CASE STUDY
CLIENT: Ambulatory Care Facility Mid-Atlantic Region
We will devise strategies that align your portfolio of services with the needs of your community. With the migration from an episodic care model to a population health system, healthcare organizations must reevaluate the composition and distribution of the clinical services they provide to their communities. SERVICE: Strategy
EXECUTIVE SUMMARY
METHOD: Clinical Service Alignment
With the increasing cost and complexity of inpatient services, CMS pushing for siteneutral payments and the impetus to shift care to the lowest cost of care environment, outpatient services are increasingly being pushed out of acute care centers. The
Challenge
process of identifying the services that can be moved with minimal operational and
A healthcare system could not meet the demand for certain inpatient services due to space limitations within their flagship hospital. The System knew it had to decant some outpatient services and modalities to create efficient expansion space within the existing facility, yet it did not have the capability to evaluate space requirements and potential service line impacts.
fiscal impact is only part of the equation, as projecting capital requirements and the true organizational cost requires the scoping of replacement facilities for both inpatient and outpatient services, the modeling of staffing and support service impacts and the potential demand and utilization effects of service relocation. Senior leadership viewed the project as the perfect opportunity to drive both operational and capacity improvement. Through a lean-led process design initiative, acute care service quality, utilization and capacity benchmarks were created to define the operational future state and to provide leadership with measurable success metrics. Within the inpatient facility, projecting the scope of renovation depended
Solution
upon the creation of a departmental and spatial prototype that was based upon the future state operational model. An in-depth market analysis allowed the system
Array’s strategic planning process optimized the client’s existing facility utilization, as well as mapped the service lines and modalities most suited to an outpatient environment. Our scenario-testing and prototyping tools enabled the System’s leadership to evaluate each decision’s potential ROI. The team then engaged third-party developers to provide a full range of development opportunities.
to project outpatient service line growth and to plan investments in both fixed and variable assets sufficient to meet the demand for care services. Through the strategic planning process, the healthcare system’s senior leadership team was able to create a clear growth strategy, confident in the knowledge that, not only was the plan actionable and based on a comprehensive analysis, but also that the System’s planned investments would enable them to meet demand projections, improve the quality of care and provide value to the organization, its patients and the community it serves.
PROJECT HIGHLIGHTS
6
DEPARTMENTS IMPROVED
32,000 SF
EVACUATED SPACE
3
DEVELOPMENT OPPORTUNITIES IDENTIFIED