Buffalo General Hospital Expansion Outlined

The Kaleida Health Board of Directors officially approved plans to move the clinical services and programs of Millard Fillmore Gates Circle Hospital to the Buffalo Niagara Medical Campus Monday night. An expanded Buffalo General Hospital will serve as Kaleida Health’s flagship site. It will have approximately 600 patient beds with 30 operating rooms and a new emergency department. Kaleida Health’s “new facility” is expected to handle 63,000 emergency room visits annually.
“We outlined a plan, a timetable and the need for funding. Our organization was willing to evolve if it meant making what we have today, even better. The Department of Health’s recent endorsement and $65 million in funding for that vision will now allow us to make reform, a reality,” said James R. Kaskie, President and CEO of Kaleida Health.
Kaskie says that includes planning for a new academically-oriented medical center on the medical campus, integrating the key programs and personnel of Buffalo General and Millard Fillmore Gates Circle Hospitals. The project is expected to exceed $100 million including a five or six-story addition to the hospital. To accommodate the addition, Kaleida will be asking the City to abandon a section of either Ellicott or Goodrich street.
There would be no new capacity, rather a consolidation of services and reduction in duplication. The goal is to renovate the tower (built in 1986) of the current Buffalo General Hospital plus build new infrastructure in the surrounding neighborhood of High, Ellicott, and Goodrich streets.
In January, the New York Department of Health awarded Kaleida Health $65 million toward the relocation of Millard Fillmore Gates Circle Hospital’s key services such as stroke, cardiac, and geriatrics. It was the largest HEAL-NY award in New York State.
“The integration of Millard Fillmore Gates Circle and Buffalo General Hospitals onto the Buffalo Niagara Medical Campus will create an unprecedented flagship health care facility in Western New York,” said Kenneth Pearson, M.D., the chief of radiology for Kaleida Health.
Work is expected to be completed in two years. Entry image: CitySky Photography by Nate Farnsworth.

As we mentioned in our previous post, we’re in the process of changing the Buffalo Rising site. We’re almost there as we expect to launch the new site on Friday, December 19th.
In the meantime, posting will be light as we log new stories in the new publishing system which will only be viewable when we launch on Friday.
As always, we appreciate our users’ patience as we make this transition but we promise it will be well worth it. With faster load times, a comment view …
Caroline Kennedy was in town for a visit with our mayor yesterday. A possible choice to succeed US Senator Hillary Rodham Clinton, Kennedy's name has been mentioned along with that of Attorney General Andrew Cuomo (son of former New York Governor Mario Cuomo) and our own Byron Brown, among others.
Certainly, Kennedy has "been around politics" all of her life, which is to say she was born into a family of politicos and lived in the White House--neither of which would necessarily f …
Free light rail rides on downtown's above ground section could be derailed thanks to the Niagara Frontier Transportation Authority's budget mess. That is the news coming out of a Buffalo Place meeting this morning. Facing a budget shortfall and reduced State operating assistance, the NFTA is scrambling for new revenue sources and is contemplating charging for rides along the lengthy downtown pedestrian mall.
Well it is Christmas time in the city and the NFTA helped put people and especially children into the mood in a very festive and fun way. One of my favorite memories of childhood was taking the train downtown with my grandfather. I would gaze out the windows and watch the tunnel speed by. It always felt like we were going a million miles an hour.
Then there was the ability to stand up and walk around during the ride without the need to be strapped down. It was always a fun time … 




Comment Options
hodgepodge
... and, wouldn't it have made sense to move Children's over there as well; as opposed to trying to shoe-horn in their plans for expansion into our residential nieghborhood?
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SteveP
now how was my previous post deleted? Enough deleting... let comments stand! There was no profanity or undue criticism.
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Jay
Two things here:
1) Children's should have moved to the medical campus. Children's future would be much more secured on the campus. On Elmwood its sadly only going to deteriorate at a slow pace.
2) Why does Kaleida need a portion of Ellicot or Goodrich? I'm sure they could just build over the road without making it more frusterating to drive dowtown.
