Systematic Determination of Clinic Space Requirements Umang Dosi

Systematic Determination of Clinic Space Requirements Umang Dosi March 29, 2000 BME 273 Advised by: Dr. Doris Quinn

Purpose n VUMC is expanding, and its clinics are finding the need to increase their space requirements. – Not enough support staff to meet provider staff and patient volume – Inadequate number of exam rooms – Patients complaining of long wait times n How much space do they really need? – No real scientific thought has gone into this process

Present Situation The Vanderbilt Clinic n Potential of 45 Clinics in need of space reallocation. Clinics Moving to Children’s Hospital n n 7 Pediatrics Clinics ready to move into Children’s Hospital Currently scattered throughout TVC and MCE

Goals Objective n Design a method to determine space requirements using a logically consistent procedure based on actual healthcare process of VUMC Pediatrics Clinic. Product n Workbook guiding the step by step approach for clinicians and managers to collect the necessary data needed to determine space needs.

Project Potential David Posch, COO VMG n Dr. Rhea Seddon, Asst. COO, VMG n Fred Dewese, VP Facilities Planning & Development n Cyril Stewart, Associate Director Constructive Admin n Ron Hill, VP Strategic Development n Administrative Officials of various clinics n

Background n Efficiency: To maximize the productivity of the clinic while minimizing the time patients wait to be seen. n Goal is to determine if current space utilized properly as well as to anticipate future space and resource needs. n A model for a study on spatial requirements has been suggested by Dr. Vinod Sahney from Harvard School of Public Health.

Three major questions. . . n 1. What is the current process and how are resources being utilized? Can a more efficient process be designed without additional resources? n 2. If an efficient process currently exists, what additional resources are needed (people, space, equipment, etc. )? n 3. How much growth is expected?

Workbook The workbook contains 5 major sections n Part 1: Determine efficiency of current process I. Process II. Human Resources III. Equipment n Part 2: Determine what changes would benefit patient care IV. Room Utilization V. Patient Population

Growth and Demand

Equation n Determine who and what requires space and how much space is required for current patient volume. Then adjust for growth. n Clinical Space Needs = (Resources and Tasks) • (Space Required) • (Growth Adjustment) Overlap

The Final Step. . . n Send the workbook to several clinics in need of process analysis. n Take data they gather and fit to equation n Determine whether their process is efficient as well as what redesign efforts are needed.

Acknowledgements n Dr. Doris Quinn n Layle Kenyon, Vanderbilt Pediatrics Clinic n Vanderbilt Pain Control Center