- Locations
- United States
- International
United StatesInternationalLatin America Region
- Careers
- Contact Us
We provide fully integrated facility solutions that ensure the execution of capital projects across markets, 为私营和公共部门提供本地服务和全球服务.
With broad-based expertise across disciplines, 我们是性能驱动型设施的无与伦比的来源, from concept to ribbon-cutting.
With a broad range of in-house engineering expertise, we can optimize your current operations or take your new project from concept to completion, providing unrivaled service and results.
澳门足彩app is a global network of experts providing integrated design, engineering, construction and professional services to clients and communities.
Home / News & Insights / Compete or Capitulate – the Argument for Clinic Consolidation
It’s 2020, and everything seems to be experiencing a revolution. Articles use popularized clichés like “the new normal” and “unprecedented times” either as clickbait, filler, or social satire (my preference). I won’t apply these clickbait headlines to describe the more long-term market shifts within clinical care, although disruptors within the ambulatory market have completely shifted how health systems need to approach their clinical network.
Competition within the ambulatory environment, from telehealth offerings like 98point6 to CVS HealthHub, ChenMed, and Walmart, has changed the ways patients receive ambulatory care, so much so that insurers are buying into their value propositions and are actively steering patients there, allowing disruptors to influence downstream acute care referrals. Traditional health systems have two options: compete or capitulate.
This isn’t a 2020 revolution. It’s been a long time coming, 卫生系统必须适应市场的这些变化,以保持竞争力. Market disruptors are ahead of the game and going for scale through a variety of approaches, leveraging technology and strategically placed bricks and mortar to capture large patient panels of younger, healthier patients. Others are pursuing specialization, managing smaller patient panels with chronic conditions, 并通过全面的实践方法向付款人证明它们的价值.
Health systems choosing to compete must leverage their scale, arsenal of multispecialty physicians, and comprehensive continuum of care to improve the patient experience and stymie competition. For most health systems, the traditional standalone physician clinic is not the answer for scale: CVS and Walgreens have demonstrated that. Consolidation of physician clinics into multispecialty practices that over-deliver on patient experience is.
Achieve economies of scale with your capital: Continued reimbursement pressures are forcing health systems to look at their capital and cost structure, pursuing economies of scale while reducing their facility overhead. The argument for clinic consolidation begins with achieving higher patient volumes while gaining efficiency improvements and eliminating redundancies. Through consolidation, health systems can reduce their capital overhead related to facilities and equipment while driving higher utilization of revenue-producing assets. Due to these gained efficiencies, 合并诊所每平方英尺提供更高的利润和收入, ultimately proving a business case for sustained capital investment.
Leverage support staff and reduce redundancy: Like physical capital, 通过合并使支助人员更有效率和精简. Previously underutilized support staff can be leveraged across numerous practices due to shared operational processes and common space, such as patient registration. Meanwhile, staff made redundant can be reallocated across the system to areas previously strained for help.
Geographic pull: By leveraging economies of scale through the variety of practices involved, systems can place a higher dollar investment in the facility and overall patient experience. Larger MOBs and multi-practice sites have a broader geographic pull due to their variety of specialty offerings, improved care coordination, 与传统的独立诊所相比,设施质量更高.
Leveraging technology for patient care and clinic operations: The scale of consolidated clinics improves the business case for system investment in technology. While standalone clinics struggle to receive the investment necessary to pursue innovative technologies, consolidated clinics and multispecialty practices have the scale to properly utilize new technologies, creating a more appealing business case for financing. Operational technologies improve administrative processes and the patient and provider experience, while reducing the need for common and support space, creating a larger footprint for revenue-producing assets. More importantly, clinical technology improves the quality and coordination of care, reduces clerical errors, improves provider efficiency, and ultimately supports superior clinical outcomes.
