55H - Workforce and Master Facility Planning in an Era of In-Home Care

Tuesday, March 21

2:00–3:00 p.m.

Since workforce, supply chains and capital are becoming more constrained and the cost of capital, like everything else, is increasing, this session will explore how progressive health system leaders from vastly different geographies are intentionally incorporating in-home care offerings into their workforce and master facility plans. In a February 2021 article, Building Design + Construction discusses how “COVID-19’s spread exposed cracks in the healthcare sector, but also opportunities in the sector for AEC [Architectural, Engineering & Construction] firms” that needed to focus on outpatient facilities, building services closer to the neighborhoods health systems serve, building flexible space, and thinking about “command centers [powering in-home care delivery] that leverage available data into actionable and meaningful outcomes.”

Attendees will learn how Inova Health System is turning a massive open-air shopping center into a new hospital/community center that will feature apartments, restaurants and retail space. Concurrently they deploy in-home care in a densely populated area where it already has majority market share to improve capacity management, avoid observation stays and reduce unnecessary emergency room utilization. In addition, the session will detail how University of California Irvine is developing a new hospital campus and mitigating the $2 million cost per constructed inpatient bed with a range of at-home care services and Billings Clinic is competing for market share in its flagship market, aggressively managing emergency room overcrowding and overcoming barriers to discharge with in-home acute care visits and transitional care visits.

Learning Objectives

• Synthesize and articulate how inpatient workforce constraints and margin compression can be alleviated by taking care of the right patient in the right setting.
• Compare and contrast leading health system approaches to pairing in-home services with creative sites of care to increase market share, manage margin and enter new markets.