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Phoenix Service Unit / Phoenix Indian Medical Center. Program Justification Document (PJD) Update November 2003. Master Plan - Vision. Master Plan Results. Master Plan Implementation. PHOENIX AREA INDIAN HEALTH SERVICES INTEGRATED SERVICE DELIVERY NETWORK (ISDN) AREA WIDE MASTER PLAN.

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phoenix service unit phoenix indian medical center

Phoenix Service Unit / Phoenix Indian Medical Center

Program Justification Document (PJD)

Update

November 2003

phoenix area indian health services integrated service delivery network isdn area wide master plan

Master Plan - Vision

Master Plan Results

Master Plan Implementation

PHOENIX AREA INDIAN HEALTH SERVICESINTEGRATED SERVICE DELIVERY NETWORK (ISDN)AREA WIDE MASTER PLAN

Primary Service Areas

Regional Service Areas

Area-Wide Service

UTAH

PITU - CDBG

NEVADA

Walker River– FEMA/PJD

Reno-Sparks – SAP

Las Vegas – SAP/CDBG

ARIZONA

Ft. Mohave – CDBG

Peach Springs – CDBG

Phoenix – PJD

San Carlos – PJD

Supai - PSD

Whiteriver – PJD

Yuma – PJD

Parker

VISITING PROFESSIONALS

Increased Specialty

Care Visits

TELEHEALTH

Teleradiology

Telemedicine

Video Conference

TRANSPORTATION

MULTI-FACILITY INTEGRATION

EPIDEMIOLOGY

“Provide levels of care which value patient treatment as close to their homes and families as possible, but which provides for the highest quality referral services and inpatient treatment as necessary to ensure the best treatment available.”

ARIZONA

Ft. Yuma

Ft. Mohave

Parker

Chemehuevi

Payson

Middle Verde

Prescott

Phoenix

San Lucy

Salt River

Ft. McDowell

Ak-Chin

Hu-Hu-Kam

West End

Bylas

San Carlos

Cibecue

Whiteriver

Hopi

Peach Springs

Supai

NEVADA

Las Vegas

Moapa

Yerington

Reno-Sparks

Washoe

Pyramid Lake

Fallon

Walker River

McDermitt

Winnemucca

UTAH

Goshute

Skull valley

Salt Lake City

Ft. Duchesne

PITU

Kaibab

NEVADA

Southern Nevada

Northwest Nevada

Central Nevada

Northeast Nevada

UTAH

Northwest Utah

Northeast Utah

Southwest Utah

ARIZONA

Colorado River System

Phoenix

San Carlos

Whiteriver

Northern Arizona

Phoenix Area

Health Care System

Replacement Facility

Central Campus

“We envision a “Compre-hensive Regional Health Care System” which is built upon the success and ability of each local health care delivery area within the Phoenix Area, to access a full range of health care services and facilities in the fairest, most equitable and cost-effective manner possible.”

Health Station

Health Center

Ambulatory Care Center

Inpatient Hospital

Inpatient Services

Specialty Service

Visiting Professionals

Telemedicine

Visiting Professionals

Specialty Service

Telemedicine

Inpatient Service

Specialty Care

Integration: Access to care geographically & operationally,

Integrated information systems, Multi-facility integration, Standards of care (clinical practice guidelines), Comprehensive services, Care coordination, Case management,

Continuity of care, and Transportation

phoenix indian medical center health care replacement facility

Master Plan Implementation

  • Master Plan - Vision

Master Plan Results

Primary Service Area

Regional Service Area

Area-Wide Service

PRIMARY SERVICE AREA

Southwest

Southeast

Northeast

Central Phoenix

- Ambulatory Care

REGIONAL & AREA-WIDE SERVICE

Central Phoenix

– Inpatient

Visiting Professionals

Telehealth

Inpatient Psych

NATIONAL INSTITUTES OF HEALTH

(NIH)

“Provide levels of care which value patient treatment as close to their homes and families as possible, but which provides for the highest quality referral services and inpatient treatment as necessary to ensure the best treatment available.”

