UW Health at The American Center: Frequently Asked Questions
UW Health at The American Center is 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 late summer 2015.
The planning process was guided by an Executive Committee that included 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.
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Yes. Project architects, engineers and construction management experts worked with UW Hospital and Clinics facilities planning staff to determine how the facility will be positioned, accessed, serviced and built on the new site. This team then obtained all necessary approvals from the American Center Project Review Committee (PRC) and from 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 have been involved as advisory members on programming subgroups and the East Executive Committee. They participated in the 3P facility design workshops and in a committee advising on the exterior look and feel of the building. Through the American Center councils charged with preparation for opening in August 2015, they continue to be involved in operational planning and in development of the care model and overall patient experience at the facility.
Physicians co-led the programming groups that determined the services to be offered at The American Center, and several physicians served on the Executive Committee. The teams comprising the Lean 3P workshops in June, August and October 2012 were co-led by physician/administrator dyads and had many physician members.
As part of the activation structure to prepare for opening in 2015, a Medical Staff Executive Council will foster physician engagement and guide operational planning to ensure an optimal physician practice environment.
Orthopedics will move the majority of 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, 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 UW Hospital and Clinics 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 Clinic. Services currently offered at East Towne Clinic will move to a separate new facility currently under construction at Union Corners, at the intersection of East Washington Ave. and Milwaukee St. in Madison.
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.
By necessity, the CSC was designed to be all things to all patients. The size and complexity of the 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 needed to accommodate patient preferences and insurance relationships, provide continuity of care and also to meet the educational needs of physicians and other health professionals in training. We are very open to collaborating with other hospitals and health systems, so long as we can do so in ways that 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. Local and regional partners are involved in our planning committees, and our intention is to provide services that complement, not compete with, those of regional hospitals. UW Health regional development staff as well as UW Health senior leaders are in regular communication with regional hospital colleagues 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.
Operations at The American Center campus will require a total of 760 - 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 800-1,000 construction jobs by the time the facility opens in 2015.
Yes, we will pursue LEED (Leadership in Energy and Environmental Design) certification for the facility, 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, UW Hospital and Clinics is now 32 years old and in need of renovation. Relocating some services to The American Center will free space in the CSC so that we can make improvements to will keep 600 Highland Ave. a leading edge facility.
Off-site locations may also experience greater efficiencies as services realign – for example as east side primary care services are consolidated at East Clinic, or as moving some sports/spine medicine services to the new location frees space for other uses at Research Park.
UW Hospital and Clinics purchased the land in 2005 in anticipation of a time when more space would be needed to meet rising demand. Today, UW Hospital and Clinics 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, UW Hospital and Clinics 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 of Madison, and offer a convenient new geographic option for both local and regional patients.