Lee Health Coconut Point

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1 Lee Health Coconut Point Board of Directors Update November 17, 2016 # Rev. 10/16

2 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) 2

3 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 3

4 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 4

5 Freestanding Emergency Department Care Continuum (Observation) Unit Emergency Management Services (EMS) Surgical Services Lisa M. Sgarlata, DNP, FACHE 6

6 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 7

7 Freestanding Emergency Department of 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 8

8 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 hrs. Improve clinical outcomes Improve patient satisfaction Avoid unnecessary admissions Support Continuum of Care 9

9 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 10

10 Partnership with EMS Lee County EMS will be located onsite 24/7 Air transport accessibility Paramedicine Community Care 11

11 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 12

12 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 13

13 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 14

14 Medical Offices & Ancillary Services David Cato, Chief Administrative Officer Kristine Fay, Chief Administrative Officer 15

15 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 16

16 Ancillary Services Full Diagnostic Radiology Suite Full Diagnostic Breast Health Center Full Diagnostic Cardiovascular Suite Laboratory Outpatient Retail Pharmacy Cardiac Rehabilitation Outpatient Rehabilitation 17

17 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

18 Registration & Promenade

19 Rehabilitation Space Therapy Garden

20 Healthy Life Center/Retail Kevin Newingham Chief Strategy Officer 21

21 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. 22

22 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 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 23

23 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 24

24 Healthy Life Center Entrance

25 Retail Layout

26 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 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 27

27 Technology Mike Smith, Chief Information Officer 28

28 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 29

29 State of the Art Imaging Technology 30

30 Integrated Operating Room 31

31 Telemedicine Patient e-visits Specialist Coverage for ED and CCU 32

32 Technology for patient/family convenience Integrated Registration across Clinic, Physician Offices Patient Paging Patient Kiosks Mobile Device Registration MyChart Personal Health Record 33

33 Integrated Technology Throughout Epic EHR, Voice, Imaging Surgery Center Ancillary Services Building Services Clinics Emergency Department Lobby Public Spaces

34 Achieving Interconnectivity Through Technology

35 Epic Clients CareEverywhere 36

36 Finance Dave Kistel, Vice President Facilities Ben Spence, Chief Financial Officer 37

37 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 38

38 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 39

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40 LEE HEALTH AT COCONUT POINT Projected Schedule - Design and Construction Schedule MONTHS JF MAMJ J A S OND JF MAMJ J A S OND JF MAMJ J A S OND 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 41

41 Thank You