INTERVIEW PRESENTATION
SHAILEE DAVE
HOSPITALITY
CIVIC & EDUCATION
HEALTHCARE
RETAIL
SAMARITANDRIVE SAMARITANCOURT LOADING AREA (E) TRASH ENCLOSURE NATIONAL AVE. 3‐STORY MEDICAL OFFICE BUILDING 69,250 G.S.F. TOTAL 3.5 STORY PARKING STRUCTURE 260 CARS TOTAL 83,421 G.S.F. TOTAL ENTRY ENERGENCY GENERATOR FUTURE DEVELOPMENT NOT PART OF THIS PROJECT FUTURE DEVELOPMENT, NOT PART OF THIS PROJECT PROPERTY LINE PATH OF TRAVEL TO PUBLIC TRANSIT (E) BIKE RACKS (6) EXISTING SHORT TERM BIKE RACKS (2) EXISTING BIKE LOCKERS PROJECT INTRODUCTION VIEW OF BUILDING ENTRANCE PROGRAM ASC - 22,600 sqft 1. Ambulatory Surgery Center Clinics and Imaging - 46,650 sqft 2. OBGYN 3. Neurosurgery & General Surgery 4. Pulmonary & PMR 5. Orthopedics & Podiatry 6. Diagnostic Imaging (X-ray, CT Scan, MRI) 7. Clinic Lab 8. Staff Amenities 9. GI, Urogynecology, GynOnc & Urology
BUILDING INFORMATION
MODELING
IFOA AGREEMENT
LEAN DESIGN STRATEGY
Contractors
COMMUNICATION & COORDINATION STRATEGY
Owner's Consultants Sub
Architect's Consultants
Access Information
Wayfinding
Social Support
Communication Privacy
Reduce Anxiety, Stress and Pain
Comfort Safety
Worker Health
Job Satisfaction Safety
Information
Collaboration
Efficiency and Flow
OPERATIONAL PRODUCTIVITY C.730 Goal Supported Goal to be addressed Additional observations B C D E 7 7 6 6 5 5 4 4 3 3 2 2 1 1 7.6 7.6 7.3 1.2 B.5 UP UP CBPS CBPS CBPS CB PS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS LOBBY WAITING RECEPTION BUSI. OFF CONSULT OFFICE OFFICE PRIVATE 3 1 2 4 5 6 NURSE OFFICE TOILET TOILET CLEAN UTILITY/ NOURISH STORE TOILET MED PREP NURSE WC STORE VITALS 20 19 17 13 11 10 PRIVATE PRIVATE RECOVERY P.A.C.U. SOILED UTILITY STORE I.T. EXIT LOBBY MAIN ELEC O.R. #3 O.R. #2 O.R. #1 ANESTH WORK SOILED SCOPE PROCEDURE PROCEDURE DICT. OR COMP EQUIP HOLD SOILED WORK JANITOR OFFICE STERILE STORE GEN STORE RECIEVING PATH. TRASH STN BIO. ELECT I.T. MECH MED GAS WAITING RECEPTION M.R.I. MRI EQUIP ACC. DRESS DRESS TOILET TOILET TOILET JANITOR STAFF LOUNGE CLEAN LINEN WOMEN'S LOCKERS VEST VEST VEST MEN'S LOCKERS PRE-OP STAFF CORRIDOR NON-STERILE CORRIDOR STERILE CORRIDOR STER 18 12 9 CLEAN SCOPE CLEAN WORK CONTROL ROOM 14 15 16 5 15 30 Frosted windows at Fremont. alth & Job f corridors for ction nd Flow for internal doors – Materials needs o move things around by cart with nd Flow Need location to hang white coats OP – Efficiency and Flow 0.0 Space 1 Space 2 Space 3 Space 4 Space 5 Space 6 Space 7 Space 8
PATIENT EXPERIENCE WORKER EXPERIENCE
EXISTING FACILITY ASSESSMENT & OBSERVATIONS
Wheelchair storage was too far so wheelchairs were stored in corridor.
OP – Efficiency and Flow
PE – Access
WE – Worker Health
Fremont facitlity liked the vestibule to have discharged patients wait for the ride to pull around.
Big windows to easily see.
OP – Efficiency and Flow
WE- Worker Health
Wheelchair storage was too far so wheelchairs were stored in corridor.
WE – Worker Health 8.14
OP – Efficiency and Flow
PE – Access
Wheel chairs hit the wall and scuffed the wall, need wall protection lower.
OP – Efficiency and Flow
Fremont liked the vestibule to have discharged patients wait for the ride to pull around. Big windows to easily see.
WE- Worker Health 8.15
OP – Efficiency and Flow
Wheel chairs hit the wall and
Need extra storage space near Post-Op Bays.
OP – Efficiency and Flow 8.19
Makeshift wayfinding signage to guide users to exit.
PE – Wayfinding 8.20
Makeshift way finding signage to guide users to exit.
PE – Way finding
Need extra storage space near Post-Op Bays.
