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Clinical integration of pediatric services at Mercy Health

Development of a regional integrated system for pediatrics services by Mercy Health (Chesterfield, MO), a multi-institutional system operating facilities in Missouri, Kansas, Arkansas, and Oklahoma, is described in this article.  Mercy Children’s Hospital, with inpatient care locations in St. Louis and Springfield, MO, is working with the large multi-specialty Mercy Clinic to create this integrated network.  Among the goals are strengthening the physician referral network and coordinating the delivery of pediatric care.  Initiatives include the establishment of a telemedicine network, and of a POINT (Pediatric Outpatient and Inpatient Navigation Team), composed of a nurse practitioner, RN, and social worker, which is tasked with care coordination for NICU patients and other children with complex issues.

Source: Mercy adapts services to region’s needsHealth Progress;92(3):21-23, May-June 2011.  Posted by AHA Resource Center (312) 422-2050, rc@aha.org

Planning ambulatory care clinics in children’s hospitals

Considerations in designing ambulatory care spaces in children’s hospitals are discussed by principals with FKP Architects.  There are some data gems:

  • Outpatient services are expected to grow about 23 percent over the next decade (this is quoted from The Advisory Board)
  • There is a chart showing national benchmark ranges for visits per exam room by specialty in pediatric ambulatory clinics (this is from FKP’s proprietary database).  [IMPORTANT NOTE: This chart is in the print version of the article only.]
  • If you’re designing a facility in which staff have to walk more than 250 to 300 feet horizontally, it’s time to think about vertical stacking
  • It’s possible to achieve average clinic room utilization of 75 to 80 percent with adult patients, but for pediatrics, the best children’s hospitals are doing 50 to 60 percent and the average is more like 40 to 50 percent.

Why I like this article:  I spent much of my career as an information specialist working for hospital consulting firms and we always liked to find little data nuggets like this.

Source: Stavins, C., Osan, D.R.K., and Fannin, T.  Mission critical: fixing ambulatory careHealthcare Design;11(6):87+, June 2011.  Posted by AHA Resource Center, (312) 422-2050, rc@aha.org