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bfloBR
moving Children's to the Medical campus certainly made sense from a strategic development of the life and medical sciences in this region stance; however, many wealthy and powerful residents near Children's (justifiably) were scared what a relocation would do to their neighborhood and fought to the move to the medical campus tooth and nail. I think the Gates strategy of developing a reuse plan for the Millard Fillmore complex early in the plan is responding to the struggles seen in the failed attempt to move Children's.
There is a chance that a concerted effort to build consensus with the neighborhood on a reuse plan for Children's would have not resulted any differently than it has, but we don't know. I think the approach with Millard Fillmore is to employ all the proper planning steps to ensure this transaction runs smoothly.
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Spaulding97
SteveP, maybe cause it was too long? I keed i keed
Looking forward to the renderings, let's hope they can upgrade from 1986
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sbrof
I also don't understand the need for them to take over a city street. The medical campus is already difficult at best to navigate. Also Ellicott Street is supposed to be their MAIN Street, the one they are going to spend millions redesigning and upgrading to create a nice streetscape for the campus to hang off of. Cutting it off makes no sense what so ever.
We complain about navigating in downtown.. because we chopped up the streets. We are only a couple more streets away from creating a medical campus rat maze with how many streets pointlessly dead end, bend, curve, etc...
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WCPerspective
Just a refresher on commenting- After you hit "Add Your Comment"- DO NOT navigate away from the page until the comment takes/page refreshes. If you click away before your comment uploads, your comment disappears. There was one comment deleted from this thread- a double-post by hodgepodge.
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NBJOHN
Move the Psych center? Or does that not fit????
Just throwing it out there
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InformedOne
I believe Kaleida is exploring options of street closure to accommodate the requisite flow of patients from arrival in an emergency vehicle through emergency procedure and recovery. Without knowledge of how the flow of critical care treatment and procedures moves along, I think we are all specking out information-challenged as compared to the doctors and design team working on this redevelopment project. I for one will wait and see what comes out of the design process prior to commenting. In actuality, the intersection of Ellicott/High and Ellicott/Goodrich are not that conducive to the flow of multiple emergency vehicles accessing and egressing. Let us remember this flow of traffic needs to accommodate other emergency vehicles beyond just ambulances. For example, when an injured gang member is delivered to the emergency room at BGH, police vehicles need to be accommodated to preclude violence erupting in the hospital. Given the recent successes on the BNMC (Trico Purchase, Cleveland BioLabs, Center of Excellence, HWI) I am sure that careful thought and planning will go into the decision of what footprint this development project takes.
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sbrof
Let's hope, but try navigating someone from one side of the campus to the other.. better odds to just avoid the place and go down Main or Michigan. A place that we should be proud of and want to show off should also be a place that you can intuitively navigate through and too. Right now Its a maze of one ways, disjointed streets, and dead ends. Look at Elm, N Oak, or Virginia streets as examples; they start stop, bend into one-ways and create a real mess. By taking either Ellicott or Goodrich 'off the grid' means there will only be 3 streets left in the whole campus that travel the length & width of the campus and if Ellicott is the one to go there will be NO north south streets that run the length of the campus anymore.
PS love all the parking in that image above... Time to start building up. ;-)
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chris69
I think they should try to reopen some of the streets they have closed off by demolshing some buildings.
and I would make sure they build excess space with extra floors for doctors offices, admin, etc so they dont have to waste more land with these 1-2 story suburban monstrosities
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Zombo
Some further thoughts about Children’s Hospital (now known as Women & Children’s Hospital of Buffalo (WCHoB)). If WCHoB had moved to Buffalo General (BuffGen) it would be basically gone. Every service would have simply been integrated into existing (or somewhat related) departments at BuffGen. Duplication in staffing would of course not have been let to happen and positions would go to those with the most seniority (which unfortunately does not always equate to best qualified). A token gesture was made to allocate a few floors of BuffGen to be WCHoB (in name only I can assure you). The residents who complained about the departure of WCHoB had very valid reasons to be concerned…and still do (more on that later). The area that they want to expand into is owned by WCHoB, no families being displaced. The surest way to keep the world class service at WCHoB is to let it continue to pursue that level of service. By no means am I suggesting a blank check, but they own the land, and in the end this will result in more jobs and better care for our children. If we block and / or hassle WCHoB at every turn, then rest assured, WCHoB will go away. They will bland out the services until there is no reason to maintain the facility. Maybe Buffalo Rising readers would benefit from an article written by one of the BRO staff after taking a tour of WCHoB. WCHoB is far too important an asset to our region to offhandedly suggest its demise.
