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Care Cyte Slidedeck


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Care Cyte Slidedeck

  1. 1. CareCyte The Next Generation of Healthcare Facilities © Copyright 2007-9, CareCyte LLC. All rights reserved worldwide.
  2. 2. Agenda <ul><li>What we want to accomplish </li></ul><ul><li>Introductions: people and organizations </li></ul><ul><li>The CareCyte innovations </li></ul><ul><li>Fundamentals of the CareCyte facility </li></ul><ul><li>Delivering healthcare services in a CareCyte facility </li></ul><ul><li>Opportunities for a partnership </li></ul><ul><li>What’s next? </li></ul>
  3. 3. What we want to accomplish <ul><li>Establish credibility </li></ul><ul><li>Introduce a radical innovation </li></ul><ul><li>Listen to questions and concerns </li></ul><ul><li>Ground our claims </li></ul><ul><li>Open the possibility of a partnership </li></ul><ul><li>Define a path forward </li></ul>Outline
  4. 4. <ul><li>Chris Raftery (CEO; Engineering and construction) </li></ul><ul><li>Chauncey Bell (COO) </li></ul><ul><li>Dave Chambers (Chief Architect; Healthcare Architecture) </li></ul><ul><li>Mark Goldberg (SVP Sales; RE Development Concerns) </li></ul>Intros CareCyte’s People
  5. 5. <ul><li>Clinical and Research Labs: </li></ul><ul><ul><li>Genetic Systems, Seattle, WA (first US laboratory to culture live HIV) </li></ul></ul><ul><ul><li>Bristol Myer Laboratories, Seattle, WA </li></ul></ul><ul><ul><li>Sanofi, Seattle, WA </li></ul></ul><ul><ul><li>ProCyte, Seattle, WA </li></ul></ul><ul><ul><li>Otsuka Pharmaceutical, Seattle, WA </li></ul></ul>Chris Raftery, CEO Intros <ul><li>Lead or principal in the engineering and construction of high profile projects. Examples: </li></ul><ul><li>Other Technically Demanding Projects: </li></ul><ul><ul><li>Fujitsu semiconductor plant, Gresham, OR </li></ul></ul><ul><ul><li>Wells Fargo Center, Seattle, WA </li></ul></ul><ul><ul><li>Paul Allen’s Experience Music Project, Seattle, WA </li></ul></ul><ul><li>Hospitals and Medical Centers: </li></ul><ul><ul><li>Cedars Sinai Medical Center, Los Angeles, CA </li></ul></ul><ul><ul><li>Virginia Mason North Tower, Seattle, WA </li></ul></ul><ul><ul><li>Sacred Heart Medical Center Spokane, WA </li></ul></ul><ul><ul><li>Fred Hutchinson Cancer Research Center, Seattle, WA </li></ul></ul>
  6. 6. <ul><li>Led the distinctive study group of doctors, builders, engineers, scientists, architects, and technologists in which CareCyte was born. </li></ul><ul><li>Principal author of the CareCyte facility innovation. </li></ul><ul><li>Experience and academic credentials as an engineer and as a builder. </li></ul><ul><li>Projects on-time and on-budget, often at record paces. </li></ul><ul><li>Innovator in use of computers in design and construction (VBR, Frank Gehry). </li></ul><ul><li>Patents for construction materials and processes. </li></ul>Intros Chris Raftery
  7. 7. Chris Raftery: Projects and Successes Chris Raftery: Projects and Successes Millennium Tower, Seattle Fujitsu Semiconductor Plant, Gresham, OR IDX Tower, Seattle Fred Hutchinson Cancer Research Center Cedars-Sinai Los Angeles Ste Michelle Winery, Woodinville, WA Bellevue Technology Tower, Bellevue Wells Fargo Center, Seattle
  8. 8. Chris Raftery: Projects and Successes Millennium Tower, Seattle Paul Allen’s EMP, Seattle Fred Hutchinson Cancer Research Center Four Seasons Hotel & Condominiums Seattle Wells Fargo Center, Seattle Bellevue City Hall, Bellevue 2 nd & Seneca Building, Seattle 1111 Third Ave Bldg Intros
  9. 9. <ul><li>A healthcare and hospital architect, he has for many years designed healthcare service delivery facilities with greatly improved coordination among patients and caregivers </li></ul><ul><li>Serves as the Director of Planning and Architecture for the Sutter Health Group of hospitals in Northern California, where he supervises a $6.5 billion capital budget </li></ul>Dave Chambers, Chief Architect Intros
