South Florida Hospital News
Thursday October 17, 2019
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September 2019 - Volume 16 - Issue 3

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Coral Gables Hospital Off-Campus Emergency Department

Downsizing - or rightsizing - has long been a real estate movement. Now, healthcare institutions, particularly hospitals, are following suit. In South Florida, where the healthcare industry continues to grow, where land is scarce, and where patients increasingly look for convenience and lower-cost care, hospitals are moving beyond their walls to provide patient care.

Enter off-campus emergency centers
Part of a growing national trend, the off-campus emergency department, or freestanding ERs, incorporate the idea of downscaling care facilities without sacrificing quality. This allows hospitals, like Coral Gables Hospital, to get closer to care recipients outside of the confines of a singular large hospital.
 
Coral Gables Hospital, a 245-bed hospital in the heart of historic Coral Gables, is opening an Off-Campus Emergency Department later this year in the Westchester community on the corner of Bird Road and 87th Avenue. Located at 8665 Bird Road, Miami, Florida 33155 in one of the busiest intersections of Miami-Dade County, the more than 12,600 square foot emergency center is a way to expand the hospital’s geographic footprint and focus more on common types of treatment such as emergent or outpatient care while maintaining inpatient care capacity.
 
ED centers are a growing market segment
“As demand for efficiency in care increases, off-campus facilities can close access gaps, create additional points of care, and add value to our communities,” says Madison Workman, Coral Gables Hospital’s Chief Operating Officer. “Long-standing community hospitals, like ours, can provide full-service emergency care 24/7/365 with the ability to transfer to the main hospital.”
 
With one or multiple ER facilities, leasing and reusing existing buildings also become important considerations. It not only addresses land availability, but also allows for greater speed to market, which is a primary goal. Because there are not as many commercial buildings for sale that fit Coral Gables Hospital’s criteria for the Off-Campus Emergency Department - for example 10,000 to 12,000 square feet of space – repurposing an existing site was a more viable option.
 
“What we find in South Florida is limited availability of open land or what we call green-field sites,” says Jeremy Pearce, associate at e4h ENVIRONMENTS FOR HEALTH ARCHITECTURE. Those types of sites are few and far between, so renovating structures has become more prevalent.
 
When Walgreens reduced its number of stores, it allowed Coral Gables Hospital and several of its Tenet Health sister hospitals to open up satellite emergency centers that help expand access to care for communities.
 
By renovating the current space, the hospital is making room for a total of 11 Exam Beds, including a trauma room, a secure treatment room, and an isolation room to handle airborne diseases, such as Tuberculosis. The Coral Gables Hospital Emergency Center has radiology services, such as CT scan, x-ray, ultrasound, pharmacy services, respiratory care, full stat laboratory testing and accepts walk-ins or ambulance transport.
 
Like Coral Gables Hospital’s main campus emergency room, the Off-Campus Emergency Department will be equipped to handle emergency medical conditions such as head injuries, orthopedic and sport injuries, respiratory conditions, workman’s comp cases, abdominal pain, lacerations, and dehydration, among others.
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