School of Medicine

Health Sciences Education Building Phase II School of Medicine RENOVATION TRANSLATIONAL CLINICAL RESEARCH BUILDING HEALTH SCIENCES RESEARCH BUILDING PHASE ii

Executive Summary Programming and Conceptual Design Study november 2010

BNIM + The Clark Enersen Partners

credits Executive Committee This committee provided oversight for the study Dr. Lynda Bonewald Interim Vice Chancellor for Research Dean Sharon Bostick University Libraries Dean Betty Drees School of Medicine Dean Lora Lacey-Haun School of Nursing Dean Russel Melchert School of Pharmacy Dean Robert Piepho School of Pharmacy Dean Marsha Pyle School of Dentistry Interim Dean Thad Wilson School of Nursing Larry Eisenberg University Architect, University of Missouri System Bob Simmons Assistant Vice Chancellor, Facilities – Chair

School of Medicine Renovation/Health Sciences Education Building Phase II Planning Committee This committee provided input and direction for the Education components of the study Dr. Louise Arnold Associate Dean, Medical Education Dean Betty Drees - Chair Dr. Paul Cuddy Senior Associate Dean, Academic Affairs Melvin Davis Assistant to the Dean Dr. Stefanie Ellison Associate Dean, Curriculum Chuck Henning Chief Financial Officer Dr. Mark Hecker Director, Research Administration Dr. Jill Moormeier Associate Dean, Graduate Medical Education Dr. Brenda Rogers Associate Dean, Student Affairs Dr. Travis Solomon Associate Dean, Clinical Research Dr. Susan Wilson Associate Dean, Cultural Enhancement and Diversity Larry Eisenberg University Architect, University of Missouri System Bob Simmons Assistant Vice Chancellor - Facilities

Health Sciences Research Building Phase II Planning Committee This committee provided input and direction for the Health Sciences Research Building and the Translational Clinical Research Building components of the study Dr. Lynda Bonewald Interim Vice Chancellor for Research – Chair Dr. Marco Brotto Associate Professor, School of Nursing Dean Lawrence Dreyfus School of Biological Sciences Dr. Gregory Kearns Chairman, Department of Medical Research Children’s Mercy Hospital Dr. Anil Kumar Associate Dean for Research, School of Pharmacy Bonnie Postlethwaite Associate Dean of Libraries, University Libraries Dr. Travis Solomon Associate Dean, Clinical Research, School of Medicine Dean Kevin Truman School of Computing & Engineering Dr. Mary Walker Associate Dean for Research, School of Dentistry Larry Eisenberg University Architect, University of Missouri System Bob Simmons Assistant Vice Chancellor - Facilities

Other Key Contributors School of Medicine Department Chairs School of Medicine Department Faculty and Staff School of Medicine Students Health Sciences Library Librarians and Staff School of Dentistry Library Librarians and Staff Institute for Human Development Executive Staff Truman Hospital Executive Staff Dr. Trent Guess Associate Professor School of Civil & Mechanical Engineering Dr. Ted Knous Associate Vice Chancellor for Research Robin Rusconi Director, Medical Research Administration Children’s Mercy Hospital Unless otherwise noted, all individuals’ primary affiliation is with UMKC.

Executive Summary Programming and Conceptual Design Study november 2010

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Introduction This document is the overall Executive Summary of the Programming and Conceptual Design Study that was commissioned by UMKC for the Hospital Hill campus in late 2009. The study includes four building projects: a new Health Sciences Education Building, the renovation of the existing School of Medicine Building, a new Health Sciences Research Building, and a new Translational Clinical Research Building.

In addition to this overall summary, the completed study was documented as three components: an educational component and two research components.

• Health Sciences Education Building Phase II + the School of Medicine Renovation • Health Sciences Research Building Phase II • Translational Clinical Research Building Detailed information for each of the three components can be found in separate volumes organized as follows: Volume 1: Executive Summary This volume provides an overview of the programming and conceptual design study including Project Goals and Objectives, Site Analysis and Planning, Space Summary, Conceptual Design, Cost Profile, and Project Schedule.

