Healthcare Development
Lean Construction Principles in Healthcare
Jan 29th
The Practice of Lean Construction Principles in Healthcare
Are you familiar with principles and processes of lean construction in healthcare? Few people in the construction field have taken the time to actually implement lean construction principles that are found as a result of best practice and experience. Dan D’Amico applies lean construction techniques in all healthcare projects to achieve a level of optimization which is coordinated and determined by what outcome his client desires to achieve . Logistical planning is accomplished and implemented ahead of the project starting, while lean construction is the process of synchronization of supply management with installation, the logistics of design, prefabrication and virtual medical design flowcharting. I am interested in your thoughts. Please comment with your experience.
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Clarity Construction Management Government Services
Jan 29th
Clarity Construction Management (Commercial and Government Services)
Minimally Invasive Spine Institute; the practice of Dr. Douglas Won, MD – The staff, under the leadership of Dr. Won, are included in the construction process. Dr. Won takes the opportunity to share with his staff the vision for his practice. Dr. Won’s vision for practice that is built and designed specifically for his patients has been flawlessly executed; now the staff must be trained on specific service traits that will bring life to the environment. The Clarity Construction Management team will seamlessly turn the project over to the Clarity Health Management group who will prepare the space operationally to provide patient services. (Dec 7, 2009 – Las
Colinas, Tx).
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Healthcare realty company project overview
Jan 11th
Healthcare realty development project overview
A group of physicians wants to own its own hospital. Clarity Health works with the physicians and provides comprehensive services ranging from consulting services and project syndication to full operations management. These services are provided by a Clarity Health project company that is partially owned by the physicians that are leading the project. This ensures the hospital operating company is viable and can manage its start-up and operating expenses. Clarity Health also tests the viability of the health care model in the marketplace in reference to competition, reimbursement, legal and regulatory requirements. The hospital operating company and the owners of the hospital operating company will be required to guarantee the lease.
Clarity Development provides full development services including the preparation of development plans, negotiating all contracts, managing construction, and sourcing and negotiating the terms of all financing. Clarity Development charges an industry standard development fee, financing fee and leasing commission. All of these services are provided by, and the fees paid to, a Clarity Development project company that may be in part owned by the physicians that are championing the project.
Clarity Development works with Clarity Realty to finance the project. Clarity Realty will set up a Clarity Realty project company to own the real estate. Clarity Realty will work with equity investors and individual physicians or physician groups, to provide equity for the project. The intent is to provide a preferred return on equity. Clarity Realty will work with Clarity Development to obtain financing for the project.
The intent is that the Clarity Realty project company will charge a lease rate equal to a pre determined yield on cost of the project with set annual lease escalation. Clarity Realty charges an asset management fee to the Clarity Realty project company.
Upon completion of the building, the Clarity Realty project company will either hold the building in its portfolio, or sell the completed and leased building to a third party or a Real Estate Investment Trust (REIT) for a determined Capitalization Rate (Cap Rate). The REIT will either be predetermined prior to the start of development or marketed to after lease-up of the facility.
Upon the sale to the REIT, or the refinancing of the building, the intent is that the proceeds will be distributed to the equity investors to make possible a pre determined Internal Rate of Return (IRR). Remaining excess gains will be distributed as per the requirements of the entity financing the project
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Healthcare Management – Healthcare Capacity
Dec 10th
Healthcare Management and Healthcare system capacity.
Healthcare management and Capacity
The U.S. Healthcare system has continued to expand in recent years. With more than $39 billion dollars spent on health care construction projects in the U.S. alone in 2007, with the majority of the monetary spending going to work on new hospitals, ambulatory surgery centers and also to expand on existing healthcare institutions. Growth in physician-owned specialty hospitals has been particularly rapid and strong continued growth is predicted. There has also been significant expansion of ambulatory surgery centers. This growth in facilities coincides with the potential expansion of the physician workforce as well as ever changing and advancing trends in technology. Given these major healthcare growth patterns, policy discussions about the amount and value of care delivered to Americans are increasingly focused on questions about the impact of changes in health system capacity. These findings have led to the conclusion that Healthcare management as a field and as a necessity is an overwhelming simple yet powerful conclusion in finding new ways to handle the growth.
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Ambulatory Surgery Center Services
Dec 10th
Ambulatory Surgery Centers ASC
Ambulatory surgery centers (ASC) also known as outpatient surgery centers or same day surgery centers are medical facilities where surgical procedures that do not require an overnight hospital stay are performed. These surgeries are usually not as complicated as most and do not require an overnight stay. The ability to avoid hospitalization saves cost and expense to both the ASC and the patient. It is a win win for everyone.
ASC’s are healthcare facilities that specialize in providing surgery, including pain management and diagnostic health care services in an outpatient type setting. To put it simply, ASC-qualified procedures are usually thought of as procedures that are more intensive than those done in the average doctor’s office but not so much as to require an overnight hospital stay. An ambulatory surgery center and a specialty hospital often provide very similar healthcare facilities and support similar types of procedures. The specialty hospital may provide the same procedures or slightly more complex ones and the specialty hospital will often allow an overnight stay. ASCs do not routinely provide emergency services to patients who have not been admitted to the ASC for another procedure.
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