The Continuing Development of the Clinical Liaison Role at Parkland. Wednesday, October 3, 2012

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1 The Continuing Development of the Clinical Liaison Role at Parkland Wednesday, October 3, 2012

2 Presenters Kathy Harper, RN, MBA, EDAC Vice President of Clinical Planning New Parkland Gay Chabot, RN, BS Program Director/Clinical Liaison Jodi Donovan, RN, MSN, PMP, EDAC Program Director/Clinical Liaison

3 Current Parkland Hospital 37K Inpatient Discharges 13K Deliveries 8.0M Prescriptions 450K Radiology Exams Annual Stats 9.4M Lab Procedures 19K Surgeries 55K Urgent Care Visits 140K ER Visits

4 The New Parkland Campus

5 New Parkland Campus 862 Private Adult Rooms 96 NNICU Rooms 166 ED Rooms 27 ORs 9 C-Section Rooms $1.271 Billion 3 million sq. feet

6 ED Blue Tower Logistics Gold Tower CUP WISH Clinic Admin. Parking - Patient/Visitor Parking - Staff DART Master Plan Concept

7 Central Utility Plant (CUP) Chiller Returns Progress Overview Water Pumps

8 Central Utility Plant (CUP) Power Supply Two redundant 24 MW feeds from separate Arial View sub stations Installed Steamed Capacity 192,000 lbs/hr Installed Emergency Power 17.5 MW generators Installed Chilled Water Capacity 13,750 tons of cooling LEED Silver Energy efficient equipment will aid in the LEED Silver Certification for other campus facilities Substantial Completion December 20, 2012

9 Parking Garage West Ticket Plaza Northeast Elevation Lobby level 1 Elevator Lobby level 8

10 Parking Garage Construction Start: Nov. 10, 2010 Construction Completion: Jan. 22, 2012 Opening: Jan. 30, 2012 Total Project Budget: $26,715,461 Final Project Cost: $24,853,392 Project Savings : $1,862,069 Standard Spaces: 1460 ADA Spaces: 222 Motorcycles Spaces: 18 Total Spaces: 1700 Elevator Lobby level 8

11 Logistics Building and Docks Tunnel connecting Logistics Building to Acute Care Hospital 44K Sq Ft Logistics Building Two Stories, Service Yard & Docks 120K Sq Ft Building Shell Upgrade & Department Finish-out located on level 00

12 Evolution of the Clinical Liaison Role Creation of the role Benefit of the role Flexibility of the role

13 Clinical Liaison Team Kathy Harper Gay Chabot Medicine Medicine Inpatient & Clinics Apheresis/Dialysis Epilepsy Cardiology Procedure areas GI/Endo/Bronch Adult ICU s Surgery Inpatient & Clinics Inmate Unit Emergency Department Trauma/Resusitation Anesthesia Patient Financial Services Security and Police Department WISH Labor & Delivery Gyn/Oncology Postpartum/Antepartum NNICU Newborn Psych ED Psych Inpatient Rehab Operating Room Central Sterile Gift Shop Volunteer Services Care Mgt/Social Workers Infection Prevention Jodi Donovan Clinical Support Services Pharmacy Radiology Pathology Respiratory Care Nutrition Services Nursing Admin/Central Staffing Interpretation Services Patient Advocacy Chaplaincy Patient Transport ADT/Discharge Lounge ROI (Health Information Mgt.) Clinical Engineering/BioMed Engineering EVS Linen

14 What We Did.. Stake Holder Meetings Design Development

15 Living in the Co-Lo What We Did..

16 What We Do. Communication NOW

17 What We Do. NOW Floor Plans Change Requests

18 What We Do. Tours On Boarding NOW Tours Hard Hat

19 What We Do. Media Relations NOW

20 What We Do. NOW Committees I Stand for Parkland Art Equipment Relocation Sustainability New Parkland IT Strategies

21 What We Do. NOW Research Supply Use at Bedside Inpatient Art & Furniture Studies Outpatient Art & Furniture Wayfinding

22 What We Do. Refinement NOW Communication Monthly NPH Update Recording the Journey Keys to Success

23 Mock Up Rooms v1

24 Mock Up Rooms v2

25 Mock Up v2

26 Mock Up Trauma Scenario

27 Mock up v3

28 Change Requests

29 Procurement

30 Financial Impact 2011 Savings Reductions Cost Remove One Data Drop per Patient Room $250,000 Trauma Room Reductions (Medical Equipment) $1,000,000 Radiology Portables Reductions (x-ray, US, c-arms) $1,500,000 Card Reader Reductions house wide $1,200,000 Removing Patient Room Privacy Curtains $480,000 Electrical Outlet Reductions $295,000 Shelling 2 LDR rooms $660,000 Total Savings $5,385,000

31 Financial Impact 2012 Savings Reductions Cost Endoscopy Suite Core redesign $19,600 Deletion of Card Readers Off-Stage Soiled Utility Rooms $46,300 Deletion of Digital Displays NNICU Rooms $25,800 Hot/Cold Cart System modifications $1,536,500 Kitchen Pulper to Composter change $76,400 Patient Room Footwall Redesign $862,000 Standardization of Patient Monitoring Equipment $7,900,000 Trauma Room Modifications (architectural and IT) $2,000,000 Removal of High Density Shelving where unnecessary $49,500 Wall-mounted Infant Warmer to Mobile Warmers change $16,500 Nitrous Oxide Outlet Location reductions $164,500 Total Savings $12,697,100

32 Financial Impact 2012 Adds Additions Cost Employee Lactation Rooms $85,000 Open Bays in Prep/Recovery Procedure area $20,600 Patient Financial Services Registration/Kiosk changes $26,500 Addition of Master Nurse Stations $19,000 Addition of Camera/Intercoms in Psych ER $700 Design of Hybrid OR $23,900 Modifications of C-Store in Cafeteria $33,500 Additional Data Drops for Pharmacy $33,800 Additional Data Drops for Pathology $2,100 Infant Security Expansion $717,200 Advanced Pneumatic Tube System features $386,800 Commode lids in Oncology Rooms $33,700 Total Adds $1,382,500

33 Net Impact Year Cost 2011 Savings -$5,385, Savings -$12,697, Adds $1,382, 500

34 On the Horizon Operational Readiness Move Activation Presentation & Publications Go Live 2015

35 Questions?

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