UKHealthCare has an extensive plan and an updated timetable for shifting, expanding and consolidating its services in Lexington.
The multi-faceted effort involves moving some services out of the Kentucky Clinic to Turfland Mall and building a new Shriners Hospital for Children near the University of Kentucky medical campus.
Altogether, about 34,000 patients will be affected in the next two years, according to UKHealthCare.
The overall goal is to help patients needing basic care avoid navigating the expanding central medical campus on Limestone, said Dr. Marc Randall, UK's chief of ambulatory services.
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As health committee chairwoman Barbara Young said when the plan was reviewed by the UK Board of Trustees earlier this month, "It seems like a very complicated plan."
Services provided at four locations — the main hospital campus on Limestone, Good Samaritan Hospital, Kentucky Clinic South off Harrodsburg Road and a sports medicine clinic on Perimeter Drive near New Circle Road and Alumni Drive — will be affected.
It is all part of a domino-like effect that has some services being moved so space at the UKHealthCare main campus on Limestone can be renovated, then refilled for expanding fields of care.
According to the presentation to the UK trustees, some clinics might move multiple times over the course of the renovations.
The biggest and most immediate impact will be at the old Dillard's site at Turfland Mall.
The 85,000-square-foot building comes with 900 parking spaces, according to Ron Switzer of Switzer Development. Family and Community Health will be the primary tenant at Turfland, Randall said. Family and Community Health serves about 24,000 patients, according to UKHealth.
As described on the UKHealthCare website, Family and Community Medicine offers a general primary care and a "family-centered approach to maternity care, obstetrics and family medicine" with a focus on women's health and serving the lesbian, gay, bisexual and transgender community. The clinic also provides primary care for transgender patients who are on or are considering hormone therapy, according to the website.
The clinic was to open Nov. 1, Switzer said. But that date has been pushed back to February 2015 because of the size of the move and the time it took UK to determine precisely what will fill the Turfland space. Such delays are not unexpected in a project of this scope, he said.
All that remains of the old Dillard's are the floors. By mid-October, construction will be far enough along that people will be able to see what the finished building will look like, he said.
The renovation is on track for about $20 million, Switzer added.
In tandem with that move, the ophthalmology clinic on the main UK hospital campus will move into a new $50 million Shriners Children's Hospital when it opens in April or May of 2017, said Kirk Carter, chairman of the board of the Lexington Shriner's Hospital for Children.
The Shriner's national organization is paying for the construction and is also in the midst of a fundraising campaign. Carter said the campaign goal is at least $7 million.
UK ophthalmology will fill two of the five floors at the new Shriners hospital. UK's lease on the property between Conn Terrace and State Street has been signed but some details are still being ironed out, Carter said. What will happen to the Shriner's hospital on Richmond Road when the new construction is complete? That's yet to be determined, he said.
Another significant piece of the big picture is also in flux. UK had previously announced that Kentucky Clinic South, which now serves about 10,000 patients, would close. But Randall said last week it's now unclear what will happen with that space.
So, how will a patient know where to go?
According to UKHealthCare, information cards are already being given to patients. UK is working on a map showing where Turfland is located in relation to current sites serving patients. It will include driving directions to the new Turfland location.
In the weeks before the clinics move, UKHealthCare will mail letters and a map to patients seen within the last two years to remind them of the move.