Determining What and Where to Place Services

The Problem

In the face of significant policy and reimbursement change, a healthcare system sought to improve patient access, reduce costs, and fend off competitors. The system contacted Catalyst to assist in determining where to locate a new ambulatory center and the types and quantity of space needed.

Approach and Solution

Utilization trends, demographics, and payor mix data highlighted significant service shortages in the low income area located less than five miles from the system’s flagship hospital. The system’s Emergency Department data indicated patients originating from this area were utilizing the ED more frequently than other patients in the service area were and this population was more likely to use the ED for non-emergent problems. After reviewing traffic patterns, identifying bus stops, and hot-spotting volume growth, Catalyst identified an ideal location for the new ambulatory outpost.

The proposed ambulatory center has outpatient surgery, primary care, urgent care, and imaging to increase access and to provide low-cost alternatives to the Emergency Department. The surgical component appealed to the neighboring community that was experiencing significant growth, and the recommended location served as deterrent for future market entrants.