Contractors, designers, health care providers and government agencies are working on multiple ways to speed delivery of hospital beds to care for COVID-19 patients. A wide range of solutions are being planned and deployed across the U.S., including fast-track fit-outs of existing spaces, temporary tents, mobile combat hospitals and modular solutions.

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Plaza Construction and Central Consulting & Contracting are joining forces to offer fast-track services to health care providers in the northeast, the mid-Atlantic and Florida.

Brad Meltzer, president of Plaza Construction, said the team’s initial push has been to help fit out existing health care spaces, but it is also looking into converting non-traditional spaces, such as hotels or residential buildings, into temporary health facilities.

The effort is separate from the Army Corps of Engineers, which was given the mission by FEMA to build temporary hospital spaces. Read more on that effort这里.

Converted Triage Space

Speed of delivery largely depends on existing infrastructure, such as medical gases, suction and the quality of HVAC systems, says Richard Simone, CEO and president of Central Consulting & Contracting.

Last week, his firm completed a project in New York City, where it converted triage space in a hospital’s existing emergency department into seven isolation rooms. Crews were able to complete the work in 23 hours, he says.

该公司还将现有纽约市医院的三层楼转换为重症监护室。西蒙妮说，地板每个近9,000平方英尺，每层可以容纳30个重症监护室房间。他补充说：“基础架构基本上在那里，HVAC的工作状态良好，因此我们将在30天内将这三层变成ICU。”

Meltzer says the firms are pursuing opportunities to convert other non-traditional spaces for patient overflow—such as cruise ships—but does not yet have projects.

The team is also pushing for modular solutions, working with FullStack Modular to create complete modular rooms inside shipping containers that could be used for triage, observation and isolation. “They can be clean, available, isolated, quickly deployed, have essential equipment and set up proximate to the hospitals,” says Roger Krulak, CEO of FullStack Modular. He says some clients are considering setting up camps of modules in surface parking lots adjacent to hospitals.

“一旦我们动员在几周内,我们可以get 200 to 300 units out per week,” Krulak says.

目前，该团队表示，最快的解决方案是为承包商提供非急性床和其他设施，这些设施需要更少的基础设施。增加的非急性容量将使医疗机构可​​以为其更为重要的患者腾出现有床。

Going Modular

Krulak says modular ICU units can be produced, but they would take longer.

“For a second wave of facilities, we could provide an ICU solution, but it’s not something we can provide three weeks from now,” he adds. “The first wave of response is how to get heads in beds that are isolated so we can free up capacity in hospitals.”

EIR Healthcare also recently completed designs and plans for shipping container-based modular facilities. Grant Geiger, CEO and founder, says this week it introduced its 5-in-1 concept, which provides five negative pressure isolation rooms with one ante room that accesses each. He claims that crews can produce an average of 6 units per day. “For an order of 100 or more, it will take us about three to four weeks,” he says. “That’s the fastest solution and the easiest one to get going.”

盖格还说，客户正在考虑将容器放置在停车场或相邻的田地。可以添加小型模块化中央公用工厂，并能够为“每植物七个或八个房间”提供服务。

The company also produces modular units that can be added to new or existing spaces, including ICU units. Although ICU rooms are more time consuming to create, he believes they can eventually be produced at the rate of five per day.

Maryland and Washington State Push

医疗中心is fast-tracking delivery of 32 acute care beds, fitting out a floor of existing shell space at the Mary Catherine Bunting Center in downtown Baltimore. The project was approved the day after Maryland Gov. Larry Hogan called for an increase in hospital beds in the state.

Contractor Whiting-Turner is providing short-term financing of the $12.5-million project, which allowed it to move forward immediately. The project is expected to take 75 days to deliver.

本周，华盛顿州的金县开始在西雅图以北的足球场上建造一个“临时恢复地点”。该设施是一个金属框帐篷，大约覆盖足球场的一半。

The county’s Dept. of Community and Human Services expects the temporary facility to house up to 200 beds for residents who have nowhere else to go while preserving local hospital beds for the most acutely ill in the community.

金县说，预计最多需要3,000张公共健康监督床。

与蒂姆·纽科姆（Tim Newcomb）