7 Years of Planning, 4 Years of Hospital Construction. Okey Eneli, VP Scott McClure, Project Manager

Transcription

1 7 Years of Planning, 4 Years of Hospital Construction Okey Eneli, VP Scott McClure, Project Manager

2 Process Strategic Plan

3 Unprecedented Growth CAGR ( ) = 6.8%

4 Master Facilities Plan Translating the Strategic Plan to a Master Facilities Plan Guiding Principles Create a world-class physical plant. Efficiently anticipate growth (shelled space) Make sure buildings look Seamless. Ensure appropriate connectivity between all buildings. Promote safety, integration and comprehensive care 2004 Conclusions As a result of volume projections and benchmarking trends, the Board concluded that we would need to build a replacement hospital to meet our inpatient needs. Fundraising campaign initiative ($250 million dollar target)

5 Master Plan $871 Million construction investment 5 major new buildings, multiple smaller projects 150 bed increase in pediatric inpatient capacity 45% increase in research capacity Disaster preparedness/pandemic capacity Environmentally sound/leed practices

6 Master Plan

7 Strategic Plan Review Enabling Steps Power Plant Inpatient D&T Tower Provide family-centered care in modern facility Vacate former space to meet office needs Allow for projected growth Demolition GI Building Parking & Rights of Way Expand Clinical Research Provide combined GI office/clinic/procedure area Support New Inpatient Tower Upgrade Campus Support Systems Easter Seals, RMH, Y demolition Electrical Sub-station Children s Drive RMH Replacement Land Acquisition Short Term Projects Provide for immediate needs Allow for future growth Provide for immediate needs - Admin & Faculty Vacate to allow for future infrastructure growth Short Term Parking Vacate current land to allow for future growth Allow for campus flexibility Research Outpatient Office Space

8 Economic Impact A Greater Columbus Chamber of Commerce study calculates that more than $3.6 billion in additional goods and services and over $1.2 billion in additional business earnings will be generated within the Columbus Metropolitan Service Area as a direct result of CHI s expansion ( ). Estimates include over 2,400 additional, sustainable jobs at Children s and over 2,800 additional, sustainable jobs in and around Columbus. Sustained Economic Growth $ 90.3 M in direct impact $ M in indirect impact Total Sustained Impact $207,538,000 Construction (One-Time) Impact $1.7 Billion Direct impact of CHI s expansion will create $25.7 million in Columbus income tax over 9 years. Sustainable Columbus income tax is at least an additional $2.7 million annually.

9 Livingston Parking Garage 1500-car staff parking garage on corner of Livingston and Wager Completed March, 2008 Designed to eliminate staff parking in neighborhood streets Allows for closure of existing lots (~500 spaces) for new clinical construction

10 Central Energy Infrastructure EXISTING CAPACITIES NEW PHASE I POWER PLANT CAPACITIES * CHILLED WATER 2,200 TONS 7,500 TONS STEAM 50,000 MBH 158,000 MBH NORMAL POWER 9,000 kw 20,000 kw STANDBY GENERATORS 2,400 kw 12,000 kw 53,000 sf Central Energy Plant that serves Main Campus Completed in 2010 Designed with additional capacity for future campus growth LEED Gold

11 Central Energy Infrastructure Three ton chillers Four 3 megawatt generators

12 Clinical Research Building 75,000 sf in-fill building, at interior of campus Completed in October, 2008 Designed to house Gastroenterology, surgery center, clinical research and psychology Allows for growth in research jobs as well as expansion of key clinical areas of need

13 Research III 238,000 sf Research facility with wet and dry labs, also includes a 30,000 sf vivarium Completed in May 2012 LEED Silver (Gold possible)

14 New Inpatient Hospital 12-story, 720,000 sf inpatient tower Includes new Emergency Department/Trauma Center, Intensive Care Unit, Cancer Unit, Neurosciences Unit and Med/Surg Beds Completed in June 2012 Designed to serve as cornerstone building to hospital growth through 2020

