Lee Health Coconut Point Board of Directors Update November 17, - - PDF document

#3400.159 Rev. 10/16

Lee Health Coconut Point

Board of Directors Update November 17, 2016

Guiding Principles

Create an Exceptional Guest/Patient Experience

• Coordinate multiple disciplines and modalities in a one‐stop experience for patients
• Provide amenities and services that promote health, wellness and healing in a tranquil

environment

• Design processes and flows that pull care to the patient whenever possible
• Design processes and flows to support minimal to no waiting times
• Employees are engaged and behaviors will help create an exceptional experience
• Enhance the employee and provider work experience through design and process flow

Quality

• Ensure coordination and smooth transitions of care
• Provide state of the art care that meets or exceeds quality benchmarks
• Provide prompt results (24 hours or less)

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Guiding Principles

Environmentally responsible, patient centered physical spaces

• Welcoming, easy to navigate facility designed around customer/patient needs
• Staff input to minimize wasteful staff movement and facilitate efficient workflows
• Flexible design to allow multi‐purpose use of spaces and growth
• Interiors that promote a healing environment for patients
• Exteriors that are walkable and transit friendly
• Energy efficient design that is respectful of the environment

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Guiding Principles

Use technology to improve quality, care navigation and convenience

 One patient, one record utilizing EPIC as the foundation  Incorporate telemedicine into the care delivery system  Single registration process for all services  Use technology to enhance patient and family engagement, communications, and to streamline interactions ‐ before, during and after the visit

Financial Health

 Planning and construction on time and within budget  Meet or exceed 5 year financial projections

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Freestanding Emergency Department Care Continuum (Observation) Unit Emergency Management Services (EMS) Surgical Services

Lisa M. Sgarlata, DNP, FACHE

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Freestanding Emergency Department: Focusing on the needs of the Community

• Serving the community 24/7 – 365 days a year
• Consistent with Lee Health mission and the legal requirements governing Freestanding

Emergency Departments

• Treating emergent medical conditions 24/7 – 365 days a year

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Freestanding Emergency Department

• f the Future
• Virtual care:
• Telemedicine
• Patient Education
• Patient Experience
• Scope of Services:
• Stroke
• Chest Pain
• Orthopedic Injuries
• Sports Injuries
• Respiratory Illnesses
• Lacerations/Sutures
• Head Injuries
• Abdominal pain
• Dehydration

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Care Continuum Unit

• Co-location with Emergency Department and Surgical Services
• Shared utilization with the surgery center for Orthopedic Patients
• Model of care
• Average length of stay ranges from 10‐14 hrs.
• Improve clinical outcomes
• Improve patient satisfaction
• Avoid unnecessary admissions
• Support Continuum of Care

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Care Continuum Unit: Diagnosis Based

• Chest Pain Center
• Stroke Ready
• Dedicated Care management
• Home Care Program
• Transition Care RN
• Infusion and Interim Care Center
• Virtual Observation

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Partnership with EMS

• Lee County EMS will be located onsite 24/7
• Air transport accessibility
• Paramedicine Community Care

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Surgery Center

• Approximately 25,000 square feet
• 4 operating rooms with plans which include future expansion
• 2 procedure rooms
• 25 patient bays which support preoperative and postoperative care
• Shared waiting room space
• Shared care continuum beds with the Emergency Department
• All aspects of patient, family, staff, surgeon flow considered within the

surgery center as well as supporting departments; Breast Center, Radiology, Lab, Care Continuum Unit

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Surgery Center

• Create an exceptional patient experience
• Expand on the successes of the current surgery center
• Patient and family flow
• Location and building access
• Staff satisfaction and efficiency
• Location of supplies/equipment
• Surgeon satisfaction
• Implementation of latest technology
• 23 hour stay which allows for more complicated procedures
• Joint replacement
• Hysterectomy

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Surgery Center

• Create an integrated operating room setting which is technologically

advanced to support the latest procedures performed in an outpatient setting

• How?
• Use of current and future operating room technology through

comparison of products

• Take advantage of integration in the operating room
• What?
• Bringing control to the operative field, to the circulating nurse’s

workstation, between operating rooms, to the charge desk and to an outside source‐conference room

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Medical Offices & Ancillary Services

David Cato, Chief Administrative Officer Kristine Fay, Chief Administrative Officer

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Medical Offices

• Multi-specialty office to include:
• Primary Care/Pediatrics/OB‐GYN
• General & Vascular Surgery
• Orthopedics
• Cardiology/GI
• Pulmonary/Endocrinology/Rheumatology
• Opportunity for rotating specialists
• Plan to be open 7 days per week to maximize access

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Ancillary Services

• Full Diagnostic Radiology Suite
• Full Diagnostic Breast Health Center
• Full Diagnostic Cardiovascular Suite
• Laboratory
• Outpatient Retail Pharmacy
• Cardiac Rehabilitation
• Outpatient Rehabilitation

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How are we Enhancing Care Delivery?