Geographic distribution: The primary strategy behind standalone physician clinics is the opportunity to spread across a broad geography. A general rule of thumb was that a patient should be able to access primary care in the same amount of time it takes to get to the grocery store. With consolidated clinics, some markets may lose this geographic advantage, the ultimate strategy being that patients will be drawn to the consolidated clinic’s halo effect and multispecialty service offering.
Lost advantages in geography can be mitigated with investment in telehealth implementation, connecting to patients regardless of geography and many times in a more convenient setting – their home. With recent changes in reimbursement policy, telehealth solutions are rapidly becoming implementable.
成功整合的关键是评估和减轻这些风险. For outlying areas still considered target markets, outposts can be established through small retail sites to maintain community relationships, connecting patients to sites with higher acuity service offerings either through referrals or on-site clinically guided telehealth visits.
医生的支持:有资格整合的做法将面临医生的反对, and understandably so. 许多医生都把他们的职业生涯奉献给了发展他们的实践, 与他们的病人小组和更广泛的社区建立关系. 诊所合并威胁到这些长期关系(以及它们的底线). To gain physician buy-in health systems must create a space that improves the patient and physician experience while not affecting the physician’s bottom-line. Overlooking these concerns will anger physicians, drive attrition, and broaden the provider supply gap that many systems are facing.
病人流失:任何提供者的改变都会带来病人流失的风险. This risk is certainly applicable to clinic consolidation where patients leave due to changes in distance, interest in retail competition, or a host of other factors. Mitigating these risks with early and clear communication about the benefits of the new model, seamless operational transition, and an improved patient experience is key. Ultimately the goal is to mitigate losses with a strategic location and superior product that will retain existing patients, backfill losses, and provide a strategic site for growth.
澳门足彩app delivers $2± billion annually in Architecture, Engineering, Construction (AEC) and Consulting solutions to assure certainty of outcome for complex capital projects worldwide. 澳门足彩app is a global, fully integrated, single-source design-build and EPC firm with over 2,200 highly specialized, in-house design, 工业和商业市场的建筑和管理专业人员. With 20+ office locations around the globe, 澳门足彩app is a trusted partner for global and emerging clients.
In a project that has been novel on numerous counts, Orlando Health and 澳门足彩app partnered to bring the state-of-the-art...
People are innately driven to interact with nature, and biophilic design is an approach that accommodates this desire...
The effects of climate change on healthcare and the effects of healthcare on climate change are inextricably linked. At...
In the year and a half since Jennifer O’Donnell spearheaded its formation and became its first president, the Charlotte,...
After a yearlong effort, the American College of Healthcare Architects (ACHA) has released its VA Task Force 2023 Report,...
Denise Muth was a single mother starting her climb up the construction ranks before anyone had seen a laptop or a cell phone...
It is always interesting to describe what you do as a consultant because your job changes from project to project. I would...
People use that Contact Us link up at the top of the 澳门足彩app.com website for all sorts of reasons, but as far as anyone knows,...
Since the release of our first report on upgrading to meet USP 797 and USP 800 requirements, we have received so many requests...
Pharmacy requirements are evolving, 而且对药店所占用的物理空间的要求也越来越严格...
Taking a holistic approach to projects is a hallmark of 澳门足彩app’s work. Nowhere is this more true than in its healthcare...
Early in the planning stages of the Borowy Family Children’s Critical Care Tower Frank Brooks walked through an area in...
Free-Standing Emergency Departments (FSEDs) are, by definition, a community’s link to healthcare when residents need...
The Association of Medical Facility Professionals (AMFP) has formed a chapter in Charlotte, North Carolina, its ninth...
It’s common to hear the phrase “Day in the Life” (DITL) during the activation of a new healthcare space, but what does that...
Scripting, or a standardized response, is part of everyday life. Order a cheeseburger, and the cashier asks if you want...
As the world marks two years of the COVID-19 pandemic, the healthcare operations and construction industries continue...
Medical planners often stay tucked away at their desks, blocking floorplan concepts, creating schematic plans and supporting...