15 Transformational Change

16 Transforming the Patient Experience

17 Design Process

18 New Hospital Benchmarking Site Visits Vanderbilt Children s Memphis, TN Dell - Central Texas Children s Medical Ctr - Austin, TX Duke University Children s Durham, NC Morgan Stanley Children s New York Texas Children s Houston, TX Montefiore Children s NY Maria Ferarri Westchester, NY Memorial Hermann Health Care System Houston, TX Denver Children s Denver, CO Monroe Carrell Children s Nashville, TN Dublin Methodist Hospital Columbus, OH

19 Project Timeline Engaged MSI for urban planning Began enabling steps Engaged Turner Construction Co. Completed enabling steps Expanded parking scope Groundbreaking for Inpatient Tower Completed GI/Dry research building Engaged NBBJ for research building On-going construction: - Central Energy Plant - Inpatient Tower Groundbreaking - Research Central Energy Plant complete Roadway work to begin Inpatient Tower complete (2Q) Research Building complete (4Q) Begin backfill construction Begin ODOT highway work Launched Strategic Plan Engaged FKP Architects Engaged PCS (owners rep) On-going construction: - Livingston Garage - Ron. McDonald House - GI/Research - Central Energy Plant - Loading Dock On-going planning - Inpatient Tower - Research Engaged Georgetown Co. On-going construction: - Central Energy Plant - Inpatient Tower On-going planning - Research Received federal stimulus funding for roadway systems Completed strategic plan On-going construction: - Inpatient Tower (early occupancy 1 floor) - Research Roadway work complete Underground parking complete Begin backfill design Engaged RAA (interiors)

20 Board Facilities Executive Committee Recommend Coordinating Council Decide / Resolve conflict Clinical Advisory Committee** Input Input Special Interest Groups Family Centered Care Pre-programming Functional Groups Care / Quality Logistics Food Services Allied Medical Public Spaces Information Technology Epidemiology Safety/Security Education Members from Functional Groups ED Soc Work Case Mgmt. Loading dock Waste mgmt. Environmental BioMed Engineering Recommend / Agree Pharmacy Therapies Lab Imaging Anesthesiology Recommend / Agree Rep from SIGs

21 Shared Governance Interdisciplinary Model

22 Design

23 Fast Facts

24 10 Facts Stories 2. Shell space all of 7th level, part of 2nd level, part of lower level ,000 SF (66,890 m2) Beds + 48 Future Beds Elevators 6. (4) New Satellite Pharmacies 7. New Cafeteria 8. Expanded Radiology, Clinical Lab 9. Patient Room Sizes Patient Room 238 sf + Bath 55 sf = Total 293 sf (27 m2) ICU Patient Room 281 sf + Bath 24 sf = Total 305 sf (28 m2) ICU Step Down Room 256 sf + Bath + 41 sf = Total 297 sf (27.5 m2) 10. Underground Visitor Garage

25 Building Plans LL 5 2,4,7,8,9,10,11,12 SIM 1 6

26 Project Goals - Design 1 Patient/Family Focus Patient Room Improve patient and family satisfaction - Sleeper sofa with trundle bed, glider recliner, deep storage drawers, shelves for personal display items and a closet, full bath with shower and hairdryer LED color-changing headwall and 42 TV at footwall, adjustable from pillow speaker - On-demand room service from cafeteria

27 Project Goals - Design 1 Patient/Family Focus ICU Patient Room - Improve patient and family satisfaction - Sleeper sofa with trundle bed, deep storage drawers, half bath

28 Project Goals - Design 1 Patient/Family Focus ED Exam Room - Improve patient and family satisfaction

29 Project Goals - Design 6 Infection Control 7 Surge Capacity 8 Education & Clinical Research Part of Unit Supported by strong technology 5 - Back vs.- Front of House 4 - Decentralization Charting Stations Supplies 2 Safety & Security 3- Standardization Family Lounges and Consult Child Life and Playrooms 3- Standardization On-Stage Work Stations Med Rooms Offices Conference Rooms Teaching Conf Rooms 3- Standardization Soiled & Clean Utility IS Closets