Payson

Middle Verde

Prescott

San Lucy

Salt River

Northeast

Ft. McDowell

Central Phoenix

Southwest

Southeast

Hu-Hu-Kam

West End

Ak-Chin

San Carlos

Phoenix

NEVADA

- PSA

- Region

UTAH

- PSA

- Region

ARIZONA

- PSA

- Region

Health Station

Health Center

Ambulatory Care Center

Inpatient Service

Specialty Service

Inpatient Service

Specialty Service

Visiting Professionals

Telemedicine

Inpatient Service

Specialty Service

Visiting Professionals

Telemedicine

We envision a “Compre-hensive Regional Health Care System” which is built upon the success and ability of each local health care delivery area within the Phoenix Area, to access a full range of health care services and facilities in the fairest, most equitable and cost-effective manner possible.

PHOENIX INDIAN MEDICAL CENTER HEALTH CARE REPLACEMENT FACILITY
planning for a pimc healthcare system replacement
Planning for a PIMC Healthcare System Replacement
  • PIMC is on the IHS Facilities Priority List for a replacement hospital
  • Due to the size of this project, a “healthcare system” is being planned
  • Work started on the Program Justification Document (PJD) in June 2002, to begin to look at “options” for the satellites
  • Following completion & acceptance of the Area-wide Master Plan in Nov. 2002, we were able to begin planning for the Medical Center/Hospital Services
planning for a new pimc h c system
Planning for a New PIMC H.C. System

Options proposed:

  • Three Satellite Ambulatory Care Centers:
    • Northeast (NE)
      • Salt River Pima-Maricopa Indian Community
    • Southeast (SE)
      • Gila River Indian Community
    • Southwest (SW)
      • Gila River Indian Community
  • Central Phoenix (16th Street)
    • Ambulatory Care
    • Inpatient Care
    • NIH
slide8

Existing Phoenix Indian Medical Center Campus-Indian School/16th Street

Proposed Northeast Ambulatory Care Center-Indian School/Pima Road

Proposed Southwest Ambulatory Care Center- 51st Ave/Pecos Road

Proposed Southeast Ambulatory Care Center - Queen Creek/Old Price Road

southwest ambulatory care clinic
Southwest Ambulatory Care Clinic
  • Location: 51st Avenue & Pecos Road
    • Site approved by Tribal Resolution, Sept. 3, 2003 by the Gila River Indian Community
  • 2015 Population Projection: 5,707 Users
  • 2015 Projected Workload: 49,050 OPV’s
  • Size: 62,734 Sq. Feet (5,828 Sq. Meters)
  • Space: 25 Exam Rooms; includes 8 PC, 3 Spec. Care, 4 VP, and 10 BH
  • Space: 15 Dental Chairs
  • Staffing: 128.4 FTE’s
southwest ambulatory care clinic clinical services
Clinical Services

Family Practice

Internal Medicine

Pediatrics

OB/GYN

Dental

Optometry

Podiatry

Audiology

Behavioral Health

Visiting Professionals

Orthopedics

Ophthalmology

General Surgery

Otolaryngology

Cardiology

Urology

Neurology

Traditional Healing

Southwest Ambulatory Care Clinic – Clinical Services
southwest ambulatory care clinic other services
Ancillary Services

Clinical Lab

Pharmacy

Radiology

Ultrasound

Mammography

Physical Therapy

Case Management

TeleHealth

Preventive Care

Public Health Nursing

Public Health Nutrition

Environmental Health

Health Education

Southwest Ambulatory Care Clinic –Other Services
southwest ambulatory care clinic other services12
Admin. Support

