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THESIS AL R U R

10%

URB AN

15%

Location Statistics

The future growth of urgent care centers will most likely occur in the urban environment. However, high real estate costs create a barrier of entry for urgent care centers. The following explores ways to reduce that cost: 1. Use technology to eliminate under used program

75 % SU B URB A N

2. Create a flexible design that is able to take advantage of underutilized and undesirable space

NEED FOR URBAN URGENT CARE HOSPITAL LONG WAIT TIME

Emergency Room Wait Time Based on Acuity Immediate (2% of visits) Emergent (10% of visits) Urgent (41% of visits)

83%

Semi-urgent (35% of visits) Non-urgent (7% of visits)

UR

No Triage (4% of visits) 0

10

20

30

40

MINUTES

50

60

70

GENT CARE

NEED FOR URBAN URGENT CARE LOWER COST

EMERGENCY ROOM $345 $595 $400 $525 $370 $617 $531 $486 $665

Allergies Bronchitis (Acute) Earache Sore Throat Pink Eye Sinusitis Strep Throat Upper Respiratory Infections Urinary Tract Infections

URGENT CARE $97 $127 $110 $94 $102 $112 $111 $111 $110

$504

Average Cost

$108

SOURCE: http://www.wisebread.com/cost-comparison-emergency-rooms-vs-urgent-care

NEED FOR URBAN URGENT CARE LOWER COST

Global Payment “One reason is that hospitals and large medical practices are entering “global payment’’ agreements, under which insurers pay them a flat amount of money for caring for a group of patients. As a result, providers are more motivated to care for patients at the least expensive location.”

SOURCE: Boston Globe, “Urgent care centers in Mass. fill a gap.” http://www.bostonglobe.com/lifestyle/health-wellness/2014/02/17/urgent-carecenters-expanding-mass-after-insurers-lift-restrictions/3iBZSOA4lKpdZ5uTto66pN/story.html

BUSINESS MODEL OVERVIEW

ZIPCARE is an urban urgent care center that seeks to provide convenient and affordable care through the use of : + Technology allows the ability to provide a transparent communication between doctor and patients. When your room is ready, simply unlock the door using your smart phone device or key-card, and proceed directly into the exam room.

+ Space saving strategies provide efficient floor plan that requires a smaller footprint perfect for the urban environment, thereby reducing the cost and passing those savings on to patients.

SPACE SAVING STRATEGY GUIDELINES AND CHECKLISTS

Outpatient Facilities Checklists | OP2 Primary Care Outpatient Centers Outpatient Facilities Checklists | OP3 Small Primary Care Outpatient Clinics Outpatient Facilities Checklists | OP18 Limited Services Clinic

SPACE SAVING STRATEGY GUIDELINES AND CHECKLISTS

1

Examination Rooms

8

Lobby and Reception

2

Observation Facilities

9

Waiting Area

3

Procedure Room

10

Interview Space

4

Support Areas for Patient

11

5

Nurse Control and Workstation

12

Multipurpose Room

6

Imaging Services

13

Storage / Janitor’s Closet

7

Laboratory Services

14

Staff Support Areas

SPACE SAVING STRATEGY ELIMINATE UNDERUSED SPACE

6

1

1

3

14

8

9 25’

11

11

12

7

5

13

4

1

Examination Rooms

2

Observation Facilities

3

Procedure Room

4

Restroom

5

Nurse Control and Workstation

6

Imaging Services

7

Laboratory Services

8

Lobby and Reception

9

Waiting Area

10

Interview Space

11 71’

12

Multipurpose Room

13

Storage / Janitor’s Closet

14

Staff Support Areas

SPACE SAVING STRATEGY ELIMINATE UNDERUSED SPACE

What if... Technology replaced the need for the waiting room?

SPACE SAVING STRATEGY ELIMINATE UNDERUSED SPACE

6

1

1

3

14

8

9 25’

11

11

12

7

5

13

4

1

Examination Rooms

2

Observation Facilities

3

Procedure Room

4

Restroom

5

Nurse Control and Workstation

6

Imaging Services

7

Laboratory Services

8

Lobby and Reception

9

Waiting Area

10

Interview Space

11 71’

12

Multipurpose Room

13

Storage / Janitor’s Closet

14

Staff Support Areas

SPACE SAVING STRATEGY ELIMINATE UNDERUSED SPACE

6

1

1

3

14

8 25’

11

11

12

7

5

13

4

1

Examination Rooms

2

Observation Facilities

3

Procedure Room

4

Restroom

5

Nurse Control and Workstation

6

Imaging Services

7

Laboratory Services

8

Lobby and Reception

9

Waiting Area

10

Interview Space

11 65’

12

Multipurpose Room

13

Storage / Janitor’s Closet

14

Staff Support Areas

SPACE SAVING STRATEGY ELIMINATE UNDERUSED SPACE

What if... Open workstations replaced the doctor’s office?