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Joshua
If there is a surplus of hospital beds in this area --- WHY --- did Millard Suburban expand? It would seem to me that all these extra beds could be been kepts at Gates.
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CKBuffalo
Josua:
The population has shifted mainly toward Amherst from Buffalo.
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Joshua
CKBUFFALO - Please don't tell me the obvious (not trying to sound peed off at you). I think it is foolish to spend money that is frankly not there to begin with. Use the bulidings that are currently constructed and the people are just going to have to simply travel a bit to get to the hospital. This wouldn't have happened if people would have just stayed in the City.
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EricOak
Children's Hospital does not have a long-term plan to stay in the Elmwood-Bryant-Hodge area. Their current plan is a short-sighted and illogical quick fix. In not many years they will be facing once again a splintered and obsolete campus that will require more demolition of good housing and permanent aggravation of residents in the area. Their move to the medical corridor is inevitable, and they know it. It's in the neighborhood's and Kaleida's and the patients' long- term best interest to graft WCHOB onto the Buffalo Niagara Medical Campus.
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RisingDamp666
Joshua, Millard Suburban attracts more private insured patients. To accomodate your best customers, you make the improvements there. When your big, Medicare-overloaded inner city facility gets bad press and loses money, you give up the ghost and consolidate with the cost-cutter. It's a money thing. And many shrinking cities have outstanding inner city hospitals that attract patients from the 'burbs, Millard was never in that league. It should have been but Buffalo can't attract top notch physicians. Someone needs to work on that one.
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RisingDamp666
And cheers to EricOak for stating the case for getting Children's out of Elmwood. Its sprawling footprint can't be anything but a menace to area residents, even if they put up nice new buildings.
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Joshua
Understandable, but the money should have been spent on Gates - to restore and keep the hospital in the City. If the best hospital is in the City then people would have to work there. Buffalo is a hot bed in the medical field and should be commended for it's hard work keeping the medical campus alive and GROWING!
Support the City - people need to do this more. The City is on the move and I can't wait to hop on the wagon for a longer ride.
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Joshua
Understandable, but the money should have been spent on Gates - to restore and keep the hospital in the City. If the best hospital is in the City then people would have to work there. Buffalo is a hot bed in the medical field and should be commended for it's hard work keeping the medical campus alive and GROWING!
Support the City - people need to do this more. The City is on the move and I can't wait to hop on the wagon for a longer ride.
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AtwaterLouse
Joshua - Amherst has over 110,000 residents which is about 40% the size of Buffalo's 280,000. Buffalo has at least five hospitals not counting Millard Gates: Buffalo General, ECMC, Mercy, Sisters, and Womens/Childrens.
Wanting to punish Amherst for no reason by not allowing it to have even ONE hospital so that Buffalo can keep SIX hospitals is the kind of backwards attitude that would cause more people and companies to leave WNY and fewer to move here (not that many move here anyhow). At least two-thirds of Erie Co residents don't want to live in Buffalo.
Get over the idea that Buffalo is morally superior to Amherst and somehow more deserving of nearby hospital care. It isn't. Amherst's population more than justifies the presence of ONE high quality hospital. Just because you prefer urban life doesn't mean everybody does.
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Joshua
AtwaterLouse and RisingDamp live in Amherst. They seems to be supporting the 'burbs here. Ummm, I don't know here?! I guess this section would be called AmherstRising.
My point was NOT that Amherst shouldn't have a hospital - it has for years. My complaint was that there is money going to expand a hospital, when the money is not really there and there are also hospitals closing and merging.
So, I guess there are other points of view here and I am going to keep mine. This website is called BuffaloRising, correct?
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tonyarmani
from the majority of the comments throughout the site, i think they should rename the blog to "temperatureRising"
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Buffalopundit
Joshua - have you ever set foot in the pre-renovation Millard Suburban? It makes the 80s facilities at the downtown medical campus look like something out of the Jetsons by comparison. It was long, long overdue for a renovation and an overhaul. If it was in the city, people would have been screaming & yelling about it.
