DESIGNING AND OPERATING TODAY’S URGENT CARE FACILITIES
Urgent care panel LOGO MASH
speakers Edward M. Brown MS, CHFM, CHC, CLSS, SASHE, FACHE Vice President Facilities & Support Services, Cambridge Health Alliance Paul Pezone Vice President Clinical & Support Services at Cheshire Medical Center Jason Butler, PE at Fitzemeyer & Tocci James Canfield Executive Vice President McCall & Almy Jason Costello, AIA, EDAC Partner Margulies Perruzzi Architects Update all speakers
Learning objectives Identify the reasons for Urgent Care clinic needs, typical Urgent Care programs, and the relationship to current Healthcare environment. Review challenges associated with development of new Urgent Care clinics and understand strategies for meeting those challenges. Provide insight into the current real estate market and the impact of outpatient programs in commercial buildings. photo
What is urgent care?
Urgent care services Abscesses Back Pain Bronchitis Fever Gonorrhea Headaches Pink Eye STDs / STIs Vomiting Yeast Infection Allergies Coughs Colds Diarrhea Flu (Influenza) Heartburn Kidney & Bladder Infection (UTI) Poison Ivy Stomach Pain Asthma Constipation Eye Infections Ear Infections Food Poisoning Herpes Sinus Infections Sore Throat Strep Throat Breaks Bites Cuts Ingrown Toe Nails Scrapes Puncture Wounds Strains Burns Sprains Stitches Flu Shots HPV Vaccine Tetanus Vaccine Hepatitis B Vaccine Meningitis Vaccine
Department of health
Typical program elements SITE PLAN FOR ONE PROJECT
DPH program elements Exam Rooms Exam Procedure Observation Isolation Medication Safety Zones Nourishment Nurse Station Clean Supply Storage Soiled Work Room Emergency Equip Storage Wheelchair/ Stretcher Storage Toilet Rooms Radiography Consult Reading Room Changing Rooms Laboratory Services Specimen Collection Multipurpose Room Waiting Area Interview Room Medical Records Reception & Information
Infusion suite Existing floor plan
Laboratory services Existing floor plan
PROXIMITY TO COMPETITION EXISTING RETAIL LOCATIONS Site Selection PATIENT CONVENIENCE ACCESS VISIBILITY IMAGE PROXIMITY TO COMPETITION & OTHER FACILITIES EXISTING RETAIL LOCATIONS MARKET DEMOGRAPHICS
OPERATING ISSUES GROUND FLOOR SIZE PARKING HOURS OF OPERATION GO DARK PROVISIONS
TRANSACTION CONSIDERATIONS OWN VS. LEASE RENOVATE VS. BUILD TO SUIT PERMITTED & PROHIBITIVE USES EXCLUSIVITY OF SERVICES CO-TENANCY CREDIT FIT-OUT COSTS LENGTH OF COMMITMENT FIXED-RATE EXTENSION OPTIONS OPTIONS TO EXPAND / EXTEND SIGNAGE REGULATORY ISSUES ZONING & DPH
RENOVATION OF EXISTING MOB Notification Paperwork Timing Etc. Existing photos of heywood
RENOVATION OF EXISTING MOB PROs Speed to Market Flex Exam Room Improves Utilization Shared Support Space and Staff CONs Limited to existing exam rooms Construction impact on existing operations Underground plumbing work Limited capacity of roof for new HVAC equipment
RENOVATION OF EXISTING MOB Real Estate Implications ?
Fit out of existing retail spaces
Existing retail fit out #1 – 4,600 sf Existing floor plan
Fit out of existing retail space PROs Speed to Market Existing shell reduces construction schedule and costs Design layout specifically for urgent care CONs Existing plumbing locations / MEP systems Footprint is fixed Limited to existing parking Time to negotiate lease
Fit out of existing retail space Real Estate Implications ?
New development
New development PROs Completely Customizable Design layout specifically for urgent care Building sized for particular program Option to include ancillary services CONs Longer design and construction schedule More expensive Risks associated with existing site and foundations
New development Real Estate Implications ?
DESIGNING FOR TODAY’S URGENT CARE