• Reinforces Destination Concept of “One Stop Shop”
• Co-located all physicians in one practice setting; enhanced

communication and collaboration

• Partnership with medical offices and ancillary services for timely

and convenient testing

• Ease of Registration/Check In & Check Out
• Designed with the future in mind
• A Breath Of Fresh Air

Registration & Promenade

Rehabilitation Space – Therapy Garden

Healthy Life Center/Retail

Kevin Newingham Chief Strategy Officer

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Healthy Life Center

• The Healthy Life Center will relocate from Coconut Point Mall to the Lee Health
• campus. The Healthy Life Center provides health guidance, services, and

education to inspire healthier lifestyles.

• Dedicated to maintaining and improving health.
• Learn about Lee Health’s services and connect to community resources

through daily health and wellness education.

• Navigation to health services including scheduling assistance with Lee

Physician Group or an outpatient service, such as rehabilitation and testing.

• Staffed by Personal Health Advocates, Health Service Coordinators, and

Schedulers.

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Healthy Life Center

Activities planned on a monthly basis that include a variety of health and wellness lectures and activities:

• Physician lectures
• Disease state education
• Chronic Disease Management classes
• Health and wellness talks
• Walking Club
• Cooking demonstrations
• Stress reduction classes
• Preventative screenings

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New programming in the last 6 months:

• Yoga offered weekly
• Tai Chi series
• Essential oils classes
• Guided meditation and mindfulness
• Established as a Co‐op Produce location
• Healthy Book Club

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Healthy Life Center

• Highly visible location
• Lee Health Solutions on site
• 2 holistic treatment rooms
• Expanded space for health and wellness programming
• Dedicated retail space
• Demonstration and teaching kitchen
• Outdoor exercise area
• Healing garden
• Enhanced AV capabilities, including video recording

Healthy Life Center Entrance

Retail Layout

Retail Products - Sample Offerings

• Yoga Mats / Rollers
• Pedometer / Fitbit
• Bands, tubing, belts, pullets
• Electronics Demo Station (health

apps, other)

• Reflective gear
• Fall prevention gear
• Vitals Station (BP, Weight, BMI) –

Telehealth and Lifeline Display

• CPAP pillow

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• Lotions and crèmes, organic soaps, essential oils
• Serola SI belts
• Exercise balls
• Hand weights / kettle balls
• Cooking videos / books
• Medicinal teas
• Music /noise blocking DVD’s
• Select clothing
• Small kitchen equipment
• Healthy Snacks, Supplements, Vitamins

Technology

Mike Smith, Chief Information Officer

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State of the Art Technology -

Electronic Health Record (EHR) – single LeeHealth Integrated Patient Record Medical Technology – On-site laboratory Diagnostic Imaging Technology – CT, MR Surgical Imaging Technology Cardiac Technology Telemedicine Virtual integration across LeeHealth Patient/Personal Health Record Mobile technology Clinical Record Interoperability with major organizations across the country

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State of the Art Imaging Technology

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Integrated Operating Room

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Telemedicine

Specialist Coverage for ED and CCU

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Patient e-Visits

Technology for patient/family convenience

Integrated Registration across Clinic, Physician Offices Patient Paging Patient Kiosks Mobile Device Registration MyChart Personal Health Record

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Integrated Technology Throughout – Epic EHR, Voice, Imaging

Emergency Department Surgery Center ‐ Ancillary Services Lobby‐Public Spaces Clinics Building Services

Achieving Interconnectivity Through Technology

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Epic Clients – CareEverywhere

Finance

Dave Kistel, Vice President Facilities Ben Spence, Chief Financial Officer

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Project Status Report

• Completed Design Development Construction Documents
• We have conducted project reviews with local and state jurisdictions,

including Stage II AHCA review

• Submitted documents to Village of Estero for Development Order

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Project Highlights

• Building consists of 163,500 sq.ft. of construction
• 82,400 sq.ft. of space designed as institutional occupancy

* Imaging * Freestanding Emergency * Breast health * Clinical Decision Unit * Lab * Surgery * Pharmacy

• 69,100 sq.ft. of business occupancy

* Clinic exam rooms * Healthy living center * Cardiac rehab * Demonstration kitchen * PT & OT * Retail & Café

• 12,000 sq.ft. Central Energy plant

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Schedule

MONTHS

J F M A M J J A S O N D J F M A M J J A S O N D J F M A M J J A S O N D

Design Permitting (FDEP, BSU, LCDOH, AHCA, ERB, Village of Estero) Development Order Approval Early Release Package - Fill Only GMP Approval by Board Construction Overall Duration Move-In / Training Occupancy

2016

2017

2018

LEE HEALTH AT COCONUT POINT Projected Schedule - Design and Construction

Thank You