Making Healthcare Facility Renovation Or Update Moves With Little Disruption

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The need for high-functioning healthcare facilities is as clear as ever.

But what happens when a procedural suite needs to be upgraded? Or a major piece of medical equipment needs to be replaced to provide new treatment options to patients?

Traditionally, healthcare facility renovations or updates to large equipment can put essential treatment areas out of commission. However, Light Detection and Ranging (LiDAR) technology, a new form of Building Information Modeling (BIM) that uses lasered beams of light to measure distance, can be used during a project’s exploratory phase to help. LiDAR provides an understanding of the space inside walls and ceilings and under floors before demolition, greatly reducing the amount of time it takes to prepare for and realize improvements.

Utilizing this technology during non-critical hours of operation, a project team can create a 3-D scan of existing conditions, including sections and elevations, and 3-D views of a designated workspace—all without impacting a hospital’s daily activities. Sometimes discoveries made during this process prompt improvements to plans or allow the project team to avoid issues that may not have been realized until after demolishing a space.

Columbia recently partnered with a longtime healthcare client to use LiDAR to provide 3-D existing conditions scans for several CT rooms, one of which contained one of the only units in the region for bariatric patients. The goal was to replace the CT machines on a fast timeline and avoid unforeseen issues that could add to the project schedule and budget.

A limited number of team members visited the hospital during off-hours and scanned all relevant areas. The scans were uploaded and shared with the project partners, avoiding the need to bring a large group through the facility—a critical feature especially during the COVID-19 pandemic, when it’s essential to limit the number of personnel visiting a facility. Furthermore, utilizing the shared scans online helped establish early and effective collaboration among the design, construction, hospital leadership, and equipment vendor teams, with everyone relying on the same set of factual information.

For this particular project, the LiDAR scan improved and streamlined the process in several ways. For example, during a review of the existing conditions scan during a virtual meeting, a team member noticed an existing nurse call button located on one of the CT room walls that had been missed earlier. This detail required bringing in an additional subcontractor to change the positioning of the electrical system, and recognizing this issue before work got underway meant that the team could properly price and schedule the project.

Because we had scanned areas both below the floor and above the ceiling, the project team could also examine the placement of the existing equipment support beams. Knowing whether these were positioned in parallel or perpendicular fashion ensured the new CT units could be properly fitted without any last-minute headaches. The equipment support vendor was also engaged much earlier in the project, ensuring an accurate budget and proper scheduling.

The information gained using LiDAR technology can enable project teams to confidently design and prepare the layout of the structural support for the installation of new hospital equipment; identify the best placement of equipment with regards to access and end-user maneuverability; highlight and prepare for all utility maintenance access needed during construction; and more accurately time procurement of new equipment and feel secure that it will fit the space requirements.

Healthcare is a constantly evolving arena, and LiDAR technology can help address the challenges associated with necessary equipment replacement and space remodels, making it a welcome tool for the industry.

 

Source: healthcare design

Jackson Health To Build Emergency Medical Hub In Coral Gables

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Work will begin in six months on a new emergency medical facility in Coral Gables, Florida, that will serve Jackson Health System patients inside the city and within five miles of it.

Miami-Dade commissioners voted unanimously for the project at their final full meeting of 2020, advancing the latest expansion for the nonprofit public healthcare system that since 1918 has grown from community hospital with 13 beds to a network of thousands.

The single-story building, referred to in Miami-Dade documents as the Jackson Health Emergency Department at Galiano, will be built on two county-owned parcels on the corner of Oviedo Avenue and Southwest Eighth Street, also known as Galiano Street.

“The 10,170-square-foot facility will have dual functions,” a Dec. 15 memo from Miami-Dade Mayor Daniella Levine Cava said.

The larger emergency department will have eight exam rooms and support space, two resuscitation rooms and computerized tomography and radiology equipment. The building will also serve as primary care space with six exam rooms.

There will be 36 parking spaces outside, including two that are compliant with Americans With Disabilities Act requirements. Some spaces will be convertible for electric vehicle charging in the future.

Materials attached to a prior memo by former county Mayor Carlos Giménez shows architectural and design firm Gresham Smith and engineering design firm Kimley-Horn as having worked on the project.

The project is now in the design and development phase, but Jackson has already approved the schematic design and layout of the facility. Miami-Dade expects construction documents to be final soon, with construction to begin in June and end in July 2022.