Volume 2: Programmatic Requirements This volume includes more detailed information including Conceptual Drawings, Space Requirements (by Room), Project Design Criteria, and Supporting Information.

Strategic Plan, Project Goals & Objectives The construction of the new Health Sciences Buildings and the renovation of the School of Medicine Building will dramatically enhance the quality, effectiveness and scope of the Health Sciences programs at the University of Missouri - Kansas City.

With the high profile nature of this project and its significance to the Hospital Hill campus, it is critical to ensure that very specific goals and objectives are followed throughout the entire project.

UMKC’s Strategic Plan 2010-2020 highlights six overarching goals that informed the project’s goals and objectives outlined on the next page.

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Place Student Success at the Center Educational components will be designed to enhance the student’s success and experiences. The School of Medicine will be the primary occupant for the new Health Sciences Education Building, and the new building will be located to establish a close relationship with the existing School of Medicine.

The project will include new spaces to be shared across the campus, such as a large auditorium, a consolidated Health Scences Library and instructional spaces.

Outdoor spaces will be designed to enhance the student’s campus experience.

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Lead in Life and Health Sciences UMKC has a unique leadership opportunity. As a Health Sciences campus for Medicine, Nursing, Pharmacy and Dentistry, each school and the campus are positioned to collaborate in research, learning and clinical activities to shape the future of health care and research.

The project will develop facilities that meet the needs of future learning and research practices. The learning environments will adapt to changing learning styles and methods; research facilities will be highly collaborative for basic and translational research; and the clinical facilities will enable researchers and care providers to more quickly deliver quality of life and life-saving discoveries to Missourians and others.

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Advance Urban Engagement The new facilities will be designed to improve the quality of the neighboring environment and public realm. The campus design will create active green spaces and facades that project a welcoming presence as they address the specific urban conditions of the street and surroundings.

The design of the project will increase user comfort and activity in the courtyards, sidewalks and surrounding public spaces. Making students, faculty and staff visible to passersby and neighbors will boost connection between health care providers and the general population.

Architecture and design are only part of urban engagement.

The new programs housed on campus will expand and support health sciences programs in the community and further the mission of UMKC’s Hospital Hill Campus.

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Excel in the Visual and Performing Arts UMKC enjoys a growing reputation in visual and performing arts. The UMKC School of Medicine has a long history of integrating appreciation for art within the Medical School facilities. This legacy began with the school’s founder, Dr. Dimond, and continues today. In addition to its academic uses for lectures and symposia, the new auditorium will be designed to accommodate musical performances. Visual arts will be addressed as the project progresses as an important element to the culture and environment of the campus.

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Embrace Diversity Design is a powerful tool for making people of different cultures comfortable and inspired. Beauty can be defined by three tenets: sensory experience, mental or intellectual experience and nature. Throughout history great architecture has always embodied each of these tenets and, in doing so, has sustained universal appeal.

The design of the project will be both rooted in tradition and symbolic of the future. It will be closely connected to nature and the Midwestern climate and will provide rich sensory experiences for all users. Interior and exterior spaces and elements will feature well-proportioned spaces, interesting details and functionality and will interact with the overall campus design in way that touches the diverse population of the campus.

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Promote Research and Economic Development Research facilities on Hospital Hill will attract grants, funded research and other non-State funded revenue. The design of the new research facilities will be flexible and adaptable to allow wide ranging research proposals to help continue the growth of a thriving research community in Kansas City.

The project will also be designed to spur increased development of neighboring properties for directly and indirectly related entities including housing, retail and other research facilities needed to successfully meet the needs of the students, faculty, researchers and others studying and working in the new facilities.

Hospital Hill Master Plan A master plan for the Hospital Hill Campus was completed in 2002 as part of “The Partners Project for Planning” and the principles established were found relevant in the 2008 master plan update as illustrated on the opposite page. The plan shows future Health Sciences Education Buildings (#10) to be located on the blocks due east of the Health Sciences Building (#1) from Charlotte Street to Troost Avenue. The master plan and the University’s strategic goals guided the programming and conceptual design study.

