pms 3135 cool gray 7 pms 576 TM LAS VEGAS MEDICAL DISTRICT LAS VEGAS MEDICAL DISTRICT The Las Vegas City Council established the Las Vegas Medical DistrictTM (LVMD) in 1997. LVMD is centrally located near downtown Las Vegas, encompassing approximately 674 acres. Within this district are several key anchor partners - Valley Hospital, University Medical Center, Cleveland Clinic Lou Ruvo Center for Brain Health, University of Nevada, Las Vegas (UNLV) School of Dental Medicine and University of Nevada School of Medicine, Nevada System of Higher Education (NSHE) Clinical Simulation Center of Las Vegas, Desert Radiologists and Steinberg Diagnostics. The purpose of the Las Vegas Medical District is to support future and continued development of the area that is synergistic with the current medical providers, build on the sense of community and enhance the quality medical care existing in the area. The city of Las Vegas is developing the master plan for the area and working with all the involved partners to ensure collaboration and sustainability. Valley Hospital and University Medical Center have already entered into multi-phase expansion and renovation programs with the acquisition of several properties to make way for their expansions. The forward-thinking objective is that LVMD will be the premier general medical education, research and clinical care center that will catalyze economic development and growth in the city’s economic core. The growth of the medical industry is key to Southern Nevada’s economic diversification strategy and the LVMD will help attract new, high-paying employers to the region as well as advance a higher quality of life standard throughout the LVMD Master Plan. Further development of the LVMD will provide jobs, bolster the health of Southern Nevadans, and stimulate development near the city of Las Vegas’ vital assets like downtown, Symphony Park, and the Arts District. pms 3135 cool gray 7 pms 576 TM LAS VEGAS MEDICAL DISTRICT LAS VEGAS MEDICAL DISTRICT 1 HISTORY The area that is currently the site of University Medical The hospital is now known as the University Medical Center. Center and Valley Hospital was almost entirely agricultural By the early 1960s, a medical office complex was developed well into the 1930s. From Martin L. King Boulevard west between the alignment of Rose Street and Tonopah Drive on to Shadow Lane and from Charleston Boulevard north to property that had been owned in the late 1920s by Mr. and Bearden Drive was a dairy farm operated by George Ullom Mrs. Hicks, who were pioneer residents. Sr. during the 1920s. The farm consisted of 80 acres with an artesian well. The south 20 acres were rented to a Japanese North of the original Clark County Poor Farm and the Hicks tenant farmer. property was land owned by James Filbey, who established a ranch and well site in 1913. This property extended north to Directly north of the Ullom farm, extending north to Alta Alta Drive and west to Tonopah Drive and includes the area Drive, was the Buol Addition, which dates back to 1905, but now occupied by Valley Hospital which was first constructed which wasn’t developed until much later. Peter Buol, who in 1971 as a nursing home. It was purchased by a group of laid out the addition, became the city’s first mayor after Las local businessmen and turned into a hospital, with the latest Vegas was incorporated in 1911. This property is currently addition completed in 1993. As late as the early 1950s the the former site of the Southern Nevada Health District property west of Tonopah was mostly desert and belonged to building, which was erected in 1965 and included a major the Las Vegas Valley Water District. addition in 1974. The area between Shadow Lane and Rose Street (extended) on the west, north to Alturas Avenue, was the Clark County Poor Farm dating from the 1920s. *This material was researched by Frank Wright of the Nevada State Museum and Historical Society A new 11 room building was constructed in 1929 to house handicapped and indigent men as part of the operation of the Clark County Road Department. Sometime in the late 1930s, this facility began to be referred to as the Clark County Hospital. In 1945, a new hospital facility renamed the Clark County General Hospital was built on the site and, in 1952 the facility became the Southern Nevada Memorial Hospital. pms 3135 cool gray 7 pms 576 TM LAS VEGAS MEDICAL DISTRICT LAS VEGAS MEDICAL DISTRICT 2 ADVISORY COUNCIL The Las Vegas Medical District has an Advisory Council to review and make recommendations on