Administration

Information Management

Health Information Management

Business Office

Facility Support

Clinical Engineering

Facility Management

Property/Supply

Housekeeping

Southwest Ambulatory Care Clinic –Other Services
southeast valley ambulatory care clinic
Southeast Valley Ambulatory Care Clinic
  • Location: Queen Creek & Old Price Road
    • Site approved by Tribal Resolution, Sept. 3, 2003 by the Gila River Indian Community
  • 2015 Population Projection: 14,453 Users
  • 2015 Projected Workload: 117,002 OPV’s
  • Size: 121,765 Sq. Feet (11,312 Sq. Meters)
  • Space: 49 Exam Rooms (include 24 PC, 3 Spec. Care, 5 VP, and 17 BH)
  • Space: 30 Dental Chairs
  • Staffing: 273.3 FTEs
southeast ambulatory care clinic clinical services
Clinical Services

Family Practice

Internal Medicine

Pediatrics

OB/GYN

Dental

Optometry

Podiatry

Audiology

Behavioral Health

Urgent Care

Visiting Professionals

Orthopedics

Ophthalmology

General Surgery

Otolaryngology

Cardiology

Urology

Neurology

Traditional Healing

Respiratory Therapy

Southeast Ambulatory Care Clinic – Clinical Services
southeast ambulatory care clinic other services
Ancillary Services

Clinical Lab

Pharmacy

Radiology

Ultrasound

Mammography

Physical Therapy

Case Management

TeleHealth

Preventive Care

Public Health Nursing

Public Health Nutrition

Environmental Health

Health Education

Southeast Ambulatory Care Clinic –Other Services
southeast ambulatory care clinic other services16
Facility Support

Clinical Engineering

Facility Management

Property/Supply

Housekeeping

Security

Transportation

Telephone Operators

Southeast Ambulatory Care Clinic –Other Services
  • Admin. Support
    • Administration
    • Information Management
    • Health Information Management
    • Business Office
    • CHS
    • Performance Improvement
northeast ambulatory care clinic
Northeast Ambulatory Care Clinic
  • Location: Indian School & Pima Road
    • Site approved by Tribal Resolution, Sept. 3, 2003 by the SRPMIC Tribal Council;
      • Maintain Community Clinic
      • Study the Hospital at later date
  • 2015 Population Projection: 15,305 Users
  • 2015 Population Workload: 124,837 OPVs
  • Size: 132,067 Sq. Feet (12,269 Sq. Meters)
  • Space: 57 Exam Rooms (includes 26 PC, 3 Spec. Care, 5 VP, and 23 BH)
  • 30 Dental Chairs
  • Staffing: 285.5 FTEs
northeast ambulatory care clinic clinical services
Clinical Services

Family Practice

Internal Medicine

Pediatrics

OB/GYN

Dental

Optometry

Podiatry

Audiology

Behavioral Health

Urgent Care

Visiting Professionals

Orthopedics

Ophthalmology

General Surgery

Otolaryngology

Cardiology

Urology

Neurology

Traditional Healing

Respiratory Therapy

Northeast Ambulatory Care Clinic – Clinical Services
northeast ambulatory care clinic other services
Ancillary Services

Clinical Lab

Pharmacy

Radiology

Ultrasound

Mammography

Physical Therapy

Case Management

Telemedicine

Preventive Care

Public Health Nursing

Public Health Nutrition

Environmental Health

Health Education

Northeast Ambulatory Care Clinic –Other Services
northeast ambulatory care clinic other services20
Facility Support

Clinical Engineering

Facility Management

Property/Supply

Housekeeping

Security

Transportation

Telephone Operators

Northeast Ambulatory Care Clinic –Other Services
  • Admin. Support
    • Administration
    • Information Management
    • Health Information Management
    • Business Office
    • CHS
    • Performance Improvement
pimc central ambulatory care
PIMC Central – Ambulatory Care
  • Location: 16th Street & Indian School Road
  • 2015 Population Projection: 47,608 Users
  • 2015 Projected Workload: 317,828 OPVs
  • Size: 378,235 Sq. Feet (35,138 Sq. Meters)
  • Space: 170 Exam Rooms (includes 24 PC, 48 Spec. Care, 1 VP Clinic, 79 BH and 18 ED patient spaces), 80 Dental Chairs
  • Staffing: 1,690.7 FTEs (outpt. & inpt.)
pimc central inpatient care
PIMC Central – Inpatient Care
  • Location: 16th Street & Indian School Road
  • 2015 Population Projection: 47,608 Users
  • 2015 Projected Workload: 40,307 Patient Days
  • Size: 299,440 Sq. Feet (27,818 Sq. Meters)
    • Combined with Outpatient – 677,675 Sq. Feet

