Systematic Determination of Clinic Space Requirements Umang Dosi March 29, 2000 BME 273 Advised by: Dr. Doris Quinn

Purpose VUMC is expanding, and its clinics are finding the need to increase their space requirements. Not enough support staff to meet provider staff and patient volume Inadequate number of exam rooms Patients complaining of long wait times How much space do they really need? No real scientific thought has gone into this process

Clinics Moving to Children’s Hospital Present Situation The Vanderbilt Clinic Potential of 45 Clinics in need of space reallocation. Clinics Moving to Children’s Hospital 7 Pediatrics Clinics ready to move into Children’s Hospital Currently scattered throughout TVC and MCE

Goals Objective Design a method to determine space requirements using a logically consistent procedure based on actual healthcare process of VUMC Pediatrics Clinic. Product Workbook guiding the step by step approach for clinicians and managers to collect the necessary data needed to determine space needs.

Project Potential David Posch, COO VMG Dr. Rhea Seddon, Asst. COO, VMG Fred Dewese, VP Facilities Planning & Development Cyril Stewart, Associate Director Constructive Admin Ron Hill, VP Strategic Development Administrative Officials of various clinics

Background Efficiency: To maximize the productivity of the clinic while minimizing the time patients wait to be seen. Goal is to determine if current space utilized properly as well as to anticipate future space and resource needs. A model for a study on spatial requirements has been suggested by Dr. Vinod Sahney from Harvard School of Public Health.

Three major questions... 1. What is the current process and how are resources being utilized? Can a more efficient process be designed without additional resources? 2. If an efficient process currently exists, what additional resources are needed (people, space, equipment, etc.)? 3. How much growth is expected?

Workbook The workbook contains 5 major sections I. Process II. Human Resources III. Equipment IV. Room Utilization V. Patient Population Part 1: Determine efficiency of current process Part 2: Determine what changes would benefit patient care

Growth and Demand

Equation Determine who and what requires space and how much space is required for current patient volume. Then adjust for growth. Clinical Space Needs = (Resources and Tasks) • (Space Required) • (Growth Adjustment) - Overlap

The Final Step... Send the workbook to several clinics in need of process analysis. Take data they gather and fit to equation Determine whether their process is efficient as well as what redesign efforts are needed.

Acknowledgements Dr. Doris Quinn Layle Kenyon, Vanderbilt Pediatrics Clinic Vanderbilt Pain Control Center