MOHAWK VALLEY HEALTH SYSTEM INTEGRATED HEALTH CAMPUS UTICA, NY

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1 MOHAWK VALLEY HEALTH SYSTEM INTEGRATED HEALTH CAMPUS UTICA, NY 1

2 MAJOR PROJECT MILESTONES 2

3 MAJOR PROJECT MILESTONES MVHS announces it is exploring opportunities to fund and build a new, combined hospital for the community. The NYS Budget was approved and included the $300M for the new MVHS hospital. MVHS continued to work with NYS to receive the application for the funding. NYS Legislature approves the $300M for the 2016 budget. Governor Cuomo : As part of his proposed $700M pledge to support Upstate New York hospitals, $300M would help to create an integrated healthcare delivery system in Oneida County. MVHS announces downtown Utica as the location for the new hospital. MVHS receives Request for Application (RFA) from NYS and has until the end of January 2017 to submit it. 3

4 MAJOR PROJECT MILESTONES The New York State Department of Health (NYSDOH) announced that MVHS was the recipient of the $300M Health Care Facility Transformation grant. MVHS and design team conduct over 90 user meetings and 100 community meetings to develop the design of the new hospital. MVHS submits Certificate of Need Application. MVHS submits RFA; holds Community Forums; announces the selection of the architectural and construction firms; announces Memorandum of Understanding with Masonic Labs. Architects, including the urban planner from NBBJ, in collaboration with the MVHS outreach team, begin conducting meetings to gather input and advance the site plan and design for the new regional healthcare campus. 4 MVHS conducts press release revealing the campus site plan and outline and two community forums.

5 MAJOR PROJECT NEXT STEPS The MVHS design team will continue to develop the site plan along with the character of the campus landscape. MVHS Integrated Health Campus ground breaking. The MVHS team will begin the permitting process with the State Environmental Quality Review (SEQR) to identity and mitigate project impacts. The MVHS design team will develop the interior and exterior character of the project. 5

6 COLLABORATIVE PROCESS 6

7 COLLABORATIVE PROCESS Utica and Community Residents over 100 Community Meetings Mohawk Valley Health System over 90 User Group Meetings Conducted over 2000 Community Members Involved over 378 Staff Involved Physicians Clinicians Non-Clinical Staff Technicians Staff Support 7

8 COLLABORATIVE PROCESS User Groups over 100 Community Meetings Process Discussion over 90 User Group Meetings Conducted Department Flows over 2000 Community Members Involved Program Adjacencies over 378 Staff Involved Mock-up Room Physicians Clinicians Non-Clinical Staff Technicians Staff Support 8

9 COLLABORATIVE TEAM 9

10 COMMUNITY INPUT 10

11 GUIDING PRINCIPLES Here is a list of priorities brought forth by the community for the new hospital project: Augment City Vibrancy Respond To Utica s History Encourage Business Utilize Green Space Promote A Parking Plan Support Urban Growth Respect The Street Grid Designed For Views Connect Neighborhoods Enhance Neighborhood Aesthetic Allow Transportation Alternatives Consider Traffic Flow Benefit Utica s Skyline Designed for all 4 Seasons 11

12 SITE DEVELOPMENT 12

13 S I T E P L AN 13

14 SITE PLAN SPACES 14

15 VIEW FROM SOUTHEAST 15

16 S T AF F E L E V AT O R S S U P P O R T S P AC E P U B L I C E L E V AT O R S P AT I E N T R O O M S VIEW FROM SOUTHEAST :TYPICAL PROGRAM LAYOUT 16

