Response of the Cancer Detection Center to the proposal of the Administration presented on July 26. 1991 - Conf. on move of
whole CDC to STA- 52 Mayo Bldg.
Present: Mrs. Mary Ellen Wells, C.D., S.W., Ms. Mary Sumpmann, Ms. Sharon Weiss (custodian).
Mrs. Wells started the mtg. by indicating she and her group have been exploring
in search of proper space for CDC. She suggested Sta 52, one floor above the present examining area. This has these advantages:
1. There is no connecting corridor from the U.H., and thus there is very little traffic.
2. The area is easily reached from the P.W. Bldg. by bridge.
3. An effort has been made to provide space for the CDC office and examining areas in contiguity.
4. The atrium where the bridge comes to Sta. 42 is matched by an area just above which offers space for waiting, for some
Nursing Admin. needs, including a reception counter, and for a working area for examining physicians.
5. The area noted in #4 above is walled off from public access and can be locked when the area is not in use, thus giving
security not present heretofore.
There are some difficulties:
1. The number of examining rooms is reduced from 6 to 4. This was defended by Mrs. Wells with figures of occupancy in the
preceding 60 days, when the average number of pts. has been about 13+/- This might take care of the average, but the problem
comes with the few days when 25 have attended. It presupposes not over 40 minutes per pt. exam, and with consultants joining
us, as Dr. Prem did yesterday, more time will be needed. ( It is hoped that Urology will act similarly, and possibly Otolaryngology).
The number of examining rooms could be increased
by conversion of B544(2), labeled in the diagram as "Drs. Chart office" and even the area just south of it, which
would need some reconstruction, but this would reduce the Waiting and Nursing Admin. area.
2. The plan suggests the Admin, Office be in B540, B561, and B559, which is a total of 848 square feet, which compares well
with the 945 square feet of the present Admin. Office. The separation into three separated rooms may interfere with the flow
of records involved not only with the actual day of visits but separately with detailed planning of appointments and insurance
and billing, not to speak of gathering data for reports of operation. The point is that it is not a matter of storing hospital
charts but of managing large numbers in a steady progression
from one desk to another in the processing activity.
Appreciation was expressed for the effort made by Mrs. Wells and her associates,
and forthright and cordial discussion followed. It was agreed that CDC would take this proposal in hand, digest it carefully,
and respond A.S.A.P.
We wish to make suggestions for resolution of problems which appear likely to
1. Plans have been made to enhance patient attendance:
A. An up-to-date brochure (enclosed) has been 2 months in the making and has just become available for recruitment purposes.
B. Plans have been made to recruit a series of companies to do as the Scherer Lumber Co. has done, namely to underwrite the
participation of all employees over 50 years of age for annual visits to the CDC as a means both to protect them and to reduce
insurance costs. Mr. Roger Scherer President, has agreed to participate in recruiting such establishments in the metropolitan
C. Arrangements have been made with the Women's Health Clinic at the V.A.M.C. to post the new brochure in that area and
perhaps elsewhere in the hospital to attract the spouses of veterans to the CDC, since spouses of veterans are not thereby
eligible for such care at the V.A.
D. Finally, if the Executive Health Program develops, as both Dr. Najarian and Mr.
Dickler hope, more patients will come. One of us (C.D.) has gone through the Mayo Executive Health Program as a patient and
engaged Dr. L. Abbott in discussion of what we wish to do. She is able, the physician who set up the Executive Health Program
at the Mayo Clinic Branch at Scottsdale, Arizona. She has offered to help in organization and invited further discussions
if desired by us.
E. In view of these considerations, the likelihood is that more space rather than
less space will be needed in the near future. It would be counter to sound growth policy not to look forward to it.
2. Specific space suggestions. In view of #1 above, we look to means to increase the examining area.
A. In the present location on B42 Mayo, we have and use the rooms below B538 and B539. If these could be available to CDC
in the new location on the 5th floor, there would be assurance of sufficient examining area.
B. We might also use B540, which Admin. proposed as office space, for examination when the need arises.
C. It would facilitate matters, if the change suggested in B were made, if we might also have Room B551, which appears not
to be in use for office space, instead of B561, which is an old bathroom with tiles and fixtures wasting much of the space
Admin proposed as office space, and which would help in providing storage area, which is cramped in the corresponding area
on the 4th floor.
3. All these considerations omit the kitchen, which Mrs. Wells indicated would remain available to CDC but be shared with
another service. This should pose no problem.
4. This arrangement omits consideration of the closet space opening on the hallway abutting the rooms. below B552, which is
used by CDC now.
5. Mrs. Wells and Ms. Sumpmann mentioned their distress with vacancy of the CDC exam. area in the afternoons. CDC responded
that it also has been disturbed by this waste of facilities and would be pleased to explore with Admin. utilization of said
space by other services in the afternoons.
The meeting lasted 75 minutes and terminated in a cordial and appreciative fashion
with Mrs. Wells volunteering that Admin. could facilitate several items for CDC, possibly including a reception clerk. What
appeared to set the meeting in this mood was CDC's response to a question as to what CDC does for the Hospital. The response
had been that these patients are folks who mostly have not previously been registered here, and a substantial fraction in
whom asymptomatic tumors have been found not only have stayed here for definitive care but have been marvelous missionaries
N.B. If rooms B551 and B539 were to be unavailable at the present time, CDC might retain use of its present office space in
Masonic Hospital until such time as space might become available to permit consolidation in the same area as the examining
Clarence Dennis, M.D., Director
Cancer Detection Center
Encl.: Graphic Plan of B52 Sta provided by Admin. Diagram with internal measurements of same. Compilation of areas of spaces