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Lenox Hill Hospital Redevelopment Project Community Board 8 Zoning and Development Committee September 19, 2019

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Page 1: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

Lenox Hill Hospital Redevelopment Project

Community Board 8

Zoning and Development Committee

September 19, 2019

Page 2: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 2

Dr. Jill Kalman | Executive Director, Lenox Hill Hospital

Joshua Strugatz | Vice President, Lenox Hill Hospital

Page 3: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 3Illustrative Rendering

A vision to deliver state-of-the-art health care.

Page 4: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 4

Illustrative Rendering

Single bed patient rooms prevent infection, incorporate new technology, and allow space for family.

Page 5: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 5

Reference Image

State of the art operating rooms.

Page 6: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 6

Lenox Health Greenwich Village Emergency Department

Right-sizing the emergency department.

Page 7: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 7

Illustrative Rendering

A mother/baby hospital.

Page 8: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 8

Existing Conditions: E. 76th Street (toward Park Avenue)

Improving the experience around the block.

Page 9: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 9

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E 77TH ST

E 76TH ST

RESIDENTIAL

Mother/Baby

Mother/Baby discharge

Residential

Emergency

Public

Ambulance Staff

Illustrative Rendering

Separating Entries.

Page 10: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 10

E 77TH ST

E 76TH ST

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RESIDENTIAL

Illustrative Rendering

Getting ambulances off of 77th St.

Page 11: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 11

E 77TH ST

E 76TH ST

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RESIDENTIAL

Illustrative Rendering

Moving the subway to widen the sidewalk - Adding an elevator.

Page 12: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 12

E 77TH ST

E 76TH ST

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RESIDENTIAL

Illustrative Rendering

Widening the sidewalks.

Page 13: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 13

E 77TH ST

E 76TH ST

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RESIDENTIAL

Illustrative Rendering

Improving loading and service.

Page 14: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 14

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E 77TH ST

E 76TH ST

RESIDENTIAL

Illustrative Renderings

Creating accessible public space.

Page 15: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 15

Tomas Rossant, AIA | Design Partner, Ennead

Page 16: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

E. 77th St.Lexington Ave.

HT. 490’

41 Stories

HT. 516’

30 Stories

HT. 180’

HT. 210’

HT. 156’

pg. 16

DIAGNOSTIC & TREATMENT

PUBLIC SPACE

INPATIENT BEDS

MECHANICAL

MOTHER / BABY BEDS

115 Beds including NICU

RESIDENTIAL

AMBULANCE BAYS

SUBWAY ENTRY

INPATIENT BEDS

360 Beds

PUBLIC SPACES & AMENITIES

RETAIL

EMERGENCY DEPARTMENT ENTRANCE

DIAGNOSTIC & TREATMENT

• OR’s (30) & Procedures (14)

• Emergency Department

• Observation Unit

• Imaging

• Labor & Delivery

RETAIL

Building Organization

Page 17: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 17

21’-1

0”

23’-8

12’-0” 15’-0”

Industry Standard Patient Room

• Single Occupancy

• Caregiver zone

• Family space

• Patient confi dentiality

Existing Patient Room

• Double Occupancy

• Increased risk of infection

• Not designed to current code

• No caregiver zone

• No family space

Single Patient Rooms

Page 18: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 18

Patient Room Requirements

• Single-patient occupancy

• ADA patient toilet and shower

• Clear fl oor area / clearance requirements around the bed

• Natural light

• Provisions for patient privacy

• Patient storage

• Family zone with movable seating

• Clinical work area

• Hand washing station

• Personal protection equipment space

15’-4

15’-0”

Required clear fl oor area

6’-5”

5’-0”4’-0”

3’-0”3’-0”

