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n e w h a v e n b i z . c o m | O c t o b e r 2 0 2 1 | n e w h a v e n B I Z 13 Wittmann Battenfeld, Torrington, CT Napoli Retail, Southington, CT Nufern, East Granby, CT Windsor Marketing Group (WMG), Suffield, CT The Belknap White Group, Hartford, CT Since 1942, The Single Source Construction Firm Since 1942, our goal has been simple: To provide our clients with complete design, planning and construction services for commercial, industrial and retail buildings. Based on years of experience, we're price competitive and offer high quality. When the strictest attention to detail is critical to your success, you can always count on Borghesi to deliver. From concept to occupancy, Borghesi is your single source. AKDO, Bridgeport, CT Stevens Manufacturing, Milford, CT Building Ideas That Work … www.borghesibuilding.com Wittmann Battenfeld, Torrington, CT Napoli Retail, Southington, CT Nufern, East Granby, CT Windsor Marketing Group (WMG), Suffield, CT The Belknap White Group, Hartford, CT Since 1942, The Single Source Construction Firm Since 1942, our goal has been simple: To provide our clients with complete design, planning and construction services for commercial, industrial and retail buildings. Based on years of experience, we're price competitive and offer high quality. When the strictest attention to detail is critical to your success, you can always count on Borghesi to deliver. From concept to occupancy, Borghesi is your single source. Contact us at 860-482-7613 or visit us on the web. AKDO, Bridgeport, CT Stevens Manufacturing, Milford, CT Building Ideas That Work … www.borghesibuilding.com Nufern, East Granby, CT Windsor Marketing Group (WMG), Suffield, CT The Belknap White Group, Hartford, CT 1942, The Single Source Construction Firm Since 1942, our goal has been simple: To provide our clients with complete design, planning and construction services for commercial, industrial and retail buildings. Based on years of experience, we're price competitive and offer high quality. When the strictest attention to detail is critical to your success, you can always count on Borghesi to deliver. From concept to occupancy, Borghesi is your single source. Contact us at 860-482-7613 or visit us on the web. Stevens Manufacturing, Milford, CT Building Ideas That Work … www.borghesibuilding.com © 2011 BlueScope Buildings North America, Inc. All rights reserved. Butler Manufacturing™ is a division of BlueScope Buildings North America, Inc. 2155 East Main Street • Torrington, Connecticut 06790 Wittmann Battenfeld, Torrington, CT Napoli Retail, Southington, CT Nufern, East Granby, CT Windsor Marketing Group (WMG), Suffield, CT The Belknap White Group, Hartford, CT Since 1942, The Single Source Construction Firm Since 1942, our goal has been simple: To provide our clients with complete design, planning and construction services for commercial, industrial and retail buildings. Based on years of experience, we're price competitive and offer high quality. When the strictest attention to detail is critical to your success, you can always count on Borghesi to deliver. From concept to occupancy, Borghesi is your single source. Contact us at 860-482-7613 or visit us on the web. AKDO, Bridgeport, CT Stevens Manufacturing, Milford, CT Building Ideas That Work … www.borghesibuilding.com © 2011 BlueScope Buildings North America, Inc. All rights reserved. Butler Manufacturing™ is a division of BlueScope Buildings North America, Inc. 2155 East Main Street • Torrington, Connecticut 06790 Wittmann Battenfeld, Torrington, CT Napoli Retail, Southington, CT Nufern, East Granby, CT Windsor Marketing Group (WMG), Suffield, CT The Belknap White Group, Hartford, CT Since 1942, The Single Source Construction Firm Since 1942, our goal has been simple: To provide our clients with complete design, planning and construction services for commercial, industrial and retail buildings. Based on years of experience, we're price competitive and offer high quality. When the strictest attention to detail is critical to your success, you can always count on Borghesi to deliver. From concept to occupancy, Borghesi is your single source. Contact us at 860-482-7613 or visit us on the web. AKDO, Bridgeport, CT Stevens Manufacturing, Milford, CT Building Ideas That Work … Wittmann Battenfeld, Torrington, CT Napoli Retail, Southington, CT Nufern, East Granby, CT Windsor Marketing Group (WMG), Suffield, CT The Belknap White Group, Hartford, CT Since 1942, our goal simple: To provide our complete design, planning construction services industrial and retail on years of experience, competitive and offer When the strictest attention is critical to your success, always count on Borghesi From concept to occupancy, is your single source. AKDO, Bridgeport, CT Stevens Manufacturing, Milford, CT Building Ideas That Work … Wittmann Battenfeld, Torrington, CT Napoli Retail, Southington, CT Nufern, East Granby, CT Windsor Marketing