Upload
others
View
0
Download
0
Embed Size (px)
Citation preview
8/4/16
1
#HFSE
DevelopmentofanIntegratedPlatform:VisiontoStartofConstructionSeptember20,20161:00PM– 2:15PM
#HFSE
SPEAKERSJohnBalzer,VicePresident,FacilityPlanning&Development,FroedtertHealth
JeffGruhnGeneralManager–HealthcareMortensonConstruction
KevinMatuszewski,SeniorVicePresident,ProjectDirectorCannonDesign
ToddAccardi,VicePresident,SeniorMedicalPlannerCannonDesign
8/4/16
2
#HFSE
LEARNINGOBJECTIVES1. Understandhowahealthcaresystemcancreateanintegrated
platformusingtheFroedtert&theMedicalCollegeofWisconsinIntegratedSurgicalandInterventionalPlatformprojectasacasestudy
2. Outlinetheplanningandpredesignprocesstodeterminehowanintegratedplatformcanberealized
3. Discussorganizationalstructuretodeveloptheplatform,gainconsensus,andmaketimelydecisions
4. Exploreintegrationofprojectpartnerstomanagephasingandcostcontrol
8/4/16
3
#HFSE
Mission
Froedtert&theMedicalCollegeofWisconsinadvancethehealthofthecommunitiesweservethroughexceptionalcareenhancedbyinnovationanddiscovery.
Vision
Froedtert&theMedicalCollegeofWisconsinwillbetheregion’spremierhealthsystembydemonstratingsuperiorvaluethroughanacademic-communitypartnershipandaligninghealthcaredeliveryacrosstheregion.
SharedMissionandVision
5
Froedtert&MCWStrategicPlan
HealthCareDeliverySystem:AcuteCareHospitals
CommunityMemorialHospital
ACADEMIC COMMUNITYHOSPITALDIVISION
St.Joseph’sHospitalFroedtertHospital
6
StaffedbyMedicalCollegePhysicians
LicensedBeds 655StaffedBeds 536
FY2016NetPatientRevenue* $1.411B
FY2016InpatientDischarges* 27,230FY2016OutpatientVisits* 789,197
TotalMedica lStaff 858Board-Certif ied 774
LicensedBeds 235StaffedBeds 202
FY2016NetPatientRevenue* $191M
FY2016InpatientDischarges* 8,615FY2016OutpatientVisits* 89,551
TotalMedica lStaff 148Board-Certif ied 140
LicensedBeds 106StaffedBeds 78
FY2016NetPatientRevenue* $139M
FY2016InpatientDischarges* 3,804FY2016OutpatientVisits* 87,214
TotalMedica lStaff 81Board-Certif ied 76
Sources :FMLH,CMH, SJHConsolidated FinancialStatements*FY2016totals reflectFY2016Juneunaudited totals
ProfileofHealthNetwork
8/4/16
4
ProfileofHealthNetwork
Froedtert&MCW Community Physicians
HealthCenters andClinics 27
Physicians 350+
FY2016Office Visits* 776,089
FY2016NetPatientRevenue* $205M
HealthCareDeliverySystem:Froedtert&MCWCommunityPhysicians
7
Froedtert&MCWCommunity Physicians HealthCenters1.CentralWaukeshaHealthClinic 15.NorthH ills HealthCenter2.FastCare- SussexMeijer 16.Orthopedic,Sports andSpineCenter3.GermantownHealthCenter 17.SargeantHealthCenter4.GreendaleHealthCenter 18.St.Joseph's HealthCenter5.GreenfieldH ighlandsHealthCenter 19.SpineCareClinic–Oconomowoc6.HartfordHealthCenter 20.SpringdaleHealthCenter7.HeartandVascularCenteratCMH 21.SunnyslopeHealthCenter8.JacksonHealthCenter 22.SussexHealthCenter9.JacksonRehabilitationandSports MedicineCenter 23.TosaHealthCenter(PlankRoadClinic)10.KewaskumHealthCenter 24.TownHallHealthCenter11.OB/GYNLifeTimeOB/GYN- Brookfield 25.WestBendHealthCenter12.OB/GYNLifeTimeOB/GYN-Milwaukee 26.WestBendRehabilitationandSports MedicineCenter13.LincolnAvenueHealthCenter 27.WestbrookHealthCenter14.MoorlandReserveHealthCenter
