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Facility Space Planning for Emergency Department Using Simulation Analysis

Facility Space Planning for Emergency Department Using Simulation Analysis. SHS Conference February 2004. Lillian Miller. Agenda. Foote Hospital Emergency Department Facility Space Planning Simulation Design. Albert Kahn Associates, Inc. Architecture and Engineering firm

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Facility Space Planning for Emergency Department Using Simulation Analysis

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  1. Facility Space Planning for Emergency Department Using Simulation Analysis SHS Conference February 2004 Lillian Miller

  2. Agenda • Foote Hospital • Emergency Department • Facility Space Planning • Simulation • Design

  3. Albert Kahn Associates, Inc. • Architecture and Engineering firm • 100+ Years Experience • Quality Commitment • Strategic Facility Planning

  4. Business Business Business Business Business Business Business Planning Planning Planning Planning Planning Planning Planning Budget & Budget & Budget & Budget & Budget & Budget & Budget & Real Estate Real Estate Real Estate Real Estate Real Estate Real Estate Real Estate Pre Pre Pre Pre Pre Pre Pre - - - - - - - Design Design Design Design Design Design Design Estimating Estimating Estimating Estimating Estimating Estimating Estimating Developments Developments Developments Developments Developments Developments Developments Service Service Service Service Service Service Service Programming Programming Programming Programming Programming Programming Programming Move Move Move Move Move Move Move & Planning & Planning & Planning & Planning & Planning & Planning & Planning Management Management Management Management Management Management Management Strategic Strategic Strategic Strategic Strategic Strategic Site Site Site Site Site Site Site Operations Operations Operations Operations Operations Operations Operations Facility Facility Facility Facility Facility Facility Facility Planning Planning Planning Planning Planning Planning Planning Management Management Management Management Management Management Management Planning Planning Planning Planning Planning Planning Planning Facility Facility Facility Facility Facility Facility Facility Architecture & Architecture & Architecture & Architecture & Architecture & Architecture & Architecture & Management Management Management Management Management Management Management Facility Facility Facility Facility Facility Facility Facility Management Management Management Management Management Management Management Engineering Engineering Engineering Engineering Engineering Engineering Engineering Services Services Services Services Services Services Services Services Services Services Services Services Services Services Program Program Program Program Program Program Program Management Management Management Management Management Management Management Interior Design Interior Design Interior Design Interior Design Interior Design Interior Design Interior Design Operations Operations Operations Operations Operations Operations Operations Program & Program & Program & Program & Program & Program & Program & Analysis Analysis Analysis Analysis Analysis Analysis Analysis Construction Construction Construction Construction Construction Construction Construction Asset Management Asset Management Asset Management Asset Management Asset Management Asset Management Asset Management Management Management Management Management Management Management Management & Financing & Financing & Financing & Financing & Financing & Financing & Financing Post Post Post Post Post Post Post Commissioning Commissioning Commissioning Commissioning Commissioning Commissioning Commissioning Construction Construction Construction Construction Construction Construction Construction Operation & Operation & Operation & Operation & Operation & Operation & Operation & & Start & Start & Start & Start & Start & Start & Start - - - - - - - up up up up up up up Services Services Services Services Services Services Services Maintenance Maintenance Maintenance Maintenance Maintenance Maintenance Maintenance Albert Kahn Associates, Inc. Life Cycle of Facility

  5. Foote Hospital • Health System • Jackson, Michigan • 325 beds • Major Services: • Behavioral Health • Cancer Center • Birthing Center • Heart and Lung Services

  6. Emergency Department • Two EDs in Area • Level II Trauma • Built in 1983 • 20 ED Beds • 34,000 Visits Capacity • 50,388 Visits in 2000

  7. Facility Space Planning • Needs Assessment • Operations Analysis • Space Needs • Layout

  8. Simulation • Data Collection • Model Development • Outcomes Analysis • Bed Needs

  9. Design • Space Program • Cost Estimate • Alternative Designs • Future Design • Schedule

  10. Facility Space PlanningNeeds Assessment • Team Development • ED Tours • Available Space • Town Meeting • Codes and Regulations

  11. Facility Space PlanningOperations Analysis

  12. Facility Space PlanningSpace Needs • Average and Peak Volume • Key Rooms and Dept Space • Trends and Benchmark • Alternative Processes

  13. Facility Space PlanningLayout • Gaming Board • Initial Layouts • Beds • Support Space

  14. SimulationAnalysis

  15. SimulationData Collection • Arrival Rates • Resource Schedule • Patient Types • Activity Times • Decision Points

  16. SimulationModel Development

  17. SimulationOutcomes Analysis • Patients in ED • Beds Filled • Length of Stay • Interim Times • Bottlenecks • Desired

  18. SimulationBed Needs • By Visit Growth • By Process Scenario

  19. DesignSpace Program • Room Types • Room Quantity • Room Area • Listing • Net Sq Ft • Building Factor • Dept Gross Sq Ft

  20. DesignCost Estimate • Renovation • New Construction • Permits and Lab Testing Fees • Furniture, Furnishings, and Equipment • Architectural/Engineering Fees • Contingencies • Escalation

  21. DesignAlternative Designs • Do Nothing • Minimal Renovation • Expand Horizontal • Further Expand Horizontal • Expand Horizontal and Vertical

  22. DesignFuture Design

  23. DesignSchedule • Phases I and II • Approvals • Pre-design • Schematic Drawing • Design Development • Construction Documents • Bid & Award • Construction

  24. Project StatusandQuestions

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