THESIS AL R U R
10%
URB AN
15%
Location Statistics
The future growth of urgent care centers will most likely occur in the urban environment. However, high real estate costs create a barrier of entry for urgent care centers. The following explores ways to reduce that cost: 1. Use technology to eliminate under used program
75 % SU B URB A N
2. Create a flexible design that is able to take advantage of underutilized and undesirable space
NEED FOR URBAN URGENT CARE HOSPITAL LONG WAIT TIME
Emergency Room Wait Time Based on Acuity Immediate (2% of visits) Emergent (10% of visits) Urgent (41% of visits)
83%
Semi-urgent (35% of visits) Non-urgent (7% of visits)
UR
No Triage (4% of visits) 0
10
20
30
40
MINUTES
50
60
70
GENT CARE
NEED FOR URBAN URGENT CARE LOWER COST
EMERGENCY ROOM $345 $595 $400 $525 $370 $617 $531 $486 $665
Allergies Bronchitis (Acute) Earache Sore Throat Pink Eye Sinusitis Strep Throat Upper Respiratory Infections Urinary Tract Infections
URGENT CARE $97 $127 $110 $94 $102 $112 $111 $111 $110
$504
Average Cost
$108
SOURCE: http://www.wisebread.com/cost-comparison-emergency-rooms-vs-urgent-care
NEED FOR URBAN URGENT CARE LOWER COST
Global Payment “One reason is that hospitals and large medical practices are entering “global payment’’ agreements, under which insurers pay them a flat amount of money for caring for a group of patients. As a result, providers are more motivated to care for patients at the least expensive location.”
SOURCE: Boston Globe, “Urgent care centers in Mass. fill a gap.” http://www.bostonglobe.com/lifestyle/health-wellness/2014/02/17/urgent-carecenters-expanding-mass-after-insurers-lift-restrictions/3iBZSOA4lKpdZ5uTto66pN/story.html
BUSINESS MODEL OVERVIEW
ZIPCARE is an urban urgent care center that seeks to provide convenient and affordable care through the use of : + Technology allows the ability to provide a transparent communication between doctor and patients. When your room is ready, simply unlock the door using your smart phone device or key-card, and proceed directly into the exam room.
+ Space saving strategies provide efficient floor plan that requires a smaller footprint perfect for the urban environment, thereby reducing the cost and passing those savings on to patients.
SPACE SAVING STRATEGY GUIDELINES AND CHECKLISTS
Outpatient Facilities Checklists | OP2 Primary Care Outpatient Centers Outpatient Facilities Checklists | OP3 Small Primary Care Outpatient Clinics Outpatient Facilities Checklists | OP18 Limited Services Clinic
SPACE SAVING STRATEGY GUIDELINES AND CHECKLISTS
1
Examination Rooms
8
Lobby and Reception
2
Observation Facilities
9
Waiting Area
3
Procedure Room
10
Interview Space
4
Support Areas for Patient
11
5
Nurse Control and Workstation
12
Multipurpose Room
6
Imaging Services
13
Storage / Janitor’s Closet
7
Laboratory Services
14
Staff Support Areas
SPACE SAVING STRATEGY ELIMINATE UNDERUSED SPACE
6
1
1
3
14
8
9 25’
11
11
12
7
5
13
4
1
Examination Rooms
2
Observation Facilities
3
Procedure Room
4
Restroom
5
Nurse Control and Workstation
6
Imaging Services
7
Laboratory Services
8
Lobby and Reception
9
Waiting Area
10
Interview Space
11 71’
12
Multipurpose Room
13
Storage / Janitor’s Closet
14
Staff Support Areas
SPACE SAVING STRATEGY ELIMINATE UNDERUSED SPACE
What if... Technology replaced the need for the waiting room?
SPACE SAVING STRATEGY ELIMINATE UNDERUSED SPACE
6
1
1
3
14
8
9 25’
11
11
12
7
5
13
4
1
Examination Rooms
2
Observation Facilities
3
Procedure Room
4
Restroom
5
Nurse Control and Workstation
6
Imaging Services
7
Laboratory Services
8
Lobby and Reception
9
Waiting Area
10
Interview Space
11 71’
12
Multipurpose Room
13
Storage / Janitor’s Closet
14
Staff Support Areas
SPACE SAVING STRATEGY ELIMINATE UNDERUSED SPACE
6
1
1
3
14
8 25’
11
11
12
7
5
13
4
1
Examination Rooms
2
Observation Facilities
3
Procedure Room
4
Restroom
5
Nurse Control and Workstation
6
Imaging Services
7
Laboratory Services
8
Lobby and Reception
9
Waiting Area
10
Interview Space
11 65’
12
Multipurpose Room
13
Storage / Janitor’s Closet
14
Staff Support Areas
SPACE SAVING STRATEGY ELIMINATE UNDERUSED SPACE
What if... Open workstations replaced the doctor’s office?