CPlocations showninboldtexthavebeenrecognizedasLevel3(highest)Patient-CenteredMedicalHomes ,basedonNationalCommitteeforQualityAssurance2014s tandards
Moorland ReserveHealthCenterNorth H ills HealthCenter GreenfieldH ighlands HealthCenter TownHallHealthCenter
Sources :CPConsolidatedFinancialStatement*FY2016totals reflectFY2016Juneunaudited totals
ProfileofHealthNetworkHealthCareDeliverySystem:Alternative Sites
8
MEIJER FASTCARECLINICSThe Froedtert&MCWhealthnetworkisMeijer’s exclusive healthsystempartnerforin-storemedicalclinicsinselectedMeijer storeslocatedin11Wisconsincounties.Oneclinic(Sussex) openedonJune7,2016,whileasecondclinic(Waukesha) openedonAugust2,2016.Twoadditionalclinicsarescheduledtoopenin2017.Theclinicswillprovideeasyaccesstoaffordablecareformanyminorhealthproblemssuchascoldandf lusymptoms,sorethroats,andear,sinusandbladderinfections.TheclinicswillbestaffedbyFroedtert&MCW nursepractitionersandphysicianassistants.
WORKFORCEHEALTH EMPLOYER CLINICS
WithplanstoopensixormoreclinicsinFY2017andbegintoincorporatevirtualvisitcapabilityintoemployerofferings,Froedtert&MCW currentlyoperatesatotalof thirteenworkplacecliniclocationsthroughoutsoutheastWisconsin
• 4 internalworkplaceclinics
• 5 workplaceclinics
• 1 wellnesscenter
• 1 occupationalmedicineclinic
• 2 Meijer FastCare Clinicsites
8/4/16
5
ProfileofHealthNetwork
• Anesthesiology
• Emergency Medicine
• Radiology
• RadiationOncology
• Pathology
HealthCareDeliverySystem:MedicalCollegePhysicians
MedicalCollege Physicians
Clinical, Medical,andProcedural Departments 19
Providers (ClinicalMCPphys icians andAPPs only) 1,171
FY2016Office Visits (MCWproviders ) 864,431
FY2016NetPatientRevenue* $370M
• Medicine- Cardiology- Endocrinology- Gastrointestinal- Geriatrics- Hematology/Oncology- Infectious Disease- Internal Medicine- Nephrology- Pulmonary- Rheumatology
• Dermatology
• Family andCommunityMedicine
• ObstetricsandGynecology
• PhysicalMedicine andRehabilitation
• PsychiatryandBehavioralMedicine
• Neurology
• Neurosurgery
• Ophthalmology
• OrthopaedicSurgery
• OtolaryngologyandCommunicationSciences
• PlasticSurgery
• Urology
• Surgery- Cardiothoracic- Colorectal- General- Oncology- Transplant- Trauma- Vascular
MedicalDepartments Clinical Departments ProceduralDepartments
• MedicalCollegePhysicians(MCP)istheadultpatientcarecomponentoftheMedicalCollegeofWisconsin’sclinicalpracticegroup
• MCPisthelargestmultispecialtygrouppracticeinWisconsinandprovidescaretoadultsinallmedicalspecialtiesandsubspecialties
• TheprimaryclinicalaffiliationofMCPiswithFroedtertHealth,andtheyprovidecareattheAMC,communityhospitals,andmultipleoff-campusspecialtyclinics. TheyalsoprovidecareatClementJ. ZablockiVAMedicalCenterandotherareahospitalsandclinicsthroughcontractualrelationships
