# Presentation: 437723

## 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

- 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

**Primary Service Areas**

- _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

**Regional Service Areas**

- Phoenix Area
- Health Care System
- Replacement Facility
- Central Campus

**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

- _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

- “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.”

-  “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.”

**Master Plan - Vision**

**Master Plan Implementation**

**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**

**Master Plan Results**

- 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

**Area-Wide Service**

**PHOENIX AREA INDIAN HEALTH SERVICES****INTEGRATED SERVICE DELIVERY NETWORK (ISDN)****AREA WIDE MASTER PLAN**

## PHOENIX INDIAN MEDICAL CENTER HEALTH CARE REPLACEMENT FACILITY

**PHOENIX INDIAN MEDICAL CENTER HEALTH CARE REPLACEMENT FACILITY**

## 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

**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 (16****th**** Street)**
- Ambulatory Care
- Inpatient Care
- NIH

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

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

- Proposed Northeast Ambulatory Care Center-Indian School/Pima Road

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

## 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 –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

- Admin. Support
- Administration
- Information Management
- Health Information Management
- Business Office

- Facility Support
- Clinical Engineering
- Facility Management
- Property/Supply
- Housekeeping

## 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 –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

- Admin. Support
- Administration
- Information Management
- Health Information Management
- Business Office
*CHS*
*Performance Improvement*

- Facility Support
- Clinical Engineering
- Facility Management
- Property/Supply
- Housekeeping
*Security*
*Transportation*
*Telephone Operators*

## 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 –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

- Admin. Support
- Administration
- Information Management
- Health Information Management
- Business Office
*CHS*
*Performance Improvement*

- Facility Support
- Clinical Engineering
- Facility Management
- Property/Supply
- Housekeeping
*Security*
*Transportation*
*Telephone Operators*

## 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

- 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 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

- 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 – Other New Services

*Nuclear Medicine*
*CT*
*MRI*
*TeleHealth*
*Occupational  Therapy*
*Speech Therapy*

*Sleep Lab*
*Hostel – boarding rooms*
*Transport team*
*Acute Dialysis*

## 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**

**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

**Southeast Ambulatory Care Center**
- 11,312 m2 - $34 Million

**Southwest Ambulatory Care Center**
- 5,828 m2 - $17 Million

**Northeast Ambulatory Care Center**
- 12,269 m2  - $39 Million

***Total Estimated Project Cost $476 Million***
***Total Proposed Space = 104,349 m******2***
***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

## 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