\\ Comprehensive Facilities Master Plan Comprehensive Facilities Master Plan Eva Klein & Associates Brailsford & Dunlavey RMF Engineers Martin Alexiou Bryson Protection Engineering Group ISES
\\ Comprehensive Facilities Master Plan Overarching Strategic Questions for Health Sciences Campus: • Future Models for Health Science Education? • Campus vs. Satellite Ambulatory Sites? • Student Services for West Campus (i.e., activity center, food services, student health)? • New Colleges and Programs? • Role of UHS / PCMH in Medical and Other Professional Education? • Regional Education Model?
\\ Comprehensive Facilities Master Plan Faculty Recruitment and the Clinical/Academic Model Enable All Missions: Three-fold Mission for the Brody School of Medicine: 1. To increase the supply of primary care physicians to serve the state, 2. to improve health status of citizens Student Enrollment / in eastern North Carolina, Research Academic Growth 3. and to enhance the access of Funding & minority and disadvantaged Recognition Faculty students to a medical education. Recruitment; Clinical / Academic Model Clinical Growth & Clinical Revenue Recognition Growth
\\ Comprehensive Facilities Master Plan
\\ Comprehensive Facilities Master Plan HSC Aspirations • Consistent Desire to Create an Integrated Health Science Center Campus Respectful of Student and Faculty Support and Patient Access • Efficient and effective • Consistent Goal of Aligning Clinical Service, Education and Research Leadership with Health Needs of Region • Desire to Provide an Integrated Core Curriculum in support of Interprofessional Education across the Health Science Center Schools • Continue and Strengthen Regional Growth in Support of Current and Anticipated Program Development HSC Conceptual Vision An Integrated, Humanistic-Oriented, Community-Based Care-Delivery, Education, and Research Model. Health Sciences
\\ Comprehensive Facilities Master Plan HSC Limitations • Various Programs are Fragmented and Non-Integrated • Funding Resource Constraints • Inconsistent Utilization of Existing Facilities • Limited Physical Ability of Current Facilities to Support Future Program Development • Revenue Sources are Inconsistent; Distribution in Support of Programs Require Constant Negotiation • Wayfinding Challenges due to Historic Focus on a “Medical Mall” Model Rather Than an “Integrated Health” Model (A Community Health Resource Center) Health Sciences
\\ Comprehensive Facilities Master Plan The “Maturing” Health Sciences Center Robust College of Nursing @ 1,100 Students (Largest in the State) • First Health Professional School at ECU. • Statewide Education and Placement Model to Help Regional Development of HSC • Significant Distance Education Curriculum • 500 Undergraduate Students, 600 Graduate Students • Undergraduate Growth will be Limited at Class Size of 150 • Supportive of an Integrated Educational Program and Clinical Program Implementation Health Sciences
\\ Comprehensive Facilities Master Plan The “Maturing” Health Sciences Center Robust College of Allied Health Sciences @ 800 Students • Very Broad Curriculum Offering • 60% of Students at Graduate Level • Statewide Education and Placement Model to Help Regional Development of HSC • Clinical Enterprise with 4 Distinct Clinics (Speech, PT, Rehab / Substance Abuse, and Sports PT) • Anticipate 34% Growth Over Next 8 Years; Could be Limited by Lack of Clinical Sites • Supportive of an Integrated Educational Program and Clinical Program Implementation Health Sciences
\\ Comprehensive Facilities Master Plan The “Maturing” Health Sciences Center New Dental School @ 200 Students • Innovative Statewide Clinical Offering (4 th Year in a Regional Campus Setting) • Could Provide Basis for Regional, Education, Clinical Care and Research Programs Department of Public Health @ 25 Graduates / Year • Considered a Department • Growth to 110 – 120 Students Possible; Limited by Existing Facilities and Staff Development • ECU-HSC Comprehensive Mission Expansion Suggests a More Integrated Future Role Health Sciences
