capital improvement development process at hospitals · penn medicine /pennsylvania hospital ....
TRANSCRIPT
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CAPITAL
IMPROVEMENT
DEVELOPMENT
PROCESS AT
HOSPITALS
JEFFREY T. O’NEILL, AIA, ACHA
SENIOR DIRECTOR, FACILITIES
PENN MEDICINE /PENNSYLVANIA HOSPITAL
PHILADELPHIA, PA
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DISCUSSION • Brief Introduction
• Key Decision Making Around Benchmarking and Quality Indicators
• Capital Process and Implementation
• Owner’s Expectation of Environment of Care Oversight
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INTRODUCTION
Hospital of the University of Pennsylvania (HUP)
Pennsylvania Hospital (PAH)
Penn Presbyterian Medical Center (PPMC)
The Chester County Hospital (TCCH)
Lancaster General Hospital (LGH)
Clinical Practices of the University of Pennsylvania (CPUP)
Clinical Care Associates (CCA)
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INTRODUCTION
Beds: 2,146
Square Footage: approximately 7,000,000
Clinical Services: 74
Covers Southeastern Pennsylvania, some in South Jersey
Affiliated Hospitals: 15
Business Model: Non-Profit
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KEY DECISION MAKING
• The old way…..
Fee for service
Volume Driven
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KEY DECISION MAKING
• Quality
Mortality
Length of Stay
Hospital Aquired Infections
Environment of Care
Speed to Service
P A T I E N T S A F E T Y
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KEY DECISION MAKING
• Benchmarking
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CAPITAL PROCESS • Inception
• Response to quality measures
• Strategic Plan
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CAPITAL PROCESS • Approval
• Many competing priorities
$
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CAPITAL PROCESS • Development
• Design, regulatory review, construction, regulatory acceptance
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CAPITAL PROCESS • Delivery of Care
• Utilization of the new space to support the mission
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OWNERS EXPECTATIONS
• Achieving Patient Safety
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OWNERS EXPECTATIONS
• Ongoing relationship with regulatory
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OWNERS EXPECTATIONS
• Need Consultants / Designers / Contractors to Lead the Process
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OWNERS EXPECTATIONS
• We expect a lot of ourselves
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OWNERS EXPECTATIONS • Timing is key!
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CAPITAL
IMPROVEMENT
DEVELOPMENT
PROCESS AT
HOSPITALS
JEFFREY T. O’NEILL, AIA, ACHA
SENIOR DIRECTOR, FACILITIES
PENN MEDICINE /PENNSYLVANIA HOSPITAL
PHILADELPHIA, PA