Emergency medicine is in a state of crisis throughout the country due to overcrowding and ever lengthening wait times. Due to the Affordable Care Act, the demand is only expected to increase as health insurance becomes more readily available. The basic operational concept of an Emergency Department (ED) is that the clinical resources are available […]

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Featured in Medical Construction & Design’s December 2015 Newsletter. A busy block in Brooklyn is the site of an Ambulatory Care Center (ACC) under construction. When a neighborhood such as this requires new infrastructure, executing the project often consists of overcoming many hurdles. As in many cities, New York has zoning resolutions, which often differ from […]

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While at my previous firm, one of our clients acquired an industrial building next to their hospital with the intention of converting it to a 300-bed inpatient hospital. The building had a large loading dock on the ground floor, as well as three parking floors and 10 industrial floors above. Soon after the purchase, it […]

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When undertaking an intensive bed tower renovation, hospital leaders must weigh the investment cost against anticipated gained efficiencies, as well as often overdue improvements to patient and family experience. A phased construction plan must balance cost escalation with bed demand, and the disruption of taking beds out of service to provide swing units. Converting two-bedded […]

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The US healthcare landscape is ever changing due to the Affordable Care Act (ACA). Modifications to the law change healthcare delivery and provide access to insurance coverage to a large population of the previously uninsured. One of the largest underserved populations includes those with mental illnesses. In 2013 alone, an estimated 43.8 million US adults […]

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We’ve all heard it: “Failing to plan is planning to fail.” It becomes difficult when we’re not sure what to plan for, but we can’t allow the fear of the unknown to prevent us from heeding Mr. Franklin’s warning. One of the great things about working exclusively within the healthcare industry is working with people […]

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As Emergency Departments (EDs) across the country are facing space, resource and staffing shortages, health systems are building Clinical Decision Units, or Observation Units, to help alleviate these stresses. Observation Units provide treatment and monitoring for patients who need further evaluation to determine whether they meet admission criteria. With Observation Units joining EDs, inpatient hospitalization rates […]

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A lean coffee is an agenda-less meeting, where people come to discuss topics related to lean and process improvement. I geared my lean coffee toward healthcare professionals who might be currently implementing lean or trying to learn more about process improvement. Follow me on Twitter and connect on LinkedIn for information on upcoming Philadelphia Lean […]

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