A 25-bed hospital is on the drawing board from the town’s first doctor and clinic founder, Dr. Beau Braden.

“Initially it was just myself and a nurse who lived in town,” Braden said. “We had a golf cart and we would suture people on their dining room table or my dining room table.”

The hospital project hit a roadblock when the NCH Healthcare System challenged it. The black cloud lifted last month after the 716-bed NCH saw a change in leadership and decided to drop the fight.
The legal costs could have run $800,000 to $1 million to prove the need for the 25-bed hospital. But Braden never considered backing down.
Roughly 650 residents and business owners in Ave Maria, Immokalee and Golden Gate Estates sent letters of support for the rural hospital to state regulators last year. Many shared their stories of suffering without accessible health care.

“It was a very moving experience, and I was just trying to do them justice,” Braden, 40, said in an interview last week.

He was no longer the stranger who moved to Ave Maria in 2014 with his wife, Maria, and their children. Word spread quickly about the young doctor.
His cellphone number got passed around. He responded to emergencies at homes. People showed up at his home at night with dislocated fingers, bleeding injuries and other ailments.
Braden didn’t mind the house calls.

Hospital Site About 4 Miles From Ave Maria Town Center

A strong patient/physician relationship and technology will be key elements in the practice model of Braden Hospital, slated for a site about 4 miles from the Ave Maria town center and the clinic.
His in-laws had moved to Ave Maria in 2008 so Braden knew from the start there were no medical services nearby.

“I very much had the plan to start some sort of urgent care and grow that into a clinic and eventually become a hospital to provide services for the area,” he said.

His new world was night and day from the faculty position he left at the University of Colorado Hospital in Denver, where he taught paramedics, medical students and residents, along with practicing medicine.
He attended medical school at Midwestern University in Arizona and has two master’s degrees, in public health and regulatory science, from the University of Southern California.
His credentials include board certification in emergency medicine and addiction medicine.
Ave Maria University gave him a room on campus in fall 2014 to see students. He also made the hour’s drive to Naples to work in the emergency room at NCH.
He signed a lease in early 2015 for space in the Ave Maria town center, where the five-exam room clinic is, at 5068 Annunciation Circle. The clinic is staffed by three physicians and a dozen support personnel. The clinic can see up to 45 patients a day.
Braden felt the time was right in early 2018 to pursue a hospital license.
He struck a verbal agreement with Barron Collier Companies to purchase land off Oil Well Road and Arthrex Commerce Drive. The site is near the manufacturing plant owned by Arthrex, the medical device company headquartered in North Naples.
More than 300 homes were sold in Ave Maria alone in 2017, and the number is climbing each year, according to data in Braden’s certificate of need application to state hospital regulators.
By 2023 the projected population in Ave Maria is pegged at 14,000, nearly double the 7,600 population in 2017.
The Arthrex manufacturing plant brought more than 1,500 Arthrex employees to the region. The plant has an on-site medical clinic for its workforce, yet Arthrex looks forward to the hospital as its new neighbor, John Schmieding, senior vice president and general counsel of Arthrex, said in a statement.

“Arthrex is very supportive of Dr. Braden and his efforts to bring increased medical care to the people of eastern Collier County,” Schmieding said.

Factoring in Immokalee, with 25,000 residents, and growth in other rural areas, the hospital’s service area would be 78,000 people by 2023.
The projection included development of Rural Lands West, a proposed new town between Ave Maria and Naples that developer Collier Enterprises scaled back in size earlier this year.
All of eastern Collier has been in dire need of accessible medical care, said Blake Gable, chief executive officer of the Barron Collier Companies.

“The region is so underserved that when someone is getting up to do something it deserves broad community support,” Gable said. “I don’t know anybody in eastern Collier County who isn’t in support. We are here to supply help in any way we can.”

