Cath Lab Digest - September 2007 - (Page 30)

30 ACVP MANAGEMENT CORNER SEPTEMBER 2007 If You Build It, Will They Come? John Florio, Executive Director, Cardiovascular Services, University of Kansas Hospital Kansas City, Kansas; President, ACVP Table 1. Size Matters Area Laboratory Area Total CTR Area Lobby Area Cardiac Cath Lab CTR Patient Room Progressive Care Room Total Square Feet 15,647 sq. ft. 7,606 sq. ft. 5,566 sq. ft. 775 sq. ft. 171 sq. ft. 306 sq. ft. I f you stay in the cardiac business and, in particular, the world of cardiac catheterization laboratories for any length of time, you will probably have an opportunity to participate in the decision-making and other steps necessary to replace cath lab equipment, including large imaging equipment. A few will probably have an opportunity to do an entirely new cath room, including remodeling and installation of equipment. An even smaller number will have an opportunity to create a whole new cath lab and support space. And, it goes without saying, only a select few will have an opportunity to develop cardiac cath labs in an entirely new heart facility. Challenges in Planning and Construction Decisions In October 2001, the hospital hired a prominent health planner, Frank Zilm of Frank Zilm and Associates, to assist in determining the appropriate size for a new heart facility and create an initial space plan. Subsequently, an RFP was issued to architectural firms following a national search for teams that specialized in heart centers. After a review of the RFP responses, site visits and interviews, the firm RTKL of Dallas, Texas, was selected to design the facility. That was the opportunity presented to the cath lab team at The University of Kansas Hospital in October of 2001 when work began in earnest to design our new Center for Advanced Heart Care. The facility was conceived as part of the vision of the Mid-America Cardiology and MidAmerica Thoracic and Cardiovascular Surgeons, two groups of physicians who came to The University of Kansas Hospital in 2000 after leaving a successful heart program at another hospital. The other members of the team included one of the leading health care construction firms in the country, Kansas City-based J.E. Dunn & Associates, and a project management company from Denver, called Owners Representative Services. This team worked closely with our cath lab nurses and technologists, with the goal of creating a schematic plan for how the cath lab and its support elements would function in relation to each other and to the Center for Advanced Heart Care as a whole. The University of Kansas Hospital was also fortunate to have a very talented business and strategic development department that helped determine the right size for the facility based on the number of procedures that could be performed in the cath lab in a given period of time, plus factoring in estimated growth of the facility over the next few years. Perhaps the most difficult planning element was accounting for the changing scope of practice within cardiac cath labs. It was felt that procedures were getting longer and becoming more acute. Therefore, traditional notions about how many cases could be done in a lab during a normal work day were challenged. As a result, space was allocated for future labs and 15,647 square feet is contained within the footprint of seven cardiac laboratories. Another significant challenge was trying to understand what would happen to lab procedures in the period of time from the development of the design to the opening of the facility and beyond. Among the elements considered were the new pieces of equipment that would be added to the cath lab and how much space they would require. Equipment choices would also have to support the continuing endovascular trend. In the electrophysiology area, it was felt that there would probably be some other forms of navigational assistance equipment added to the lab to support the increase in ablation procedures, particularly for atrial fibrillation. In both the cath and electrophysiology (EP) areas, a great deal of time was spent exploring advanced concepts for integrating all equipment, as well as how data displays would be arranged in the laboratories. All of the ideas represented some significant challenges to conventional thinking. Considerable time was spent in looking at how work was done in the cath lab. The director was adamant that the traditional control room concept did not work because the rooms were simply too accessible and needless traffic often distracted the physicians and staff during critical parts of procedures. Additionally, the labs were increasingly operational 24/7 and dealing with acute cases during off hours. The director felt it didn’t make sense The Center for Advanced Heart Care at The University of Kansas Hospital. The director felt it didn’t make sense to isolate a technical staff member in an outside control room away from the procedure.

Table of Contents Feed for the Digital Edition of Cath Lab Digest - September 2007

St. Dominic Hospital The Genous Bio-engineered R Stent Percutaneous Treatment of Peripheral Arterial Chronic Total Occlusions: Device Options and Clinical Outcomes Contents Clinical Editor’s Corner Percutaneous Revascularization of Peripheral Chronic Total Occlusion — Which Patients, Why, and How? Myocardial Infarction and Syncope: A Manifestation of the “Raynaud-Prinzmetal Syndrome”? Essential Technical Components of the Transradial Approach If You Build It, Will They Come? Evidence-Based Medicine with Drug-Eluting Stents Back to School: The Value of Education in Cardiovascular Services The ACVP Standards and Competencies: Are You Using Them Effectively? What Do You Think? My Experience with Fibromuscular Dysplasia and Stroke A Brief Review of Fibromuscular Dysplasia Letter to the Editor A Look at On-the-Job Training: Perceptions, Reality and Our Profession Doing the Wave: Inventory Management with RFID The Ten-Minute Interview with… Paul Pinsker, RCIS CLD’s Annual Salary Survey Harrisburg Area Community College Volunteer Survey CEU Education Center SICP* Section Ask the Clinical Instructor: A Q&A Column for Those New to the Cath Lab Clinical & Industry News

Cath Lab Digest - September 2007

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