elements that further the community’s interest, including planning of the area, land use, new medical business, expansions and safety. The committee has also set the vision for the district, which provides a guide for the membership. City of Las Vegas Councilwoman Lois Tarkanian, Ward 1 Betsy Fretwell, City Manager Scott Adams, Deputy City Manager, Chairman Nevada System of Higher Education Clark County Dr. Joseph Iser, Chief Health Officer Dr. Marcia Turner, Vice Chancellor of Health Sciences Southern Nevada Health District Clark County, Lawrence Weekly, Commissioner Clark County, Don Burnette, County Manager Steinberg Diagnostic David Steinberg, Managing Partner Clark County Medical Society Touro University Loretta Moses, Executive Director Dr. Keith Brill, President Dr. Mitchell Forman University Medical Center Cleveland Clinic Lou Ruvo Center for Brain Health Mason VanHouweling, CEO Dr. Jeffery Cummings, Director Justin Schmiedel, Administrative Director UNLV Medical School Desert Radiologists UNLV School of Dental Medicine Fundamental Clinical and Operational Services, LLC UNLV School of Nursing Dr. Barbara Atkinson, Dean Dr. Randal Shelin, President Dr. Karen West, Dean Dr. Carolyn Yucha, Dean Scott Hillegass, CEO University of Nevada School of Medicine Las Vegas Global Economic Alliance Dr. Thomas L. Schwenk, Professor, Family and Community Medicine; Dean, Vice President, Division of Health Sciences Dr. Deborah Kuhls, Associate Dean Academic Affairs Tom Skancke, CEO Jonas Peterson, President & Chief Economic Development Officer Valley Hospital Medical Center Las Vegas Heals Elaine Glaser, Chief Operating Officer, Valley Hospital Medical Center Michael Sloan, Director of Security Doug Geinzer, Chief Executive Officer Las Vegas Metro Chamber of Commerce Vicky VanMeeteren, Government Affairs Chair Las Vegas Metropolitan Police Department William Scott, Captain pms 3135 cool gray 7 pms 576 TM LAS VEGAS MEDICAL DISTRICT LAS VEGAS MEDICAL DISTRICT 3 & PUBLIC RELATIONS MARKETING COMMITTEE The Public Relations & Marketing committee is composed of members who have been appointed by their Advisory Council member to the committee. They are professionals in the area of PR & Marketing with a goal to brand the LVMD using traditional PR & Marketing methods. City of Las Vegas Eryn Sebelius, Department of Communications, Chair Kimberly Reid, Councilwoman Lois Tarkanian’s office Gwen Barnes, City Manager’s office Diana Paul, Department of Communications Shani Coleman, Economic and Urban Development Las Vegas HEALS Jennifer Mahar Nevada System of Higher Education Lee Quick, Manager of Health Sciences Steinberg Diagnostic Clark County Jerry Stueve, Director of Real Property Management Jennifer Day, Marketing & Business Development Director Clark County Medical Society University Medical Center Danita Cohen, Executive Director, Strategic Development & Marketing Gail Yedinak, MPA, Government Relations Loretta Moses, Executive Director Cleveland Clinic Lou Ruvo Center Nicole Wolf, Marketing Director UNLV School of Dental Medicine Cynthia O’Grady, Director of Development Desert Radiologists Corrie Riccadonna, Physician Relations & Marketing Manager UNLV School of Nursing Kevin Dunegan, Communications Specialist Desert Radiologists/Southern Nevada Strong Bill Marion, Purdue Marion & Associates Governor’s Office of Economic Development Jennifer Cooper, Director of Communications Las Vegas Convention & Visitors Authority Cheryl Smith, Medical & Wellness Tourism Manager University of Nevada School of Medicine Dr. Deborah Kuhls, Associate Dean Academic Affairs Susan Hill, Director of Marketing & Communications Wendy Nelson, Director of Development Valley Hospital Medical Center Gretchen Papez, Director of Marketing/Public Relations Las Vegas Global Economic Alliance Andrew Doughman, Director of Communications pms 3135 cool gray 7 pms 576 TM LAS VEGAS MEDICAL DISTRICT LAS VEGAS MEDICAL DISTRICT 4 PLANNING COMMITTEE The Planning Committee focuses on the long-range planning and development of the Las Vegas Medical District. This work includes coordinating with a professional master plan consultant to create a cohesive community and comprehensive plan for the district’s future. The committee is comprised of members generally responsible for facilities, real estate and development who were appointed by their Advisory Council member. City of Las Vegas Shani Coleman, Economic & Urban Development, Chair Kimberly Reid, Ward 1 Councilwoman Tarkanian’s office Joanna Wadsworth, Department of Public Works Andy Reed, Department