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?