MED./SURG. CLEARANCE

ICU CLEARANCE

ADA PATIENT

TOILETCLINICAL ZONE

FAMILY ZONE

PATIENT ZONE

Room Requirements

Page 19: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 19

24 patient rooms per fl oor

Benchmark: 850-1,000 SF / BedProposed: 960 SF / Bed

Vis

ito

rs

Patient

Reception

Residential

FAMILY SUPPORT

MECHANICAL

CLINICAL / STAFF SUPPORT

INPATIENT BEDS

E 77TH ST

E 76TH ST

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Bed Floor Requirements

Page 20: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 20

OR

300 SF

OR

300 SF

OR

300 SF

OR

300 SF

52’-0

90’-0

48’-0”

86’-0”

Existing OR Suite

(with circulation and support)

Industry Standard OR Suite (with circulation and support)

• Separation of restricted circulation

• Dedicated path for sterile supplies

• Rooms sized to support image-guided procedures and robotics

• Control rooms and dedicated space for IT equipment

Circulation

OR

630 SF

OR

630 SF

OR

630 SF

OR

630 SF

Sterile Core

Circulation

Circulation

Support

Operating Room Suites Requirements

Page 21: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 21

Room Requirements

• Required clearances around the table

• Sized to accommodate imaging equipment and personnel as required

• Documentation area

• Image viewers

• Equipment storage

• Mobile equipment space

• Control room

• Scrub area

• Stretcher alcove

OR with Imaging1,000 SF

OR without Imaging670 SF

OR layout with Imaging

STERILE ZONE

CIRCULATION ZONE

MOBILE EQUIPMENT ZONE

APRON ZONE

NURSE

SCRUB ZONE

GENERAL

CIRCULATION

AND SUPPLY

ORs & Procedure Room Requirements

Page 22: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 22

10-12 ORs / Procedure rooms per fl oorBenchmark: 5,000 - 6,000 SF per OR

Proposed Floor Area: 54,000 SF (5,400 SF per OR)

Vis

ito

rs Patient

OR

OR

OR

OR

Staff Support

OR Support OR Support

Family SupportMother - Baby

ResidentialPrep & Recovery

Bays

Prep & Recovery Bays

OR with Imaging

OR with Imaging

OR with Imaging

OR with Imaging

OR with Imaging

OR with Imaging

Clean Core Clean Core

Eq

pm

tE

qp

mt

Eq

pm

tE

qp

mt

Eq

pm

tE

qp

mt

STAFF SUPPORT

FAMILY SUPPORT

MECHANICAL & SUPPORT

OR SUPPORT

OR TREATMENT

E 77TH ST

E 76TH ST

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OR Planning Requirements

Page 23: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 23

Joshua Strugatz | Vice President, Lenox Hill Hospital

Page 24: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

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AMBULANCE

pg. 24

PHASE I

(New Construction)

PHASE IIB

(New Construction)

PHASE IIA

(Renovation)

RESIDENTIAL

Phasing for uninterrupted operations.

Page 25: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

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pg. 25

Illustrative Rendering

Park Avenue Residential

Page 26: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

LENOX HILL HOSPITAL

77thSt.

Res

iden

tial

76thSt.

75thSt.

3rd Ave.

MEETH(1905)

MEETH(1983)

E. 76th Street

E. 77th Street

E. 78th Street

E. 75th Street

E 64th Street

E 63rd Street

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Lenox Hill on the Upper East Side

Page 27: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 27

• Partnership with The University Financing Foundation (TUFF)

• Abatement and demolition expected to be complete early 2020

• Planning for the new building underway

–Northwell Comprehensive Cancer Center to anchor new building

–Will not be a 24-7 facility or receiving site for emergency vehicles

• Building has not been designed, but will be consistent with current zoning (approximately 200,000 square feet)

Third Avenue Status Update

Page 28: Community Board 8 Zoning and Development Committee...2019/09/19  · Illustrative Rendering Single bed patient rooms prevent infection, incorporate new technology, and allow space

pg. 28

Lenox Hill Hospital Redevelopment Projectwww.RenewingLenox.org

[email protected](212) 434-4360

Third Avenue [email protected]

(646) 921-1887