(62,956 Sq. Meters)

  • Beds: 140
  • OR’s: 7
pimc central inpatient care23
PIMC Central – Inpatient Care
  • TOTAL BEDS: 140
  • MEDICAL: 40
  • SURGERY/PEDIATRICS: 30
  • ICU: 18 (12 ICU/6 Step-down)
  • OB/LDR: 19
  • PSYCHIATRIC: 11
  • NIH RESEARCH: 22
clinical services primary care other ambulatory care
Clinical Services: Primary Care & Other Ambulatory Care
  • Family Practice
  • Internal Medicine
  • Pediatrics
  • OB/GYN
  • Dental
  • Optometry
  • Audiology
  • Emergency Medicine
clinical services specialty care
Anesthesia/Pain Medicine

Orthopedics

Ophthalmology

Dermatology

General Surgery

Otolaryngology

Cardiology

Urology

Neurology

Nephrology

Allergy

Pulmonology

Gerontology

Gastroenterology

Rheumatology

Oncology

Podiatry

Behavioral Health

Endocrinology

Infectious Disease

Clinical Services – Specialty Care
clinical services other new services
Nuclear Medicine

CT

MRI

TeleHealth

Occupational Therapy

Speech Therapy

Sleep Lab

Hostel – boarding rooms

Transport team

Acute Dialysis

Clinical Services – Other New Services
nih niddk
NIH/NIDDK
  • Location: 16th Street & Indian School Road
  • Size: 128,999 Sq. Feet (11,984 Sq. Meters)
  • Beds: 22
  • Space: Clinical Lab, Biochemistry Lab, OP Clinic, Nursing Unit, Medical Library, Conf. Rooms, Offices, etc.
proposed central campus with three outlying ambulatory care centers
Proposed Central Campus with three outlying Ambulatory Care Centers

Northeast Ambulatory Care Center

12,269 m2 - $39 Million

    • Outpatient Tower & Parking Structure
    • 35,138 m2 - $128 Million
  • Inpatient Tower & Parking Structure 27,818 m2 - $193 Million
  • NIH/NIDDK Research Facilities
    • 11,984 m2 - $65 Million

Southwest Ambulatory Care Center

5,828 m2 - $17 Million

Southeast Ambulatory Care Center

11,312 m2 - $34 Million

  • Total Estimated Project Cost $476 Million
  • Total Proposed Space = 104,349 m2
  • Phased Construction over 10 years - Starting w/ Ambulatory Care Centers
  • $6.6M for Design in FY05 IHS Budget Request
construction timeline
Ambulatory Care

A/E Selection

Jan. ‘05 – May ‘05

Design

May ’05 – May ’06

Bidding

May –06 - Aug. ’06

Construction

Aug. ’06 – Oct. ‘07

Hospital

A/E Selection

Sept. ’07 –May ’08

Design

May ’08 – Nov. ’10

Bidding

Nov. ’10 – Feb. ’11

Construction

Feb. ’11 – Feb. ‘16

Construction Timeline
planning for a new pimc h c system30
Planning for a New PIMC H.C. System
  • The planning document (PJD) was submitted to HQE on September 12, 2003
  • PJD is currently in review for approval with HQE
  • IHS needs to request $6.6 million for design funding in the FY 2005/6 Budget
  • NIH/IHS need to discuss strategies for funding and congressional support at the Agency level