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Source:  Naples Daily News

The physical environment can have a big impact on how an employee feels and can either facilitate their ability to do their job or create frustrating barriers, but these pain points, preferences, and motivators look different for Baby Boomers, post-millennials, and everyone in between.
In light of the growth of healthcare’s generationally diverse workforce, understanding the most important drivers of staff satisfaction provides a powerful opportunity to improve quality of care, patient experience, and ultimately, the bottom line.
Baby boomers are emotionally invested in patients but report being emotionally exhausted and physically fatigued.
Concerned with a work-life balance and their health, Gen Xers can be stressed by long hours and search for more flexible jobs. When promoted to supervisory roles, they are challenged by managing diverse teams in today’s workforce.
Millennials are tech-reliant and frustrated with inefficient processes and lack of technology. They are motivated by altruistic missions, benefits, teamwork, and mentorship. They value flexibility and workplace wellness. By 2025, 75% of the workforce will be millennials or post millennials.
Entrepreneurial in spirit, Post-Millennials are natural multi-taskers, appreciate the increased productivity afforded by technology, and are most likely to question the status-quo.
Despite these differences, several DFW projects have adapted popular workplace trends to respond to today’s multi-generational staff and create supportive environments that increase satisfaction, recruit and retain talent, and improve patient outcomes with more engaged caregivers.

Variety and Control

Offering a mix of postures provides the power of choice to personalize the workplace according to their workstyle or the task at hand. Lighting and acoustics add layers of control and comfort to mitigate distractions and create opportunities for more inviting, functional spaces for relationship building and mentorship. Hybrid environments such as corridor alcoves and centralized nurses’ station being designed at Methodist Midlothian offers multiple settings and flexible furniture to suit several concurrent needs and workstyles–empowering millennials, who value team-oriented settings, with collaborative spaces to learn from more experienced colleagues while those looking for “heads down” time can find nestled work stations connected to the department.

Wellness and Mindfulness

The health of nurses is worse than that of the average American–many overweight, over-stressed and more susceptible to a job-related injury. Incorporating WELL Building Strategies such as sit to stand workstations and healthy food options provides measurable solutions for improving overall well-being. Naturally inspired colors, textures and visual effects— laminate, porcelain, and vinyl designed to look like wood, for instance—replicate the sensory effect of being outside in a healthcare appropriate setting. For those managing 12-hour shifts, averaging 25,000 steps per day, and dealing with the emotional fatigue of large caseloads, respite areas with serene images, lounge furniture, and views to the outdoors provides accessible reprieve between patients while encouraging a more balanced culture.

Technology

Healthcare as an industry is filled with cutting-edge medical equipment technology, but the day-to-day technology provided to front line clinical staff often falls well behind corporate workplace standards. Access through handheld devices and at appropriately located workstations with badge-tap log-ins improves efficiency and reduces frustration in Parkland Hospital. Electronic medical records continue to improve as software systems become fully integrated across the healthcare systems. For example, EMR can scan systems associated with patient medication dispensing and reduce errors by automatically crosschecking the medication and dosage with the patients’ medical records.
From emerging talent that tend to be drawn to amenities and workplace perks to experienced staff juggling the demands of physical and psychological stressors, healthcare’s modern workforce differ in how core values take shape. All staff, regardless of their generation or experience level, want to know their contributions matter and feel that they are valued. They need the right tools in the right place at the right time with customizable environments that are as nimble and responsive as they are to the demands of the day. Finally, while healthcare design and operations have been very good at caring for patients, staff need a workplace that is just as successful at caring for them.
Tina Larsen, AIA, LEED AP, EDAC is the Healthcare Market Sector Leader for Corgan and has over 32 years of experience on a wide variety of complex clinical projects in both renovations and ground-up facilities.
Source: D CEO Healthcare

Baptist Health South Florida and Virginia-based Interstate Hotels held a grand opening for the new Hilton Miami Dadeland, a hotel with amenities for healthy living.

The 184-room property at 9100 N. Kendall Drive in Miami includes fitness equipment in each room, a meditation garden, on-site walking and jogging trails; and a farm-to-table restaurant. Thirty-four of its rooms are designated for extended stays.

“Early on, we knew we wanted to introduce a unique product to the market that would serve a variety of needs,” said Ana Lopez- Blazquez, chief strategy and transformation officer for Baptist Health. “Hilton embraced our vision of a multipurpose hotel, with rooms equipped for extended stays, and our desire to incorporate wellness into the design of the guest rooms and amenities.”

Coral Gables-based CallisonRTKL designed the hotel. It has 10,000 square feet of indoor and outdoor meeting space and a 6,250-square-foot ballroom with a private outdoor area.

The hotel’s restaurant is Table 55, led by Executive Chef Andrew Edwards. Its menu includes ingredients sourced from local farms and the hotel’s on-site garden.