  10. 10. <ul><li>Examples of his work: </li></ul><ul><ul><li>Sutter Health System, Sacramento, CA </li></ul></ul><ul><ul><ul><li>California Pacific Medical Center – San Francisco </li></ul></ul></ul><ul><ul><ul><li>Sutter Medical Center – Sacramento </li></ul></ul></ul><ul><ul><ul><li>Sutter Medical Center – Castro Valley </li></ul></ul></ul><ul><ul><ul><li>Alta Bates Medical Center – Oakland </li></ul></ul></ul><ul><ul><li>Legacy Project - Providence Health System, Vancouver B.C., Canada </li></ul></ul><ul><ul><li>Children’s and Women’s Health Centre, Vancouver B.C., Canada </li></ul></ul><ul><ul><li>Fairview Hospital, Cleveland Clinic Health System, Cleveland, OH </li></ul></ul><ul><ul><li>Central Washington Hospital, Wenatchee, WA </li></ul></ul><ul><ul><li>White Memorial Medical Center, Adventist Health, Los Angeles, CA </li></ul></ul><ul><ul><li>University Health System, San Antonio, TX </li></ul></ul><ul><ul><li>Catholic Health Initiatives, Pacific Northwest – Washington/Oregon </li></ul></ul>Dave Chambers, Chief Architect Intros
  11. 11. <ul><li>He invented the method of organizing medical service delivery workflows around patient-provider interactions and care pathways (“cellular design”) that underpins CareCyte service delivery designs and our economical footprints. </li></ul><ul><li>His designs use staff and other resources more efficiently, get patients through procedures faster, and produce higher patient satisfaction. They have been applied to “one-stop” patient intake centers, integrated intervention services platforms, and acuity-adaptable inpatient nursing units. </li></ul>Dave Chambers Intros
  12. 12. <ul><li>He consults to the U.S. Department of Defense, the Department of Veteran’s Affairs, Healthcare Authorities of Canada and the NHS, United Kingdom, and many other healthcare providers. </li></ul><ul><li>Chambers was named one of “Twenty who are making a difference” in 2007 by the Center for Health Design. </li></ul>Dave Chambers Intros
  13. 13. 13 Intros Dave Chambers: Projects and Successes St. Joseph Medical Center, Tacoma, WA Sutter Medical Center, Sacramento, CA Fairview Hospital, Cleveland Clinic Health System White Memorial Medical Center, East Los Angeles, CA
  14. 14. <ul><li>He has led successful design and development programs, bringing together diverse teams and producing historic changes in several industries </li></ul><ul><li>Better-known examples of his work include: </li></ul><ul><ul><li>On-time delivery of concrete in Mexico City, Guadalajara, and other cities around the world (CEMEX) </li></ul></ul><ul><ul><li>Dramatically shortened delivery times for power plants built in India and China (ABB) </li></ul></ul><ul><ul><li>The design and construction of a new bank, Intelligent Finance , in the United Kingdom </li></ul></ul><ul><li>He has made distinctive theoretical contributions to the literature of human coordination and innovation, and has been awarded half a dozen patents for his software designs </li></ul><ul><li>Before coming to CareCyte he worked as a senior consultant for more than 25 years (in his own and other firms), and served as the president of a successful software company </li></ul>Chauncey Bell, COO Intros
  15. 15. <ul><li>Real estate advisor and developer in the Northwest for 30 years </li></ul><ul><li>His projects have been featured in state and national publications </li></ul><ul><li>For the last 24 years he has served as the Chairman of the M.S. Cavoad Co., Incorporated </li></ul><ul><li>Deep experience with the complex world of business arrangements underpinning the intersection of healthcare, land, permits and regulations, and construction </li></ul><ul><li>Has negotiated agreements with a diverse group of individuals and companies, including REITs, major insurance companies, Wall Street investments firms, and the Catholic Church </li></ul>Mark Goldberg, Sr VP Marketing & Sales Intros
