-time, static plan that ends up on a shelf, but one that is easily updated as client’s needs and changes occur.
COMMON CHALLENGES Health care providers must contend with numerous, complex internal and external challenges:
Community Culture
Aging Population Chronic Conditions Demand
Socioeconomics
Facility Appearance, Brand Patient & Staff Experience
Aging Facilities
Regulatory Requirements
Deferred Maintenance
HEALTHCARE PROVIDER
Legislative Uncertainty
Sources of Revenue
Limited Staff and Facility Capacity
Insurance/ Coverage Competition
Functional Inefficiencies
Safety & Code Compliance Impact of Technology Changes to the Delivery of Care
COMMON GOALS While each client’s needs and cirumstances differ, all strive to improve the health of the community they serve, focused on three factors:
QUALITY Optimal Service Delivery, Clinical Practice, Health Outcomes, Patient and Staff Experience
ACCESS
Capacity and Resources
COST
Operational Efficiency Affordability / Profitability
OUR APPROACH Integrated Medical Facility Planning To help our clients achieve their Cost, Quality, and Access goals, we facilitate a strategic master planning process and establish an optimized Strategic Master Plan. Our clients then have confidence that projects are the right scope, at the right time, and in the right location. We then re-assess and update the Strategic Master Plan as needs and conditions change.
IMPLEMENT
ASSESS ESTABLISH
MASTER PLANNING
STRATEGIC PLANNING
OPTIMIZED STRATEGIC MASTER PLAN
PROJECT
RENOVATION
PROJECT
ADDITION / EXPANSION
PROJECT
NEW SITE
UPDATE
+
+
STRATEGIC PLANNING
MASTER PLANNING
Business Strategy
Facility Conditions
Operations, technology
Capacity
Utilization, demand
Functionality
Vision, Goals and Needs
Facility and site opportunities and constraints
Program Evaluation Criteria Options
ASSESS
+
OPTIMIZED STRATEGY
+
PROJECT
Department location and growth
Business Case
Re-use, re-purpose, expansion Phased projects over time
Planning, Design, Permit, Construction, Move In
Strategic Facility Master Plan
Implementation
Funding
THE PROCESS Seven steps with rapid scenario testing
1. Establish and document vision, goals and objectives 2. Collect baseline information including strategic drivers, site, land use and building conditions, and identify site and building opportunities and constraints 3. Verify and document operational and program requirements 4. Determine evaluation criteria for options analysis 5. Develop and assess master plan options 6. Refine options and document recommended Strategic Master Plan
Process Attributes: + Data driven, objective + Comprehensive or focused + Clear roles, responsibilities + Facilitated decision making
7. Update as needs and changes occur
THE ELEMENTS WE CONSIDER: PATIENTS/FAMILY
COMMUNITY
OPERATIONS
+ Health
+ Cultural and demographic sensitivity
+ Service Delivery Strategy
+ Site and facility integration
+ Staffing, workflow efficiency
+ Control, choice + Respect, privacy + Care path “journey� + Communication
+ Access
+ Models of Care
+ Departmental relationships + Safety, regulatory
C-SUITE
TECHNOLOGY
BUILDINGS / SITES
+ Mission, Brand
+ Diagnostic and Therapeutic advances
+ Capacity, Functionality, Aesthetic
+ Care Integration: information and communication platform
+ Infrastructure, deferred maintenance
+ Optimal capital strategy + Total cost of ownership, Positive ROI + Speed to Market
+ Device-endabled virtual/remote care
+ Wayfinding
+ Flexibility + Highest and best + Sustainability
THE VALUE
Our collaborative seven step process provides the following benefits:
+ Informs and supports your overall market and business strategy + Identifies the highest and best use of capital assets across your portfolio over time + Ensures that specific projects are the right scope and size and in the right location at the right time + Data-driven, forward thinking and based on realistic and measurable goals, objectives and key success factors + Easily updated when needs and strategy change
STRATEGIC FACILITIES MASTER PLANNING (IFMP) SERVICES Lionakis has the experience and depth to assist our clients at every step.