James Shandor is the general manager. Room rates start at $149 a night.

Hilton Miami Dadeland broke ground in December 2016 after Baptist Health and Hilton Worldwide announced their partnership in August that year. The property complements the patient offerings at Miami Cancer Institute.

South Florida is ripe to capture a share of the growing worldwide medical tourism market. The trend is valued at $50 billion globally.

Source: SFBJ

Edward Jimenez decided to pursue a career in health care management to help find a cure for his father’s Parkinson’s disease.

What once seemed like a nearly impossible goal is now becoming a reality, Jimenez said.

On Friday, Jimenez, the CEO of UF Health Shands Hospital, announced Shands will receive $40 million to start the Norman Fixel Institute for Neurological Diseases, at 3007 SW Wilson Road. The new center will treat patients and find cures for neurologic disorders.

The center will open in July, Jimenez said.

About 150 medical researchers, professors and students gathered Friday in front of what will soon become the institute. Jimenez said Lee Fixel, a partner with the investment firm Tiger Global Management, donated $20 million to the creation of the project. UF will match the donation, which will make the total contribution $40 million.

Lee, Jimenez and Shands doctors have been planning the project for more than 20 years, Jimenez said. Lee said he donated to the project to give it the financial boost it needs to succeed.

Fixel previously invested in Facebook, LinkedIn, Eventbrite and Souq, an e-commerce marketplace run by Amazon.

“Lee is helping what is already great become greater,” Jimenez said. “He has a family and a job, but he still puts helping others first as well.”

The project hopes to raise another $60 million to continue hiring well-known researchers and their teams, Jimenez said. The current $40 million will help continue the building’s construction, which began in November, and allow the institute to recruit five top researchers across the country to begin seeking treatments.

After meeting Fixel two decades ago, Jimenez said the two came up with the idea to start an institute at UF to search for treatments for Parkinson’s, Alzheimer’s disease, Lou Gehrig’s disease, also known as ALS, and other neurological conditions.

“The ability to bring together some of the best minds in medicine can make an exponential impact,” Fixel said.

Florida is arguably hit the hardest by cognitive disorders due to it being the third most populous state with an aging demographic, said Kelly Foote, a UF neurology professor and co-director of the Norman Fixel Institute for Neurological Diseases.

The Normal Fixel Institute for Neurological Diseases will be able to find a cure for the millions who are diagnosed, Foote said.

“We are looking for the smartest and are trying to identify five researchers that are willing to come,” Foote said. “But most importantly, willing to make a lasting impact in the lives of others.”

Source: Alligator.org

While the Republican-controlled House is taking aim again at Florida’s certificate-of-need laws, a top state official testified this week that many new hospitals are going through the existing regulatory process with little problem.

Florida is one of 35 states that have laws designed to require health-care providers to justify the need for certain types of new facilities and services. Some GOP lawmakers, including House Speaker Jose Oliva, R-Miami Lakes, have argued that such regulations unnecessarily drive up the cost of health care by artificially restricting the market and maintain that the state should take more of a “free market” approach to health care.

Molly McKinstry, a deputy secretary for the Florida Agency for Health Care Administration, told House members that in recent years most new hospitals have gone through the state’s current process without getting bogged down in regulatory fights. Those fights, which often include a hearing before an administrative law judge, can drag out for one to two years.

McKinstry said 25 acute-care hospitals received initial approvals over the past seven years. Of those 25 hospitals, 13 were approved without competitors challenging the certificates of need backed by regulators. Nine other hospitals were ultimately approved, and only three did not receive the final go-ahead.

Florida has scaled back its certificate-of-need laws several times over the last two decades. Rep. Cary Pigman, an Avon Park Republican who chairs the House Health Market Reform Subcommittee, told members of his panel that they can expect another CON rollback proposal during the 2019 session, which starts March 5.

While Oliva has sounded off on what he calls the “hospital industrial complex,” his counterpart, Senate President Bill Galvano, R-Bradenton, has been more cautious, urging against complete deregulation of the health care market.

House leaders in recent years have repeatedly called for eliminating or scaling back certificate-of-need laws, which also apply to such thing as building nursing homes. The effort also had support from former Gov. Rick Scott but ran into objections in the Senate.