  16. 16. The CareCyte Story <ul><li>In 2005 the Seattle Science Foundation commissioned a study group to produce a breakthrough in the realm of healthcare service delivery. </li></ul><ul><li>Their goal was to invent a way to design and economically produce facilities that allowed healthcare professionals to deliver care wherever it was needed with lead times of weeks or months rather than years. </li></ul><ul><li>Many people have been working on ways to reduce costs and increase access to healthcare services. </li></ul><ul><li>No one realized that a different kind of facility, designed specifically for healthcare and delivered quickly and economically, could serve as a platform for new care models and critical improvements to healthcare access, costs, and quality. </li></ul>Story
  17. 17. Two Breakthroughs from the Study Group <ul><li>A new and radically different way of designing and delivering customizable healthcare facilities, using the latest computer-aided design and manufacturing technologies, and high-tech materials (steel and polymers) </li></ul><ul><li>A complementary approach to optimizing clinical workflows, service configurations, and unit capacities </li></ul>Story
  18. 18. New Capacities for Medical Professionals <ul><li>Invent and implement new and more efficient clinical practices and service delivery models </li></ul><ul><li>Treat medical facilities as manageable tools rather than epic endeavors </li></ul><ul><li>Rapidly incorporate new medical and communications technology as it becomes available </li></ul><ul><li>Easily locate facilities wherever they are needed, configured to deliver whatever services are needed at that time </li></ul>Story
  19. 19. Chris Raftery’s Inspirations <ul><li>An abiding commitment to do better engineering, to have every component do as many things as possible, to get more for the money, go faster, and build better buildings </li></ul><ul><li>The challenge of building a semiconductor “FAB” for Fujitsu in Gresham, Oregon (1,000,000 square feet, $1.3 billion construction, completed in 13 months) required … </li></ul><ul><ul><li>Designing and building clean room environments with far higher requirements than healthcare </li></ul></ul><ul><ul><li>Learning how to produce and manage airflows with very high volumes (e.g., clearing all the air in a large room every minute) and low airflow velocities (e.g., no experience of air blowing around) </li></ul></ul><ul><ul><li>Fanatical attention to controlling particulates, … </li></ul></ul><ul><li>… which in turn led to the invention of a new approach to managing airborne pathogens </li></ul>Innovation
  20. 20. <ul><li>The challenge of building Paul Allen’s Experience Music Project (EMP) with Frank Gehry as architect (a building that could not have been built without CATIA computer design tools) yielded … </li></ul><ul><ul><li>The first ever realization of full digital integration of the entire process of delivering an entire facility, from first idea to final product </li></ul></ul><ul><ul><li>The resulting 100% engineering and 100% fit produced huge time and money savings </li></ul></ul><ul><ul><li>The EMP was an “extreme proof of concept” – ‘If we can build that, we certainly can build medical facilities with the same methods.’ </li></ul></ul>Chris Raftery’s Inspirations Innovation
  21. 21. A New Kind of Healthcare Facility, and a New Way of Building It <ul><li>Instead of deploying an army of skilled designers and craftspeople, contractors, project managers, bookkeepers and accountants, lawyers and others, who hand-craft each facility uniquely... </li></ul><ul><li>CareCyte uses the computer-assisted design and manufacturing tools and processes used to build aircraft and the most technologically advanced buildings in the world to deliver customized, integrated healthcare facilities. </li></ul>Facility Boeing 777: The first 100% digital aircraft with over 3 million parts designed and pre-assembled on computers with CATIA
  22. 22. A Revolution in Architecture Digital Design & Mfgr’g CATIA made these projects possible for Frank Gehry; nothing like them had ever been built before. Bilbao, Spain EMP: Seattle, Washington Dusseldorf, Germany
  23. 23. Paul Allen’s Experience Music Project First, Design and Engineer Design & Model Engineer Envision
  24. 24. Next, Manufacture, Ship, Assemble; Everything Fits!!!
