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Kettering Health Network Micro-hospital

October 2017
Member Project
Courtesy of e4h Architecture




Navigant was engaged by Kettering Health Network to develop a business case and rationale for an innovative network development strategy that included micro-hospitals.  Kettering Health Network needed advice on how to develop a framework to help them decide where they should consider deploying micro-hospitals and what was required to meet their financial and operational goals.

About Kettering Health Network
Kettering Health Network is a not-for-profit network of eight hospitals, Kettering College, and over 120 outpatient facilities serving southwest Ohio. Patients have access to high quality maternity care, state-of-the-art cancer fighting technology, Ohio’s leading heart hospital, as well as revolutionary brain and spine surgery. With nearly 12,000 employees and 2,100 physicians, the health network is a faith based organization.

Some of the key challenges included not only defining the ideal mix of services and scanning for sub-markets to pursue but also defining a prototype micro-hospital that could be developed in phases or modules depending on the market characteristics.  Kettering leadership also challenged the team to create a template micro-hospital that was ultra-efficient in terms of space and operations, while leveraging central Kettering Health Network resources.


Navigant worked in partnership with Kettering Health Network to define the strategic rationale for a micro hospital in the context of their market and their strategic goals.  Several imperatives for developing a micro-hospital emerged during the planning phase which included:

  • The need to improve access to primary and secondary care for patients
  • Expanding the reach of health system and generating tertiary care referrals
  • Creating barriers to entry for competition
  • Enabling the right care in the right setting to optimize care delivery across the network and geography
  • Capital avoidance at the main tertiary hospital campus 

The team studied various potential sub-markets, defined the target scope of services, physician strategy, virtual care strategy, capacity requirements, staffing models, space needs, floor plan template, and total project budget – a full package to plan from and deploy in the market.


The engagement was successful and has set Kettering on the path of deploying its first micro-hospital in Troy, OH.

Early Concept Diagram
The preliminary floor plan diagram below (courtesy of e4h Architecture) represents the relative scale of various components but also the operational vision for a cost-effective and efficient facility.  The concept enables phased construction to match market demand and pace of success, but also keeps a compact layout with key relationships to create important staffing efficiencies.

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