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Approved by the Curators of the University of Missouri - October 2008

Hospital Hill Master Plan 0

100

500 ft

Hospital Hill Campus Projects Projects Recently Completed 1 Health Sciences Building 2 Hospital Hill Parking Structure Projects in Planning, Design or Construction 9 Dental School Addition 10 Health Sciences Education Building 11 Residential/Wellness & Fitness Center

Existing Buildings Existing UMKC Buildings Existing Non-UMKC Buildings Proposed Development Academic/Health Science Related Parking Deck Residential/Wellness & Fitness Center Signature Open Space Bus Rapid Transit Route

Location and Context UMKC’s Hospital Hill Campus is highlighted in the adjacent diagram. The site for new construction components of this study was identified as the block east of the Health Sciences Building and south of the UMKC Parking Structure and is bounded

by Campbell Street (east) and Charlotte Street (west), 25th Street (south) and 24th Terrace (north). In addition to the UMKC buildings, several partner institutions lie in proximity to the site, which strengthen Hospital Hill as a Life and Health Sciences campus. These include: Children’s Mercy Hospital - located west of the Medical School; Truman Medical Center (TMC) - located north of (and connected to) the Medical School; and the Health Sciences Center for Psychiatry/ Center for Behavioral Health - located east of TMC.

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10

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9 3

4

12

1 2

5 13

8

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Location and Context Map

1 UMKC Health Sciences Building (Pharmacy & Nursing) 2 UMKC Dental School 3 UMKC School of Medicine 4 UMKC Hospital Hill Parking Structure 5 UMKC Future Academic/Research 6 UMKC Future Student Housing Wellness and Fitness 7 Diastole 8 Ronald McDonald House 9 Children’s Mercy Hospital 10 Truman Medical Center 11 Health Sciences Center for Psychiatry 12 KCMO Health Department 13 Beacon Hill Development

Existing Future

Site Planning and Design Many factors contribute to successful campuses: scale, proportion, relationship to buildings, materials, places for sitting and convening, art and fountains, landscape design, views, connectivity to neighboring built spaces, relationships with nature, sense of safety, cultural or historic significance and urban design. All of these elements contribute to setting a stage for healthy campus community.

The center of the new development is envisioned as an open courtyard that is bordered by public use spaces inside each of the buildings. The three major buildings are positioned to compliment neighboring building setbacks and to encourage sidewalk activity and walkability. Major building entrances are located along Charlotte, 25th Street and Campbell.

The design team studied and explored site topics including topography, vehicular and pedestrian circulation, parking, public transportation, elevated pedestrian linkages and utilities including water, sewer, storm water, electricity and gas.

Several key concepts led to the organization of the site and building complex: - The new courtyard is linked spatially and visually to the existing Health Sciences courtyard to the west (between the SOM and the HSB) and also serves as a portal that pedestrians pass through to access the future development to the east. It also provides a common green space that unifies the three new buildings and facilitates natural daylight and views.

- The HSEB and Health Sciences Library are along the north edge of the site creating a stronger physical connection with the existing SOM – and reinforcing the idea of educational functions as the heart of campus.

- The Auditorium is placed centrally within the campus to serve the entire Hospital Hill community and has the potential to be a visual icon.

- The HSRB is along the south edge of the site fronting 25th Street creating a formal front door to the new courtyard from the south.

- The TCRB links the HSEB and the HSRB and has dedicated angled parking along Campbell Street for ease of patient access.

- The building floor plates are developed to maximize daylight and views.

- Human safety is a primary planning concern, and a system of enclosed pedestrian circulation is provided from the SOM to the Hospital Hill Parking Structure continuing through the HSEB to the TCRB and the HSRB.