+ Existing portfolio baseline assessments - Site, land use and building information - Opportunities and constraints + Functionality and Capacity assessments -Work flow, operational relationships - Utilization, capacity + Experience and brand assessments - Wayfinding, patient and staff experience - Aesthetics + Building Code, Life Safety, and Accessibility assessments + Infrastructure and energy use assessments + Functional and Space Programming + Site and Facility Master Planning and scnario analysis + Lean/Six Sigma, Kaizen, 3P prototyping and simulation* + Demand analysis, forecasting* + Financial analysis* *with consultant partners
CASE STUDY:
FROM MASTER PLAN TO IMPLEMENTATION SOUTH SACRAMENTO MEDICAL CAMPUS Kaiser Permanente Sacramento, CA
PROJECT: NEW 78 BED HOSPITAL TOWER EXPANSION AND OUTPATIENT SURGERY CENTER ON AN EXISTING CAMPUS. HIGHLIGHTS: - Realigned campus ring road, established new hospital entry, improved wayfinding and drop-off/pick-up flow. - Strengthened and clarified overall site zoning and staff/patient/service flow. - Preserved future expansion capability. - Strengthened and reinforced the internal circulation spine connecting new addition and hospital lobby to the existing hospital. - introduced internal courtyard to increase natural light and sense of healing environment.
MOB II
MOB 1
CENTRAL PLANT
D.B. MOORE BUILDING
HOSPITAL
CHILLER PLANT
OSC
ASC
HOSPITAL ADDITION
PA STR RKIN UC G TU RE
MOB III
CASE STUDY:
PROMOTING WELLNESS & NATURE MODESTO MEDICAL CAMPUS Kaiser Permanente Modesto, CA
PROJECT: NEW 125 BED HOSPITAL AND SPECIALTY MEDICAL OFFICE BUILDING ON A NEW SITE.ON AN EXISTING CAMPUS. HIGHLIGHTS: - Optimized site development zoning, separation of staff / service and patient flow. - Preserved future expansion capability. - Established prominent hospital rotunda as focal point for both hospital and attached medical office building entrances. - Promoted wellness and healing through access to areas of outdoor respite, exercise and community space. - Incorporated numerous sustainability elements such as drought tolerant landscaping, permeable paved parking, energy-efficient exterior skin.
CASE STUDY:
MASTER PLANNING FOR COMPLIANCE UPGRADES DESERT REGIONAL MEDICAL CENTER Desert Regional Medical Center Palm Springs, CA
DINING
ICU
ICU
POST PARTUM
SURGERY EXPANSION LAB REMODEL
ED EXPANSION NICU
PROJECT: DEVELOP A LONG TERM STRATEGY TO ADDRESS HOSPITAL SEISMIC COMPLIANCE ON AN EXISTING CAMPUS. HIGHLIGHTS: - Identified optimal facility strategy including a new south tower for Emergency, Perinatal units, and a new northeast tower for Intensive Care and Medical Surgical units relocated from non-compliant space. - Reclassified non-seismic compliant inpatient spaces into outpatient use (adaptive reuse). - Established new entry and lobby and improved wayfinding. - Strengthened internal circulation and separation of staff and patient flow. - Preserved future expansion capability. - Incorporated new state of the facilities while respecting the existing Mid-Century Modern buildings.
