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Expansion of Siteman Cancer Center: Enhancing Ambulatory Cancer Care in South County

The proposed expansion of the Siteman Cancer Center into South County aims to address the shifting St. Louis population towards suburban areas, improving access to quality cancer care. Patients increasingly prefer local, outpatient services, making this expansion crucial for meeting their needs. This initiative includes state-of-the-art medical oncology, chemotherapy, and surgery services, with further prospects for outpatient imaging and primary care. By 2013, the center will deliver outstanding cancer care in a comfortable, accessible setting, ultimately expanding to serve a variety of healthcare needs in the region.

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Expansion of Siteman Cancer Center: Enhancing Ambulatory Cancer Care in South County

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  1. Off-Site Ambulatory Expansion Siteman Cancer Center – South County Overview for CAC – April 2012

  2. Why Expand Off-Campus? Changing Market Dynamics & Improved Payor Mix • The St. Louis metro population is experiencing shift to suburban areas • Patients prefer to receive ambulatory care close to home • Some subspecialty services do not require a hospital setting and are more efficiently delivered in an outpatient paradigm • Preserving and growing our patient base requires us to offer geographically convenient, patient-focused ambulatory services in a highly efficient manner • Improved managed care payor mix, decreased Medicaid

  3. Target Market – South Region • Target market population - 561,622 adult population • WUSM and BJC completed a market assessment, looking at the target region shown below, to validate favorability of this market Analysis Market Size & Opportunity Population Trends & Projections Median Household Income WUSM Market Share Inpatient Market Share Referring Physicians Distribution of PCPs Competitor Analysis

  4. Overall Vision for South County Short-term – To increase the presence of the Siteman Cancer Center in the South Region by providing state of the art cancer care, in a convenient, comfortable, free-standing ambulatory cancer center. Long-term – To expand BJH and WUSM services beyond cancer to create a broader market presence and capture increased share from South County and Southern Illinois. • Phase I – Cancer Focus: • Medical oncology & chemotherapy • Radiation oncology • Cancer surgical subspecialty consultation • Siteman Support Services • Approx 40,000 SF • Phase II - Other Potential Clinical Programs: • Other WUSM Subspecialty Practices • Expanding Outpatient Imaging Platform • Ambulatory Surgery? • Primary Care? • Up to 40,000+ SF

  5. Target Geography Visible Upscale/Professional Growth Area Not immediately adjacent to St. Anthony’s Easy Access/Wayfinding Expandable Pleasant Views Close to some conveniences for family members

  6. Aerial View of Site w/Phase I

  7. Site Plan – Phase I & Phase II

  8. Site Plan – Phase I Close Up

  9. SCC – South County Floorplan

  10. SCC – South County Building Entrance

  11. SCC – South County Highway Visibility

  12. SCC – South County Construction Progress – as of April 13, 2012

  13. SCC – South County Construction Progress – as of April 13, 2012

  14. Next Steps • Plan for Opening of SCC-South County – target Jan 2013 • Space – design detail, furniture, equipment • Operations – staffing, scheduling, supplies, regulatory, clinic flow, IS systems, etc • Marketing – in development of marketing plan/budget • Begin to plan for Phase II – target fall 2015 • What services are at capacity in CAM? • What percent of CAM patients live in South County area? • What scope of ancillary services are needed? • What are projected volumes, resources required, etc.

  15. Appendix

  16. WUSM Clinics at BJWCH - Payor Mix FY10 WUSM Payor Mix at SLCH1,2 OP Visits, Primary Service Area FY10 WUSM Payor Mix at BJWCH1,2 OP Visits, Primary Service Area Total Unique Patients at BJWCH = 9,135 Total Unique Patients at SLCH = 49,963 1Payor mix based on count of unique patients (0-17) by payor in SLCH’s primary service area. 2 Other includes Commercial, Hospital Contracts, and Other. Source: WUSM Physician Billing Services

  17. Target Region for Phase II South County CAM Office Visits1 352,702 (54.8% of total Adult Office Visits) CAM Office Visits from South Region2 47,863 (15%) 1-Based on monthly Adult On-Campus reports from Clin Ops, using sched reports and arrived visits. 2 -Based on PBS query of doctor’s office visits, using patient zip code 17

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