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St. Luke's to announce $14M expansion

Changes will make medical care more efficient, officials say

By Dave Dreeszen, Copyright 2008 Sioux City Journal | Posted: Monday, October 06, 2008
story_photo

This is an architect’s rendering of the expansion at St. Luke’s Regional Medical Center. Architects for the project are Cannon, Moss, Brygger & Associates. (Submitted photo)

SIOUX CITY -- St. Luke's Regional Medical Center plans today to announce a $14 million expansion that will modernize and enlarge its surgical areas, give surgical patients greater privacy and establish a single main entrance.

Construction is expected to begin this fall on an 8,700-square-feet addition on the hospital's north end, on top of an existing parking lot. After completion of that work, an existing 25,000 square feet of first-floor surgical space would be renovated.

St. Luke's CEO and president Peter Thoreen said the project, one of the hospital's largest ever, would greatly enhance patient flow and provide medical personnel with the most advanced equipment and technology.

"Staff has designed this so they can deliver the most efficient care possible," he said in an exclusive interview with the Journal.

St. Luke's will hold a news conference today to formally announce the project, set for completion in March 2011. The plans include closing the current patient admitting entrance on the north end, and relocating it to the visitors' entrance on the east side along Pierce Street.

"It decreases confusion -- that's one of the biggest things for patients," said Dr. Steve Church, St. Luke's operating room manager. "We can focus on just one entrance into the hospital."

As part of the expansion and remodeling, the hospital also would add private pre-operative and post-operative rooms. Each room would have its own bathroom.

Thoreen offered assurances that construction would not disrupt surgical services. The CEO noted he can't think of another hospital that has remodeled an existing OR, or operating room. Most opt for all-new construction.

"Luckily, we have enough first-floor space that we can do the new construction of the main operating room and then go back and reconfigure and remodel," he said. "It gives us all of the brand new, up-to-date number of rooms that we'll need for the future."

Thoreen said the updates to the hospital's surgical areas, built in 1972, would complement St. Luke's same-day surgery center, which opened five years ago, just across Pierce Street from the hospital. The outpatient center was part of a more-than-$20 million project that also included a five-story parking garage.

"We're going to have the best of both worlds -- a really up-to-date in-patient surgery program, as well as the SDS across the street," he said.

Under the latest expansion plan, the size of the hospital's in-patient surgical rooms would grow by about 200 square feet, to roughly 650 square feet, Church said.

"It'll give us a lot of room, a lot of area to work," he said.

The rooms would be big enough to accommodate state-of-the-art equipment the hospital plans to invest in. Flat-screen, high-definition monitors would provide better image quality and ease image comparison. Mounted on boom arms, the monitors can be moved to allow physicians to easily view images without turning their heads, he said.

Dr. Romano Adajar, an anesthesiologist, noted hospital staff are now often required to move equipment from one room to another. The expansion would put an end to that time-consuming process.

"By having these rooms ready, that cuts down on the patient wait time," said Dr. Taunhi Hunt, an OBGYN with Siouxland Obstetrics and Gynecology, who has patients that use St. Luke's OR.

Church, Adajar and Hunt said the new OR design, which ties together every room in the surgical area, would allow physicians to better manage their time and schedules, as well as help patients get in and out more quickly.

Revamping of the surgical area includes relocating the hospital's decontamination and sterile process center from the lower level to the first floor. Currently, a small elevator cart is used to transport dirty surgical instruments from the first floor to the lower level, and then back up again after they are cleaned and sterilized, said Marian Schuldt, director of surgical services.

Having the entire surgical staff on the same floor will have increased efficiencies and enhance teamwork, she said.

The expansion project, which received unanimous support from St. Luke's board of directors and its parent, Iowa Health System, will be funded with a combination of cash and bonds issued by Iowa Health System, Thoreen said.

St. Luke's performs more than 5,000 surgeries annually on the hospital's first floor, including total joint, abdominal, chest and thyroid procedures.

By the Numbers
14 -- Cost of expansion in millions of dollars.
8,700 -- Additional square feet to be added.
25,000 -- Existing square feet to be renovated.
1 -- Main entrance for patients and visitors..
2011 -- Year project is set for completion
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Story Comments

Steve wrote on Oct 7, 2008 11:05 PM:

" I have used or been involved with organizations that have used most, if not all, of the major contractors in the area, including Klinger. I think you can always say any contractor could have been faster or the cost could have been lower, so those arguments alone just don't hold their weight. I personally have been impressed with the work we have had Klinger, and the other affiliated companies that are under that corporate umbrella. In fact on multiple occasions when I have put out a bid request to all of the contractors in the area I have gotten multiple bids from this group, with each division bidding the job separately and in competition with each other. Given my experiences hiring these companies I see nothing that would lead me to suspect they would not have been competitive in their bidding at the hospital as well. If someone has some evidence of that, please present it. "

HB wrote on Oct 6, 2008 9:37 PM:

" It sounds like there are a couple of jealous general contractors smearing a good company's name. For anyone reading these, you want to know how to tell if a contractor is a good one, look at the amount of their return business, how much work is negotiated vs. bid work and call the people they have completed work for. Klinger has a long list of return clients, clients that Gleeson is not on the board of. Klinger is a good company that does quality work, don't believe me, call the people they have worked for. And by the way, they have done work for my company, and they don't do a halfway job, we actually call them in to fix sub-par work when corporate makes us use another low-bid contractor. "

Contractor wrote on Oct 6, 2008 8:57 PM:

" I agree Get The Facts is bitter and lies. I think Klinger has done nothing but better St. Luke's. I have seen the end product of everything they have worked on. I also know that other contractors did bid the job and lost the bid. Gleeson is one vote. STOP THE HATE! "

I Agree Get The Facts wrote on Oct 6, 2008 7:29 PM:

" IN RESPONSE TO LM: The article DOES state that the [Klinger] project was unanimously approved by the STL Board of Directors, of which Gleason is a member, as well as the IHS Board. However, I think they should have looked at another contractor as Klinger has done ALL of their projects in the last few years, and nothing ever seems to be done completely or correctly the first time. As a former employee of STL, I think this is a great and much needed addition/renovation to the hospital; but I also think a better decision could have been made about the contractor. Klinger will more than likely do a halfway job again like they always have in the past when I worked there... "

JM wrote on Oct 6, 2008 3:36 PM:

" Is there a need for this grandiose project? Shouldn't clinical quality come first - before cosmetic renovations? "

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