  25. 25. Finally, “Wrap” the Structure
  26. 26. From the EMP to the CareCyte Facility <ul><li>In constructing the Experience Music Project, it became clear that a systematic approach to customized mass production of vastly simpler buildings (composed mostly of right angles and straight lines) was now possible. </li></ul><ul><li>Building from a set of standardized components, the CareCyte System yields radically shorter construction times and lower costs, and a flexible, adaptable building superbly suited to today’s healthcare challenges. </li></ul>Innovate
  27. 27. A System of Integrated Building Elements The Facility
  28. 28. For Example, in Your Neighborhood … The Facility
  29. 29. Scalable, Flexible Facilities Delivering Healthcare Services <ul><li>80x80 Treatment Module: </li></ul><ul><li>3 multipurpose intervention rooms with supply / storage </li></ul><ul><li>L1 recovery room </li></ul><ul><li>5 multipurpose exam/prep / L2 recovery rooms </li></ul><ul><li>MD office / work spaces </li></ul><ul><li>80x80 Clinic/Primary Care Module: </li></ul><ul><li>10 multipurpose exam/prep / L2 recovery/emerg. treatmt </li></ul><ul><li>1 major Dx/Tx room </li></ul><ul><li>1 large conference/classroom </li></ul><ul><li>3 offices, 3 nurse / workstations </li></ul><ul><li>Lobby / reception / waiting </li></ul><ul><li>Scalability </li></ul><ul><li>Suitable for clinical/primary care services, therapeutic/ intervention programs, inpatient care, laboratories </li></ul><ul><li>Standardized kit of parts </li></ul><ul><li>Easy to expand. </li></ul><ul><li>Flexibility </li></ul><ul><li>Single bed service-line- adaptable rooms support a broad spectrum of services </li></ul><ul><li>Modules can be reconfigured as demands or practices change; with 80 foot free-spans, layouts can be adjusted without structural constraints. </li></ul>
  30. 30. Value-Streaming Patient Flows™ Service Delivery in a CareCyte Facility How? Cellular design around care pathways and interactions between patients and practitioners. Shift from this… ... to this <ul><li>Operational Benefits </li></ul><ul><li>Reduced steps and cycle times </li></ul><ul><li>Fewer handoffs </li></ul><ul><li>Increased predictability </li></ul><ul><li>Clearer commitments </li></ul><ul><li>Smaller staffs </li></ul><ul><li>Improved outcomes </li></ul><ul><li>Facility Impacts </li></ul><ul><li>Smaller footprint </li></ul><ul><li>Fewer dedicated spaces </li></ul><ul><li>Dissolve departmental fragmentation </li></ul>Delivering Healthcare Services Enter for services
  31. 31. OR imaging clinic ER admitting Click and follow the green dot (a patient) as s/he interacts with administrators (yellow) and clinicians (blue). Patient Flow for Pre-Admission Testing in a Superior Conventional Facility room type capacity operating rooms 2 diagnostic modalities 4 exam/observ (incl. emergency/OR/clinic) 15 beds 24 total area (sf) 59,276 services metrics admission 1step lab/ECG/PFT/x-ray 12 steps consult 2 steps total steps 15 steps patient movement 680 feet total patient time 200 mins
  32. 32. OR Clinic/ER/Dx 30 BED Acuity Adaptable Unit – single bed rms(shown) Or 42 BED Inpatient Unit Incl. 6 single bed rms and 12 three bed rms Half the size Patient Flow for Pre-Admission Testing in a CareCyte Facility room type capacity operating rooms 3 diagnostic modalities (not including portable modalities) 2 exam/observ (incl. emergency/OR/clinic) 15 beds 30 total area (sf) 28,750 services metrics admission 1step lab/ECG/PFT/x-ray 3 steps consult 2 steps total steps 6 steps patient movement 170 feet total patient time 80 mins 3 ORs & 6 more beds Much more efficient: 75% less patient travel; 60% less time! Click and follow the green dot (a patient) as s/he interacts with administrators (yellow) and clinicians (blue).