17 VIEW FROM NORTHWEST 17

18 V I E W L O O K I N G E AS T AL O N G L AFAY E T T E 18

19 COMMUNIT Y ENGAGEMENT AND GUIDING PRINCIPLES Since 2015, Mohawk Valley Health System (MVHS) and its project support teams have engaged more than 2,000 individuals in our community to gather feedback to be considered during the design of the Regional Healthcare Campus. Community input has been gathered through more than 100 meetings, from personal interviews, to small group meetings, to two major community forums thus far. Participants have included representatives from: AUD Authority Resource Center for Bagg s Square Association Independent Living Cornhill Neighborhood Association Oneida County The Community Foundation Legislators Court Street Children s Center The Parkway Downtown Utica Committee Center East Utica Concerned Citizens Neighborhood Utica Comets Watch Association Utica Common Greater Utica Chamber of Commerce Council Harbor Point Local Development Corporation Utica Rotary Club Landmarks Society of Greater Utica West Side Senior Center Mohawk Valley Latino Association West Utica Concerned Mohawk Valley Resource Center for Refugees Citizens. National Association for the Advancement of Colored People The information and perspectives gathered through these discussions have been used to develop the following guiding principles. These stakeholder interests are helping guide the design of the new hospital, including how to best integrate the campus into the surrounding neighborhoods and downtown. Guiding Principles In terms of architectural design and layout, the new hospital facility should: Principle Preserve the street grid as much as possible. M V H E A LT H S Y S T EM.O R G How Principle is Reflected in Plan to Date Columbia, State, part of Lafayette still intact; created remainder of Lafayette as a pedestrian way. Continued > CO M M U N I T Y@ M V H E A LT H S Y S T EM.O R G Mohawk Valley Health System

20 Principle Consider how the height of the building fits in with the Utica skyline. How Principle is Reflected in Plan to Date Similar or lower in height than buildings such as Kennedy Plaza, Hotel Utica, and State Office Building. Incorporate green space. Park-like areas, tree lined walks, green infrastructure, etc. Promote connectivity with the surrounding neighborhoods. Streets and campus walkways allow access into and through campus east, west, north, south. Allow for aesthetic views (healing, artistic, attractive, etc.). Designed location of patient rooms so no windows point inward, all exterior views. Incorporate features that accommodate four-season weather conditions. Proximity of garage to hospital covered walkways, canopy, lighting, etc. Contribute to vibrancy of the city with features that are favorable to surrounding late-night activity. Street/campus lighting, security, parking, pedestrian walkways, etc. Ensure a traffic plan that takes into consideration both hospital needs and the surrounding business and residential needs. Siting analysis takes into consideration all types of traffic flows, in and out of the hospital. Separate routes have been established for ambulances, employees, patients, and delivery vehicles. Incorporate features that promote transportation alternatives to cars (walking, biking, etc.). Adjacent to planned Oriskany bikeway; designed for walkability around campus. Include time-to-destination estimates. Include a parking plan that considers both hospital needs and the surrounding business and residential needs. Close proximity of new garage and upgrades to Kennedy parking to hospital and auditorium; spaces available for general public. Additional surface parking. The remainder of these guiding principles apply to later stages of the project. Principle Consider the historic nature of buildings around the new hospital and how to blend them into the new cityscape. Consider both the old and the new aspects of Utica, including nearby landmark sites of Utica (Stanley, Union Station, etc.). Seek to preserve some buildings for other medical and business uses (adaptive reuse). Be supportive of development surrounding the campus; promote first-level business/retail space and upper-level housing space. Consider other urban redevelopment plans underway; integrate/enhance/help promote these other initiatives. In addition to involving community members, the process has also included numerous internal meetings that provided the project team with feedback from current hospital management, employees and medical staff. More than 90 user group conceptual planning sessions included participants from a broad cross-section of doctors, nurses and other medical support staff. These discussions have served as the basis for a separate set of precepts that will guide the interior design. MVHEALTHSYSTEM.ORG COMMUNITY@MVHEALTHSYSTEM.ORG Mohawk Valley Health System

