Major Expansion Coming For UM Hospitals; New Neuroscience Building, Med School
ANN ARBOR -- The Universisty of Michigan Health System plans a $163 million expansion to meet what it describes as surging demand for its care. Included will be Michigan's first hospital for diseases of the nervous system, including the brain, and a $55 million expansion of the UM Medical School.
The project will create a new neuroscience-focused hospital in the building that formerly housed the C.S. Mott Children's Hospital and Von Voigtlander Women's Hospital. Those services for infants, children and pregnant women, and UM's bone marrow transplant program, moved into a new facility in December.
As neuroscience services move into the new hospital, UMHS will also realign services in its main University Hospital to optimize inpatient services for cancer, cardiovascular disease, post-surgical care, and internal medicine services.
The end result: 120 more beds for adults, including 25 more intensive care beds -- an 18 percent and 25 percent increase in capacity, respectively. Also, the project will add eight more operating rooms -- a 22 percent increase -- and new medical imaging equipment. The project is targeted to be completed at the end of 2014. UMHS will seek all needed approvals from the state Certificate of Need commission.
To enhance the patient experience, the project increases the number of private adult rooms at UM by 29 percent. All rooms in the neuroscience building will be private.
"This investment in our care for adults, and especially in our clinical neuroscience specialties, will help all Michigan residents and others who turn to us for advanced care," says Doug Strong, chief executive officer of the UM Hospitals and Health Centers. "Even as we carry out this expansion, we will make every effort to use our existing facilities and create operational improvements to accommodate the growing number of patients who seek to come here."
Adds Ora Hirsch Pescovitz, M.D., UM executive vice president for medical affairs and CEO of UMHS, "I'm especially excited about focusing our neuroscience services in an environment where our teams can use their skill and the latest technology to treat patients with conditions ranging from aneurysms and strokes to brain tumors, epilepsy and Parkinson's disease."
The neuroscience part of the project includes a renovation of 163,000 square feet of clinical space, and 104,000 square feet of space for support services and offices.
An MRI machine formerly used for children will be converted to an intraoperative MRI, allowing surgeons to use real-time images to guide delicate operations on the brain and spine. This will be UM's second intraoperative MRI, complementing one in Mott Hospital.
Patients with neurological conditions will all receive care in the building, along with some patients with other conditions who will be admitted to acute care general medicine units on the upper floors.
Several highly specialized clinical departments and programs will make their homes in the building, including Neurosurgery, Neurology, the Cranial Base program that focuses on conditions affecting the intricate anatomy in the lower part of the head and upper neck, the spine surgery services offered by UM orthopedic surgeons and neurosurgeons, and the Cerebrovascular Disease program that treats problems of the blood vessels in the brain.
The reconfiguration of the space is being done with an eye toward offering cutting-edge therapies and therapies that are emerging from UM research, as well as studies of patient outcomes. The idea, say clinical leaders, is to make the facility an advanced model of care.
"In University Hospital, the space freed up by the move of the neuroscience units will allow us to realign and expand services for cancer, cardiovascular disease, surgery patients, and others," says Tony Denton, executive director of University Hospitals and chief operating officer of the UM Hospitals and Health Centers. "This will create a more focused approach on each floor, and increase the ability to place patients in the optimal type of bed for them. The result will be a better experience for both patients and the physicians and staff who care for them."
At a time when many other Michigan hospitals are 70 to 80 percent full on average, UMHS has been at or near 90 percent of capacity for adult inpatients, and 85 percent for adult intensive care patients, for several years. Such averages include weekends, when the number of patients is reduced -- meaning that on many weekdays, UMHS inpatient beds are completely full.
UM's adult operating rooms in University Hospital and the Cardiovascular Center are also operating at capacity. With the neuroscience project, the need for larger ORs to house the ever increasing technology and equipment for specialized operations will be met.
Over just the past four years, demand for adult inpatient care at UMHS has grown 3.7 percent a year, and demand for adult intensive care has grown 3.4 percent a year. Demand for observation care -- short stays of a day or so after an emergency room visit or for less-acute conditions -- has grown 22 percent each year in that same time. UMHS has created several observation units in this time, but even so, demand has outstripped supply. As the state's leading center for trauma and acute illness, UMHS also needs to maintain a certain amount of "surge" capacity for emergencies.
UMHS has coped with the rising demand over the past decade by opening an ambulatory surgery center in 2006 and the Cardiovascular Center in 2007, expanding the Emergency Department in 2011, adding medical, surgical and cardiac observation units, and making many operational improvements to transition patients to home care or skilled nursing facilities more efficiently. The unit in University Hospital that was vacated in December by the adult bone marrow transplant program has already been renovated and is about to reopen for other cancer patients. Outpatient capacity is also being expanded, at both the Taubman Center on the main medical campus, and at a new location in Northville Township that will open in 2014.
As for the new med school, the $55 million project will convert and renovate 137,000 square feet of space in the Taubman Health Sciences Library, allowing UM to better meet the evolving needs of 708 medical students and other health professional students on campus.
The project will create more advanced space to support collaborative learning, studying, and computing for learning and assessment. In addition, existing space for clinical skills training, including a clinical simulation suite, will be greatly expanded to help students develop communication, diagnostic and management skills. The project will enhance opportunities for learning experiences that involve medical students and those from other health professions, such as pharmacy.
The conversion of library space reflects another changing reality of medicine and other health professions: the dramatic rise in the availability of online resources such as electronic medical journals and databases which doctors and students can access from anywhere, at any time.
UM's health sciences librarians offer an incredible range of services, and continue to help students, faculty and staff in all of UM's health-related schools find and access the information they need. But more and more, the interactions are virtual, or take place outside the library building.
While the project plan calls for a portion of the library's less frequently used book and journal collection to be moved off-site, a robust plan is in place to ensure that students and researchers can readily access it.
The project has been planned over the past 2 years through cooperation among the Medical School, the Taubman Health Sciences Library, the Provost's Office, the University Architect's office and U-M health sciences schools that train other health professionals and also use the Taubman library. The opinions, ideas and insights of students, faculty and staff have all contributed to this process.
In addition to this project, the Medical School has been making other investments in facilities and resources for medical students in recent years, including updated audio-visual, wireless Internet access and lecture-capture systems in lecture halls, instructional spaces and study areas, and upgraded call rooms for medical students in patient-care areas.
"These construction and renovation projects reflect advanced concepts in health professional learning, and demonstrate our commitment to maintaining the excellence of our medical student educational programs," says Rajesh Mangrulkar, M.D., associate dean for medical student education. "I predict the space will help to create an unmatched learning experience at Michigan."
Jane Blumenthal, MSLS, AHIP, director of the Taubman Health Science Library, notes that the project is in line with her staff's increased emphasis on immersion in the environments where physicians and other health professionals train and practice, rather than waiting for them to come to the library building.
"Physical books and journals are less important than they once were, though the information they contain, and the ability of librarians to bring knowledge solutions to bear on academic, clinical, and research goals, remains invaluable," she says. The Taubman specialists work essentially as "outside-the-library librarians" who can help clinicians and researchers via online interactions, or by coming to their classes, labs, clinics and even hospital grand rounds.
The architectural firms of TMP Architects and Ballinger will work with UM to create a construction schedule and specific designs, based on the input received during recent months. The project will be paid for by Medical School resources.