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3

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5

Charlotte

4

10

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Health Sciences Courtyard

Campbell

24th Terrace

2 10 12 1

11 New Courtyard

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8

25th Street

Site Plan 0

100 ft

1 Health Sciences Building (Pharmacy & Nursing) 2 Health Sciences Education Building (HSEB) 3 School of Medicine (SOM) 4 Hospital Hill Parking Structure 5 Future Hospital Hill Parking Expansion 6 Health Sciences Library 7 Translational Clinical Research Building (TCRB) 8 Health Sciences Research Building (HSRB) 9 Elevated Pedestrian Bridge 1 10 Elevated Pedestrian Bridge 2 11 Elevated Pedestrian Bridge 3 12 Auditorium

Program Overview The programming process was conducted in the spring of 2010 and included user group interviews with the School of Medicine and a cross section of Hospital Hill researchers. In addition, focus group meetings were held with representatives from the Health Sciences Library, Health Sciences Teaching and Research Faculty, Centralized Classrooms, the Residency Program, Clinical Partners and Anatomy and Simulation Laboratories.

The following Program Summary lists the square footage for each of the four building projects including the net and gross square footage of the main program areas within each building. The gross square footage includes all mechanical, electrical, restroom, circulation and other nonassignable spaces that support each main area. The grossing factor represents a reasonable estimate for what percentage of these other spaces are required. The actual grossing factor and total gross square footage will be determined in Schematic Design once the programmed areas are laid out and approved by the Planning Committee and the Board of Curators.

Program Summary Health Sciences Education Building Phase II

Instructional Space Docent and Student Support Space Health Sciences Library Building Support Totals

Net Assignable Square Footage

21,172 42,452 29,974 7,810 111,408

Net to Gross Ratio

.58 .58 .66 .60 .60

Total

GSF

36,503 90,434 45,415 13,017 185,370

School of Medicine Renovation

Net Assignable

Net to

Square Footage

Administrative Offices and Support Department Offices and Support Instructional Space Docent and Student Support Space Research and Research Support Institute for Human Development Building Support Totals

12,192 19,765 34,553 1,180 39,294 10,785 16,010 133,779

Gross Ratio

Total

.56 .56 .51 .58 .50 .57

.56

.53

Existing School of Medicine Floor Area School of Medicine + 9,342 Penthouse Addition

GSF

21,772 35,294 67,246 2,034 79,382 18,921 28,589 253,238 254,733 264,075

Translational Clinical Research Building

Net Assignable

Net to

Square Footage

Administrative Offices and Support Translational Clinical Research and Support Interaction Spaces

Building Support Totals

1,752 22,636 121 2,663 27,172

Gross Ratio

Total

.58 .50 .58 .55 .51

GSF

3,021 45,272 209 4,842 53,343

Health Sciences Research Building Phase II

Administrative Offices and Support Research and Research Support Institutional Partner Research Technology Transfer and Incubation Core Facilities Specialized Research Interaction Spaces Building Support Totals

Net Assignable

Net to

Square Footage

3,487 42,612 16,123 10,546 9,925 8,662 3,993 6,421 101,769

Gross Ratio

Total

GSF

.65

.58 .58 .58 .58 .50 .65 .65 .58

5,365 73,469 27,798 18,183 17,112 17,324 6,143 9,878 175,272

Conceptual Design Overview The study includes three new buildings housing five primary uses; Education, Research, Health Sciences Library, Docent and Student Spaces, and Clinical Research.

The Health Sciences Education Building (HSEB) provides expanded space for the School of Medicine (SOM) and includes classroom spaces and docent and student support spaces. Additionally, the building includes a consolidated Health Sciences library and 300-seat auditorium/pre-function space. The library will house a centralized computer testing facility.

The Translational Clinical Research Building (TCRB) is the most public building in the complex. A primary function will be to conduct clinical studies, and patients from the community will come to the building to participate. The building includes clinical research and patient treatment spaces, clinical faculty offices, administrative offices and support spaces.

The Health Sciences Research Building (HSRB) will be a collaborative research facility for basic and translational research. The primary use is flexible adaptable laboratory space for wet and dry research activities. To support the research, the building will accommodate administrative offices and support space, core facilities, specialized research including a large animal facility and areas for institutional partner research and technology transfer and incubation, The new buildings form a complex and are connected by elevated enclosed walkways.