CASE STUDY:
FAMILY BIRTHING CENTER HOSPITAL ADDITION CONFIDENTIAL HEALTHCARE CLIENT Confidential Client Folsom, CA (N) MHFBC car entry
(E) MHF drop-off & entry
Expand Surgery Dept. support space to comply w/ code compliant support requirements
(N) FBC Entrance Lobby/ Connector
Pub Entr lic FBC y/Wa it’g
Maintain public entry proximity to Registration Expand Pre/Post & PACU to comply w/ code reqt’s
LDR
Ps
Staff/ Support
LDRP Support
Staff/ Support Connection for Future Expansion
LDR
Ps
Attempt to maintain the (E) courtyard and healing garden Reroute fire access road
Future Expansion Option
Reroute delivery traffic
B
Future Expansion Option
B
Optional new non-OSHPD Materials Management
PROJECT: ASSES OPTIONS TO ADD A NEW PERINATAL SERVICE TO AN EXISTING CAMPUS. HIGHLIGHTS: - Identified optimal strategy to add perinatal services to the existing hospital with separate branded entry. - Established clear linkage to existing surgery suite. - Established improved location and flow for support services. - Established strategy for accommodating future bed units/other with clear linkage to the existing hospital.
CASE STUDY:
MASTER PLANNING FOR CAMPUS PRIORITIES QUEEN’S MEDICAL CENTER WEST OAHU Queen’s Medical Center West Oahu Oahu, HI
PROJECT: ESTABLISH A LONG TERM FACILITIES MASTER PLAN TO EXPAND THE HOSPITAL, CONSOLIDATE AND RELOCATE SERVICES TO IMPROVE EFFICIENCY. HIGHLIGHTS: - Re-established the center for the campus and re-focused the experience of the hospital to cater to a “patient-centric” environment. - Identified “Welcome Zones” and “Ohana Areas” for public outreach and Education. - Strengthened overall presence and Neighborhood integration, established a new “front door” to improve wayfinding for the campus and interior facility navigation. - Streamlined and separated Ambulance access, Staff Entry, Visitor Entry/Access. - New Drop-off/Pickup Sequence.
CASE STUDY:
DEVELOPING A REALISTIC PLAN REDLANDS COMMUNITY HOSPITAL Redlands Community Hospital Redlands, CA
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OBSCURED
CONC
ASPH
HOSPITAL ADDITION
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OBSCURED 14
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L C/
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ADDITION
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142
1985 TOWER
STOP
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1958 1965 ORIGINAL ADMITTING HOSPITAL MAIN
STOP
2007 WOMEN'S & SURGERY
STOP
ASPH
POOL
STOP
STOP
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142
1985 HOSPITAL EXTENSION 20 14
0 142
14 25
CENTRAL PLANT
A
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ASPH
1965 TOWER CIRCULATION
1965 TOWER
LL WA
1971 RADIOLOGY LAB
V
OBSCURED
1965 SURGERY
PARKING GARAGE
1425
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1420
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TANK
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0
1395
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CONC
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SCHEME A REDLANDS COMMUNITY HOSPITAL LONG RANGE PLAN
APRIL 03, 2014
143
140
1395
1390
FERN
CONC
PROJECT: DEVELOP A LONG TERM STRATEGY TO ADDRESS HOSPITAL SEISMIC COMPLIANCE ON AN EXISTING CAMPUS. HIGHLIGHTS: - Identified optimal long term facility strategy to include a new patient bed tower. - Reclassified non-seismic compliant inpatient spaces into outpatient use (adaptive reuse). - Strengthened internal circulation and separation of staff and patient flow. - Preserved future expansion capability.
CASE STUDY:
A NEW DIRECTION COMMUNITY HOSPITAL Confidential Client Red Bluff, CA
PROJECT: DEVELOP A STRATEGY TO ADDRESS LONG TERM CAPACITY REQUIREMENTS ON AN EXISTING CAMPUS.
HIGHLIGHTS: - Assessed future needs for all main departments and redirected the client’s initial priority to expand ICU to identifying options to expand the Emergency department and add a new Infusion Suite. - Strengthened overall site zoning, established new “front door” to hospital, improving intuitive wayfinding and drop-off/pick-up sequence. - Separated ambulance traffic from patient traffic. - Established clear linkages to Surgery, Imaging and ICU from the ED expansion. - Introduced a new Public, Welcome zone. - Preserved future expansion capability.
ARCHITECTURE ENGINEERING PLANNING INTERIORS GRAPHICS SUSTAINABILITY ACCESS COMPLIANCE