Future Emergency Department - 2080

Solution Saves $9,000,000

Additional Information

Florida Hospital – New Smyrna, New Smyrna Beach, Florida, USA

Florida Hospital, owned and operated by Adventist Health System, is an acute-care, not-for-profit healthcare organization based in Orlando, Florida with 25 distinct hospital campuses from the east coast to the west coast of Central Florida. Florida Hospital New Smyrna has 112-beds and is one of the seven within the Florida Hospital Central Florida Division - North Region. 


The existing emergency department was over-capacity and an interim solution was needed to bridge the next 6 to 8 years before a replacement hospital would be completed. The existing ED location would not allow for any external expansion. Internal expansion (into Imaging) proved to be too expensive and disruptive. A previous architect had recommended a relocation of the ED to the other side of campus with an estimated cost of over $12,000,000.


Through an analysis of current workflow and use of the existing ED, Huddy HealthCare worked with staff to define a new way of processing and flowing patients through the ED. By teaming with RLF Architects, Huddy HealthCare defined internal ED renovations for $2.5 million to support the new workflow. With computer simulation models and predictive modeling to maximize future capacities, a new patient flow allowed for a reduction in “time to provider” by 50% and “overall length of stay” by 25%. Internal Results Pending spaces and a different use of the internal care spaces allowed this client to save $9,000,000 and still be able to expand capacity within the current confines of their existing ED. 

“Facing capacity and throughput issues, we reached out to a traditional bricks and mortar architectural firm to explore options. After the study, a $12 Million proposal was floated, but it only addressed the physical plant issues. Not satisfied, we sought a second opinion and were introduced to Jon Huddy and Huddy HealthCare Solutions. Their brilliant data analytics, modeling and design solution produced capacity and innovative throughput answers for $2.5 Million and their process engaged the entire team. Thank you Huddy HealthCare Solutions!”

Ken Mattison, CEO                                                                         

Florida Hospital New Smyrna                                                       

New Smyrna Beach, Florida, USA


Long-Range Planning Leads to Immediate Process Improvement

IWK Health Centre, Halifax, Nova Scotia, Canada

The IWK Health Centre is the largest paediatric hospital and trauma centre in Atlantic Canada that provides care to maritime youth, children and women from Nova Scotia, New Brunswick and Prince Edward Island.  

Project Challenge

Huddy HealthCare was engaged by local architect Nycum Associates as an ED analytics, operational and planning consultant. The IWK Health Centre was looking for an ED specialist that could:

  • Match patient/population clinical needs with departmental capacity
  • Explore safe, effective, and efficient flow, including potential use of mid-level providers
  • Deliver an exceptional experience by engaging patients and families as partners in co-creating care delivery and future models of care

The increase of patient age limit from 16 years old to 19 years old meant that the design, flow, safety and security of patients, families and staff would need to be considered with regard to the impact of new pathologies to be accommodated in the future. 


Phased Renovations Modernizes University Hospital ED

Internal Renovations for University Hospital Level 1 Adult and Pediatric ED

Robert Wood Johnson University Hospital, RWJBarnabas Health, New Brunswick, New Jersey, USA

Robert Wood Johnson University Hospital (RWJUH) is part of the RWJ Barnabas Health System in New Jersey. RWJUH is a 610-bed general medical and surgical facility and is the principal hospital of Rutgers University's Robert Wood Johnson Medical School.


Innovative Trauma Center Opens

See link below for the video that introduces the new Trauma Center project for Robert Wood Johnson University Hospitals adult and pediatric emergency departments including their new Care Initiation Area that expedites the patient to the provider.

200,000 Visit Multi-Level Trauma Center

New Patient Flow Maximizes Room Utilization  

WellStar Kennestone Hospital, Marietta, Georgia, USA

Huddy HealthCare was engaged by Wellstar Health System to define the optimal operational workflow, functional space program, and final planning recommendation for this 200,000 visit Emergency Care Center (ECC). Huddy HealthCare was engaged as the owner’s emergency department design specialist and teamed with architect of record, Earl Swenson Associates (ESa), to complete the project. 

Project Challenge
Huddy HealthCare’s analysis of the current hospital site showed that expanding on the existing hospital campus was not physically or financially feasible. Property across the street from the hospital was identified as the best potential location for the future ECC. Huddy HealthCare worked with the staff and leadership to define the systematic “connections” back to the campus via two-story bridge (Public and Patient/Staff) so all hospital services were comfortable with the final physical and operational solution.


The ECC facility is designed to accommodate 166 total patient care spaces including 142 active beds and 24 admit staging beds. Separate Adult and Pediatric walk-in entrances are positioned so that a centralized Security Station can monitor all public access to the facility. Ambulances arrive and enter via three separate control points: Adult EMS entry, Pediatric EMS entry, and Trauma/Resuscitation entry which allows direct access to a separate 12 bed high acuity module. The Pediatric Walk-In entry allows for separation of the children from the adults with a specialized Pediatric Care Zone, access to pediatric Imaging (Radiology and CT), and immediate access to the Pediatric Trauma Rooms in the High Acuity Zone. The Adult Walk-In Entry is the portal to the Adult Care Initiation Zone which rapidly screens all patients not rushed to the High Acuity Zone. Four other 12-Bed Care Zones are all visibly linked and allow the entire facility to accordion up and down to meet daily patient volumes. Imaging is centralized to all care zones and Care Initiation. 


The second floor includes 72 spaces with a mix of Behavioral Health, Behavioral Health-Flex Beds, Universal Care, and Admit Staging. Floor three includes a heliport with the ability to add a second heliport in the future. A 168-car parking garage is below the new Emergency Care Center with elevators directly up to patient reception. The lower level also includes the service docks, materials storage and environmental services storage.