Through a truly collaborative effort that ultimately would span five years and six major phases, 澳门足彩app Healthcare recently...
High-quality design has a profound ability to affect our experience and perception of space. In addition to helping providers...
考虑到今天出生的每八个女性中就有一个会被诊断出患有乳腺癌, scheduling a diagnostic scan or...
I am often approached by healthcare facilities regarding soiling or staining on their furniture, cracked upholstery,...
We as humans are configured a certain way. 我们都有相同的系统,比如循环系统、消化系统、神经系统...
出院后感染是再入院的主要原因之一. Medicare payments typically make...
As recently as 100 years ago, lawyers, notaries, 还有一些人在做工程师的工作,尽管他们缺乏...
Population health has changed ambulatory investment. While in the past healthcare systems looked for opportunities...
随着时间的推移,混凝土板含有并不断吸收和释放水分, potentially causing costly problems with...
澳门足彩app’s Healthcare Design Director, for which the company is now recruiting, is a position that embodies two of the concepts...
集中式护理正在出现,通过实时生成来改革患者护理操作, actionable analytics and proactive...
Virtual reality has come a long way from its original uses in video games and military training exercises. Now this technology...
In the same way that Design-Build project delivery revolutionized the construction industry by enhancing design and...
One of the unintended consequences of the COVID-19 pandemic and extended lockdowns has been unused or ill-used office...
卫生系统正在看到对其现有流动资产组合的需求不断变化, in both services offered and...
As designers, we often rely on visualization strategies such as 3D modeling, renderings, and video fly-throughs to convey...
Many buildings today are clad with aluminum skins, crisp metal panels in both simple and complex shapes, with limitless...
Telehealth visits, plexiglass partitions, taped-off waiting room chairs, hand sanitizer stations, and masks are just...
COVID-19 has forced the healthcare world into uncharted territory. Protecting patients from those who are contagious...
Temperature and humidity (T&H)医院设施的控制往往是设施工作人员和源头的斗争...
说2020年对医院和卫生系统来说很困难是轻描淡写的. COVID-19 wreaked havoc on healthcare,...
Yesterday we had a plan on how to improve our supply chain process. We looked at supplier consolidation, our distribution...
Intensive care units were born out of the development of new technologies to treat the most critical patients. The first...
You don’t necessarily have to be in the healthcare industry to see that COVID-19 has changed the way we approach the delivery...
The COVID-19 pandemic has overwhelmed health systems, and the costs associated with treating these patients have cut...
MTV’s 1981 debut of the Buggles’ “Video Killed the Radio Star” instantly changed how we enjoyed music. We no longer had to...
他说:“我们要求这些年轻人冒着如此巨大的困难投入行动? You’ve met them, you know. They are the best...
The public health crisis of the past nine months has shone a spotlight on the tireless care that doctors, nurses, and other...
2020 has been a challenging year for all of us. COVID-19大流行极大地改变了我们的日常生活:医疗保健...
With such a profound shift in how to conduct business in a pandemic, determining how to conduct tasks in a sustainable way...
We’ve heard the expression “Hindsight is 20/20,” but that doesn’t mean we have to move forward blindly. Artificial intelligence...
如果我们能积极主动地对待行为健康,而不是被动反应,那会怎么样呢? We cannot control people or their behaviors,...
As the coronavirus overwhelmed the New York metropolitan area in March and construction sites shut down en masse, 澳门足彩app’s...
Change management, the controlled implementation of required changes within a system, is a phrase that is overused. But...
In my previous blog, I discussed the clash prevention process and how 澳门足彩app is using that to advance our designs and deliverables....
The one thing that the current pandemic is teaching us is that technology is going to play a larger part in how healthcare...
We as designers are hands-on, collaborative, and interactive types. We enjoy the opportunity to get together in one room...
Since 1892, 澳门足彩app has embraced the evolution of documentation methods ranging from 2D pen/pencil and paper and 2D electronic...
