Minimizing disruptions while modernizing a surgical platform

Froedtert Health, Surgical and Interventional Platform, Milwaukee, WI

Froedtert Health, the academic medical center for the Medical College of Wisconsin, called on CannonDesign to support their most ambitious modernization project ever: consolidation of surgical and interventional services into one procedural platform. The project called on countless enabling moves and touched more than 90 percent of the spaces in the department. Exhaustive stakeholder engagement and close partnership with the construction managers and subcontractors brought this project in on-time, on-budget and without reducing capacity in any of the clinical areas during construction. The project has formed a model for how we have approached subsequent phased renovation projects. Includes 32 ORs, 2 Hybrid ORs, 14 Interventional Labs, Intraoperative MRI and Intraoperative CT.

The project provides a single patient portal for all surgical and interventional procedures, one that provides an all-encompassing, streamlined experience. Accommodations such as patient parking, pre-procedural evaluation clinic, outpatient pharmacy and family center are all co-located adjacent to the procedure arrival and recovery center (PAR). From there, patients enter the platform for anything ranging from minor procedures to complex cases utilizing intraoperative MRIs and hybrid ORs.

By applying Lean Design methodology, we created an optimal design concept that increased volume of cases by 36 cases a day; reduced overall wait times for patients from 12 percent to 20 percent; increased surgical/interventional room utilization to target goals; and right-sized their space by 30 percent to industry targets.

Universally designed operating rooms regardless of sub-specialty or technology (MIS, robot-assisted, or image-guided) were implemented across the platform. Full audio/video integration across (and outside of) the platform and advanced imaging technologies beyond the standard hybrid OR also minimize patient movement and increased patient outcomes. Case delays, room turnover time, room utilization and case volume growth are all targeted for substantial improvement due to increased efficiency in universal design and process improvements.

The Froedtert and Medical College of Wisconsin Integrated Procedural Platform was awarded Best Health Care Project 2019 by Engineering News-Record Midwest.