of Planning Eryn Sebelius, Department of Communications Clark County Jerry Stueve, Director Real Property Management UNR School of Medicine Dr. Deborah Kuhls, Associate Dean Academic Affairs Wendy B. Nelson, Director of Development Valley Hospital Medical Center Joni James, Director of Business Development Elaine Glaser, COO Desert Radiologist William P. Moore, CEO Clark County Medical Society Loretta Moses, Executive Director Cleveland Clinic Lou Ruvo Justin Schmiedel, Administrative Director Nevada System of Higher Education Dr. Marcia Turner, Vice Chancellor of Health Sciences Lee Quick, Manager of Health Sciences University Medical Center Mason VanHouweling, CEO UNLV Planning & Construction David Frommer AIA, Executive Director UNLV School of Dental Medicine Dr. Karen West, Dean pms 3135 cool gray 7 pms 576 TM LAS VEGAS MEDICAL DISTRICT LAS VEGAS MEDICAL DISTRICT 5 & VISION GOALS FOR THE LAS VEGAS MEDICAL DISTRICT Provide a permanent, centrally located, community Hotels for patients and visitors oriented home for UNLV’s fully accredited allopathic medical school. Quality housing within or nearby for medical employees. Foster the University of Nevada School of Medicine’s Restaurants, shops and gathering places. programs in Graduate Medical Education and training of residents and fellows, clinical and translational research, Enhance connectivity to the region via mass transit and and multi-specialty clinical practice. provide transit circulation within the LVMD. Support the UNLV School of Nursing, UNLV Department Support UMC and Valley Hospital as they substantially of Physical Therapy, and UNLV’s School of Allied Health expand as teaching hospitals and centers of medical Sciences education and training programs. excellence. Promote the continuing development of the UNLV School Encourage specialty hospitals and health care service of Dental Medicine education, training, research and care providers to reside within LVMD, in affiliation with existing enterprise. hospitals or as freestanding facilities. Promote the continuing development of NSHE’s state-of- Become established as the preferred location for all regional the-art Clinical Simulation Center of Las Vegas, which facilities and services of the highest quality specialties, currently supports clinical training for the UNLV and particularly those where there is financial or market support Nevada State College (NSC) Schools of Nursing, the for only a single venue. University of Nevada School of Medicine (UNSOM) and, ultimately, the UNLV School of Medicine. Work with the Cleveland Clinic as it refines and promotes its presence on the Symphony Park campus. Create and expand on excellence in health care, research, education and training opportunities located within LVMD. Build and provide a regional and collaborative international patient center. Encourage master planning that is attractive to patients, employees, students, residents and new businesses and Generate a total annual economic impact of $3 billion and institutions, with attractively landscaped streets, parks and employ 20,000 employees at an average annual wage in open spaces current dollars of $80,000. Adequate parking pms 3135 cool gray 7 pms 576 TM LAS VEGAS MEDICAL DISTRICT LAS VEGAS MEDICAL DISTRICT 6 STATISTICS & FACTS Space Clinics • Total Acreage Represented: 102.91+/• Owned: 46.63 acres • 138,000 sf of office space • UNLV School of Dental Medicine Chairs: 240 • 50 full-time, 42 part-time dentists • 9,000 sf of event space • Pre-doctoral general clinics Parking • University of Nevada School of Medicine Out-patient Medical • Clinics for Pediatrics, General Practice and Orthodontics • 2,516 surface parking spaces (missing Valley Hosp.) • 697 garages spaces at UMC Hospitals • UMC Out-patient • University Medical Center (UMC), UMC Children’s Hospital of Nevada & Valley Hospital • Both are accredited chest pain centers & primary stroke centers • Nevada’s only Level 1 Trauma Center (UMC) • 860 beds • 33 surgical suites • 2,250 physicians (may be duplicated) • 39,685 annual in-patient visits 85 rooms 39 physicians Services: HIV/AIDS treatment services, Hepatitis C treatment services, kidney transplant Employees • 144,154 annual out-patient visits • Teaching Disciplines: Allopathic graduate medical education (GME) residency programs in internal medicine, pediatrics, family medicine, OB/Gyn, emergency medicine, general surgery, psychiatry, orthopedic surgery, plastic surgery, otolaryngology and fellowships in cardiology, pulmonary critical care, gastroenterology, surgical