About Project

Client: Largest health system in Colorado and Kansas

Subject: Incorporation of freestanding emergency centers as a new healthcare delivery model

Client was looking to increase patient access to emergency care, while addressing healthcare cost in their service area as part of a larger system strategy for growth and access in the future.

Our Task Was

The Larkin Group was consulted to support strategic planning, utilizing an innovative approach to incorporate cost-effective models that aligned with the health system’s mission and values.  We needed to increase access points for the client and decrease unnecessary use of traditional hospital emergency rooms while providing a healthcare value add to the community. Not only was the Client interested in decreasing cost for payors and patients, the Client also wanted new ambulatory access points to refer complex cases into their health system for a higher level of care, as appropriate.


We began by analyzing detailed demographics, current access points, traffic patterns, and expected population growth. After identifying locations that met the metrics that we have developed to ensure success, we worked with our real estate team to identify land that would accommodate the model.

  • Developed a differentiating model for the client’s market
  • Met client’s needs for access, quality, and value by developing dual ED and Urgent Care track
  • Developed full business plans for the client, including detailed proformas
  • Participated in multiple executive leadership meetings and retreats to work through the facility design and opportunities
  • Managed operational needs including all staffing, training, equipment planning, pharmacy, policy and procedures, contracting, and medical staff credentialing
  • Worked with the client on operational implementation, state survey requirements, and human resource development to ensure site passed inspection and was ready for patients
  • Aligned operations with the health system, including admissions for each facility’s designated partner hospital


The Larkin Group created a successful new care model where all patients are seen by a physician, but ultimately billed for the services rendered.

  • Seven urgency centers were built and opened within an 18-month period.
  • All centers were successfully accredited certified by The Joint Commission.
  • The new model allows the health system to be at the forefront of making healthcare value-added services a priority for patient and payor.
  • Patients who enter our urgency centers receive bill based on their level of service received, and not based on the facility address/location


Through The Larkin Group’s efforts, our client was able to increase the number of access points for the communities they serve and support their existing hospitals and primary care clinics, while also adding a unique value proposition for patients and payors. Additionally, the health system realizes new downstream revenue from the admissions, outpatient procedures, and after care referred to the client’s hospitals, health clinics, and private providers.

The process was completed within the time allotted and the client met their goal of providing efficient, quality, cost effective care to the community.