community board 8 zoning and development committee...2019/09/19 · illustrative rendering single...
TRANSCRIPT
Lenox Hill Hospital Redevelopment Project
Community Board 8
Zoning and Development Committee
September 19, 2019
pg. 2
Dr. Jill Kalman | Executive Director, Lenox Hill Hospital
Joshua Strugatz | Vice President, Lenox Hill Hospital
pg. 3Illustrative Rendering
A vision to deliver state-of-the-art health care.
pg. 4
Illustrative Rendering
Single bed patient rooms prevent infection, incorporate new technology, and allow space for family.
pg. 5
Reference Image
State of the art operating rooms.
pg. 6
Lenox Health Greenwich Village Emergency Department
Right-sizing the emergency department.
pg. 7
Illustrative Rendering
A mother/baby hospital.
pg. 8
Existing Conditions: E. 76th Street (toward Park Avenue)
Improving the experience around the block.
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.
pg. 10
E 77TH ST
E 76TH ST
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RESIDENTIAL
Illustrative Rendering
Getting ambulances off of 77th St.
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.
pg. 12
E 77TH ST
E 76TH ST
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RESIDENTIAL
Illustrative Rendering
Widening the sidewalks.
pg. 13
E 77TH ST
E 76TH ST
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RESIDENTIAL
Illustrative Rendering
Improving loading and service.
pg. 14
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E 77TH ST
E 76TH ST
RESIDENTIAL
Illustrative Renderings
Creating accessible public space.
pg. 15
Tomas Rossant, AIA | Design Partner, Ennead
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
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
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
pg. 19
24 patient rooms per fl oor
Benchmark: 850-1,000 SF / BedProposed: 960 SF / Bed
Vis
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Patient
Reception
Residential
FAMILY SUPPORT
MECHANICAL
CLINICAL / STAFF SUPPORT
INPATIENT BEDS
E 77TH ST
E 76TH ST
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Bed Floor Requirements
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
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
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
pg. 23
Joshua Strugatz | Vice President, Lenox Hill Hospital
LEE
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LOADING
AMBULANCE
pg. 24
PHASE I
(New Construction)
PHASE IIB
(New Construction)
PHASE IIA
(Renovation)
RESIDENTIAL
Phasing for uninterrupted operations.
LXX
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.. 7 66 TT HH SSSSS TTTT
LOADING
AMBULANCE
pg. 25
Illustrative Rendering
Park Avenue Residential
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
2n
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3rd
Av
en
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3rd
Av
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Le
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Pa
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pg. 26
Lenox Hill on the Upper East Side
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
pg. 28
Lenox Hill Hospital Redevelopment Projectwww.RenewingLenox.org
[email protected](212) 434-4360
Third Avenue [email protected]
(646) 921-1887