30 Project Goals - IT 1 - Patient-centered care - Nurse Call (new System), Vocera, Paging (Overhead and Localized) - Security & Visitor Management 2 Staff efficiency and communication - Time & Attendance - Audio Visual in conference rooms 3 - Enhanced patient and family experience - CATV, Admitting Kiosks, Wayfinding Interactive Screens 4 Instant, secure computer access to patient info - Inpatient - computer outside room, med barcoding computer in room, WOW for rounding - ICU - computer outside room, WOW in room - ED exam - computer in room 5 Mobile families and allied health providers - Wireless Staff network, Guest internet, Telemetry - Distributed Antenna System (DAS) for EMS, Fire Command, Radios 6 Integrated and Expandable clinical & facility systems - Network head-end, Phone head end, Cabling - CAT6A - Building Automation System (BACNet) and Refrigeration monitoring - Antenna Farm In progress - RTLS- Asset Tracking (Patient/Equip) - Patient Edutainment - Video Conferencing

31 Project Goals - Environmental 1 Hospital in the Park Unites whole campus - used by patients, family, staff and neighborhood Building orientation and density - maximizes open green space Reduce heat island effect minimize hard surfaces by landscape, underground parking

32 Project Goals - Environmental 2 Healing properties of Nature Natural daylight maximize daylight into patient rooms, playrooms and common areas Controllability of systems (lighting) - occupancy sensors in back of house areas to reduce energy Controllability of systems (thermal comfort) dedicated thermostat control for each patient room Low emitting materials eliminate/reduce materials that diffuse particles to the environment Interior design brings park imagery into space through graphics and sculpture Comfort through diversion and distraction

33 Project Goals - Environmental 3 Responsible Construction practices Construction activity pollution prevention sediment and erosion control plan to keep soil on-site Storm water design control water runoff during and after construction, underground retention basin Water efficiency store and reuse storm water runoff for irrigation use Water efficiency reduce water usage by automatic flushing for toilets and urinals Construction waste management recycle construction waste

34 Lessons Learned 1. Curved building 2. Exterior curtainwall, thermal study SS spacers to reduce cold transmission 3. Doors (Acrovyn), auto operators, hand scanners 4. 4 day emergency operation 5. Security/ elevator management 6. Pharmacy air handling 7. Mockup 8. Patient room lighting 9. Sheet vinyl trowel marks, slip resistant 10. Staff provisions offices, purses, coats, etc 11. Pre-purchase material (if cheap) whenever possible 12. Engage vendors in design and constructability reviews where possible 13. Update your basic building information for Joint Commission

35 Patient Experience

36

37 Invest in Parks and Greenspace Six acres of greenspace fronting new hospital

38 Green Space

39 Green Space

40 Underground Garage Access

41 Main Lobby Main Lobby stairs to LL

42 Magic Forest

43 Lower Level Dining Area

44 Animal Friends

45 Patient Arrival

46 Nurse Station & family consultation

47 Child Life, Hallway and Niche

48 Patient Room

49 Patient Room Headwall Controlled at wall or pillow speaker.

50 CTICU Open Bay & ICU Room

51 Bariatric Rooms June 22, 2011 H4A Bariatric rooms with over head lifts for patient and staff safety. Lift moves over the bed area and connects to the bathroom segment to accommodate safe transfer of patients to shower or toilet.

52 Helipad

53 Move Transition

54 Go Live Dates Phase I January 9, 2012 Surgery (Ortho & General Surgery) Heart Center & Surgical Patients (Plastics, Ophthalmology, Urology) Phase II May 28, 2012 Kitchen/Cafeteria Phase III June 20, 2012 Main Lobby Neurosciences ED Rehab/Endo/GI/Rheumatology/Genetics PICU General Medicine HEM/ONC Phase IV September, 2012 Pulmonary Step-Down PICU Phase V December, 2012 NICU Infectious Disease

55 Committee Charge Transition Subcommittee Steering Patient care Orientation Support services IS/Telecom Marketing/PR Responsibilities Overall committee progress Construction interface & Space management Licensure & Certifications Patient move & move management Patient care operations Family communication/preparation General orientation ; Departmental & ancillary orientation ; Physician orientation Equipment & Systems training Owner fit up Contractor interface Security Plant operations & Building systems IS & Telecommunication systems coordination Paging & Low voltage systems Marketing plan & opening events Internal communication Physician relations

56 10/8/2013

57 Questions