Within weeks after the Good Samaritan closing announcement in January, Kettering Health Network, Grandview’s parent company, made plans for the construction project with an aggressive timeline in order to prepare for the increased demand.
The Dayton Daily News previously reported the hospital was estimating it could see an increased annual patient volume between 20,000 and 25,000.
The expansion will mean an additional 23 new ER rooms will be added by Sept. 1, an additional two trauma rooms and four critical care rooms to open mid-September and the last piece will be a new ER canopy where the ambulances pull under, which should be finished in November.
There will be a gap between when the Good Samaritan ER closes and the Grandview project is complete, but the crucial pieces will be in place and the hospital will be prepared, Lewis said.
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The emergency department continues to operate during the construction, which is led by Miamisburg-based Danis Building Construction Co.
Part of that preparation includes changing the way patients are triaged in the ER, shortening the time it takes from when patients enter the ER to when they see a doctor.
The hospital now uses “provider in triage” model that’s a team approach between a physician and two nurses, which is more efficient than the old model of one triage nurse.
Grandview has said it increased the percentage of patients seen by a doctor within 10 minutes from 38 percent to 71 percent using the new model for its ER.
“We are anticipating an annual patient volume increase between 20,000 and 25,000 with that closure. Without this new process, we would not have been able to survive,” Dr. Nikole Funk, medical director at Grandview, had stated in an interview with trade publication HealthLeaders Media.
The two additional trauma rooms will also be an improvement in health care delivery, with overhead radiology and surgical lights, said Lewis.
“So if a patient arrives in a life or death situation, we essentially can operate on them right there,” she said.
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Grandview is also preparing for increased admissions to other services. The hospital is investing about $10 million to $15 million in addition to other expansion projects besides the ER, including new parking and increased cardiology services and labs.
Grandview, located at 405 W. Grand Ave., was founded in 1926 and became part of the Kettering Health Network in 1999. Besides Grandview, Kettering Health operates seven other hospitals in the region and has a large network of doctors.
The closure of Good Samaritan also opened a window for health care recruitment. The health care recruitment environment has grown fiercely competitive as the unemployment rate has plummeted.
Grandview hosted recruiting events closely following the announcement, advertised about jobs on social media and hired 100 people from Good Samaritan, including about 20 doctors.
Grandview employs about 1,635 people.
DATES TO KNOW
July 19: Good Samaritan ER closes at noon
July 23: Good Samaritan closes at 12:01 a.m.
Sept. 1: 23 new Grandview ER rooms should be complete
Mid September: Two new trauma and four critical care Grandview rooms should open