• CareprovidedbyMCPprovidersatFroedtertHealthhospitalsandcentersismarketedunderthejoint“Froedtert&theMedicalCollegeofWisconsin”brand
Cancer Heart&Vascular
MusculoskeletalNeurosciences
Spine
SolidOrganTransplant
FroedtertHealthandMCPServiceLineDyadStructure
9Sources :MCWIncomeStatement, MCWAmbulatory Stats Report*FY2016totalreflects FY2016Juneunaudited total
ProfileofHealthNetworkHealthCareDeliverySystem:MedicalCollegeofWisconsinAffiliation
10
FroedtertHospital is theprimaryadult teachingaffiliateoftheMedicalCollegeofWisconsin(MCW)
• Amajority of FroedtertHospital’s medical staff iscomprised of MCPproviders(867providers)
• 716uniqueresidentsandfellows rotateatFroedtert Hospital• 845medical studentsare enrolled atMCW
Aclose,workingaffiliation betweenthe twoorganizations exists,which includeseconomicandstrategicalignment
• Froedtert HospitalandMCW jointlyoperate andownanetworkof clinical sitesforprimary care andoutpatientclinical initiatives
AnesthesiologyCardiologyDermatologyDiagnosticRadiologyEmergency MedicineEndocrinologyGastroenterologyGeneral SurgeryGeriatric PsychiatryGeriatricsHematology/OncologyInfectiousDiseaseInternalMedicineMedicine-GeriatricsMedicine-PediatricsNephrologyNeurologyNeurosurgery
Obstetrics/GynecologyOphthalmologyOral/Maxillo SurgeryOrthopedicSurgeryOtolaryngologyPalliative CarePathologyPhysicalMedicine/RehabPlasticSurgeryPsychiatryPulmonary/CriticalCareMedicineRadiationOncologyRheumatologySleepMedicineSurgical CriticalCareThoracicSurgery – IntegratedUrologyVascularSurgery
MedicalCollegeofWisconsinresidencyandfellowship
programsforwhichFroedtertHospitalisused
8/4/16
6
ProfileofHealthNetworkHealthCareDeliverySystem:RecoveryandRehabilitationCare
The KathyHospiceislocatedontheSt.Joseph’sHospitalcampusandopenedonFebruary6,2006.Transitionof fullownershiptoHorizonHomeCareandHospiceisscheduledforAugust,2016.
11
Rehabilitation Care Locations
Community Memorial Hospital
Froedtert Memorial Lutheran Hospital
Skin CancerCenter Clinic
Hope Clinic
Rehabilitation Services Acute
Center forAdvancedCare
Center forAdvancedCare: WoundHealing
Neurorehabilitation
OrthopaedicRehabilitation, SpecialtyClinics
Hand/UpperExtremity Center, SpecialtyClinics
Central WaukeshaHealthClinic
Hartford Health Center
JacksonRehabilitationandSports Medicine Center
KewaskumHealthCenter
Moorland ReserveHealth Center
NorthHills Health Center
OrthopaedicRehabilitation Clinic
Orthopaedic,Sports and SpineCenter
Sports MedicineCenter
St.Joseph's HealthCenter
Sunnys lopeHealthCenter
WestBendRehabilitationand Sports MedicineCenter
Co-ownershipofHorizonHomeCareandHospice,Inc.,CommunityMemorial HospitalrepresentationontheLindenGroveBoardof Directors,andspaceleased toCedarCrossingsonSt.Joseph’sHospitalcampusallowsforcaretobeprovidedthroughoutsoutheastWisconsin.
