Business Plan and Implementation

Grosse Pointe Outpatient Business Plan and Implementation

Health Management Systems LDR 609Margie Pokorski, PT , Rehab Manager

10-29-13

Initial Proposal to City Council Denied!

Brad Lindberg Staff Writerwrite the authorMay 16, 2013CITY OF GROSSE POINTE — A divided city council this week denied a key element of St. John Providence Health System's $5.4 million proposal to establish medical offices in the former Borders Books & Music building in the Village.

St. John denied

UPDATED PLANS PRESENTED TO THE GROSSE POINTE CITY COUNCIL WELL

RECEIVED 8-21-2013

IT’S UNANIMOUS! ON 9-16-13 THE GROSSE POINTE CITY COUNCIL

APPROVED SJPH’S PLAN TO DEVELOP THE VACANT BORDERS BUILDING IN THE VILLAGE OF

GROSSE POINTE WITH A 7-0 VOTE

• Sent on behalf of the Grosse Pointe Ambulatory Center Planning Committee•  • It’s unanimous! On Monday, September 16, the Grosse Pointe City Council approved St. John Providence Health System’s plan to

develop the vacant Borders building in The Village of Grosse Pointe with a 7-0 vote. •  • The approved site plan represents months of work, and is a compromise that fits both the City Council’s vision for The Village, and

SJP’s desire to provide convenient access to outpatient services. The 18,000 square feet building will be an approximate 50/50 split between retail and medical, with SJP as the landlord for the retail frontage, which could include between one and three retailers. In the rear of the building (but with access via Kercheval), SJP plans to provide primary medical care with an internal medicine physician group, a lab draw station, imaging services (mammography, ultrasound, X-ray, and bone densitometry), and physical therapy.

•  • We are very pleased with the Council’s willingness to work with us, and for welcoming us to The Village. The path to this approval

was complicated, and we are thankful for the City Council and Administration’s flexibility and creativity towards finding a suitable solution.

•  • Corporate Real Estate will now complete the purchase of the building, followed by approximately 90 days of design and construction

planning. We have already begun working with our retail property broker to find high-quality businesses for the retail space. The new site will open in the Summer of 2014.

•  • We will keep you updated on the progress, and will post the renderings on www.sjptheloop.com (look in the photo gallery) and on our

Facebook page at www.facebook.com/stjohnprovidence within the next 24 hours. In the meantime, if you have any questions, please contact one of the Planning Committee members below:

• Dave Brooks, President, SJH&MC • Frank Poma, President, SJRDH and East Region Cardiology • Bob Hoban, President, Care Continuum, SJPHS • Richard Abbott, Director, Corporate Real Estate/Design and Construction, SJPHS • Tomasine Marx, Chief Financial Officer, East Region, SJPHS • Scott Smith, Chief Development Officer, SJPHS Foundations East Region • Sara Brown, Marketing, SJH&MC and affiliated campuses •

BUSINESS PLAN OVERVIEW

The project is the market development of an ambulatory center within Grosse Pointe

This is an adaptive strategy for SJPHS Rehabilitation Services based on the location of its ambulatory outpatient sites in relation to hospitals, inpatient rehab units, and physician offices

This is also a complimentary strategy that captures sports medicine referrals from the SJPHS Sports Medicine contracts at Grosse Pointe North and Grosse Pointe South High Schools

The project is also a market penetration of specialty programs which includes the Functional Independent Training Program, Oncology Rehab, Women’s Health, and Vestibular Rehab

IMPLEMENTATION PHASE STEPS

Communication

Design and Construction Planning

Equipment Planning

Staffing Transition

Core and Niche Services

Marketing Plan

Moving Plans and Timetable

COMMUNICATION

SJPHS Intranet

Community Newspapers

Associate department

meetings

Design Layout posted

for staff input

Individual associate meetings

Outpatient Leadership Team

Meetings

IMPLEMENTATION PHASEDESIGN AND CONSTRUCTION

DESIGN PLAN #1 – 4,252 SQUARE FEET

DESIGN PLAN #2 - 3,175 SQ. FTREVISED

DESIGN PLANS #3 - 3,285 SQ. FTREVISED 10-16-2013

DESIGN AND CONSTRUCTION

On 10-17-13 a meeting was held regarding Preliminary Plans with Diagnostics, Primary Care, Blood Draw (Lab), Registration and Physical and Occupational Therapy .