When my daughter was born there in 2006, the renovations were just beginning. The staff in neonatal were absolutely wonderful, but the facility was abysmal. The emergency room was cramped and looked like something from the Soviet era. The hospital rooms were stuck in the 70s and in desperate need of improvement. My wife had to be moved three times over the course of two days due to things breaking. (You try sharing a room where the air conditioner blows up and floods the place within 24 hours after giving birth. It's unpleasant).
So, what improvements at MFSH have to do with the issue at hand is somewhat beyond me.
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Joshua
Pundit - yes I was in the pre-renovated Millard Suburban. I'm not saying that Amherst shouldn't have a hospital or do renovations, why did they need to increase the amount of beds. In light of decreasing population and the surplus of beds in other hospitals - which had to close. Appartently, my point must be getting across to some and not to others. Not everyone lives in the City and that's too bad here.
So, the improvements being done to MFSH have everything to do with this. 1) This is a post of how the services at Gates are going to be transfered to the Buffalo Niagara Medical Campus ( THE HOSPITAL IS CLOSING). 2) The declining population and thus the reason why hospitals are closing.
People are turing a blind eye to the effects of more buildings that may be vacant or leveled for parking lot use. I guess Buffalopundit, should be Amherstpundit also.
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Buffalopundit
Because hospitals and their capacity are controlled by the state. The state did a comprehensive review of the region's capacity and found that some hospitals would have to close or consolidate, while others could remain the same, change, or grow.
I don't get why it's "too bad" that people don't all live within City limits. It's just as "too bad" that we all don't just move to Fort Erie. It's just a silly, elitist thing to say.
Right. And MFSH is expanding (not a lot, BTW), because it's well overdue. It's getting a badly needed new emergency department (we once waited 4 hours to have what we thought was a foot fracture to get looked at). 10 new operating rooms, expansion of labs and radiology and a mere 60 additional beds. Does that seem unreasonable to you? Not to me.
What?
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Joshua
tony - no AmherstRising.
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AtwaterLouse
Joshua - Wrong again.
I don't know about Damp (and don't care), but I live in the city. Anyhow what difference should it make where anybody lives?
What I was supporting was the idea that geography and population density/distrubution are one important and prefectly reasonable factor in where hospitals are located along with how many beds, upgrades, etc. This should be so obvious it goes without saying.
Your point seems to be that even if population expands over time in and around political entity 'A', hospital facilities should never ever be expanded or upgraded in 'A', because you Joshua on a personal level prefer some things about political entity 'B'.
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RisingDamp666
True, BuffaloPundit, the State of New York mandated a reduction in excess capacity, but they didn't tell Millard Gates to close. That organization made the decision to close because they were hemorraghing patients, money, and standard of care. Had they pursued the highest level of patient care as well as the state of the art in medicine, the story would have been vastly different. Buffalo should have a world-class research and teaching hospital but that takes decades to bring to fruition ( or a big money benefactor like Grand Rapids MI magnate Meijer). I don't live in Amherst but I've had a surgery at Millard Suburban. That's where my doctor practiced. If you want great medicine in Buffalo, you need great doctors in Buffalo. Make a compelling case for that, Joshua.
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Slade
Let's start with some reality. First, Buffalo is most definitely NOT a hotbed for medical anything. Buffalonians increasingly travel to Rochester, Pittsburgh, Cleveland...even Erie for what they consider to be superior services. With the exception of RPCI, our hospitals and our doctors are unremarkable at best. The UB Medical School is ranked in the lowest quartile of medical schools nationally. Here's the problem...It's hard to attract good doctors because they want to be associated with medical excellence...and it's hard to become excellent without great doctors. The very idea that Buffalo will somehow catapault into the major league of health care because we locate all our services downtown is nonsence. Who thinks that spending tax dollars on a new hospital is going to jump start the economic engine of prosperity? Health care spending doesn't lead to other economic development. It hasn't worked elsewhere and it won't work here. The medical corridor will benefit only BGH and the developers...not the citizens of Buffalo and Erie County.
Secondly, the Berger Commission report DID recommend that the beds at Millard Fillmore Gates Circle be decertified and that the facility be closed.
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