Charting the Course to Designing Optimal Healthcare Facilities

Charting the Course to Designing Optimal Healthcare Facilities CASE STUDY: INSPIRA HEALTH NETWORK

PAGE 2

THE STORY When we were engaged by Inspira Health Network to design their new greenfield hospital, the first question we sought to answer wasn’t how big the facility should be or where it should be located, rather it was “should you build a new hospital at all?”

At the heart of our mission to serve our clients is the understanding that the best answer to an operational or facility question may not always result in construction.

This mindset may seem contrary to what most think of as the architect’s role, but it is a fundamental premise that shapes Array’s approach. We believe that by aligning real estate assets, demographics, and operational processes as an integrated precursor to the design process, we can achieve more optimized solutions for our clients that can contribute to short- and long-term cost controls by: •

Facilitating efficient operational processes that are tuned to specific care and staffing models.

•

Aligning service scale and location to meet business plan goals for capturing market share.

•

Right-sizing programs to ensure that what is constructed does not create capital cost burdens.

•

Directing construction costs to the elements that truly have the most impact on patient care and community health.

PAGE 3

Existing Facility Assessment For Inspira, this meant that our first task was

the condition and appropriateness of the

to dive deep into an investigation of their

materials and furnishings. Layered onto

existing Woodbury facility to understand the

this was a tabulation of the continuing

impact it had on the entire health system.

maintenance costs compared to a forecast on

Of course, a fundamental element of this

return-on-investment scenarios of upgrades

exercise was a conditional assessment

or replacements (including balancing energy

of the existing hospital that analyzed

efficiency/independency upgrade benefits

everything from the integrity of the structure,

with the escalating costs of purchasing

infrastructure systems, and envelope, to

energy from local utility providers).

Full Tower

SCOPE

COST

SCHEDULE REQ. MARKET SHARE INCREASE

S

PAGE 4

STRENGTHS

$343.0 M 41 MONTHS

66 MONTHS

New Tower

Complete

$309.4 M 33 MONTHS

56 MONTHS Complete

5.26% - 7.99%

4.35% - 7.08%

2,341~3,554 Admissions

1,933~3,146 Admissions

• Committment to community

W WEAKNESSES

• Higher Cost • Disruption

O

OPPORTUNITIES

• Renewed Image

T

THREATS

• Schedule Length • Access

• New Image • Lower Cost • Speed to Market

• Leaving Community • Increased MarketShare • Improved Access • CON Process

Right-Sizing Programs and Choosing Impactful Patient Care Elements For the decision to build to be made with confidence, we also had to conduct concurrent program analysis scenarios that could be

Drawing Upon Every Perspective

easily shifted to yield the highest ROI for each building site being considered. The potential programmatic ROI strategies were calculated and then validated through discrete event simulation modeling. In order to gain complete confidence in some scenarios, events were simulated for time periods that equated to 104 years of operations!

Charting the Right Course

After 35 years serving healthcare clients, we’ve learned that it’s never

Array’s architectural design, analytical and advisory

just about the building. Every problem

work became guiding stars that were used to chart

and challenge our clients face are

the course that Inspira has embarked upon. The

unique opportunities to adapt,

most critical aspects were the balance between site

improve or transform­—and they all

purchase and development costs, new construction

require something different.

size based on the functional program for a specific location demographic, construction quality based on consumer segmentation expectations, and the program and costs for repurposing the existing Woodbury facility. Our belief is that the capabilities and tools that we have created at Array Architects, Array Analytics, and Array Advisors allow us to

That’s why we are so much more than just healthcare architects. Our integrated services align analysts, advisors, and architects to provide a complete continuum of project exploration and execution.

uniquely assist the healthcare industry in making

Guided by process, powered by

the best possible choices for aligning their capital

collaboration and built around an

capacity, operational concepts, and real-world

innovative culture.

business plans with the needs and desires of the communities they serve—all while achieving

LEARN MORE

tangible design excellence!

PAGE 5

Array Analytics is an innovative think tank of analysts and product developers dedicated to helping healthcare systems identify and contextualize business drivers.

Array Advisors is a multi-disciplinary team which provides custom solutions to optimize healthcare operations and overcome business challenges.

Array Architects is committed to improving healthcare outcomes by providing design solutions informed by integrated insights from perspectives across the organization.

ARRAY’S KNOWLEDGE COMMUNITIES We believe strongly in sharing our expertise and knowledge with others. We invite you to explore each of our thought leaders and share your thoughts with the healthcare design community.

CLICK HERE to view our thought leadership on greenfield hospitals.

Boca Raton / Boston / Cleveland / Columbus / Dallas / New York City / Philadelphia/ Washington