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

2. 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

3. 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

4. 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.

5. 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

6. 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.

7. 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?

8. 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

9. Growth and Demand

10. 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

11. 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.

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