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Profile and Approach Gelre ziekenhuizen is active in the regions of both Apeldoorn and Zutphen. At present, it consists of three hospital locations and one external outpatient clinic: * the Lukas location, in Apeldoorn * the Juliana location, in Apeldoorn * the Het Spittaal location, in Zutphen * the external outpatient clinic, in Lochem The Dutch Ministry of Health, Welfare and Sports has appointed Gelre ziekenhuizen as one of the three "forefront hospitals". These hospitals have been invited to be pioneers in giving form and content to the innovations necessary to deal with future challenges. For Gelre ziekenhuizen, this means developing into a new-style hospital, which entails a limited clinical capacity, a shift from in-house to outpatient treatment, day treatment and short-stay admissions. The accessibility of the hospitals is not determined by commuter traffic only. Outpatients and visitors also cause parking problems and traffic congestion on and around hospital grounds. Furthermore, as a result of mergers, there is a trend for hospitals to become large-scale organisations, usually located on the outskirts of cities. These hospitals are increasingly offering ambulatory care, allowing each to reduce its number of beds considerably. This is also the case in Apeldoorn, where the existing Lukas location and Juliana location in 2007 will be concentrated at the Lukas location. Future Consequences Concentration Juliana and Lukas Locations Floor area (Lukas): 30,533m²and 62,840m² (2004 and 2007)= +106 % Staff: 2,000 and 2,300 (2004 and 2007)= +15 % (equal fulltime; more parttime) Share distance home-work 2.6 km: 21% and 18 % (2004 and 2007)= -14 % Use of cars (empl.): 49% and 56% (2004 and 2007)= +14% (+16% incl. more staff) Number of beds: 658 and 460 (2004 and 2007)= -30 % Ambulant care visits: 250,000 and 300,000 (2004 and 2007)= +20% (1,154 visits per day) It is feared that – without active measures -the expansion of the location and the increase of ambulatory care will cause major accessibility problems, all the more that is has been agreed to limit the available parking space. Targets The timely introduction of mobility aspects into the planning process is therefore considered highly important by Gelre ziekenhuizen. As a consequence of this spatial planning process Gelre ziekenhuizen agreed to do everything to diminish the forecasted demand of parking places, without hindering the neighbourhood. This resulted in the following target: * 30% less demand parking places (from 1.200 to 840) This target is refined to time and target groups: - 9:00-12:00 hr. 160 less demand parking places (-12%) staff - 14:00-15:30 hr. 330 less demand parking places (-28%) staff, patients and visitors
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Approach (5 pillars) Mobility management as a permanent factor in plan making (Pillar no. 4) Because of the construction plans the land use plan has to be changed. That is why the Province of Gelderland has asked extra attention for the accessibility of the hospitals and for parking. Mobility management is a continuous part in the plan making and implementation of the restructuring process at Gelre ziekenhuizen.
Putting the traveller centre stage (Pillar no. 1) In order to take effective mobility measures it is important to be informed on the wishes and opinions of staff, patients, visitors and suppliers. In 1997 (staff) and 2002 (patients, visitors, suppliers) surveys were held in order to map the present mobility patterns and accessibility problems. User groups At present two user groups are active: 1.User group parking facilities (meeting monthly) 2.User group mobility point (service entry point; meeting monthly) Two more user groups are planned later this year: 1.User group cyclists (meeting monthly) 2.User group shuttle service (meeting monthly) Expert groups At present three expert groups are active: 1.Steering committee mobility management (meeting once-twice a year) 2.Project group mobility management (meeting 4-6 times a year) 3.Project group business process reengineering (innovating ambulant care processes) Developing marketing activities (Pillar no. 2) The marketing pillar consists of four major activities: 1.A marketing strategic approach of mobility management (ready) 2.Market surveys aimed at different target groups (to be repeated 2nd half of 2005) 3.Marketing plans, one for each measure (concepts ready) 4.Overall communication plan (concept ready) Good travel information and communication (Pillar no. 3) The development of a facility point offering e.g. travel information is one of the measures at Gelre ziekenhuizen (see measures and progress). Enforcement (Pillar no. 5) Gelre Hospital is allowed to build 1.200 park spaces in the zoning scheme. However, Gelre Hospital is very ambitious and has stated to put all efforts into reducing car mobility, thus using only 70% of the allowed parking space in practice. |