SPACE SAVING STRATEGY ELIMINATE UNDERUSED SPACE

6

1

1

3

14

8 25’

11

11

12

7

5

13

4

1

Examination Rooms

2

Observation Facilities

3

Procedure Room

4

Restroom

5

Nurse Control and Workstation

6

Imaging Services

7

Laboratory Services

8

Lobby and Reception

9

Waiting Area

10

Interview Space

11 65’

12

Multipurpose Room

13

Storage / Janitor’s Closet

14

Staff Support Areas

SPACE SAVING STRATEGY ELIMINATE UNDERUSED SPACE

1

1

3

14

8 25’

6

12

7

5

13

4

1

Examination Rooms

2

Observation Facilities

3

Procedure Room

4

Restroom

5

Nurse Control and Workstation

6

Imaging Services

7

Laboratory Services

8

Lobby and Reception

9

Waiting Area

10

Interview Space

11 55’

12

Multipurpose Room

13

Storage / Janitor’s Closet

14

Staff Support Areas

USER TOUCH-POINTS TYPICAL URGENT CARE CENTER

ENTRANCE

RECEPTION

WAIT

ROOM

MEDICAL STAFF

WAIT

ANALYSIS

CHECK OUT

EXIT

USER TOUCH-POINTS PROPOSED URGENT CARE CENTER

ROOM

ANALYSIS

CHECK OUT

EXIT

TECHNOLOGY ZIP CAR MODEL

Join

Reserve

Unlock

Drive

TECHNOLOGY ZIPCARE MODEL

Join

Reserve

Unlock

Doctor

MOBILE APPLICATION MAIN MENU

MOBILE APPLICATION RESERVE ROOM

MOBILE APPLICATION VIEW LOCATIONS AND DIRECTIONS

MOBILE APPLICATION UPDATE BASIC HEALTH RECORD

MOBILE APPLICATION PAYMENT

MOBILE APPLICATION ALERT SYSTEM

MOBILE APPLICATION ALERT SYSTEM

Existing Urgent Care Existing Primary Care

Existing Urgent Care Existing Primary Care

SITE LOCATIONS

UNDERUTILIZED

UNDESIRABLE

Surface Parking Lots

Retail / Commercial Space

1. Public Transportation 2. Reduce Parking Demand 3. Activate Space

1. Thin / Narrow 2. Irregular Shape 3. Multi-Level

SITE LOCATION PARKING HEAT MAP

SITE LOCATION VISIBILITY

SO

ME

RV

ILL

EA VE

MC

GR

AT H

HW

Y

D ST MEDFOR

UNDERUTILIZED - SURFACE PARKING LOTS PARKING SPACE CONSTRAINTS

18’ 9’

UNDERUTILIZED - SURFACE PARKING LOTS PARKING SPACE CONSTRAINTS

10’

18’ 9’

STAND-ALONE MODEL

1 Spacer

2 Bathroom

3 Exam Room

4 Nurse Station / Mech.

5 X-ray / Lab (optional)

STAND-ALONE MODEL

STAND-ALONE MODEL

STAND-ALONE MODEL

STAND-ALONE MODEL

UNDERUTILIZED - SURFACE PARKING LOTS PARKING SPACE CONSTRAINTS

36’ 27’

UNDERUTILIZED - SURFACE PARKING LOTS PARKING SPACE CONSTRAINTS

36’ 27’

UNDERUTILIZED - SURFACE PARKING LOTS PARKING SPACE CONSTRAINTS

STAND-ALONE MODEL

STAND-ALONE MODEL

STAND-ALONE MODEL

SITE LOCATIONS

UNDERUTILIZED

UNDESIRABLE

Surface Parking Lots

Retail / Commercial Space

1. Public Transportation 2. Reduce Parking Demand 3. Activate Space

1. Thin / Narrow 2. Irregular Shape 3. Multi-Level

SITE LOCATIONS Bathroom

Exam Room

X 2

X 1

X 1

X 2

X 2

X 1

X 3

X 2

X 2

X 1

X 1

X 4

X 2

X 1

X 1

X 2

X-ray

Lab X 2

UNDESIRABLE - RETAIL / COMMERCIAL SPACE THIN / NARROW

UNDESIRABLE - RETAIL / COMMERCIAL SPACE THIN / NARROW

UNDESIRABLE - RETAIL / COMMERCIAL SPACE MULTI-LEVEL

UNDESIRABLE - RETAIL / COMMERCIAL SPACE MULTI-LEVEL

UNDESIRABLE - RETAIL / COMMERCIAL SPACE IRREGULAR SHAPE

UNDESIRABLE - RETAIL / COMMERCIAL SPACE IRREGULAR SHAPE

PLUG-IN Thin / Narrow

SITE LOCATIONS STAND-ALONE Single Parking Space

PLUG-IN Irregular Shape

STAND-ALONE Double Parking Space

PLUG-IN Multi-Level