The roughly one-acre property, which Ms. Levine Cava’s memo said “was gifted” to Jackson by Commissioner Rebeca Sosa, the authorizing item’s sponsor. It is in an area zoned for limited commercial and single-family residential use.

“This…will be a miracle place in an area that we don’t have anything,” Ms. Sosa said.

“Most of the project’s funding will come from the Jackson Miracle Bond program, which includes work at all existing Jackson campuses and the creation of new facilities across Miami-Dade,” the memo said.

An additional $1 million will come from the county’s Building Better Communities general obligation bond program. Commissioners in October OK’d allocating to the project funds from the more than 16-year-old program, which includes an entry for “primary health care facilities” development.

A map depicting the five-mile radius of the property shows that the facility will serve communities in Coral Gables, Miami, Westchester, West Miami, Virginia Gardens, Miami Springs and Medley.

In the next five years, the population of those areas is expected to grow by 45,000 people, a 7.3% increase.

“The fastest-growing segment, will be residents aged 65 and older who will “demand increased medical services,” the memo said. “And the majority of patients treated [at and released from an emergency medical facility originate from ZIP Codes within a five-mile radius. Depending on the size of the ZIP Codes and the population density, a two- to five-mile area can represent between 50% and 70% of the patients treated.”

 

Source: Miami Today

New Hospital Coming To Venice, Florida In 2021

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Sarasota Memorial Hospital broke ground on its new hospital in April 2019, with its campus in Venice at Laurel and Pinebrook roads.

Its opening will be here in no time: SMH-Venice should be completed in fall 2021.

“It is going to bring services to that part of our community that is in great need,” SMH CEO David Verinder said. “We are looking forward to, quite frankly, many many years of that growing and continuing to serve in South County.”

The new hospital will offer a full array of medical and surgical care, including:

• Cardiology Unit/Catheterization Lab
•  Critical Care/Intensive Care Unit
• Emergency Care
• Endoscopy & other procedural areas
• Gastroenterology
• General/Vasular Surgery
• Labor & Delivery/Post-Partum Unit
• Laboratory/Diagnostic Testing
• Nephrology
• Neurology/Neurosurgery
• Oncology
• Orthopedics
• Pulmonology
• Imaging/Radiology
• Urology and more

The Venice hospital costs about $255 million to build. With furniture, equipment, the energy center and other campus infrastructure, the total cost will be about $437 million. The new hospital will be hurricane ready and has undergone some design changes in order to be better prepared for treating COVID patients, as well as other infectious diseases.

“The ICU is designed with negative pressure rooms so that we can better manage the pandemic if needed,” said Kim Savage, SMH’s public relations manager.

A negative pressure room, also called an isolation room, is meant for infection control. It allows air to flow into the isolation room but not escape from the infected patient’s room.

“Most hospitals had to quickly convert existing patient rooms into negative pressure environments or dedicate entire critical care units to safely isolate COVID-19 patients from other hospitalized patients,” SMH-Venice President Sharon Roush said. “Given the ongoing nature of this pandemic, we felt it important to be prepared for a resurgence of this or any other highly infectious airborne disease in the future.”

In addition to this, SMH added a negative-pressure ventilation system to convert all or a portion of their ICU/critical care units to a pandemic unit if needed. The new hospital will also greatly increase bed capacity.

“It will immediately add more than 100 beds, and we already are planning for expansion and that will allow it to double,” Savage said.

The initial development covers 48 acres on the eastern side of the parcel, but Savage says as the community grows, so will SMH-Venice. It has the capacity for 300 private patient suites, 16 surgical suites and a 50-bed ER. The expansion also will bring Sarasota Memorial’s extensive physician base further south and help build the medical staff for a future hospital in North Port.

The current plans for the Venice location includes:

• A 365,000-square-foot, 5-story hospital, with 110 private patient suites and 28-bed emergency center and 8 surgical suites
• A 2-story, 60,000-square-foot medical office building
•  Related support structures and service area
•  An adjacent 400-space parking garage and surface parking lots

“Construction on the new campus is full speed ahead,” Verinder says “COVID hasn’t slowed them down. We are very excited about the new Venice hospital coming online. It is going full speed right now. It’s beautiful even as it sitting in construction.”

He says they are in the process of hiring step and will be doing that throughout this coming year.

“We are excited to bring Sarasota Memorial’s high-quality care to the rapidly growing south Sarasota County community,” Roush said “Opening the new hospital in Venice will enhance care to the entire region, while also creating and sustaining jobs and livelihoods for hundreds of people and area businesses.”

Source: WTSP-TV News