21 NOVEMBER 2017 NEW HEALTHCARE CAMPUS FACT SHEET Location: Downtown Utica Hospital Size: 672,000 square feet (The St. Luke s Campus is 461,000 square feet which includes the professional office building.) Height: Nine stories Inpatient Unit: Total of 373 beds Open-core nursing unit allows for close patient/staff adjacency, good staff visualization/connection to the patients on the floor and includes easy access to frequently used support functions. Each inpatient unit has 30 private rooms (current estimate). Two rooms on each unit can be converted to semi-private as census levels increase. Same-handed rooms and standardized unit organization from nursing unit to nursing unit, which supports patient safety, reduces the risk of errors, provides greater efficiency and promotes same access points for staff when working in different areas. Dialysis support in each patient room for all Critical Care beds and isolation room beds. Reduces patient movement. Inpatient Dialysis Unit conveniently located on high-use, Intermediate Care floor and adjacent to patient elevators. Critical Care beds co-located on one floor to optimize use and flexibility with quick connections to and from the Emergency Department and Interventional areas such as Imaging. Inpatient Views: Unobstructed north- and south-facing views for patients on inpatient floors. Emergency Department (ED): Designed with 47 ED treatment spaces (ED exam, quick turn, trauma), six Behavioral Health ED treatment rooms and 10 Observation beds. Modular organization allowing efficient flexing to respond to changing volume needs over a typical day. Dedicated access to the Medical Imaging room and CAT Scan with direct and easy access to other imaging modalities. Sited and organized to allow for easy expansion opportunity to the west of the site. The new design will support the care of 90,000 visits annually. Combined, St. Elizabeth and St. Luke s campuses now have more than 80,000 ED visits a year. Imaging/Cardiology: Centrally located with easy inpatient and outpatient access allows for efficient patient movement, staff support and connection to ED. Appropriate internal flows, adjacencies and segregations to provide for optimal use and safety. MVHEALTHSYSTEM.ORG COMMUNITY@MVHEALTHSYSTEM.ORG Mohawk Valley Health System

22 Interventional Platform: Fully integrated Surgical Services, Interventional Services and Endoscopy Platform. Flexible perioperative area allowing easy changes to dynamically respond to case mix and pre/post procedure needs. Standardized modular design to allow for flexible use. Provision of soft spaces provided to allow for incremental expansion. Siting of perioperative and procedure space to allow for easy, long-term expansion to the west on the site. Birthing Center: Quick-access elevator connection from Emergency Department which allows rapid movement for presenting mothers. Continuous flow from early labor/triage to Labor, Delivery and Recovery (LDR) or cesarean section (csection) surgical suite. Direction connection from LDR to c-section suite. Easy flow from c-section suite to Special Care Nursery. Co-located Special Care Nursery and Nursery with direct access to Postpartum suite. Distinct Postpartum suite from delivery area provides a more relaxed environment for recovering mothers and family. Dedicated medication and food elevators; these will be used for all deliveries and will be separate from patient and visitor elevators. Service flows separated on lower, heavy-use floors considering dirty/clean flows. Conference/Meeting Spaces: Located on edges of departments to allow for shared use. Main education/auditorium rooms located near building entry and Nutrition to allow for multiple meeting formats, easy staff access and convenient community use for wellness and other programs. Nutrition: Room service model to be incorporated with quick turnaround times enhanced by adjacency to dedicated food/ medication elevator. Easy cafeteria access for visitors and staff with location off of main lobby by visitor elevators. Adjacency to Education Center allows for efficient support of meetings and functions. Easy access to loading dock area for deliveries of hospital supplies. Parking Garage: Three- and one-half stories high with covered walkway to and from the hospital. Access to parking garage at multiple points to make it convenient for patients, families and visitors. Parking for hospital patients and visitors, staff, volunteers as well as the community for non-hospital related events. Campus: Pedestrian-oriented. Designed as an urban park with enhanced lighting, trees, flowers, walkways and seating areas. Building Circulation: One primary entrance into facility with easy drop-off, garage parking and building entry connections. Separate emergency walk-in, ambulance and decontamination entrances. On-stage/off-stage building organization aiding in wayfinding, security controls and supporting patient dignity. Separate patient, service and visitor elevator cores providing for safe, efficient movements that help ease patient, staff and family stress. Dedicated, rapid-access elevator pulled from general use for quick movement of patients from ED to Intervention, ED to Birthing Center, ED to Behavioral Health, inpatient connection to intervention. Elevator sized to accommodate patient plus team and necessary patient transit equipment. Helistop: Conveniently located at ED ambulance entrance. MVHEALTHSYSTEM.ORG COMMUNITY@MVHEALTHSYSTEM.ORG Mohawk Valley Health System

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