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HEALTHCARE REAL ESTATE



                                                                                 Cover Story: Expanding Practice?

                                                                                 Considerations for Building Out

                                                                                 Clinical and Office Space



                                                                                 Continued from page 1
                                                                                                                      An endless number of factors go into
                                                                                A leaseholder can negotiate TI in their  building out clinical and office space,
                                                                                lease agreement terms or engage a quali-  from lease terms and vendor contract
                                                                                fied healthcare advisory professional to  negotiations to system implementation
                                                                                assist with the negotiations.       and data drops. You have to think about
                                                                                  Remember, it doesn’t always make  everything from lighting and plumbing
                                                                                sense to buildout your space, even if you  to windows and floors. Two important
                                                                                can afford to do so. An expansion of  considerations from an efficiency stand-
                                                                                your medical practice should be a strate-  point are patient flow and equipment
                                                                                gic decision that takes into account sev-  placement. You also have to consider
                                                                                eral factors, including market opportuni-  patient demographics. For example, a
                                                                                ty. If the demand is not there, it may not  pediatric practice may have designated
                                                                                make sense to invest in an expansion.   play areas while a bariatric surgery cen-
                                                                                  So how do you know if the timing is  ter may have larger chairs in the waiting
                                                                                right? There are several signs that a  room.
                                                                                buildout might make sense for your    While there is certainly a lot to consid-
                                                                                medical practice, such as:          er in planning a space expansion and
                                                                                  1. Your ability to maximize revenue is  there is a significant financial investment
                                                                                capped by your existing space.      required, a strategic buildout can present
                                                                                  2. Your existing space plan doesn’t  tremendous benefits for your practice.
                                                                                allow for maximum patient flow and effi-  Expanding your medical practice’s clini-
                                                                                ciency.                             cal and office space can help you to scale
                                                                                  3. Your existing space doesn’t allow for  your practice with the ability to see more
                                                                                the technology you need to best serve  patients and drive better patient flow.
                                                                                your patients.                        And you don’t have to do it all your-
                                                                                  4. You want to expand into a new geo-  self. You can engage an outside firm to
                                                                                graphic market.                     oversee the space expansion process,
                                                                                  If you decide to move ahead with an  from start to finish. A healthcare adviso-
                                                                                expansion, space planning should be a  ry professional with experience assisting
                                                                                prime consideration. Keep in mind the  with medical practice expansions can
                                                                                important distinction between clinical  help you with building out your space
                                                                                space, which is revenue-producing, and  and growing your practice.
                                                                                administrative or “white” space, which is
                                                                                not revenue-producing (e.g., hallway,     Kevin N. Fine, MHA, is a director of
                                                                                office, waiting room). Clinical space  healthcare advisory services in the Miami
                                                                                expansions can provide the greatest    office of Kaufman Rossin, one of the top
                                                                                opportunity to add revenue, by enabling  accounting firms in the U.S. He can be
                                                                                you to see more patients, offer more    reached at kfine@kaufmanrossin.com.
                                                                                services or add providers.



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         20                       December 2017                                                         southfloridahospitalnews.com                                                                       South Florida Hospital News
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