Public Workshop June 19, 2018 s Sarasota Memorial Hospital Laurel Road Update David Verinder, President & CEO, Sarasota Memorial Health Care System Steve Jackson, Principal, Flad Architects 1
Public Workshop Agenda!!!!!! Welcome and Introductions History and Background of Sarasota Memorial Hospital - Laurel Road Proposed Services and Campus Features Site & Development Plan, Applications to City of Venice Next Steps Questions and Comments 2
Sarasota Memorial s Long History in South County 1995! Non-profit Venice Hospital is sold to Bon Secours. SMH s offer is rejected. 2004!! The state OKs HMA corporation s plan to build a hospital in North Port. Universal and HCA file challenges. A judge rules the facility is not needed. SMH pursues state approval to transfer 80 beds to a satellite facility in South County, but is denied. SMH ultimately does not pursue litigation. 2005! Bon Secours sells Venice and Port Charlotte hospitals to HMA. SMH s offer for Venice is rejected. Later, SMH buys 65 acres on Laurel Road. 2007! SMH purchases a 32-acre parcel on Sumter Road. 2009! SMH opens freestanding ER and Health Center off Toledo Blade Blvd. 2014! Community Health Systems acquires Venice & Port Charlotte hospitals.! SMH acquires 30-acre parcel at West Villages/U.S. 41 in land swap. 2015! SMH offers to purchase Venice Regional Bayfront Health but is rejected. 2016! State approves SMH s plan to establish a new hospital on Laurel Road. 3
Multi-Year State Approval Process for Laurel Road! December, 2016: Sarasota Memorial received initial approval from Florida s Agency for Health Care Administration to open a new hospital on Laurel Road at I-75. Many thanks to the community members, leaders, physicians, employees and businesses who wrote letters of support for our new facility!! May, 2018: After several challenges were filed against the state s decision, a judge affirmed the state s approval of SMH s new hospital as well as Venice Regional s plan to build a replacement hospital.! Present - 2021: While SMH awaits final approval from the state, architects and designers are getting started on site plans so we can meet our goal of opening the new hospital in three years. 4
Overview of Sarasota Memorial Hospital-Laurel Road Proposed services include:! Array of specialty services: -! Medical-Surgical and Intensive Care Units -! Obstetrics -! Surgical suites, C-section operating room -! Cardiac -! Cath Lab, Endo & other procedural areas -! Orthopedics -! Laboratory -! Oncology -! Imaging Services -! Neurology -! Pharmacy -! Pulmonology -! Rehabilitation Services and Gym -! Emergency Care -! Community Specialty Clinic!! 90 acute care beds! All private rooms! 20 beds for Observation patients and 25-bed Emergency Care Center! Facility will have advanced hurricane proofing and backup generators! Seamless connection to the expertise and support of the health system via integrated information technology. 5
Laurel Road Campus Features! Medical Office Building! Physician practices and outpatient services to provide convenient, one-stop health care for patients.! Parking garage connected by pedestrian bridge to hospital as well as ample surface parking.! Flexible, patient-safe design can grow with the community.! Hurricane shelter - pending approval and funding from City of Venice and Sarasota County. 6
Hospital Leader & Sarasota Resident Named President of Laurel Road Campus! Starting in July 2018, Sharon Roush will serve as president of Sarasota Memorial Hospital Laurel Road.! Sharon comes from South Bay Hospital, a 138-bed hospital in Sun City, FL, where she has served as CEO since 2009.! She previously served as CEO for Capital Regional Medical Center in Tallahassee and Columbia Hospital in West Palm Beach.! She has had a home in Sarasota County for eight years and has lived here full-time for the past two years. 7
Establishing New Points of Care to Respond to Growing South County Population Sarasota Memorial s goal is to bring five-star, affordable care closer to South County residents. Venice:! Opening the Laurel Road hospital will enhance care to the region and have a significant economic impact, creating and sustaining jobs and livelihoods for hundreds of people and area businesses.! Expansion of outpatient services on Venice Island. North Port:! Continuing to invest in resources to support a future hospital.! Laurel Road campus will bring SMH s physician base further south and help build the medical staff for a hospital in North Port.! Plans for new West Villages Care Center and ongoing growth of North Port ER & Care Center. 8
Serving Our Region: 10 Year Look-Ahead!"#"$%&"'()*%#+",'-)",&.'/"#)'"01'' 2#3)0&'/"#)'/)0&)#'"&'-)#+&"3)'-"#4%5#'!676'89'-)",&.'/"#)'/)0&)#' 2#3)0&'/"#)'/)0&)#'"&'20+A)#$+&B'?"#CD"B'!"#"$%&"'()*%#+",'-)",&.'/"#)'/)0&)#' "&'20+A)#$+&B'?"#CD"B' Hospital Site 2#3)0&'/"#)'/)0&)#'' "&'!&6'H#*"01$' 2#3)0&'/"#)'/)0&)#' "&'!IFC0)B'?%+0&' >)D&%0'K0&)#0",' ()1+F+0)'?#"FIF)'!"#"$%&"'()*%#+",'-%$:+&",';'<#"5*"'/)0&)#' 2#3)0&'/"#)'/)0&)#'"&'G))'7+13)'!"#"$%&"'()*%#+",'-)",&.'/"#)'/)0&)#'"&'/,"#C'7%"1'!C+,,)1'>5#$+03'M"F+,+&B' Outpatient Site!"#"$%&"'()*%#+",'-)",&.'/"#)'/)0&)#'"&'G,"FC45#0'?%+0&'!"#"$%&"'()*%#+",' -%$:+&",='J"5#),'7%"1'!"#"$%&"'()*%#+",'-)",&.'/"#)'"01'' 2#3)0&'/"#)'/)0&)#'"&'E)0+F)'GB:"$$'!"#"$%&"'()*%#+",'-)",&.'/"#)' /)0&)#'"&'E)0+F)'K$,"01' Sarasota Memorial s future: L)$&'E+,,"3)$' -)",&.'/"#)'/)0&)#'!"#"$%&"' ()*%#+",' -%$:+&",='' >%#&.'?%#&'!"#"$%&"'()*%#+",'@7'"01'-)",&.'' /"#)'/)0&)#'"&'>%#&.'?%#&' Main campus providing tertiary care throughout the region, with new community hospitals serving south county patients closer to home. 9
