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Facility Planning

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Planning a renovation for a specialty clinic is a very detailed experience. The renovations will be expected to last for up to 10 years so it is important to plan for future needs. It is important to plan for the future needs of the community but to avoid over building. Over building will result in a loss of returns for the clinic. The specialty clinic at Prairie Lakes Hospital has two doctors a urologist and a nephrologist. Last week a second urologist has signed a contract to start work at the clinic in April. It is has now become necessary to renovate the existing clinic.
Prairie Lakes Hospital is a health care system that serves nine counties in the northeastern region of South Dakota. Prairie Lakes Hospital was established in 1986 as a direct result of the combining of two different area Hospitals (Prairie lake hospital, 2013) . The area us very rural and has a large aging population that has needs for urology and nephrology. The specialty clinic is has been seeing patents for the last four years. Dr. Adduci, urologist, was the first physician then Dr. Millanson, nephrologist, came soon after (Prairie lake hospital, 2013). They clinic is currently struggling to keep up with the demand and paperwork associated. There is not enough room for any additional staff to complete charts before and after clinic. Currently staff has to stay after hours to finish charts and start the next day’s charts. By paying for the additional overtime the hospital is not using its revenue effectively. The current urology physician is booking out for 6 months. The schedule is so full it has caused patients who are in critical need to seek medical care outside of the community causing a loss in patients as they transfer care to a different clinic in a town 80 miles away. This is also an inconvenience for patients and a risk to their health. If a complication were to arise due to treatment they would have to travel a distance to receive care.
Some special needs a specialty clinic that has a focus on urology and nephrology needs to be defined. The most important one is each physician needs his or her own procedure room with separate instruments and equipment. The urology physician and staff will often carry out many procedures that require sterile interments so it is necessary to have a room set aside for sterilizing tools at the end of the day or when needed. It is also important to have separate bathrooms for patients and staff so the spread of illnesses is limited and specimen contamination is kept at a minimum (Prairie lake hospital, 2013).
As the population in the region begin to age the need for urological and nephrology care will increase only placing further demand on the already stretched clinic. During the planning process it is important to do an extensive pre planning process. It is important to avoid over design yet plan for the next 10 years of demand. As the aging population places more demand on the specialty clinic the need for a functional yet warm environment become necessary.
The specialty clinic locate in Prairie Lakes Hospital in Watertown South Dakota is currently looking to expand its services to patients needing urology and nephrology care. This type of care will be needed as the large numbers of the community are aging. It is important to look at the design in a manner that will not only comfort the patient but support growth as new physicians come to work with Prairie Lake Hospital. It is also important to know that the hospital is expanding in other areas and a well-functioning urology and nephrology program will support this growth. The need for the specialty clinic also varies from separate sterilization room to bathroom facilities for staff that are separate from patient restrooms (Prairie lake hospital, 2013).

Reference

Bayte, M. (2009). A guide to managing public policy. Retrieved from http://books,google.com/books?909idlksdjfodisialsdkzmlkdmfldksaldjfldk
Census Burow. (2011). Income poverty and health care spending. Retrieved from http://Census Burow/ income poverty//lkd0-ps0dkfsldkmfd
Children's Hospital of Minnesota. (2013). Childrren's hospital of miscode policy review. Retrieved from http://Children'sHospital\ofMinnesota//plocy review?3233222###*&*(

Prairie lake hospital. (2013). Prairie lakes hospital. Retrieved from http://prarielakes.com

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