Projects:
South Pointe Surgery
Consolidation Study
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This
study determined feasibility of consolidating surgical
services currently located in separate inpatient and
outpatient facilities. Among options developed in this
study, there was potential improvement beyond the hospital’s
goal of achieving FTE reduction just by consolidation.
A reduction of approximately 15 FTEs was achieved by
consolidation alone, by avoiding duplication of staff
required to maintain two physically separate facilities
at Points A and B. Potential further improvement in
FTE savings varied among design concepts evaluated in
this study, relating to proximity of work areas that
may share a common staff. All design concepts initially
evaluated were based on a common core program that assumes
continued practice of staffing the SICU separate from
Surgery Recovery, as well as staffing Emergency ThruCare
separate from Pre-Admission Testing.
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For those plan
options that could benefit from relocation of SICU adjacent
Surgery Ors, subsequent additional studies also developed
a core program that combined SICU and PACU staff. Options
studied included expansion of the existing hospital surgery
suite, relocation of all surgery facilities by attachment
to different areas of the hospital, and development of a freestanding
surgery center attached by pedestrian link to the hospital.
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This
study included existing and projected utilization data,
projection of need for operating rooms and patient recovery
positions, organizational concepts for medical services,
programming for required staffing, floor space inventory
and new requirements. Construction phasing, duration
time and cost were estimated for comparison with other
potential options.
Interaction
with administrative and departmental representatives
was scheduled for data gathering and analysis, program
development and design review. Completion of this planning
process allowed the owner to select a preferred option
for consolidation of surgical services.
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This study related
to potential development of Surgery facilities in an area
of the hospital site then under construction for expanded
Emergency and Radiology services. Viability of this particular
option for direction of expansion proved less advantageous
than other options, and the original construction schedule
would not be affected. An added benefit of the planning process
was development of an option that not only met, but exceeded
owner criteria for financial feasibility of consolidation.
This benefit would be realized by design for consolidation
of surgical services and recovery with surgical ICU, where
total staff savings would exceed the level required to demonstrate
financial feasibility of consolidating surgical services alone.