Five years ago, Nathan Faloon and his family sought relief from the harsh winters of New England. Hailing from Dover-Foxcroft,...
You walk down a corridor on your way to an operating room. On your left is a scrub sink. You pause and take a quick peek through...
The last few months have brought forth many discussions surrounding the effects of COVID-19, both current and long-lasting....
阅读第1部分,了解更多关于如何协调应对大流行的信息. The COVID-19 pandemic has exposed the vulnerabilities...
The COVID-19 pandemic has elevated the need for the healthcare industry to rethink not only our emergency preparedness...
Architects and designers are immersed in a challenge to create healthier built environments that address the coronavirus...
除了“我(医院)如何提高第一个病例的准时开始和房间周转。?” the next most asked question for...
As cities and states continue to reopen, the thought on everyone’s mind is, “How do we re-enter public spaces and businesses...
The health of humankind is a complex and fragile thing – a fact highlighted by our current world pandemic. So much of who we...
We live in a world of competing priorities. 你的配偶希望你回家吃晚饭,你的老板希望你在办公室工作...
“By failing to prepare, you are preparing to fail.” — Benjamin Franklin COVID-19 will create an expanded need for...
Do you use a smartwatch? Have you ever installed a healthcare, diet, or workout app? Or have you ever put in personal information...
Read Part 1 to learn how a CSC can protect your supply chain during a public health threat or natural disaster. The current...
The healthcare supply chain is complex, and the role it plays in supporting patient care is critical. Around the world,...
Design is a collaborative process. 团队中的每个人都有才能和专业知识来为集体服务. From our internal...
Back in August I wrote a piece about the future of ICUs and discussed the unlikely potential of the hospital of the future...
While emergency departments and critical care units have been inundated with patients due to the COVID-19 outbreak, many...
As we define our new normal based on our COVID-19 experience, each of our perspectives will begin to shape healthcare design...
You stepped up when the crisis demanded. You were there for your community and your patients. Now it’s time to look toward...
If you had not started making shifts toward comprehensive telehealth before the COVID-19 pandemic shutdown, you have...
As we continue to help clients with their ability to prepare for or deal with patient care surges due to the COVID-19 pandemic,...
The surge of patients caused by COVID-19 will undoubtedly affect how healthcare is delivered once the current situation...
The COVID-19 pandemic has shifted a lot of focus and evaluation to the design of the contemporary hospital patient room....
没有什么比突然而剧烈的变化更能让你顿悟, and the social distancing measures...
As part of my job as a construction administrator, I conduct periodic site visits to our projects under construction. The...
It’s been just over five years since my father died due to complications from acute myeloid leukemia. When he was most vulnerable,...
Wearable health technologies are not a new concept. 从简单的计步器到监控我们活动的手表和应用程序...
Health systems, 特别复杂的领域,如急诊和外科服务部门, have long used computer...
我们每天都听说大数据,需要利用它,需要分析它. In doing so, we are promised that big data...
作为一名医疗保健室内设计师,我经常被问到为什么医疗保健需要设计. Once I overcome my initial shock...
Say you’re an architect designing a new building of Type I or Type II non-combustible construction. You submit your plans...
Often, the value of an architect is measured by a flashy edifice, a well-thought-out plan, or a functional sequence of movement...
In our last blog post on activation planning, 我们强调在新建筑中实施即使是一个单一的流程变化...
Healthcare costs in the United States are the highest in the world, accounting for 17% of our GDP and per capita expenditure...
Attending a conference focused on “patient-centered care” means that every session you go to is based on the patient first....
Trying to juggle work, attempts at a social life, staying physically active, and keeping up with adult tasks (i.e., oil...
女性拥有广泛的购买力和影响力,推动了70-80%的消费者购买.[1] So it is no surprise that women...
在新生儿重症监护室,首先关注的是新生儿的需求. For an infant being treated in the NICU, clinical...
111 Riverside Avenue
Jacksonville, FL 32202
© 2024 澳门足彩app. All rights reserved.