The Johns Hopkins health system has filed a certificate of need for an ambitious expansion and renovation plan for it's Bayview Medical Center that comes with a $469 million price tag.
The CON was filed in early February with the Maryland Health Care Commission that outlined the extensive plans, which include a new inpatient building and renovation of two existing buildings on its campus. The project's two main goals are to transition to all private patient rooms and to "modernize and upgrade JHBMC's outdated facilities."
JHBMC said in the certificate that private patient rooms have been an industry standard for more than a decade and patients expect them. Moreover, private rooms help control the spread of infection and better accommodate visiting family family members, as well as facilitate patient engagement, confidentiality, and privacy such that the treatment team can discuss issues at the the patient at his or her bedside. The new inpatient building will include 94 private medical/surgical rooms, 46 private Intensive Care rooms, and 18 private Obstetrics rooms, for a total of 158 private rooms.
Bayview dates back to 1773 and in 1984 was acquired by Johns Hopkins. It currently houses 342 licensed acute care beds, including a 20-bed adult burn and wound service and modern cancer care facility specializing in thoracic oncology among other services.
Now many of those services are occurring in spaces that are too small, too old and not optimally oriented, according to the CON, including the labor and delivery rooms, operating rooms and burn center.
"The Burn Center currently lacks the space and facilities to perform procedures with anesthesia. Access to a dedicated procedure room would allow for procedures to take 16 place in a sterile environment, minimize the risk of infection, and reduce the need to go to the operating room."
The project will yield a new obstetrics unit, a new burn unit including its own intensive care unit and rehabilitation gym and large waiting area. It will also include four new larger operating rooms and a new helipad on the Medical Center's roof to replace the current one, which is on the ground and some distance from the actual building. Patients arriving by helicopter must be transported to the emergency department by ambulance.
"Achieving these objectives is essential to the long-term viability of JHBMC. The project will allow JHBMC to address quality, safety, and service standards, right-size patient rooms, units, and operating rooms, upgrade existing infrastructure, and enhance infection control. Not proceeding with this project will put key services in jeopardy in the short term, and it will threaten JHBMC's ability to maintain its central role as an academic medical center, pursuing excellence and innovation in health care delivery, education, and discovery," the CON said.
A JHBMC executive told the Baltimore Business Journal the project would take between seven and nine years to finish.