The issue has divided the hospital industry in the past, with some hospitals favoring changes in the CON process and others opposed. Also, the Florida Health Care Association, a major lobbying group for the nursing-home industry, has made maintaining the CON process for nursing homes a priority for the 2019 session, according to information posted on its website.

McKinstry’s hospital figures didn’t include the last round of CON preliminary approvals that were announced in December. In an unusual move, the Agency for Health Care Administration approved eight CON applications for new hospitals, The state approved two new hospitals in Miami Dade County, a 100-bed acute care facility planned by the Public Health Trust of Miami Dade — which operates the Jackson Health System — and an 80-bed facility planned by a subsidiary of its competitor, the Hospital Corporation of America.

The agency also approved competing CON applications for new hospitals in Seminole and Orange counties.

Source: News4Jax

Orlando Health plans to build a pair of facilities on its downtown campus.

The $3.4 billion nonprofit health care provider announced plans for a one-story, 6,800-square-foot new Orlando Health Imaging Center at 1800 S. Orange Ave. The center would provide medical imaging services such as MRI and CT scans. Orlando Health didn’t provide construction cost estimates, but it may cost roughly $2 million to build, according to industry standards.

“We’re excited about bringing this new flagship imaging center to the heart of the Downtown South district on Orange Avenue,” Matt Taylor, vice president of asset strategy for Orlando Health, said in a prepared statement. “In addition to serving patients with the most technologically-advanced equipment in a welcoming setting, we are providing convenient patient parking adjacent the building. The new location offers patients easy access to imaging services near their work or home.”

The other facility, which will be built on 121 W. Copeland Drive between Sligh Boulevard and Lucerne Terrace, includes a nine-level, 895-space parking garage for staff and patients, which could be as large as 161,000 square feet. The structure, which could cost up to $25 million according to industry standards, also will include more than 12,000 square feet of medical office space on the ground level, plus an attached five-level, 42,000-square-foot medical office building.

Orlando Health previously closed on the Copeland property on June 18 for $833,500. The land was previously owned by the city of Orlando/Orlando Utilities Commission.

Orlando Health has submitted plans for both projects to the city of Orlando and is seeking approval to begin construction. Construction on the imaging center is expected to begin this spring, with completion by fall 2019. The Copeland Drive building is planned to begin spring 2019, with completion expected for nine months later.

The development team for the imaging center includes Nashville, Tenn.-based architect Gresham Smith & Partners along with Titusville-based general contractor Rush Construction Inc., while Apopka-based Finfrock is the design/build firm for the parking garage and office building, Taylor told Orlando Business Journal. All Orlando Health positions at the two facilities will be filled by current employees, and the projects are expected to add 100 total construction jobs.

Rush Construction could not be reached for comment. Finfrock decline to comment on the construction price, citing confidentiality.

Orlando Health’s eight Central Florida hospitals have a total of 3,300-plus beds. It has the area’s only Level One Trauma Centers for adults and children, and is a teaching hospital system. Its hospitals are: Orlando Regional Medical Center, Dr. P. Phillips Hospital, South Seminole Hospital, Health Central Hospital, the Arnold Palmer Hospital for Children, Winnie Palmer Hospital for Women & Babies, South Lake Hospital and St. Cloud Regional Medical Center. It also owns 11 urgent care centers in the region, as well as several cancer centers, freestanding ERs and more. It is one of the region’s largest employers, with 23,000 workers.