Behavioral HealthServices
Care isofferedat thefollowingFroedtert &MCW locations:• Community Memorial Hospital (16-bed inpatient unit)• Germantown Health Center• Harford Health Center• Moorland Reserve Health Center• North Hills Health Center• TosaHealth Center
• With thegoal of providingcare topatients withintheircommunities, the Froedtert&MCW health networkprovides bothinpatientandoutpatientrehabilitationcare at multiple locationsthroughoutMilwaukee,Waukesha, andWashingtoncounties
• Offerings includeoccupational, physical, andspeech therapy inadditiontosportsmedicine andamultitudeof specializedrehabilitation andmanagement programs
• Over 140,000inpatientandoutpatientrehabilitationvisits occurredatFroedtert&MCW locationsinFY 2015– a f igurethatis onpace tobe surpassedinFY 2016*
*Rehabilitation vis its are included in hospital, CP,andMCP volumes reported onprevious s lides
Inception Health’s Areas of Emphasis
Outside-In/Consumer-DrivenSeek to understand anddeliver what consumers value
ContinuousCareAbility to accept data from customers 24/7and meet their needs
On-DemandSpecialtyCareAbility to deliver specialized knowledge of the AMC to the s tate of Wiscons in andbeyond
InnovationCultureAbility to drive innovation sourcing and implementation atan accelerated pace
InnovationNetworkFormation of adynamic network of people, organizations , and
start-ups to identify early opportunities and thought leadership
InceptionHealthpartnerswithAVIA,aforward- leaninghealthsystemcollaborativecreatedtosolveshared,pressingchallenges tohealthcare
Historically, thehealth care industryhas notbeenprepared fortherateat whichnewinnovationsare beingimplemented intothemarket ortherate at whichnon-traditionalproviders are offeringhealth care services.
InceptionHealth wascreated asa newentity underFroedtert Health andisfocusedontwomainconcepts:
• Development of digital health services andpartnershipswithoutsidedigital organizations;
• Productionof somedigitalhealth services.
InceptionHealth isnotmeanttobe amajor revenuestream, butisinstead inplace toinformFroedtert&MCW ondisruptivetechnology soas tobetteradaptstrategy andcompetitiveness intheshiftingenvironment. The company hasa f ive-personboard, protectedfunding,a dedicated attorney, priorityIT resources, andmultiplekey advisorsfromthehealth network– thiscompositionallows forInceptionHealth tobeextremely nimble inworkingtowardsitsgoals of research and partnerships.
ProfileofHealthNetworkHealthCareDeliverySystem:InceptionHealth
12
8/4/16
7
ProfileofHealthNetworkIntegratedHealthNetworkofWisconsin:AccountableCareStrategies
FoundedasQualityHealthSolutions in2005, andbased inBrookfield, Wisconsin, IntegratedHealthNetworkofWisconsin (IHN)isnowoneofthe largestACOs in thecountry,representing 6independent healthsystems.
IHNisaclinically integratednetwork representingmore than8,400clinicians, 1,180clinical locations, 53hospitals,and100associatedproviders, includingspecialtyhospitals, skilled nursing facilities, durablemedicalequipmentproviders, andhomehealthproviders.Thecaremanagementmodelcoversmore than3.1million lives.
• WhilecollaboratingintheACOmodel,Froedtert&MCWstill competesformarketsharelocallywithWheatonFranciscanandColumbiaSt.Mary’s,alongwithlocalAboutHealthmembersystemsAuroraHealthCareandProHealthCare
• AddingWheatonFranciscantoitsbookofbusinessinMarch2016,AscensionHealth,whichalreadyincludesColumbiaSt. Mary’sandMinistryHealthCare,hasbecomeakeyplayerinWisconsinaswellaswithinIHN
• Withinthelastyear,theIHNValueScorecardhasbeenimplemented.Metricsarebasedonqualityandcost,andthescorecardisusedinafundsdistributionmodelwhichredirectsmillionsofdollarstohighperformingsystems
• Children’sHospitalofWisconsinalsocollaborateswithIHNonacontractualbasis
13Source:ihnwi.com,HFMA
ProfileofHealthNetwork
NETWORKHEALTH’S RECENTHISTORY
Source:NetworkHealth MediaKit2016
Commercialinsured,individual, self-funded,andMedicareAdvantageproductswithannualpremiumstotaling$945million
NHPCOVERAGE
COMMERCIAL959 Employer Groups106,573Members*1,967 PCPs10,564 Specialists51 Hospitals1,404 Ancillary Services Providers
MEDICARE ADVANTAGE
63,904 Members*1,351 PCPs9,205 Specialists42 Hospitals1,168 Ancillary Services Providers
14
NetworkHealthPlan:ManagedCareStrategies
*Current as ofJune2016month-end
Countymember totals as reportedinNetworkHealth MediaKit2016
8/4/16
8
ProfileofHealthNetworkCommunity:CollaborativeCareStrategies
Federally Qualif ied Health Centers(FQHC) are outpatientclinicsthatqualify forspecif icreimbursement systems underMedicare andMedicaid. Free andcharitable clinics utilize a
volunteer/staff model toprovideservices toindividuals whoare uninsured,underinsured,orhavelimited ornoaccess tohealth care. Froedtert&MCW is partneredwiththree FQHCs inMilwaukee
Countyandthreefree andcharitable clinics inWashington andWaukesha Counties.
