Case Studies

Completed Projects

Advanced Radiology construction

Cardiac Catheterization Department

Client Washington County Hospital
Location Hagerstown, MD
Size/Cost 2237 SF / $800K
Dates October 2007–January 2008
Washington County Hospital Cardaic Cath Department
Washington County Hospital Cardaic Cath Department Washington County Hospital Cardaic Cath Department Washington County Hospital Cardaic Cath Department
Washington County Hospital Cardaic Cath Department Washington County Hospital Cardaic Cath Department Washington County Hospital Cardaic Cath Department

Background

Since 1905, Washington County Hospital has been committed to providing the highest quality acute general hospital inpatient services to residents of western Maryland, southern Pennsylvania, and West Virginia. In recent years, the hospital recognized a need to increase its capabilities by offering life-saving cardiac catheterization services. Without the ability to perform percutaneous cardiac intervention (PCI), heart attack patients brought into the hospital had to be transferred to medical facilities in Baltimore and Washington for treatment. Having previously contracted CMSI to install new Siemens Angiography and Radiation Suites, as well as renovations for 2 CT Scanners, Washington County Hospital again chose CMSI as a design-builder to plan and execute the electrophysiology and cardiac catheterization department renovations.

Objectives

The hospital sought the ability to deliver fast, accurate diagnosis and treatment, and wanted a turnkey, design-build approach to their project. The designated placement of the lab required a design with a simple, intuitive workflow that repurposed space and connected to existing facilities in an intelligent way. The project was highly invasive in a sensitive clinical area-- inside of the operating cardiac cath unit-- within an older facility that had dated physical, mechanical, and electrical systems. In addition, both the new construction and the renovations had to be finished within a tight time schedule, with minimal disruption to adjacent operations. CMSI’s goal was to complete construction on time and within budget, despite the challenges that were presented.

Approach

CMSI developed a two phase approach to achieving Washington County Hospital’s objectives. In the first phase, CMSI constructed a new Philips biplane cardiac catheterization and electrophysiology lab adjacent to the existing cardiology department. This brought new capabilities to the hospital, and increased capacity enough for CMSI to complete renovations on the existing lab. Phase 2 was upgrading the current lab facilities to a biplane catheterization lab with an improved workflow and use of space. Special methods were used to facilitate the installation of the overhead equipment due to limited ceiling heights. New mechanical and electrical infrastructure was required, as was additional medical gases to include WAG. A new UPS was installed and connected to the hospital emergency power system.

Results

Both phases of the project were completed with no downtime to existing operations, and within the proposed schedule and budget. The first coronary angioplasty was completed in the new facilities in April 2008, and Washington County Hospital expects to perform about seventy cardiovascular interventions a year for patients in critical condition who would have previously been transferred to Baltimore or Washington medical centers.