SPACE SAVING STRATEGY ELIMINATE UNDERUSED SPACE
6
1
1
3
14
8 25’
11
11
12
7
5
13
4
1
Examination Rooms
2
Observation Facilities
3
Procedure Room
4
Restroom
5
Nurse Control and Workstation
6
Imaging Services
7
Laboratory Services
8
Lobby and Reception
9
Waiting Area
10
Interview Space
11 65’
12
Multipurpose Room
13
Storage / Janitor’s Closet
14
Staff Support Areas
SPACE SAVING STRATEGY ELIMINATE UNDERUSED SPACE
1
1
3
14
8 25’
6
12
7
5
13
4
1
Examination Rooms
2
Observation Facilities
3
Procedure Room
4
Restroom
5
Nurse Control and Workstation
6
Imaging Services
7
Laboratory Services
8
Lobby and Reception
9
Waiting Area
10
Interview Space
11 55’
12
Multipurpose Room
13
Storage / Janitor’s Closet
14
Staff Support Areas
USER TOUCH-POINTS TYPICAL URGENT CARE CENTER
ENTRANCE
RECEPTION
WAIT
ROOM
MEDICAL STAFF
WAIT
ANALYSIS
CHECK OUT
EXIT
USER TOUCH-POINTS PROPOSED URGENT CARE CENTER
ROOM
ANALYSIS
CHECK OUT
EXIT
TECHNOLOGY ZIP CAR MODEL
Join
Reserve
Unlock
Drive
TECHNOLOGY ZIPCARE MODEL
Join
Reserve
Unlock
Doctor
MOBILE APPLICATION MAIN MENU
MOBILE APPLICATION RESERVE ROOM
MOBILE APPLICATION VIEW LOCATIONS AND DIRECTIONS
MOBILE APPLICATION UPDATE BASIC HEALTH RECORD
MOBILE APPLICATION PAYMENT
MOBILE APPLICATION ALERT SYSTEM
MOBILE APPLICATION ALERT SYSTEM
Existing Urgent Care Existing Primary Care
Existing Urgent Care Existing Primary Care
SITE LOCATIONS
UNDERUTILIZED
UNDESIRABLE
Surface Parking Lots
Retail / Commercial Space
1. Public Transportation 2. Reduce Parking Demand 3. Activate Space
1. Thin / Narrow 2. Irregular Shape 3. Multi-Level
SITE LOCATION PARKING HEAT MAP
SITE LOCATION VISIBILITY
SO
ME
RV
ILL
EA VE
MC
GR
AT H
HW
Y
D ST MEDFOR
UNDERUTILIZED - SURFACE PARKING LOTS PARKING SPACE CONSTRAINTS
18’ 9’
UNDERUTILIZED - SURFACE PARKING LOTS PARKING SPACE CONSTRAINTS
10’
18’ 9’
STAND-ALONE MODEL
1 Spacer
2 Bathroom
3 Exam Room
4 Nurse Station / Mech.
5 X-ray / Lab (optional)
STAND-ALONE MODEL
STAND-ALONE MODEL
STAND-ALONE MODEL
STAND-ALONE MODEL
UNDERUTILIZED - SURFACE PARKING LOTS PARKING SPACE CONSTRAINTS
36’ 27’
UNDERUTILIZED - SURFACE PARKING LOTS PARKING SPACE CONSTRAINTS
36’ 27’
UNDERUTILIZED - SURFACE PARKING LOTS PARKING SPACE CONSTRAINTS
STAND-ALONE MODEL
STAND-ALONE MODEL
STAND-ALONE MODEL
SITE LOCATIONS
UNDERUTILIZED
UNDESIRABLE
Surface Parking Lots
Retail / Commercial Space
1. Public Transportation 2. Reduce Parking Demand 3. Activate Space
1. Thin / Narrow 2. Irregular Shape 3. Multi-Level
SITE LOCATIONS Bathroom
Exam Room
X 2
X 1
X 1
X 2
X 2
X 1
X 3
X 2
X 2
X 1
X 1
X 4
X 2
X 1
X 1
X 2
X-ray
Lab X 2
UNDESIRABLE - RETAIL / COMMERCIAL SPACE THIN / NARROW
UNDESIRABLE - RETAIL / COMMERCIAL SPACE THIN / NARROW
UNDESIRABLE - RETAIL / COMMERCIAL SPACE MULTI-LEVEL
UNDESIRABLE - RETAIL / COMMERCIAL SPACE MULTI-LEVEL
UNDESIRABLE - RETAIL / COMMERCIAL SPACE IRREGULAR SHAPE
UNDESIRABLE - RETAIL / COMMERCIAL SPACE IRREGULAR SHAPE
PLUG-IN Thin / Narrow
SITE LOCATIONS STAND-ALONE Single Parking Space
PLUG-IN Irregular Shape
STAND-ALONE Double Parking Space
PLUG-IN Multi-Level