Action Steps: Determine Work Flow for Patient Arrivals, Reception, Registration, and Check Out.Medical Records StorageAdditional exam rooms for the Primary Care areaCrash Cart in Physical Therapy or Physician OfficesMoving Physical Therapy to the west wall of the facilityOverhead Paging

DESIGN AND CONSTRUCTION - CONTINUED

Meeting scheduled for November 7, 2013 with the goal of having an updated overall floor plan for all four groups

EQUIPMENT

Equipment lists requested to identify costs and for space

State of the art equipment for niche services which include Bioness, ceiling mounted gait track, pilates reformer, vestibular rehab and women’s health equipment and software

SERVICES PROVIDED

Physical Therapy and Occupational

Therapy

Sports Medicine

Massage Therapy

Vestibular Rehab

Oncology Rehab

Functional Independent

Training Program

Women’s Health

STAFFING AND SERVICE TRANSITION

Staffing concerns

Outpatient Pediatric Services to remain at Hospital location

Will any outpatient rehab services be provided at the Hospital location?

Meeting scheduled October 29 2013 with the Rehab Services Directors and the Vice President who is also a member of the Grosse Pointe Planning Committee

Team Dynamic changes as a result of staff moving offsite

OPERATIONAL SERVICES TRANSITION

Creation of new cost centers, eCare, HBO

Linen, courier service, mail forwarding, shredding services, armor services, cleaning services

Information Technology and Telecommunication

MARKETING PLAN

Physicians

Associates

Community

MOVING PLANS AND TIMETABLE

Corporate Real Estate will complete the purchase of the building followed by approximately 90 days of design and construction planning

SJPHS is working with the retail broker to find high-quality businesses for the retail space

The new site will be open in the Summer of 2014

REFERENCES

Beaumont-Henry Ford merger. (n.d.). Retrieved from Crain's Detroit: http://www.crainsdetroit.com/article/20121031/FREE/121039946

Brooks, D. (2013, August 20). Presentation to grosse pointe council well received. Retrieved from St. John Providence Health : http://www.stjohn.org

Lindberg, B. (2013, May 16). St. john denied. Grosse Pointe News. Retrieved from http://www.grossepointenews.com

Martin, S. E. (2013, May 14). City of grosse pointe council denies variance for st. john proposal on former borders. Retrieved from HYPERLINK "http://grossepointe.patch.com/articles/city-of-grosse-pointe-council" http://grossepointe.patch.com/articles/city-of-grosse-pointe-council

Neighborhood club (2013). Retrieved from Beaumont Health System: http://www.beaumont.edu

Physical Therapy. (2013). Retrieved from Henry Ford: HYPERLINK "http://www.henryford.com/body.cfm" http://www.henryford.com/body.cfm

 

REFERENCES

Reilly, B. (2012, November 12). Crain's List: Largest Michigan Hospitals and Hospital Companies. Crain's Detroit Business.

SJPH. (2013, September 16). Sent on behaf of the grosse pointe ambulatory center planning committee. Retrieved from http://www.stjohn.org

Southeast Michigan Council of Governments (SEMCOG). (2010, November 29). SEMCOG Quick Facts. Retrieved April 24, 2013, from semcog.org: http://www.library.semcog.org/InmagicGenie/DocumentFolder/QuickFacts2010Census.pdf

Swayne, L. E., Duncan, W. J., & Ginter, P. M. (2008). Strategic Management of Healthcare Organizations (6th ed.). San Francisco, CA, USA: Jossey-Bass.