  33. 33. Dave Chambers’ Prototype Hospital Initiative - Resetting Expectations for Traditional Hospital Construction Efficiency & Costs Based on the outcomes of this effort, Sutter Health is now building five facilities implementing the same principles. Goal – Metric Current Baseline Prototype Hospital Team Expectations Staffing Efficiency - Total FTEs 442 253.2 - Adjusted Patient Discharges (APDs) 7135 8742.3 - FTEs per APD (CMI modified) 0.054 0.029 Area (Efficiency of Program) - Area (BGSF) 114.660 100.611 - Area per Bed 1,911 1,677 - Area per APD 16.07 10.44 Construction Cost - Construction Cost per SF $650.00 $370.00 - Construction Cost per Bed $1.242M $0.62M Other Measures - Time to Build (Design, Permitting, Construction) 72 months plus Less than 48 months - Energy Use Measures include Electrical and Natural Gas 25% decrease 46% fewer FTEs required 35% less space required 44-50% less const. cost
  34. 34. CareCyte’s Next-Generation Healthcare Facilities <ul><li>Our radical innovation enables new care delivery models </li></ul><ul><li>Smaller and less expensive to build and operate </li></ul><ul><ul><li>Cut 60% or more from the cost of constructing a healthcare facility </li></ul></ul><ul><ul><li>Cut 35% or more from the overall operational costs of delivering services </li></ul></ul><ul><ul><li>Adjust the configuration of the facility as practices change </li></ul></ul><ul><li>Increased care delivery efficiency and efficacy </li></ul><ul><ul><li>Layouts and configurations based on value streams of patient flow </li></ul></ul><ul><ul><li>Improve staff productivity and minimize patient movement </li></ul></ul><ul><ul><li>Increase patient (and staff) safety </li></ul></ul><ul><li>Designs optimized for healthcare service delivery </li></ul><ul><ul><li>Service the entire facility without interrupting patient care </li></ul></ul><ul><ul><li>Near laminar air flows offer superior control of airborne pathogens </li></ul></ul><ul><ul><li>Plug and play for networking, telemedicine, and other coming technologies </li></ul></ul>Summary
  35. 35. Opportunities <ul><li>Meet the challenges of building your new facility </li></ul><ul><li>A state-of-the-art facility that will remain up-to-date by accommodating new practices and technology, and through easy modification and expansion </li></ul><ul><li>Establish your identity as an industry leader and innovator </li></ul><ul><li>Increase your scope of services through lower capital and operating costs </li></ul><ul><li>A simple and elegant solution to difficulties in fund-raising </li></ul>Partners
  36. 36. What’s Next? <ul><li>What possibilities does CareCyte open for you? </li></ul><ul><ul><li>Plans for new facilities? </li></ul></ul><ul><ul><li>Renovations planned? </li></ul></ul><ul><ul><li>Service delivery productivity? </li></ul></ul><ul><ul><li>Opportunities for new/expanded services? </li></ul></ul><ul><ul><li>Expanded market reach? </li></ul></ul><ul><li>What would you like to do next? </li></ul>Action
  37. 37. CareCyte The Next Generation of Healthcare Facilities © Copyright 2007-9, CareCyte LLC. All rights reserved worldwide.