Healthcare Design - December 2017 - 37

IN FO C U S
S T R A T E G I C A P P R O A C H E S to D E S I G N C H A L L E N G E S

R E A L E S TAT E A N D D E V E L O P M E N T

DAVID SENIOR

LEARN BY EXAMPLE  

The microhospital business model borrows successful strategies
utilized in other commercial property types By Robert Garcia 

WITH MORE THAN $1 billion in current investment in 17 states, microhospitals are
spreading as developers apply lessons
learned in the commercial real estate sector
to healthcare.
These small-scale versions of conventional hospitals are bringing convenient access
to care closer to patient populations, similar
to the way freestanding emergency departments (EDs) now permeate city landscapes.
The two models share many of the same
characteristics, as well.
A microhospital expands on the ED base,
though, by offering acute care, advanced
surgical capabilities, and overnight beds. A
typical facility provides 10 to 20 beds, imaging, pharmacy, lab, surgical, and clinical
space-all in about 30,000 to 40,000 square
feet. Slightly larger versions include clinical
space for specialists or general practitioners
and/or post-acute services, creating a mini
medical campus.
Due to the small format, many microhospitals limit their scope of care to fit local
demographic characteristics. For example,
where residents are predominately young,
a facility may specialize in obstetrics and
gynecology. In an older community, a small
heart hospital with critical-care observation space may be more appropriate. Other
microhospitals may limit services to a specialization such as spinal surgery or cardiac
care. In concert with a large parent hospital, a suburban specialty microhospital
could enjoy brisk business by providing
complex procedures and a concierge-like
postoperative program. That revenue
stream can help to offset the higher cost of
operations and larger proportion of indigent or unpaid care provided at the main
campus.
Regardless of specialization, microhospitals, with their limited service lines, are
more likely to achieve above-average patient
outcomes. Usually Level 4 or 5 trauma facilities with higher nurse-to-patient ratios,
microhospitals handle few severe trauma cases and generally
incur infection and mortality
rates far lower than national

DECEMBER 2017

37



Table of Contents for the Digital Edition of Healthcare Design - December 2017

Healthcare Design - December 2017
Contents
Editorial
Show Talk
Natural Wonder
Top 5 Takeaways of 2017
Big Picture
A Fresh Start
Real Estate and Development Learn by Example
Product Spotlight Art and Graphics
The Center
Special Supplement
Face Time
Healthcare Design - December 2017 - Healthcare Design - December 2017
Healthcare Design - December 2017 - Cover2
Healthcare Design - December 2017 - 1
Healthcare Design - December 2017 - 2
Healthcare Design - December 2017 - Contents
Healthcare Design - December 2017 - 4
Healthcare Design - December 2017 - 5
Healthcare Design - December 2017 - 6
Healthcare Design - December 2017 - 7
Healthcare Design - December 2017 - 8
Healthcare Design - December 2017 - Editorial
Healthcare Design - December 2017 - Show Talk
Healthcare Design - December 2017 - 11
Healthcare Design - December 2017 - 12
Healthcare Design - December 2017 - Natural Wonder
Healthcare Design - December 2017 - 14
Healthcare Design - December 2017 - 15
Healthcare Design - December 2017 - Top 5 Takeaways of 2017
Healthcare Design - December 2017 - 17
Healthcare Design - December 2017 - 18
Healthcare Design - December 2017 - 19
Healthcare Design - December 2017 - Big Picture
Healthcare Design - December 2017 - 21
Healthcare Design - December 2017 - 22
Healthcare Design - December 2017 - 23
Healthcare Design - December 2017 - 24
Healthcare Design - December 2017 - 25
Healthcare Design - December 2017 - 26
Healthcare Design - December 2017 - 27
Healthcare Design - December 2017 - A Fresh Start
Healthcare Design - December 2017 - 29
Healthcare Design - December 2017 - 30
Healthcare Design - December 2017 - 31
Healthcare Design - December 2017 - 32
Healthcare Design - December 2017 - 33
Healthcare Design - December 2017 - 34
Healthcare Design - December 2017 - 35
Healthcare Design - December 2017 - 36
Healthcare Design - December 2017 - Real Estate and Development Learn by Example
Healthcare Design - December 2017 - 38
Healthcare Design - December 2017 - Product Spotlight Art and Graphics
Healthcare Design - December 2017 - 40
Healthcare Design - December 2017 - The Center
Healthcare Design - December 2017 - 42
Healthcare Design - December 2017 - Special Supplement
Healthcare Design - December 2017 - 44
Healthcare Design - December 2017 - 45
Healthcare Design - December 2017 - 46
Healthcare Design - December 2017 - 47
Healthcare Design - December 2017 - 48
Healthcare Design - December 2017 - 49
Healthcare Design - December 2017 - 50
Healthcare Design - December 2017 - 51
Healthcare Design - December 2017 - 52
Healthcare Design - December 2017 - 53
Healthcare Design - December 2017 - 54
Healthcare Design - December 2017 - 55
Healthcare Design - December 2017 - Face Time
Healthcare Design - December 2017 - Cover3
Healthcare Design - December 2017 - Cover4
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