Source: OBJ

AdventHealth plans to build a freestanding emergency room with a helipad in southeast Orlando’s Lake Nona community
The 18,488-square-foot facility will be built on 6.54 vacant acres at 10093 Lake Nona Blvd., which is west of Narcoossee Road, south of Lake Nona Boulevard and north of State Road 417, according to a draft agenda for the Feb. 14 meeting of the Southeast Town Design Review Committee. The project, owned by Adventist Health System/Sunbelt Inc., is seeking approval as a standalone emergency room.
The new facility is part of a growing trend in the area to build more freestanding emergency centers. Freestanding emergency centers typically are owned and operated by licensed hospitals. The facilities are not connected to a main hospital campus but offer the same comprehensive 24/7 emergency services. The number of such facilities is on the rise in Florida, in part due to overcrowded ERs, and partly due to a desire to grow hospital system revenue. Hospital systems eventually may also expand them into full hospitals if they can prove the need for a facility. For example, HCA Healthcare Inc.’s Oviedo ER, built in 2013, became a $109 million, 64-bed hospital called Oviedo Medical Center in 2017.
The state had only 26 freestanding ERs in 2016 and that number has grown to 41, according to the Florida Agency For Health Care Administration. The total count will rise to 50-plus with the Central Florida projects in the works and may go even higher, since they fulfill a strategy for hospital systems to grow revenue by bringing emergency care closer to outlying, typically affluent suburbs, where people are more likely to be able to afford health care.
This is the sixth such facility AdventHealth has in the works or already has built.
AdventHealth broke ground on another freestanding ER in Oviedo last November. The Orlando-based nonprofit health care provider will open the 19,000-square-foot AdventHealth Oviedo ER by fall 2019. The facility at 8100 Red Bug Lake Road will include two kid-friendly patient rooms, imaging technology like X-ray, CT scan and ultrasound equipment, as well as a medical laboratory.
AdventHealth, which also has freestanding ERs in Lake Mary and Winter Garden, plans to build a $12 million, 14,000-square-foot freestanding ER in Deltona as well as a $15.6 million, 19,000-square-foot freestanding ER in Waterford Lakes that’s expected to open in second-quarter 2019 and have 300 temporary construction jobs and 100 permanent medical jobs at full buildout.
Its $65 million, 97,000-square-foot freestanding ER in Winter Garden opened in February 2016. That outpatient facility, which broke ground in 2013, brought 269 new jobs to the area, $14 million in additional annual payroll and a $23 million boost to Orange County’s gross domestic product, Winter Garden City Commissioner Colin Sharman previously told OBJ.
Meanwhile, AdventHealth system’s Altamonte Springs-based parent company Adventist Health System bought roughly 15 acres on the north and south sides of Lake Nona Boulevard in December 2017 for $9 million. The land is adjacent a vacant 67.24-acre site Adventist bought in 2016.

“Florida Hospital [AdventHealth] plans to build medical office space on the newly acquired Lake Nona property,” AdventHealth previously said in an email to OBJ. “We are expanding our presence in the Lake Nona area to meet the health care needs of this fast-growing community in the years to come. Florida Hospital’s goal is to make health care easier to access by having facilities located within 10 miles of 90 percent of the Central Florida population.”

AdventHealth parent Adventist Health System is the second-largest employer in the area with more than 83,000 employees for 2018. The health care system operates nearly 50 hospital campuses and hundreds of care sites across the U.S. in almost a dozen states and serves more than 5 million patients each year.
Founded in 1908, the $3.36 billion nonprofit AdventHealth system headed up by CEO Daryl Tol provided $45.3 million in uncompensated health care in 2016.

Source: OBJ

Mount Sinai Medical Center has completed a $275 million expansion with a new patient tower and emergency department.

The nonprofit hospitals in Miami Beach is now all private for its 400 rooms. This will be a major help in attracting patients, welcoming visitors to patient rooms, and keeping people safer, said MSMC President and CEO Steven Sonenreich.

The new hospital wing will open to patients on Feb. 2. A ribbon cutting was held Jan. 25.

With about 350,000 square feet of new space in the hospital, MSMC also ramped up its hiring. It added over 200 people, from clinical staff to operational support positions, he added.

“This is an enormous amount of capital deployment and it is having a big impact on the community,” Sonenreich said.

The new Skolnick Surgical Tower has 12 operating rooms and 154 patient rooms. The new operating rooms are equipped with the latest surgical technology and have enough room to accommodate future advances in medicine, Sonenreich said. There are also monitors so students and medical residents can watch surgeons performing procedures.

“There is no question that our surgical volume will be on the rise because we are recruiting more surgeons to our staff,” Sonenreich said. “And as we recruit them and they tour the facilities on this campus, that will be a great recruiting tool.”

The new facility was designed to withstand a Category 5 hurricane, and it was constructed at a high elevation to avoid sea level rise and flooding.

The new emergency department has 50 patient care rooms. Meanwhile, the old emergency department will be renovated to add another 16 rooms in modernized facilities. MSMC is also rebuilding its kitchen.

The architect of the project is CannonDesign. The building features original artwork from Anastasia Samoylova, María Martínez-Cañas, Mark Handforth, Rafael Domenech, Daniel Arsham, and Adler Guerrier.

The general contractor was Robins & Morton.

Source: SFBJ