FreeandCharitableClinicsAlbrecht Free Clinic (Health and Dental Clinic)
Community Outreach Health Clinic
Waukesha County Community Dental Clinic
FederallyQualif iedHealthCentersSixteenth Street Community Health Centers
Progress ive Community Health Centers
Outreach Community Health Centers
TheMilwaukee Health Care Partnership(MHCP)isa partnershipdedicated toimprovinghealth care forunderserved populationsinMilwaukee County. By focusingoncoverage, access, andcare coordination,theMHCP isworking to improvehealth outcomes,reduce health disparities, andreduce thetotalcostof
care. InadditiontoFroedtert&MCW, theMHCPincludesMilwaukee’s otherfourmajorhealthcaresystems, fourFederally Qualif ied Health Centers, as well as city, county,andstate health departments.
Educating theCommunityThroughoutFY 2015,over3,500localresidents attendedfree,communityeducation classes conductedonavariety of topicsranging fromspecif ic clinical areas tooverall healthand wellness.
Source:Froedtert &MCWCommunity EngagementReport 2015,mkehcp.org 15
#HFSE
Honors&AccoladesU.S.News&WorldReport
Source:Froedtert &MCWCommunity EngagementReport 2015,mkehcp.org 16
2016-2017"BestHospitals"List:
• No.1inMilwaukee• No.2inWisconsin• NationallyrankedinEar,NoseandThroat,Nephrology,
Pulmonology,Urology• NationalHighPerformerinDiabetesandEndocrinology,Cancer,
GastroenterologyandGISurgery,andNeurologyandNeurosurgery
8/4/16
9
#HFSE
Honors&AccoladesBernardA.Birnbaum,MD,QualityLeadershipAward
Source:Froedtert &MCWCommunity EngagementReport 2015,mkehcp.org 17
HighperformanceinqualityandsafetyasmeasuredbytheQualityandAccountabilityStudy.ThestudyanalyzesorganizationalperformanceintheInstituteofMedicine’ssixdomainsofcare:
FroedtertHospitalistheonlyacademicmedicalcenterinWisconsintowinthisawardin2015.
• Mortality• Effectiveness• Safety
• Equity• Patientcenteredness• Efficiency
#HFSE
Source:Froedtert &MCWCommunity EngagementReport 2015,mkehcp.org 18
• Recognizedforhighvalue– deliveringhigherquality,highersatisfactionandlowercost– Top100HospitalfourconsecutiveyearsbyTruvenHealthAnalytics
• ReceiveditsthirdMagnet®recognitionin2016
Honors&AccoladesTruvenHealthAnalytics&Magnet
8/4/16
10
#HFSE
Froedtert&theMedicalCollegeofWisconsin
IntegratedSurgicalandInterventionalPlatform
#HFSE
• FroedtertHospitalopensin1980adjacenttoMilwaukeeCountyHospital.Hospitalseachprovidepartialspectrumofcare
• FroedtertlocatesOR’stoalignwithfuturefacilityplannedbyMilwaukeeCounty
1980:FroedtertHospital
202019801990 2000 2010
8/4/16
11
#HFSE
1988:BridgeBuilding• ProposedbyMilwaukeeCountyHospitaltoconnectcampus
institutionsviaasharedfacility• Plannedinmid-80’s,butbudgetaryshortfallrevisesstacking.