This system of pedestrian circulation is extended to the existing Hospital Hill Parking Structure, the Health Sciences Building and School of Medicine Building. Though the new buildings are conceived to be linked as part of a cohesive campus, each will feature its own identity and will be separate unto itself to allow flexibility in the phased construction of the complex.

The master plan for the site anticipates a single loading dock area serving all three buildings. Due to the dramatic terrain, the loading dock is located at the northeast corner of the site. The dock space is located in the HSEB Level 3 and connects via a freight elevator to a Level 0 service corridor common to all three buildings.

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HSEB

TCRB

HSRB

HSRB Level 0 / HSEB Level 1 0

50

100 ft

Program Legend Administrative Office Instructional Space Docent and Student Support Space Research and Research Support Building Support

Health Sciences Library Institutional Partner Research Specialized Research Technology Transfer and Incubation Core Facilities

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HSEB

TCRB

HSRB

HSRB Level 1 / HSEB Level 2 0

50

100 ft

Program Legend Administrative Office Instructional Space Docent and Student Support Space Research and Research Support Building Support

Health Sciences Library Institutional Partner Research Specialized Research Technology Transfer and Incubation Core Facilities

HSEB

TCRB

0

50

100 ft

HSRB

HSRB Level 2 / HSEB Level 3

Program Legend Administrative Office Instructional Space Docent and Student Support Space Research and Research Support Building Support

Health Sciences Library Institutional Partner Research Specialized Research Technology Transfer and Incubation Core Facilities

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HSEB

TCRB

HSRB

HSRB 3 / HSEB Level 4 0

50

100 ft

Program Legend Administrative Office Instructional Space Docent and Student Support Space Research and Research Support Building Support

Health Sciences Library Institutional Partner Research Specialized Research Technology Transfer and Incubation Core Facilities

HSEB

TCRB

HSRB

HSRB Level 4 / HSEB Level 5 0

50

100 ft

Program Legend Administrative Office Instructional Space Docent and Student Support Space Research and Research Support Building Support

Health Sciences Library Institutional Partner Research Specialized Research Technology Transfer and Incubation Core Facilities

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HSEB

HSRB

HSRB 5 / HSEB Level 6 0

50

100 ft

Program Legend Administrative Office Instructional Space Docent and Student Support Space Research and Research Support Building Support

Health Sciences Library Institutional Partner Research Specialized Research Technology Transfer and Incubation Core Facilities

HSEB

HSRB

HSRB Level 6 / HSEB Level 7 0

50

100 ft

Program Legend Administrative Office Instructional Space Docent and Student Support Space Research and Research Support Building Support

Health Sciences Library Institutional Partner Research Specialized Research Technology Transfer and Incubation Core Facilities

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View from School of Medicine Building

Entry to Health Sciences Education Building (Health Sciences Library to left and 300-seat Auditorium to right)

Conceptual Design Overview School of Medicine As currently conceived, the School of Medicine will be refitted with instructional space including clinical skills labs and anatomy and associated model labs, departmental offices, the Institute for Human Development and SOM research laboratories and support space. The Dean’s office, two existing classroom theaters and other administrative office functions will remain with some modifications. The scope of the renovation includes infrastructure and building envelope improvements including new mechanical, electrical and plumbing systems, elevator upgrades and new exterior windows.

Several concepts led to the proposed internal organization of the renovated SOM: • Instructional space is located on Levels 0-2 to be most accessible / convenient to students, faculty and staff. Two recently renovated large classroom / theaters on Level 1 are maintained.

• A café / vending / pre-function space is on Level 1 in an expanded Lobby space to create a sense of liveliness in the most public area of the building. The plan includes creating a more desirable, easily accessed outdoor space due south of the existing theaters.

• The Dean’s office and other public administrative offices remain on Level 1.

• Level 3 includes all additional administrative office spaces and all departmental offices.

A key concept was to locate all administrative offices in the existing SOM to facilitate day to day interactions. The departmental office space includes offices for some departments currently in Truman Medical Center and some shared departmental office space for all off-site departments to promote a UMKC community.

• Research space for the SOM is located on Levels 4 and 5 to facilitate mechanical requirements and desired privacy / security. Space for the Institute for Human Development (currently in leased space at the Pershing Building) is also on Level 4.

