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Free Standing Emergency Department (FSED)

Free Standing Emergency Department (FSED) | Kadlec Kennewick, WA

Kadlec Regional Medical Center’s Emergency Department was reaching its maximum capacity.  The prospect of expanding the existing ER, enclosed within the existing hospital, was a painful prospect.  Demographic analysis showed that 40% of ER patient visits were from the adjacent city across the Columbia River.  ER volume analysis also indicated that 80% of all visits ended with the patient returning home.  Based on this, a decision was made to open a new Free Stand Emergency Department across the river, 12 miles from the hospital.
Using Lean design principals, the ER staff worked with the TGB design team in a 5-day design event.  The three-fold goal of this event was to reduce the ER visit time from an average of 263 minutes to 90 minutes with no waiting, with no more than10 minutes from door to doctor.  Furthermore, the building must be designed to a base capacity of 20,000 visits per year with expansion capacity to 40,000.  The team redesigned their processes and protocols, then designed the building to support this goal.
Using a daily management system, the first 3 goals are achieved and maintained in the first year.  40,000 visits were achieved by the 3rd year of operation with no significant changes in the building or protocols.

PROJECT SIZE:  20,700 SF

CONSTRUCTION COST:  $8.9 Million

STATUS:  Completed 2013

PROJECT TEAM:

TGB Architects

Mechanical & Electrical- Coffman Engineers

Structural- PSM

Civil- JUB Engineers

Landscape- Heritage Professional Landscaping and Maintenance

Bouten Construction Company

Tags:#Masterplanning, #Medical Planning, #Architecture, #Emergency Room, #Collaborative Design, #Process Improvement

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