1. DESIGNING AND OPERATING TODAY’S URGENT CARE FACILITIES

2. Urgent care panel
LOGO MASH

3. 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

4. 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

5. What is urgent care?

6. 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

7. Department of health

8. Typical program elements
SITE PLAN FOR ONE PROJECT

9. 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

10. Infusion suite
Existing floor plan

11. Laboratory services
Existing floor plan

12. PROXIMITY TO COMPETITION EXISTING RETAIL LOCATIONS
Site Selection
PATIENT CONVENIENCE
ACCESS
VISIBILITY
IMAGE
PROXIMITY TO COMPETITION
& OTHER FACILITIES
EXISTING RETAIL LOCATIONS
MARKET DEMOGRAPHICS

13. OPERATING ISSUES GROUND FLOOR SIZE PARKING HOURS OF OPERATION
GO DARK PROVISIONS

14. 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

15. RENOVATION OF EXISTING MOB
Notification
Paperwork
Timing
Etc.
Existing photos of heywood

16. 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

17. RENOVATION OF EXISTING MOB
Real Estate Implications ?

18. Fit out of existing retail spaces

19. Existing retail fit out #1 – 4,600 sf
Existing floor plan

20. 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

21. Fit out of existing retail space
Real Estate Implications ?

22. New development

23. 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

24. New development
Real Estate Implications ?

25. DESIGNING FOR TODAY’S URGENT CARE