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School of Medicine Renovation - Level 0

School of Medicine Renovation - Level 1 0

50

100 ft

Program Legend Administrative Office Instructional Space Docent and Student Support Space

Building Support Department Office Institute for Human Development Research and Research Support

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School of Medicine Renovation - Level 2

School of Medicine Renovation - Level 3 0

50

100 ft

Program Legend Administrative Office Instructional Space Docent and Student Support Space

Building Support Department Office Institute for Human Development Research and Research Support

Existing Conditions

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School of Medicine Renovation - Level 4

School of Medicine Renovation - Level 5 0

50

100 ft

Program Legend Administrative Office Instructional Space Docent and Student Support Space

Building Support Department Office Institute for Human Development Research and Research Support

Project Schedules Health Sciences Education Building (Assumes all funding available Summer 2011) Begin Schematic Design September 2011 Construction Documents Complete September 2012 Bidding Mid-September-October 2012 Begin Construction (22 months) November 2012 Occupancy September 2014 School of Medicine Renovation (Assumes all funding available Summer 2011) Begin Schematic Design September 2011 Construction Documents Complete September 2012 Bidding Mid-September-October 2012 The construction shall commence at the completion of the new Health Sciences Education Building and be performed in 5 phases to minimize swing space needs and allow the building to be partially occupied during construction.

Begin Construction Phase 1 (12 months) September 2014 Phase 2 (10 months) September 2015 Phase 3 (12 months) July 2016 Phase 4 (8 months) July 2017 Phase 5 (4 months) March 2018 Occupancy July 2018 Health Sciences Research Building (Assumes all funding available Summer 2011) Begin Schematic Design September 2011 Construction Documents Complete September 2012 Bidding Mid-September-October 2012 Begin Construction (22 months) November 2012 Occupancy September 2014 Translational Clinical Research Building (Assumes all funding available Summer 2011) Begin Schematic Design September 2011 Construction Documents Complete September 2012 Bidding Mid-September-October 2012 Begin Construction (14 months) November 2012 Occupancy January 2014

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Cost Estimate Overview The cost estimate was prepared by Construction Cost Systems, Inc. (CCS) of Oakbrook Terrace, Illinois. CCS has utilized a Parameter Costing Model that develops and summarizes costs by evaluating building systems, materials and project logistics. The cost information presented does not reflect the current construction climate but is based on historical data from similar project types and reflects labor and material costs for this area, assuming one contract is awarded to one General Contractor. Escalation is included assuming 8/1/2011 as the start of construction and is calculated to the mid-point of construction.

In addition to the construction cost estimated for each building, additional costs have been calculated to present a Total Project Cost. These additional costs include: all consultant fees, administrative fees, loose equipment, furnishing and moving costs, as well as a construction contingency.

Health Sciences Education Buildings

Building

Estimated Const. Cost

School of Medicine Renov. $50,813,883 Health Sciences Ed. Bldg. $49,540,369 Bridge Cost $2,142,000 Site Cost (40%) $2,689,616 Totals $105,194,868

Estimated Soft Cost

Total Project Cost

$15,244,164 $12,385,092 $428,400 $672,404 $28,730,060

$66,058,047 $61,925,461 $2,579,400 $3,362,020 $133,924,928

$13,269,426 $524,875 $672,404 $14,466,705

$66,347,130 $2,624,375 $3,362,020 $72,333,525

$4,009,255 $403,442 $4,412,697

$17,373,440 $1,748,250 $19,121,690

Health Sciences Research Building Building Bridge Cost Site Cost (40%) Totals

$53,077,704 $2,099,500 $2,689,616 $57,866,820

Translational Clinical Research Building Building Site Cost (20%) Totals

$13,364,185 $1,344,808 $14,708,993

Design and Programming Team BNIM Architectural Design and Planning The Clark Enersen Partners Programming / Laboratory Planning MEP and Structural Engineering SK Design Group Civil Engineering Construction Cost Systems Cost Consulting FSC Inc. Code Consulting

BNIM + The Clark Enersen Partners