critical care, colorectal surgery, minimally invasive surgery, sports medicine, microvascular and hand surgery, acute care surgery, child psychiatry, family medicine/obstetrics, hospice and palliative care, emergency medicine ultrasound and emergency management services and disaster management. • 580+/- • Orthopedic surgery and fellowships in gastroenterology and pulmonary/critical care 50 rooms 42 physicians • 8,205 Full-time • 1,390 Part-time Students • 500+/- per day at UNLV • 80 per day at UNSOM Educational Facilities • 18 Classrooms • 20 Demonstration rooms • 1 Auditorium • 10,000 sf of wet lab research and related research space Other • Translational Research and Profession Specialties and Research • Oncology Clinical Trials • Specialties: Burn Care, HIV/AIDS, kidney transplant, pediatric trauma 2, adult trauma 1, children’s emergency room, neonatal intensive care, pediatric intensive care, out-patient oncology. Inpatient acute rehabilitation and advanced neurological services (neurosurgery, interventional radiology procedures). pms 3135 cool gray 7 pms 576 TM LAS VEGAS MEDICAL DISTRICT LAS VEGAS MEDICAL DISTRICT 7 APPENDIX APPLIED ANALYSIS pms 3135 cool gray 7 pms 576 TM LAS VEGAS MEDICAL DISTRICT LAS VEGAS MEDICAL DISTRICT 8 A SUMMARY OF THE CITY OF LAS VEGAS MEDICAL DISTRICT: A SYNTHESIS OF AVAILABLE RESEARCH The vast majority of reports reviewed focus on supply, demand and need. They uniformly conclude that the region lacks sufficient healthcare professionals and As the healthcare industry in southern Nevada continues to evolve, the City of Las Vegas (the “City”) is seeking to gather existing research that may be pertinent to the “Las Vegas Medical District” (“LVMD”), an area generally bounded by Charleston Boulevard to the south, Martin Luther King Drive to the east, Alta Drive to the north and Rancho Drive to the west. Several materials were synthesized with the purpose of providing the City with a better understanding of: related services. They further conclude that there are a number of economic opportunities and advantages to providing healthcare and related services to both resident and nonresident consumers. More specific to the Las Vegas Medical District itself, the research suggests the most pertinent developments for the City are the University of Nevada, Las Vegas School of Medicine, the potential expansion of the Cleveland Clinic and the Nevada Medical Center. Given the Las Vegas Medical District’s concentration of medical services and infrastructure, its central location and its relative proximity to high-need population clusters, the City’s Medical District would appear to be a natural fit for these additional investments, if not one among a relatively short list of alternatives. 1) Why the healthcare industry has become a major focus for the state KEY FINDINGS 2) What the current supply of healthcare services and infrastructure looks like ■ ■ 3) How various organizations are responding to the state’s growing focus on the development of the healthcare sector ■ Making the healthcare industry a priority is an opportunity for Nevada not only to create economic stability and growth, but also to address current (and future) demand and need. From an economic standpoint, a stronger foundational healthcare system should be established before the region can expect significant relocation or expansion of other specialized medical industries in the state. Specialty areas may include executive care and medical tourism; biotechnology; research, clinical trials and testing; more advanced, safer imaging/devices; and medical equipment and supplies development and manufacturing. Southern Nevada reports a significant under-supply of health professionals – particularly physicians – compared to national rates per capita, even while the nation itself reports a shortage of 80,000 physicians. A predominantly single-payer system (UnitedHealthcare), low reimbursement rates and the absence of a prestigious, locally-based medical school in Las Vegas exacerbate this problem. Existing inventory and supply of healthcare professionals, while growing, appears to be insufficient to meet current (and future) demand and need. pms 3135 cool gray 7 pms 576 TM LAS VEGAS MEDICAL DISTRICT LAS VEGAS MEDICAL DISTRICT 9 A SUMMARY OF THE CITY OF LAS VEGAS MEDICAL DISTRICT: A SYNTHESIS OF AVAILABLE RESEARCH ■ ■ SOURCES Several significant developments are currently underway, including: • The development of the University of Nevada, Las Vegas (“UNLV”) School of Medicine; • The development of a Nevada Medical