Result:2ORSuitesin2buildingsandon2differentfloors
202019801990 2000 2010
#HFSE
1995:Integration• MilwaukeeCountycloseshospitalin1995;Froedtertand
MilwaukeeCountyagreeonstructuredpurchaseofassets• Froedtertintegratesmost clinicalandsupportprogramsand
expandsfacilitiesonnearlycontinualbasisfrom1995onward• NotableexceptiontointegrationstrategyaretheOperatingRooms,
whichremainin“east”and“west”regionsofthehospitaltopresentday
202019801990 2000 2010
8/4/16
12
#HFSE
IntegratedPlatformVision• ConsolidateallOperatingrooms,CardiacCath,Electrophysiology,InterventionalLabs,Neuro-InterventionalwithIntake/ProcedureArrivalandRecoveryononefloorofthefacility
• EliminateredundancyandtransportsbetweenORs
• Permitconsistent,high-qualityexperienceforallSurgicalandInterventionalpatientsandfamilies
• Supportlongtermflexibilityandgrowth
OperatingRooms
Cath/E.P.
I.R./N.I.
CommonPre-PostCare
CommonIntake,
Reception,&
Discharge
#HFSE
PlatformbytheNumbersOperatingRooms 32 79,200SFIntra-OperativeMRI 1 1,800SFCathLabs 2+2Future 9,000SFElectrophysiologyLabs 2 7,200SFInterventionalRadiologySuites5 10,700SFNeuroInterventionalSuites 3 8,800SFProceduralCT 1 750SFMinorProcedureRooms 4 3,700SFPACUBays 44 15,000SFPrep/RecoveryBays 56 24,600SFRegionalAnesthesiaBays 6 2,150SFPublicWaiting 10,600SFKeyRooms+Support 158 173,500SF
8/4/16
13
#HFSE
PreparingforanIntegratedPlatformCHALLENGE: LocatecontiguousfootprintforthePlatformandaccommodate clinicaldisplacements
`
#HFSE
PreparingforanIntegratedPlatform
CenterforAdvancedCare
RESPONSE:CenterforAdvancedCare;Completed2015
8/4/16
14
#HFSE
PreparingforanIntegratedPlatform
MINORPROCEDURE
PROCEDUREARRIVALANDRECOVERY
PRE-PROCEDUREEVALUATIONCENTER
PUBLICWAITING
#HFSE
PreparingforanIntegratedPlatform• Platformpre-planningcommencedduringCenterforAdvanced
Caredesignandconstructionphases• CFACLevel3wastreatedas“given”• Teamdefineda“portfolio”ofPlatformprojects:
– CentralSterileReplacement(LowerLevel/Level1)– Platform:OR/Cath/IRintegration(Level3)– VerticalExpansion:PlatformSupportandProgramGrowth(Level4)
• Totalportfoliocost(lessCFAC):$125Million
202019801990 2000 2010
8/4/16
15
#HFSE
PreparingforanIntegratedPlatform
PlatformPartners
Owner
Owner’s Representative
Construction Manager
Architect/Engineer/AdvisoryServices
EarlyTradeInvolvementPartners
Facility Planning and Development
8/4/16
16
#HFSE
PlatformPredesign&Planning• Goal:Confirmscopeanddefineoptimalspaceplanningmodelfor
thePlatform• Focused9montheffortinvolvingwidespectrumofstakeholders
withinFroedtertHealth• GuidedbyCannonDesignAdvisoryServicesteam• Precursortotraditionaldesignphases• Paralleleffort:DevelopintegratedITinterfacetosupportplatform
(customizedEPICarrangement)• FroedtertDirective:Timingofpredesignanddocumentationmust
permitPlatformconstructiontobeginimmediatelyafterCFACcompletion(winter2015)
202019801990 2000 2010
#HFSE
PlatformPredesign&Planning
ClinicalTeam
Supp
ortTeam
8/4/16
17
#HFSE
PlatformPredesign&Planning
#HFSE
CurrentStateAssessment• Investigationofcurrentstatevolumes,processflows,travel
distances,delaytriggers,physicalspace,andstaffing• Utilizedsimulationmodeling(FlexSim)with3monthsamplingof
