UW Health at The American Center: Frequently Asked Questions
UW Health at The American Center will be located in The American Center business park, at the intersection of Interstate Highway 90/94/39 and U.S. Highway 151. The UW Health property is a 43-acre parcel on the northwest corner of the business park. The address for the new facility will be 4602 Eastpark Blvd.
Groundbreaking took place April 9, 2013, and the facility is expected to open in summer 2015.
The planning process is guided by an Executive Committee that includes UW Health physician leaders and senior administrative leaders as well as patient advisors and local and regional partners. In late August 2011, this group adopted a set of strategic and operational principles to guide the work of multiple program committees and the architectural design process.
From September through December 2011, based on these principles, several subgroups of physicians and operational leaders formulated recommendations for specific inpatient and outpatient services, support services, emergency/urgent care, education and other programmatic decisions.
Program planning recommendations were reviewed and approved by UW Health senior leaders and the East Executive Committee. The program of services is summarized in the following table:
Beginning in February 2012, UW Health adopted an approach based on Lean principles to plan a facility that would be as innovative, efficient, flexible and patient- and family-centered as possible. Because Lean methods emphasizes the elimination of all forms of waste, Lean thinking is also helping to ensure the project meets budget targets while producing maximum value for patients.
Facility planning took place from June through October in a series of five-day 3P (Production, Preparation and Process) workshops in which front line staff from all roles and disciplines met to design the spaces in which they will work in the future. Hospital administrative leaders and members of the architectural team also participated. Each week-long 3P agenda included:
- Value stream mapping of current processes
- Envisioning and mapping of desired future processes informed by Lean methods and the projects guiding principles
- Construction of full-scale mockups of preferred options and role play to test proposed workflows in the mocked-up space
- Assessment of likely impacts and outcomes
Following the planning workshops, the architects translated the plans and models of the work teams into floor plans for the building. Those plans were then refined through several cycles of feedback and revision until full agreement was reached.
Learn more about the planning process:
Yes. Flad Architects has been engaged as the project architect, and Findorff and Sons has been selected as the construction management firm. Representatives of these organizations and from HOK worked with UWHC facilities planning staff to determine how the facility will be positioned, accessed, serviced and built on the new site. This team engaged in several meetings with the American Center Project Review Committee (PRC) until a final concept was approved by the PRC and by the appropriate agencies of the City of Madison. As the project progresses, this team will continue to comply with any additional PRC or City requirements regarding construction, signage, water management and other aspects of the project.
Patients are serving as advisory members on the East Executive Committee and the programming subgroups have been directed to formally incorporate patient and family representatives into their planning process. The purpose of their involvement is to gain their perspective on how we can create a welcoming, easy-to-navigate facility that meets patient and family needs. Patients participated in the 3P facility design workshops and in a committee advising on the exterior look and feel of the building. They will continue to be involved in operational planning and in development of the care model and overall patient experience at the facility.
Physicians make up nearly half the membership of the Executive Committee. Each of the programming subgroups was co-led by a physician and an operational leader, and the members of each group include both physicians and operational experts. Similarly the teams comprising the Lean 3P workshops in June, August and October are co-led by physician/administrator dyads and have many physician members.
As planning progresses, all physicians and frontline staff will have access to information via internal publications and U-Connect, and all can submit questions or comments via an online suggestion/comment form on U-Connect. Interested staff and physicians will have opportunities to view plans and provide feedback with the goal of creating a pleasant, efficient work environment.
Orthopedics will move all patient care activities except trauma and pediatrics to the new location. Ortho/rehab is well suited to relocate because a high percentage of orthopedic admissions are scheduled in advance, and although the procedures are complex, they follow a relatively predictable course and are often performed on otherwise healthy patients. Rehabilitation services for these patients will also move to the east side and likely will be located in a separate facility adjacent to UW Health at The American Center.
There will be a total of 14 operating and procedure rooms, serving a mix of inpatient and outpatient needs. The facility will open with 11 active rooms and three shelled for future growth.
Emergency services will be available 24/7 with equipment and resources necessary to evaluate and treat most routine emergencies. Patients with more complex needs will be stabilized, prepped and transferred to the Emergency Department/Level 1 Trauma Center at UW Hospital and Clinics. A helispot will be located off the northeast corner of the building to facilitate helicopter transport to UWHC when needed.
In July 2009, St. Mary's opened a 10-bed satellite emergency center at 2840 O'Keeffe Avenue in Sun Prairie, about 5 miles east of the new UW Health location. The St. Mary's center offers laboratory, radiology and helicopter transport. For situations such as heart attacks or emergency surgeries, patients are stabilized and then transported to a Madison hospital.
