Session Detail

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Wednesday, October 10, 2018  |  9:45 AM - 10:45 AM

Open to Conference Attendees Only

Small Hospital Recapitalization – Developing an Optimized Future State

Aaron Hanley
Architect, APA
Glenn Marsh, FHFI, EDAC
Director of Project Planning & Support Division, U.S. Army Health Facility Planning Agency (HFPA/G9)
Eric Poulsen
Principal, Medical Planner, The Innova Group

Small and rural hospitals across the U.S. face mounting challenges with aging infrastructure, changing reimbursement models, decreasing inpatient volume, and difficulties hiring and retaining staff. In 2016, the DoD published recommendations for the restructure or realignment of services at several military medical facilities. The descoping of inpatient and surgical services at one facility created opportunities to recapitalize the space for improved space utilization, staff efficiency, and patient experience. The success of a long-range master planning effort depends on key stakeholders being fully vested in the outcome. It is essential to get all planning assumptions and considerations “on the table” and aligned with the mission, vision, and values of the organization. The planning team must quickly discover and prioritize the most significant operational and facility-related challenges which need to be addressed in developing an optimized future solution.



1. Recognize that fragmented and dysfunctional space can drive the need for more staff to deliver the same care (~60% of facility costs are staffing).
2. Understand the importance of service delivery planning (strategic and market analysis) in developing an optimized future vision for the facility.
3. Prioritize the needs of multiple stakeholder groups and establish criteria with techniques for evaluating alternative facility solutions.
4. Discover how improved alignment, integration, and adjacency of key services can yield significant staffing, space, and operational efficiencies.

SESSION FOCUS AREAS: = Generative Space = NOAH