Group (WMG), Suffield, CT The Belknap White Group, Hartford, CT Since 1942, The Single Source Construction Firm Since 1942, our goal has been simple: To provide our clients with complete design, planning and construction services for commercial, industrial and retail buildings. Based on years of experience, we're price competitive and offer high quality. When the strictest attention to detail is critical to your success, you can always count on Borghesi to deliver. From concept to occupancy, Borghesi is your single source. AKDO, Bridgeport, CT Stevens Manufacturing, Milford, CT Building Ideas That Work … Wittmann Battenfeld, Torrington, CT Napoli Retail, Southington, CT Nufern, East Granby, CT Windsor Marketing Group (WMG), Suffield, CT The Belknap White Group, Hartford, CT Since 1942, The Single Source Construction Firm Since 1942, our goal has been simple: To provide our clients with complete design, planning and construction services for commercial, industrial and retail buildings. Based on years of experience, we're price competitive and offer high quality. When the strictest attention to detail is critical to your success, you can always count on Borghesi to deliver. From concept to occupancy, Borghesi is your single source. AKDO, Bridgeport, CT Stevens Manufacturing, Milford, CT Building Ideas That Work … centers, Holloran said. ey are cheaper to build and operate than hospitals and tend to score higher in quality rankings, in part due to the patient population they attract. "It's a better way to reach your customer," Holloran said. "It's higher quality, when you look at the whole picture." At Yale New Health, technological innovations have allowed for a shi to outpatient facilities. "We're pushing a lot more of what used to be in hospital ORs into ambulatory procedural spaces," Sparer said. Advances like robotic surgery, smaller implants and better training allow for everything from hernia repair to hysterectomies to be performed on an outpatient basis. "e surgical procedures that lent themselves to ambulatory used to be a much shorter list. at list is growing and growing and growing," Sparer said. At Hartford HealthCare, inpatient care represents only 49% of the system's revenue today, compared to 70% in 2004. Providing outpatient or inpatient services within 15 miles of every Connecticut resident has become the system's rallying cry, resulting in its expansion to 430 care sites across the state. When it comes to competing in Fairfield County, Hartford HealthCare may have the edge due to its recent investments in technology like telehealth and coordinated care infrastructure, said Jeffrey Hogan, president of Upside Health Advisors, a Farmington-based industry consultancy. "e supply side of health care has to be better and more convenient and more patient-centric," Hogan said. "Hartford has always been tactical in the way that it has deployed its resources." HHC may also benefit from its lower cost of care relative to YNHH, Hogan said. Insurers, employers and employees now have access to more data than ever on cost and quality and are demanding more from their medical providers. Employers have also become tougher customers post-pandemic as they seek to attract and retain highly-skilled workers, he added. "ere's a demand for services that are more predictably priced and have higher quality," Hogan said. "is variation and cost and quality become more important issues post-COVID for employers. e cost of care is part of the overall compensation package, as is the value of that coverage." Fairfield County, with its ready supply of concierge doctors and other high-end services catering to wealthy patients, presents a competitive challenge to both systems, Hogan added. Even so, those at all income levels are seeking more from doctors post-pandemic. "People will pay for better and more convenient care," he said. Push to innovate Due to the financial stakes and competitive market, Fairfield may push the state as a whole toward adoption of innovations like procedure price packages, warranties and stricter quality control, Hogan said. "You see the supply chain trying to move to the demand." e COVID-19 pandemic has also sped up the pace of change and innovation, according to Holloran of Fitch Ratings. "When the proverbial dust settles, we are going to look back at the pandemic and say this was one of the great accelerator events in the history of health care," Holloran said. n OR visits increasingly moving to outpatient clinics All Connecticut hospitals, including Yale New Haven Hospital, have pushed more of their operating procedures to outpatient ambulatory care centers in recent years. Here's a breakdown of Yale New Haven's growing ambulatory care operating room volume since 2013. *2021 numbers are through January through August. Source: Yale New Haven Hospital Jeff Hogan 0 25% 50% 75% 100% % Ambulatory care 2013 2014 2015 2016 2017 2018 2019 2020 2021 61% 57%

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