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Feature Story: Strategizing about building ambulatory networks

System executives discuss their plans at Revista’s HRE conference

By John B. Mugford

The Revista “Healthcare Strategy 2020” panel featured (from left to right): moderator Mike Noto of Rendina, Brian Gitlin of UHealth, Amit Rastogi of Jupiter Medical Center, Terry Wood of Kaiser Permanente and John Milne of Providence St. Joseph. (HREI™ photo)

For the first time, probably, in the history of healthcare in the United States, more services are being delivered in outpatient settings than in hospitals.

This fact was not lost on a group of health system executives who were part of a panel session during the Revista Medical Real Estate Investment Forum 2020, held Jan. 27-29 at PGA National Resort & Spa in Palm Beach Gardens, Fla.

The executives were on stage to discuss their service delivery strategies, with a focus on building out their ambulatory networks in an era when consumers want easy access to services.

“For UHealth (University of Miami Health System), we are, probably similar to many others, a hub and spoke model,” said Brian Gitlin, the system’s associate VP-Real Estate. “Our main medical center in downtown Miami handles our inpatients, but we’ve really made an effort to grow our ambulatory strategy out into the community … as we’re really going for growth. We think there’s a good opportunity for us given that we’re a little bit different in the sense that we’re a university-based health system in South Florida, so we’re leveraging that to expand this hub and spoke model.”

The panel session also included: Mike Noto, chief strategy officer with Jupiter, Fla.-based Rendina Healthcare Real Estate, as moderator; Amit Rastogi, CEO of Jupiter (Fla.) Medical Center; Terry Wood, VP real estate with Oakland, Calif.-based Kaiser Permanente; and John Milne, senior VP of real estate with Renton, Wash.-based Providence St. Joseph Health.

“This is a very Interesting time in healthcare,” Dr. Rastogi said, “as, for the first time in the country, 50.5 percent of healthcare, with regards to revenue, is actually delivered on an outpatient basis; and I think that trend is only going to increase more toward the ambulatory.”

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