Center, which plans to incorporate features from the largest medical complex in the world, the Texas Medical Center, particularly its “model of collaboration and constructive competition,” to improve state healthcare; • The development of the medical and wellness tourism industry in southern Nevada beyond its current state; • The expansion of graduate medical education; and • The development of a full four-year program at the University of Nevada School of Medicine (“UNSOM”) in Reno, Nevada. ■■ Dr. Barbara Atkinson has been announced as the planning dean. ■■ UNLV has submitted an accreditation application. ■■ ■■ Nevada Prepared by ECONorthwest Department of Economic and Urban Development Las Vegas Regional Strategic Plan for Medical & Wellness Tourism Prepared by the Las Vegas Convention and Visitors Authority, the Las Vegas Global Economic Alliance, Las Vegas HEALS and the University of Nevada, Las Vegas Nevada Medical Center Feasibility Study and Report Prepared by Wainerdi & Company, LLC Possible locations for the school include a ten-acre space close to UMC, land near the VA hospital in North Las Vegas and land in the City of Henderson owned by St. Rose Hospital. Initial plans include the development of five buildings along with the following specialties: cardiology, neuroscience, cancer, orthopedics and mental health and addiction. The Nevada System of Higher Education is requesting $26.7 million in funds for the school for the 2016/2017 biennium. The school is scheduled to open in 2017 with about 60 students, eventually reaching a class size of 120 students. Nevada Residency and Fellowship Training Outcomes – 2004 to 2014: Key Findings from the Annual UNSOM Graduate Medical Education Exit Survey Prepared by John Packham, PhD and Tabor Griswold, PhD Physician Workforce in Nevada – 2014 Edition Prepared by John Packham, PhD, Tabor Griswold, PhD, Laima Etchegoyhen, MPH, and Christopher Marchand, MPH Primary Care Shortages and Expanded Insurance Coverage Prepared by John Packham, PhD Regents Health Sciences System Committee Memorandum Prepared by Thomas L. Schwenk, MD Cleveland Clinic Expansion: ■■ Industry Sectors and Placemaking: Technical Analysis in Support of Regional Scenario Planning in Southern Medical District Opportunity Site Investment Strategy Prepared by Southern Nevada Strong UNLV School of Medicine : ■■ Marchand, BS Medical Development map Prepared by ECONorthwest DEVELOPMENT HIGHLIGHTS ■■ Health Workforce in Nevada – 2013 Edition Prepared by John Packham, PhD, Tabor Griswold, MS, and Christopher Inventory and Services Survey Results Prepared by the Collaboration among organizations to create better healthcare in Nevada is the central theme of current efforts. ■■ 2015-2017 Biennial Budget Request Prepared by the Nevada System of Higher Education Within the existing medical district (“core” study area) and the Symphony Park area to which the LVMD hopes to expand, development of Site 2 in the Symphony Park area would be ideal due to the potential expansion of the Cleveland Clinic. The Impact of Hospitals and the Health Sector on the Nevada Economy Prepared by John Packham, PhD, Thomas Harris, PhD, Eugenia Larmore, and Tabor Griswold, MS However, without a secured commitment from the Cleveland Clinic, it is likely the first phase will instead be the development of the “core” study area. Unify, Regionalize, Diversify: An Economic Development Agenda for Nevada Prepared by the Metropolitan Policy Program at Brookings, Brookings Mountain West and SRI International Nevada Medical Center: ■■ ■■ Operations would be housed within the existing space of the LVMD (near UMC, UNSOM and the UNLV Shadow Lane Campus), with a possibility of acquiring land at a later time. It currently has a 501(c)(3) designation, a core group and Board of Directors actively trying to recruit a president and executive staff, and is in the process of trying to secure funding. pms 3135 cool gray 7 pms 576 TM LAS VEGAS MEDICAL DISTRICT LAS VEGAS MEDICAL DISTRICT 10 CONTACTS Scott Adams Deputy City Manager LVMD Advisory Council - Chair City of Las Vegas (702) 229-2474 [email protected] Shani Coleman Office of Economic & Urban Development LVMD Planning Committee - Chair City of Las Vegas 702.229.6642 [email protected] Eryn Sebelius Office of Communications LVMD Public Relations & Marketing Committee- Chair City of Las Vegas (702) 229- 5925 [email protected] pms 3135 cool gray 7 pms 576 TM LAS VEGAS MEDICAL DISTRICT LAS VEGAS MEDICAL DISTRICT Revised 4-7-15
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