Nemaha Valley Community Hospital Nemaha Valley Community Hospital Master Plan Report by 15 July 2019
Nemaha Valley Community Hospital 15 July 2019 Study Overview Executive Summary Facility Assessment Data Analysis Observations & Recommendations Master Planning Options Cost Opinion 2
Nemaha Valley Community Hospital 15 July 2019 Study Overview Introduction Process Project Team In November 2018, Nemaha Valley Community The process of creating this Master Plan included Nemaha Valley Community Hospital Hospital engaged Health Facilities Group, LLC to the following elements: Kiley Floyd, CEO create a new Facility Assessment and Master Plan Mike Stallbaumer, Maintenance Manager 1. Data acquisition – HFG acquired numerical Report to analyze the existing facility and identify data in the form of statistical information from Health Facilities Group opportunities for future development. This report is the hospital’s records, and functional and the result of collaboration between Nemaha Valley Tim Dudte, Medical Planner operational data from interviews with key Community Hospital and HFG. Rick Wilson, Medical Planner hospital staff Jennifer Unrein, Project Architect 2. Evaluation of the existing facility, site, and data In the process of assembling the data and Professional Engineering Consultants 3. Preparation of preliminary Space Summary conclusions presented in this report, Tim Dudte, Brian Henry, Mechanical Engineer and Project Programming information Jennifer Unrein, and Rick Wilson of HFG; and Brett Walbridge, Electrical Engineer Brian Henry and Brett Walbridge of PEC 4. Development of alternative plan options with conducted an investigative tour of the hospital and opinion on probable costs clinic, interviewed administration and key hospital 5. Presentation of the findings and options staff, and analyzed patient and service line data provided by the hospital. Kiley Floyd, Mike Stallbaumer, and the NVCH staff provided guidance and direction on behalf of the hospital and were instrumental in the formation of this report. 3
Nemaha Valley Community Hospital 15 July 2019 Executive Summary Facility Assessment Data Analysis Observations & Recommendations Master Planning Options Cost Opinion
Nemaha Valley Community Hospital 15 July 2019 Executive Summary Existing Conditions Patient Data Analysis Looking Forward The facility is around 10-30 years old, depending on The inpatient data shows general growth over the The building appears to be in good structural the phase of construction, and was built to deliver an past six years. The annual patient days had been condition, but the structural bay size and the roof inpatient model of care. There were fewer (but declining until a significant increase in 2016-2017, form hinder addition/remodel options. emerging) technologies available for care delivery, then a modest decline again in 2018. Census Though there are numerous issues, the primary and this is evident in the structural bay; Mechanical, analysis shows increases in the max and 98% needs are as follows: Electrical, and Plumbing (MEP) infrastructure; census for both swing and medical acute inpatients. 1. The Emergency department needs access departmental adjacencies; and room and department Rehab therapies (PT/OT/RT/CR), ED, Lab, and control and a dedicated waiting room and sizes. Imaging have also been increasing since 2016. decontamination facilities. Ideally, ED would be There is adequate parking spaces for the staff, The PT/OT existing space is appropriately sized for located closer to the Inpatient unit’s Nurse outpatients and clinic patients, and visitors. the current equipment and support spaces, but staff Station for better efficiency. wants to provide hydrotherapy, which will require The building entrance is clearly indicated with a 2. The Surgery suite needs additional equipment additional treatment and support space. drop-off canopy. The exterior of the building storage space, scope cleaning space, and staff appears to be generally sound and in good repair. The imaging department has dedicated rooms for X- support spaces. ray, CT, Mammo, Sono, and DEXA, but they are Several FGI Guidelines deficiencies would need to 3. The Imaging suite needs to be consolidated to spread out, leading to staff inefficiencies. be corrected if using an addition/remodel approach. improve efficiency and reduce patient confusion. The current clinic is adequately sized for the 4. The Respiratory Therapy department needs to providers on staff, and the facility has adequate be expanded and relocated to allow Lab the space for the specialty clinic with visiting specialists space to expand. on rotation, though administration asked about 5. The Inpatient unit has undersized rooms that increasing the quantity of specialist exam rooms. lack accessible toilet/shower rooms. The size and accessibility issues should be addressed in any major expansion/remodel project. There are opportunities to expand the building area to the east and west, which would provide the space necessary to solve the majority of the functional relationship problems that currently exist. 5
Nemaha Valley Community Hospital 15 July 2019 Executive Summary Facility Assessment Data Analysis Observations & Recommendations Master Planning Options Cost Opinion
Nemaha Valley Community Hospital 15 July 2019 Facility Assessment } Site } Property Overview / Analysis Nemaha Valley Community Hospital is located on Community Drive between Main and Branch Streets in Seneca, Kansas on the west central side of town in a primarily civic / industrial area with a field to the west, light industry to the southeast, a water park to the northeast, and ball fields to the north. Main Entrance There are 171 off-street parking Clinic spaces serving the Hospital (65) and Clinic (106). The hospital property is landlocked by Existing other development on the north, Hospital south, and east, and by a street on the northeast. To the west is farmland. The area east and west of the hospital could provide growth space. Owned Property Area for Future Development Future Development and/or Temporary Structures N 7
Nemaha Valley Community Hospital 15 July 2019 Facility Assessment } Site } Site Circulation, Parking, Building Entry Points Analysis Clinic Parking There is adequate off-street parking on the site. However, an addition to the facility would need new parking to replace any existing parking lost due to construction and to accommodate the new services provided. Site circulation is straightforward and Main Entrance clearly marked with signage. The perimeter drive can accommodate Clinic ambulance and service vehicles in addition to staff and patient traffic. PT Entrance The building entrance is clearly (lower level) Existing marked with a drive-up drop-off Hospital canopy and signage. Staff and The Emergency entrance is shared Patient Parking between ambulance and walk-up PT/OT Parking patients, which can be a problem. Staff Parking Ambulance & Service Path of Travel N 8
Nemaha Valley Community Hospital 15 July 2019 Facility Assessment } Site } Potential Building Locations Analysis The primary opportunities for growth Utilities at street on the existing site are at the east and west perimeter of the existing hospital. Any parking lost to construction would need to be replaced. The primary challenge to expanding on the southeast is the narrow drive/parking and the proximity to the helipad. This Main Entrance is particularly challenging due to the need for growth space for the Clinic Emergency department. A secondary opportunity is to build a freestanding structure west of the Existing perimeter drive, but this could create Hospital some logistical challenges, depending on the services provided. Areas available for construction N 9
Nemaha Valley Community Hospital 15 July 2019 Facility Assessment } Site } Parking Analysis Parking Requirements (Zoning) Hospital* 42 Clinic (4 providers)† 106 Total 148 42 Parking Provided (Existing) Hospital 65 44 Clinic (6+1 specialty) 106 Total 171 Clinic There is ample off-street parking per 23 the zoning regulations, and to meet 15 practical needs. Although there is no Existing provision for parking for outpatient Hospital services in the regulations, the parking provided exceeds the minimum zoning requirements sufficiently to account for current needs. 32 * Zoning requires 1 space for every 2 15 inpatient beds plus 1 per 3 employees plus 1 per staff doctor. There is no parking provision for outpatient services † Zoning requires 3 parking spaces per exam room and 1 space per provider or employee N 10
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