\\ Comprehensive Facilities Master Plan The “Maturing” Health Sciences Center Mature Brody School of Medicine @ 320 Students with Growth to 480 Students • Historic Clinical Training Focus with Family and Rural Health Mission • Robust + Broad Clinical Enterprise; Centers of Excellence in Cancer, Metabolic, CardioVascular, Neurosciences • A Multi-Specialty Care Delivery Model • Relationship with PCMH and UHS; Seeking to Expand Clinical Relationships throughout eastern NC • Require Regional Expansion to Serve Student Growth • Historic Source of Extramural Funding (Research); Expectation to Grow Research • Future Faculty Development will Likely Require Research Expansion Health Sciences
\\ Comprehensive Facilities Master Plan ECU Ambulatory Service Areas Visits FY 07-09 Average % Service Area Distribution Cumulative % Primary Service Area (PSA) 52% -- Secondary Service Area (SSA) 24% 76% Tertiary Service Area (TSA) 14% 90% Extended Service Area (ESA) 5% 95% Other North Carolina 4% 99% Subtotal North Carolina 99% -- Out of State 1% 100% Total 100% -- Health Sciences
\\ Comprehensive Facilities Master Plan ECU - Service Area Population OBSERVATIONS • Expected Population Growth in Primary 2000 - 2009 2009 - 2014 Service Area at 50% of Service Area 2000 2009 2014 Change % Change Change % Change last 10 years. Primary Service Area (PSA) 151,469 173,533 185,981 22,064 14.57% 12,448 7.17% • Minimal Expected 409,084 418,505 422,077 9,421 2.30% 3,572 0.85% Secondary Service Area (SSA) Population Growth in Tertiary Service Area (TSA) 374,456 394,144 401,550 19,688 5.26% 7,406 1.88% Secondary and Tertiary Service Area. Extended Service Area (ESA) 207,430 226,972 236,034 19,542 9.42% 9,062 3.99% Sub-Total 1,142,439 1,213,154 1,245,642 70,715 6.19% 32,488 2.68% • Robust Total Expected 8,049,313 9,370,242 10,132,240 1,320,929 TOTAL - North Carolina 16.41% 761,998 8.13% Population in the State. Source: ESRI Business Solutions Data Health Sciences
\\ Comprehensive Facilities Master Plan Total Clinic Visits / Arrivals Based on Average Zip Code FY 07 FY 08 FY 09 Average % Dist. Cumm. % OBSERVATIONS Primary Service Area (PSA) 27834 78,122 77,265 78,940 78,109 22.86% 22.86% • 52% of Patient Volume 27858 36,694 38,172 39,627 38,164 11.17% 34.03% from 13 Zip Codes 28590 21,154 21,947 21,184 21,428 6.27% 40.31% • 34% of Patient Volume 27889 14,467 13,197 12,549 13,404 3.92% 44.23% from 8 Zip Codes. 28513 12,102 12,077 11,507 11,895 3.48% 47.71% 27828 7,809 7,981 8,228 8,006 2.34% 50.06% 28530 6,295 6,331 6,695 6,440 1.89% 51.94% Sub-Total 176,643 176,970 178,730 177,446 51.94% 51.94% 27834 Includes PO Zip Codes: 27834, 27835, 27833, 27811, and 27827 27858 Includes PO Zip Codes: 27858, 27879, and 27836 Health Sciences
\\ Comprehensive Facilities Master Plan Total Clinic Visits / Arrivals Based on Average Zip Code FY 07 FY 08 FY 09 Average % Dist. Cumm. % OBSERVATIONS Secondary Service Area (SSA) 28501 6,209 6,093 6,681 6,328 1.85% 53.79% • Additional 24% of 27812 6,402 6,010 6,224 6,212 1.82% 55.61% Patient Volume from 24 Zip Codes 27837 6,549 5,823 5,856 6,076 1.78% 57.39% 27892 5,957 5,963 6,259 6,060 1.77% 59.16% 27886 5,702 5,427 6,291 5,807 1.70% 60.86% 27893 6,036 5,071 5,563 5,557 1.63% 62.49% 28580 4,495 4,591 5,121 4,736 1.39% 63.88% 28504 4,566 4,275 4,612 4,484 1.31% 65.19% 27871 4,293 4,179 4,583 4,352 1.27% 66.46% 27530 4,376 4,209 4,303 4,296 1.26% 67.72% 27817 4,095 3,741 3,909 3,915 1.15% 68.86% 27534 3,589 3,496 3,873 3,653 1.07% 69.93% 28560 2,798 2,628 3,001 2,809 0.82% 70.76% 27983 2,889 2,437 3,099 2,808 0.82% 71.58% 28562 2,526 2,765 2,919 2,737 0.80% 72.38% 27801 2,659 2,493 2,928 2,693 0.79% 73.17% 28551 2,600 2,285 2,312 2,399 0.70% 73.87% 28501 Includes PO Zip Codes: 28501 and 28502 28504 Includes PO Zip Codes: 28504 and 28503 28540 2,302 2,278 2,455 2,345 0.69% 74.56% 27871 Includes PO Zip Codes: 27871 and 27861 27801 Includes PO Zip Codes: 27801 and 27802 28586 2,322 2,294 2,340 2,319 0.68% 75.23% 27932 2,443 2,239 2,173 2,285 0.67% 75.90% Sub-Total 82,808 78,297 84,502 81,871 23.97% 75.90% Health Sciences
\\ Comprehensive Facilities Master Plan ECU Ambulatory Service Areas - Drive Times Visits FY 07-09 Average % Service Area Distribution Cumulative % Primary Service Area (PSA) 52% -- Secondary Service Area (SSA) 24% 76% Tertiary Service Area (TSA) 14% 90% Extended Service Area (ESA) 5% 95% Other North Carolina 4% 99% Subtotal North Carolina 99% -- Out of State 1% 100% Total 100% -- Health Sciences
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