Although the EDs will offer similar levels of service, demographic projections for the east side suggest demand beyond what the St. Mary's center can provide in coming years. In addition, because the choice of emergency care location is often influenced by insurance coverage, a UW Health facility will offer an alternative for Unity and GHC patients.
Some outpatient specialty services, for example, bariatrics, currently available at East Clinic will move to the new location. Primary care services will remain at East, and decisions have not yet been made about services currently offered at East Towne Clinic.
Other inpatient services to be offered on the east side are general surgery, neuro/spine surgery, bariatrics, urology, family medicine and certain medical services that do not require the advanced capabilities of the main hospital at the CSC. In general, these are scheduled services that can delivered with a high degree of planning and predictability.
The majority of sports medicine services as well as a sports performance and fitness program will be based at the new facility. Sport medicine also will continue to be offered at Research Park for patient convenience.
Clinical support services at the new facility will include imaging, pharmacy, clinical laboratories and clinical nutrition services.
The total square footage of the new facility will be 494,000 square feet. The opening bed count will be 56 beds. Two additional floors of shelled space will allow for future growth to more than 100 beds. One floor of clinic exam room space will also be shelled for future growth.
By necessity, the CSC was designed to be all things to all patients. The size and complexity of facility tend to add cost to care, regardless of individual patient acuity. Having a smaller facility, designed for efficiency and specifically for the needs of the types of patients who will be seen there, will allow us to reduce the cost of care for those patients while maintaining the same level of quality and providing a more positive patient experience.
To fulfill our mission, UW Health must provide a comprehensive range of health care services from primary care through the most advanced subspecialties. This range is required to be responsive to patient preferences and insurance relationships, provide continuity of care and also to meet the educational needs of physicians and other health professionals in training. Although we can collaborate with other hospitals in many ways, we cannot rely on their willingness to collaborate, and even when collaborating, must preserve our ability to provide comprehensive care and serve the broad continuum of patient needs.
UW Health's goal is for the new facility to become a hub for reaching out to our eastern markets and to offer new opportunities for collaboration. Our intention is to provide services that complement, not compete with, those of regional hospitals. Local and regional partners are represented on the East Executive Committee. In addition, UW Health regional development staff as well as UW Health senior leaders are meeting with regional hospital colleagues during the planning phase to ensure they understand our goals and can contribute their perspective on what will help us and them to better serve the patients in their geographic regions.
Currently there is access via the American Parkway interchange off Highway 151 and Eastpark Boulevard within the American Center. There is no interchange from Interstate 39/90/94 adjacent to the UW Health property, although local roadways enter that end of the business park from the west and north. UW Health has hired a traffic consultant to perform a needs assessment and make recommendations so that we can work with the City of Madison to ensure appropriate access to the site. Bus and bicycle access will also be addressed.
Employment at the American Center campus is require a total of 760 to 790 FTE. Of those FTE, between 325 and 400 new full time positions are expected to result from the project.
In addition, the project will generate approximately 800 ro 1,000 construction jobs by the time the facility opens in 2015.
Yes, we will pursue LEED (Leadership in Energy and Environmental Design) certification for our east side facilities, as we have for other new UW Health facilities at University Bay Drive in Madison and in Stoughton, Belleville, Monona and Windsor. LEED certification is granted by the U.S. Green Building Council in recognition of environmentally friendly construction methods.
Our current inpatient capacity at 600 Highland will be exhausted by 2014, with no room for growth inside the "ring road." In addition, UWHC is now 32 years old and in need of renovation. Relocating some services to the east side will free space in the CSC so we can make improvements that will keep 600 Highland Ave. a leading edge facility.
Off-site locations may also experience greater efficiencies as services realign – for example if east side primary care services are consolidated at East Clinic or if offering sports medicine services at the new location frees space for other uses at Research Park.
UWHC purchased the land in 2005 in anticipation of a time when more space would be needed to meet rising demand. Today, UWHC frequently operates at high census, and our current inpatient capacity will be exhausted by 2014, with no room for growth inside the "ring road." In addition, UWHC is now 32 years old and in need of renovation. Relocating some services to the east side will free space in the CSC so we can make improvements that will keep 600 Highland Ave. a leading edge facility. Finally, the facility will meet a demonstrated demographic need for inpatient services on the east side, and offer a convenient new geographic option for both local and regional patients.