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KHN: Sometimes Tiny Is Just The Right Size: ‘Microhospitals’ Filling Some ER Needs

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The two-story SCL Health Community Hospital-Westminster opened outside Denver last fall. (Courtesy of Emerus and SCL Health)

The two-story SCL Health Community Hospital-Westminster opened outside Denver last fall. (Courtesy of Emerus and SCL Health)

July 19, 2016

Eyeing fast-growing urban and suburban markets where demand for health care services is outstripping supply, some health care systems are opening tiny, full-service hospitals with comprehensive emergency services but often fewer than a dozen inpatient beds.

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These “microhospitals” provide residents quicker access to emergency care, and they may also offer outpatient surgery, primary care and other services. They are generally affiliated with larger health care systems, which can use the smaller facility to expand in an area without incurring the cost of a full-scale hospital. So far, they are being developed primarily in a few states — Texas, Colorado, Nevada and Arizona.

“The big opportunity for these is for health systems that want to establish a strong foothold in a really attractive market,” said Fred Bentley, a vice president at the Center for Payment & Delivery Innovation at Avalere Health. “If you’re an affluent consumer and you need services, they can fill a need.”

SCL Health has two microhospitals operating in the Denver metropolitan area and another two in the works. Microhospitals “are helping us deliver hospital services closer to home, and in a way that is more appropriately sized for the population compared to larger, more complex facilities,” said spokesman Brian Newsome.

(C) 2016 The DPC Journal

(C) 2016 The DPC Journal

The concept is appealing, and some people suggest they should be developed in rural or medically underserved areas where the need for services is great.

Small hospitals, even tiny ones, with robust outpatient services could be a real boon for people who live far from major metro areas.

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“Right now they seem to be popping up in large urban and suburban metro areas,” said Priya Bathija, senior associate director for policy development at the American Hospital Association. However, “we really think they have the potential to help in vulnerable communities that have a lack of access.”

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SOURCE: http://khn.org/news/sometimes-tiny-is-just-the-right-size-microhospitals-filling-some-er-needs/

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