Capacity and Service Improvements

Meeting the increased demand for our high-quality services is one of the Health System’s highest goals and demonstrates our ongoing commitment to patients and families. We’ve looked into every area of the U-M Health System for expansion space, studied patient flow from admission to discharge, and have already begun making changes to improve our patients’ experience. Here’s what the Health System has done and is doing in the future to ensure that patients truly come first:

Operating Rooms
2006

• East Ann Arbor: Four new ORs activated.

2007

• University Hospital: Two procedure rooms converted to large OR rooms.
• Cardiovascular Center: opens with six ORs.
• East Ann Arbor: A fifth new OR activated.

2008

• University Hospital: Two more OR rooms will open by late winter.
• East Ann Arbor: A sixth OR will be activated.

2010

• Kellogg expansion: Three new ORs will open.

2011

• The new Mott Children’s Hospital and Women’s Hospital: 16 pediatric ORs planned.

Imaging Enhancements
2006

• East Ann Arbor: second MRI scanner installed, CT scanner installed.
• Canton: CT scanner installed.

2009

• University Hospital: Two new CT scanners and one MRI scanner; two incremental interventional suites.
• Cardiovascular Center: Cardiac nuclear medicine is relocating here with space added for another PET scanner.

Bed Availability
2007

• Cardiovascular Center: 48 beds, including 24 intensive care beds and 24 general care beds open.
• University Hospital: 13-bed Observation Unit opened in September.

2008

• University Hospital: Clinical Research Unit on 7A relocating to Cardiovascular Center in 2008, returning 7A to direct inpatient care space.
• University Hospital: Neuro ICU expands from 10 to 15 beds early in year.
• University Hospital: 20 bed intermediate care in July and 10 moderate care beds later in the year.
• Taubman Health Care Center: 20 bed medical observation unit planned for fall 2008.

Patient Flow/Discharge Planning
2007

• Pediatric Emergency Department: expanded hours to 24/7 in July, with space and workflow changes in the works to move patients through more efficiently.
• Adult Emergency Department: A new 9-bay expansion was completed in September, with reconfigured patient treatment areas.
• Recruiting staff in December to open an extended recovery unit in the Cardiovascular Center, which will permit the relocation of many observation cases to the new unit, freeing up inpatient beds on the 5th level of the CVC.

2008

• Adult Emergency Department: Pain Clinic and MWorks will move to Med Inn, freeing up space for Emergency Department services.
• Ongoing investments in weekend staff to accommodate more patient care and facilitate discharges and optimal patient flow.
• Inpatient/clinic transitions: clinic appointments are being made prior to discharge.
  Patient stays are coordinated with imaging needs.
• Continuing relationship-building with local skilled nursing facilities to assist with earlier placement of patients to reduce length of stay in the hospital.
• Multiple Michigan Quality Improvement projects to coordinate patient flow, including:
  • Emergency Department discharge process
  • Unscheduled admissions strategy
  • CVC OR/IR scheduling project

Ongoing

• Reducing readmissions to the hospital by identifying post-hospital service needs prior to patient leaving our facility.
• Identifying alternative patient placement options to reduce admissions to Emergency Department and hospital.
• Standardization of care processes to improve efficiency.
• Creating more efficient means to manage care transitions from hospital to other facilities, including home.
• Initiating plans to create a new observation unit to relocate observation patients from licensed hospital beds.

Certificates of Need
2004

• CVC bed expansion
• C.S. Mott Children’s & Women’s Hospital replacement

2005

• Kellogg Expansion

2006

• Additional Children’s and Women’s replacement funding
• UH 4-D Neurosurgery ICU bed expansion
• UH 8-D ICU bed expansion
• Emergency Department bay expansion

2007

• UH OR expansion
• Strategic Imaging Plan – Phase I

Capacity Announcements:

$42.9M medical imaging investment
Press Release, October 25, 2007

Operating at capacity: Our ongoing solutions
Leadership message, October 24, 2007

Cardiovascular Center opens June 11
Press Release, June 1, 2007

Emergency Department patient overflow issues
Leadership message, May 16, 2007

New Ambulatory Surgery and Medical Procedures Center
Inside View, November 2006

U-M to break ground for new children’s, women’s hospitals
Press Release, October 2, 2006

Groundbreaking for Kellogg Expansion Project
Press Release, September 19, 2006

Capacity Improvement Plan Update
Leadership message, August 26, 2006

Cardiovascular Center to add 28 more beds to help meet demand
Press Release, January 26, 2005

Sixty Med Inn rooms to be converted to meet increasing patient care demands
Leadership message, November 16, 2005

New center will meet growing need for outpatient surgical and medical procedures
Press Release, May 20, 2004

Two new 3 Tesla MRI scanners
Press Release, April 22, 2004