datatounderstandcurrentpracticesinphysicalcontext
8/4/16
18
#HFSE
CurrentStateAssessment• Identifiedover900uniquepatienttracksincurrentstate
operations
#HFSE
FutureStateVisioning• Mappedidealizedfuturestateprocesses• Establishedperformancetargetsforplatform• Involvedvisitstopeerinstitutions
8/4/16
19
#HFSE
OptionsDevelopment• 10+conceptsdevelopedforconsideration• ThreeconceptselectedfordetailedpresentationtoPlatform
workingteam
#HFSE
OptionsReview• ConceptsscoredonquantifiablemetricsdefinedbyPlatform
SteeringTeam andCannonDesign• EachconceptsimulatedinFlexSimtodeterminedperformance
usingsamedatasetasexistingstate
Todd– toprovidenewgraphic
8/4/16
20
#HFSE
Summer2014:PreferredConcept
202019801990 2000 2010
#HFSE
Summer2014:DesignCommences• Design,constructionandearlytradepartnerteamfullyengagedin
designprocessinSummer2014• TeamdeterminedtocarryallofPlatformthroughSD/firstphase
tofulldocumentation• Earlyfocusofefforts:
– Maintainingoperations/Phasing– Maintainingroomcountsthroughoutprojectdevelopment– Interstitialspaceresolution/codecompliance– Emergencypowerstrategy
• FirstmilestonepackageNovember2014
8/4/16
21
#HFSE
February2015:EstimateUpdate
#HFSE
TeamResponse• Projectplacedonhold• Teamdirectedtoregaincontrolofprojectcostrelativetobudget• Teambrokeintoworkgroupstofocusonspecificscopes
Architectural ClinicalPlanning
Mechanical/Plumbing Electrical/Low Voltage
8/4/16
22
#HFSE
TeamResponse• Owner-Architect-Contractorteamdevelopedandmaintained
“PathwaytoBudget”log/scheduletoguideprocess
#HFSE
PlatformPlanningBook• Collaborativelyproduceddocumenthighlightingplanningoptions
andcosts
8/4/16
23
#HFSE
Teamunderestimated impactofreworktoexistingsystemsandfacilities
KeyFindings
KEYTOSUCCESSBuild support fromproject SteeringTeamanddistribute information toallstaffviaTownHallstrategytobuild alignment
Required teamtoseriouslyreconsiderclinical planning
GREATESTCLINICALIMPACTRetention ofrecentPACUinvestmenttoavoiddemolitionandreconstruction
GREATESTMEPCOSTIMPACTRetentionofexistingelectricalandtelecommdistributionclosetsandplumbing/morefocusedrehabilitationofmechanical systemsinlieuoffullreplacement
#HFSE
CurrentPlanning:Phase1
8/4/16
24
#HFSE
CurrentPlanning:Phase2
#HFSE
DesignPhaseTakeaways• Developaproactivestrategyforteamstructure
– Projectoversight,constituentinvolvement,communication(i.e.TownHallmeetings), recommendationversusdecision
• Workasateamtodevelopathoroughlistofbudgetassumptionstoguidedevelopment
• Engagetradepartnersatoutsetofdesign• Determinehighestandbestuseoftradepartners
– EarlyDesign:Costanalysisandoptionsdevelopment– LaterDesign:Finalcoordinationanddocumentation
8/4/16
25
#HFSE
OwnerTakeaways• OACSessionseveryWednesdayAM(dedicatedtimecritical)• Physician/Surgeon“Dyad”• Present,Present,Present…• Onlineresources• SAYNO• Whatgetsmeasuredgetsdone!• Programdrivesfacility!• PickthebestTeam,PEOPLE,notfirms
#HFSE
NextSteps• Phase1Construction: Present– March2017• Phase1Occupancy:March– July2017• Phase2Construction: April2017– Mid2019• Phase2Occupancy:Late2019
8/4/16
26
#HFSE
QUESTIONS?