Laurel Road Campus - Context and Surrounding Area JH27@J'7NHO' 10
Aerial of the Site and Surrounding Area JH27@J'7NHO'?K>@G7NNP'HE@>2@' 11
Adopted Zoning Map /%**)#F+",S' T)0)#",' 7)$+1)0I",S' (5,I=M"*+,B' /%**)#F+",S' T)0)#",'?K>@G7NNP'HE@>2@' JH27@J'7NHO' Q?,"00)1'/%**)#F+",'O)A),%:*)0&R! Q?,"00)1'/%**)#F+",'O)A),%:*)0&R N:)0'2$)S' @$&"&)' N:)0'2$)S' @$&"&)' 7)$+1)0I",S' (5,I=M"*+,B'?,"00)1'20+&' O)A),%:*)0&' 12
Existing Entitlements 13
Adopted Future Land Use Map (%1)#"&)' O)0$+&B' 7)$+1)0I",' (+U)1'2$)'/%##+1%#'?K>@G7NNP'HE@>2@' JH27@J'7NHO' Q(+U)1'2$)'/%##+1%#R! Q(+U)1'2$)'/%##+1%#R (+U)1'2$)' 7)$+1)0I",' (%1)#"&)' O)0$+&B' 7)$+1)0I",' ()1+5*''' O)0$+&B' 7)$+1)0I",' 14
Adopted FEMA Floodplain Map?K>@G7NNP'HE@>2@' JH27@J'7NHO' 15
Seeking Revision to 2002 Pre-Annexation Agreement (third sentence, paragraph 2) Pursuant to the City s land use policies, designation of the Subject Property as subject to the Venetian Gateway Overlay signage and architectural standards is required; provided, however, that nothing herein shall be deemed to require application of those standards to hospitals and related healthcare facilities. Effect: Will allow hospital and related healthcare facilities to:! Exceed 35 feet in height.! Observe architectural style that meets current hospital construction standards and promotes the highest level of patient care, safety and satisfaction. 16
Why We Need to Revise These Standards!! Current Hospital Construction Codes/Requirements! Clinical/Functional Benefits of Vertical Organization! Patient Experience and Healing 17
Optimal Function and Patient Flow 18
Horizontal vs. Vertical Organization Horizontal organization increases travel distance and time moving/ responding to critical/sensitive patients Vertical organization stacks patient care areas above Emergency, Surgery and other treatment/support areas, providing a safer care model for patients. Vertical organization promotes patient-centered care hospital departments are located just above and below each other, with elevators that minimize patient movement and reduce distance and travel time.! 19
35 Height - Disadvantages Requires hospital departments to be adjacent rather than stacked Inpatient Rooms Emergency Rooms, Surgery and Hospital Support Areas Separation of support and inpatient rooms increases patient care risk and travel times 20
Higher Height Advantages Placing patient floors above treatment areas promotes a safer environment Inpatient Floors (above) Example of inpatient bed floors adjacency to an elevator core Reduces travel time between departments Emergency Rooms, Surgery and Hospital Support Areas 21
Current Inpatient Room Height and Infrastructure 22
Typical Patient Room Heights Structure Zone Concrete Slab with beams Mechanical Zone (for critical life safety and support systems) 15-0 (floor to floor) Lighting Zone 9-0 Ceiling Patient Room Lowered Ceiling Views Building systems make each floor taller than other types of construction (ie: residential) 23
Hospital Patient Room Height vs Residential Height Ceiling finish on concrete structure A/C from wall vent Dropped ceiling for plumbing Concrete Slab Structure Zone Mechanical Lighting 2 floors = 30-0 15-0 9-0 Ceiling Structure Zone Mechanical 9-0 Ceiling Lighting Patient Room Patient Room 9-8 3 floors = 28-6 Hospital Residential 2 floors of Hospital = 3 floors of Residential 24
Current Hospital Room Design/ Therapeutic Environment 25
Current Hospital Room Design Large Windows Natural light promotes healing 26
Venetian Gateway Architectural Standards! Requires small windows
Hospital Inpatient Rooms Venetian Gateway Impacts Venetian Gateway Standards: Reduces views and daylight into the inpatient room 28
Requests for Future Approval 1.! Amend existing PCD zoning designation to reflect hospital and related health care facilities instead of the previously approved shopping center and office uses. 2.! Special Exception for hospital and related health care facilities. 3.! Site Plan approval. 29
Site Guiding Principles Flexible and expandable. Focus on patient and community. Use nature to enhance patient experience. Optimize site utilization. 30
Adopted Habitat Map LAUREL ROAD?K>@G7NNP'HE@>2@' 31
Site Assessment 32
Preliminary Hospital Site Plan 33
Next Steps!!!!!! Submit requested Pre-Annexation Agreement Revision Ongoing updates with City of Venice, neighbors and the community, including establishing a Neighborhood Advisory Council Amend existing PCD zoning designation to reflect hospital and related health care facilities instead of shopping center Special Exception for hospital and related health care facilities Site Plan approval Construction Groundbreaking 34
What s ahead 35