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8/13/2019 Nowhere in the Nation Do the Three Components of Healthcare
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Nowhere in the nation do the three components of healthcaresTriple Aimbetter patient
experience, better health of populations, and lower per capita costsbecome more visible
than in rural communities. Local hospitals play an important role in improving health and
managing healthcare and patient costs by providing primary care, diagnostics, and outpatient
services directly to their constituents. n reciprocal fashion, these facilities, providers, and
users contribute substantially to a rural communitys economy. !ut sustaining local healthcare
is arduous" ts not easy to recruit top physicians to rural areas, and patients often migrate to
more urban healthcare centers for perceived better care. Additionally, small communities
rarely have access to the finances necessary to build and sustain facilities outfitted with
modern medical technologies, procedures, and e#uipment. n an era of increasingly limited
resources, how can healthcare design professionals create and deliver facilities that achieve
the Triple Aim$ %o#uille &alley 'ospital in %o#uille, (re., provides an example of what might
be accomplished.
A community vision
'igh up an (regon coastal hillside, among former log mill director home sites, stands theoriginal )*+* %o#uille &alley 'ospital %&'-. !uilt by a consortium of three regional logging
mills for the care of their employees and families, this rural critical access hospital has been
modified considerably over time to include outpatient diagnostic and surgical services. The
facility serves three aging communities" %o#uille, yrtle /oint, and /owers. 0ey sta1eholders
at %&' wanted to ensure their community had a hospital designed to meet and evolve with its
growing outpatient and inpatient care needs. They also needed an attractive recruitment tool
for new physicians, as several of the hospitals doctors were prepared to retire. The vision
was a hospital capable of providing the %o#uille &alley communities with sustainable, local,
#uality healthcare, featuring new medical procedures and technologies, and the most
respected physicians in the region.
To accomplish that vision, %&' enlisted three advisers to help with the initial
planning"2troudwater Associatesstrategic and business planning-,The Neenan %o.space
planning, site assessments, and design3build services-, and 4ougherty ortgagefinancing
services-. These advisers formed a team with 1ey %&' sta1eholders to collect and evaluate
mar1et data, and to subse#uently design alternative operational strategies and facility
solutions within a sustainable financing threshold. Leadership, including physicians and staff,
participated in a planning session to align uponmar1et data, mar1et capture, possible
strategies for growth, enhanced service lines, forecasted financial5operational models,
sustainable borrowing capacity, a targeted capital budget, and a conceptual design to deliveron the operational strategy.
The 2troudwater, Neenan, 4ougherty, and %&' team tested and retested each scenario
against the hospitals specific strategic, financial, and operational goals, which included"
ncreasing nursing efficiency with a common nurses station for med3surg,
obstetrics, and the emergency department
mproving patient experiences
4elivering private patient rooms
6nhancing patient access
7ecruiting internal medicine physicians ncreasing orthopedic procedures.
http://www.ihi.org/offerings/Initiatives/TripleAim/Pages/default.aspxhttp://www.cvhospital.org/http://www.cvhospital.org/http://www.stroudwater.biz/http://www.stroudwater.biz/http://www.stroudwater.biz/http://www.neenan.com/http://www.neenan.com/http://www.doughertymarkets.com/http://www.cvhospital.org/http://www.stroudwater.biz/http://www.neenan.com/http://www.doughertymarkets.com/http://www.ihi.org/offerings/Initiatives/TripleAim/Pages/default.aspx8/13/2019 Nowhere in the Nation Do the Three Components of Healthcare
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!ased on this collaborative design process, the pro8ect team developed 934 architectural
animations, staff and patient flow simulations, and ! models to supplement financial
operations forecasting, staffing, and capital costs models. deal for flexibility and #uic1
manipulation, these models evaluated multiple facility design solutions capable of meeting an
overall targeted annual staffing and debt service budget. This process saved a tremendous
amount of time, increased engagement, and reduced the costs of misunderstanding and re3
wor1.
t also resulted in a :;
8/13/2019 Nowhere in the Nation Do the Three Components of Healthcare
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facility design, and access to sustainable financing. t also creates a facility capable of
attracting and retaining healthcare providers and providing competitive care. 6arly indications
on year3to3date statistics at %&' for ;B)9 substantiate continuing operational growth and
success, yielding an example for the potential future of investment in rural healthcare
facilities.
Michael Curtis is vice president of The Neenan Co. (Fort Collins, Colo.) and can be reached
[email protected] . Brian Haapala is manain principal at !troud"ater
#ssociates ($ortland, Maine) and can be reached at bhaapala@stroud"ater.com.
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]