alkek expansion pre-submittal conference october 5, 2006
TRANSCRIPT
Alkek Expansion
Pre-Submittal Conference
October 5, 2006
Team Members
• Jim Waters, Project Director, Shell and Core
• Janet Sisolak, Project Director, Interior Build-out
• Pam Redden, Project Director, Clinical Operations
• Dan Butterwick, Chief Architect
• Greg Hudgins, Project Manager
Project Organization
Facilities Steering Committee
Executive Steering Committee
Core Team
Project Directors Jim Waters, Core and Shell
Janet Sisolak, Interior Buildout
Feasibility Study
Conducted from December 2005 through July 2006
Impacts Evaluated
• Construction Impacts
• Design Impacts
• Operational Impacts
• Downstream Impacts
Construction Impacts
• Site Logistics/Staging
• Construction Access
• Construction Supply - Bates and Bertner
• Crane Placement & Removal
• Vibration/Noise
• Waterproofing
• Infection Control - dust
• Safety-dropped loads
Construction Impacts• Site Logistics/Staging
o Create Contractor’s Entrance to Rotunda
o Removal of Canopieso Closing West
Entrance to Rotunda
Construction Access
• Allow for emergency exits
• Keep reception desk open
• Keep construction traffic out of the main lobby
• Maintain access to Physical Therapy
Construction Impacts• Construction Supply - Bates and Bertner
Intermittent Lane
Closures along
Bertner and Bates will
be required
Construction Impacts• Crane Placement & Removal
In existing empty staff elevator shafts
Construction Impacts
• Site Logistics/Staging
• Construction Access
• Construction Supply - Bates and Bertner
• Crane Placement & Removal
• Vibration/Noise
• Waterproofing
• Infection Control - dust
• Safety-dropped loads
Design Impacts
• Structure – continuation of concrete frame
• Use of lighter weight wall panels – fiber reinforced concrete
• HVAC Issues
• Electrical Issues
• Plumbing Issues
• Wind Tunnel Study
Impacts to Number of Beds per Floor
Changes to Codes and Standards
• Increased Room Size
• Increased Toilet Size – all fully accessible
Operational Improvements
• Additional space to accommodate Murphy Beds and to allow appropriate circulation for nursing
• Flexible Acuity Room Design
Current 52-Bed Floorplate
Proposed Floorplate – 40 – 44 beds
Design Impacts
• Maximize footprint by eliminating deep recesses at windows, put square footage back into patient room
• Overall appearance of the tower can be preserved
Design Impacts• Shift stairs and major mechanical chases
closer to elevator core, creating more support space directly adjacent to nursing unit
• Transition can happen at Level 13, the new mechanical floor
Elevators
• Infill two existing shafts for staff
• Create 6 new passenger cabs
Design Impacts
• Optimal sequence for future build-out
o Growth model may drive recommendation for build out (Inpatient vs. Outpatient vs. support)
o Sequence should minimize disruption to occupants as shell floors are built out.
Proposed Stacking
Floor Proposed Alkek Beds Proposed Lutheran Beds
21 Shell
20 Shell
19 Shell
18 1/2 Shell - 1/2 Med/Surg 20
17 Med/Surg 40
16 Med/Surg 40
15 Med/Surg 40
14 Med/Surg 40
13 Mechanical GMP Lab
12 Med/SurgConsider full remodel for 20 rooms or 1/2 for 46
40 Med Surg 32
11 Med Surg 52 Med Surg 32
10 Med Surg 52 Med Surg 32
9 PediatricsChildren's Hospital incl ICU
52 Med Surg 32
8 Mechanical Med Surg 32
7 ICU 54 Med Surg 32
6 Interstitial Med Surg 32
5 ORs/Frozen Section, Stage 1 PACU
Stage 2 PACU
4 Interstitial Med Surg 32
3 DI, Cytopathology, FNA, Procedure Suite
2 Interstitial/Park Emergency Center
1 Pathology, PT/OT
B Sterile ProcessingRadiation Oncology
430 256
Total Beds Lutheran + Alkek 686
Projected Need 673
2012
Vacant during construction
Shell
Operational Impacts
• Closing of Rotunda drive and west entrance • Visitors - Garage 2• Valet Operations• Access• Flooding Exposure• Discharges• Patient Advocacy/Visitor Center/Porcelain Bird
Collection• 12th Floor/protected environment rooms • PT/OT – Closure of gardens used for gait
training and pet therapy
• Alkek Drive and West Entrance –How can the duration be mitigated?
• G12 must be vacated–Potential staging area for contractor, but space must be preserved
Operational ImpactsKey Issues
Questions?