OP – Efficiency and Flow
B 7 4 3 2 7.6 CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS WAITING BUSI. OFF CONSULT OFFICE 1 2 NURSE OFFICE TOILET TOILET CLEAN UTILITY/ NOURISH STORE TOILET MED PREP NURSE WC STORE VITALS 20 19 17 13 11 10 PRIVATE 8 PRIVATE 7 RECOVERY P.A.C.U. SOILED UTILITY STORE PRE-OP 18 12 9 14 15 16 15 17 16 14 20 H 19 I F G 18
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5 15 LEAN DESIGN: FINDINGS & IMPLEMENTATION 1 2 3 3 4 5 1 2 3 4 5
E
Vital station was used for changing, had curtain.
OP – Efficiency and Flow
PE
Access & Privacy
Need a spot for clean beds to back fill in Pre-Op. Observed a 15 minute period were there was an OR, surgeon, and multiple recovery rooms available but admitting was out of gurneys so they could not admit the next patient.
OP – Efficiency and Flow
& Privacy
t vitals station to avoid HIPPA makes vitals needed to be ed.
y and Flow
r clean beds to back fill in Pre-Op. Observed eriod were there was an OR, surgeon, and ery rooms available but admitting was out of ey could not admit the next patient.
y and Flow
Counters (high and low) were completely full of file folders, clipboards, bins (up to 12” deep), bonnets, and trays. Fremont counters 9” deep.
WE – Worker Health, Collaboration, & Job Satisfaction
OP – Efficiency and Flow
uitter place to do pre-calls than nurse station. sfaction
hysiological monitor charging at nurse station.
y and Flow
Counters had 10’ of countertop that was full with copier, printer, label printer, trays, folders, papers, shred bin, blanket warmer, and IV pole.
WE – Worker Health, Collaboration, & Job Satisfaction
OP – Efficiency and Flow
and low) were completely full of file folders, s (up to 12” deep), bonnets, and trays. ers 9” deep.
Health, Collaboration, & Job Satisfaction y and Flow
Procedure rooms need door to the soiled scope room. Corner turns to procedure rooms was tight with a gurney.
OP – Efficiency and Flow
Need storage area near procedure rooms. Scope cabinet storage was too tight. This can not be in the procedure room.
OP – Efficiency and Flow
1.2 B.2 A.2 A.8 A.6 C.7 Goal Goa Addi CBPS CBPS CBPS CB PS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS CBPS LOBBY WAITING RECEPTION BUSI. OFF CONSULT OFFICE OFFICE PRIVATE 3 1 2 4 5 6 NURSE OFFICE TOILET TOILET CLEAN UTILITY/ NOURISH STORE TOILET MED PREP NURSE WC STORE VITALS 20 19 17 13 11 10 RECOVERY P.A.C.U. SOIL O.R. #1 ANESTH WORK SOILED SCOPE PROCEDURE PROCEDURE DICT. OR COMP EQUIP HOLD PATH. I.T. MRI EQUIP TOILET TOILET TOILET JANITOR WOMEN'S LOCKERS VEST VEST VEST MEN'S LOCKERS PRE-OP STAFF CORRIDOR 18 12 9 CLEAN SCOPE 14 15 16 A B 03 04 05 06 07 09 10 11 08 02 01 C
O Ne O Expect a traffic controlle O Three trash b O
O
Expect traffic control
–
-E 5 15 6 7 8 MA ANESTH WORK SOILED SCOPE PROCEDURE PROCEDURE DICT. CLEAN SCOPE
9 10 11 6 7 8 9 FF 1 PRE as too tight. This can oom. w 10 11 LEAN DESIGN: FINDINGS & IMPLEMENTATION
S S S S S SS SS S S PF FEC FEC FEC FEC FEC FS 1 1 2 2 3 3 4 4 5 5 6 6 7 7 1.2 1.2 7.6 7.6 7.3 7.3 A A B C C D D E E A.2 A.2 A.6 A.6 A.8 A.8 B.2 B.2 B.5 B.5 AREA 'A' AREA 'B' AREA'B' AREA'C' AREA 'D' AREA 'C' AREA'A' AREA'D' LOBBY 1000 WAITING 1101 RECEPTION 1102 BUSINESSOFFICE 1103 CONSULT 1106 OFFICE 1105 OFFICE 1104 PRIVATEPRE-OP3 1114 PRIVATEPRE-OP1 1112 PRE-OP2 1113 PRE-OP 1115 PRE-OP5 1117 PRE-OP 1118 NURSE 1134 OFFICE 1133 PATIENTTOILET 1132 PATIENTTOILET 1131 CLEANUTILITY/ NOURISH 1130 STORAGE 1129 PATIENTTOILET 1128 MEDPREP 1127 NURSE 1126 VITALS/DRESS 1107 R20 1108 R19 1109 R17 1135 R15 1137 R13 1139 PACU11 1141 PACU10 1142 PRIVATEPACU 1144 PRIVATEPACU7 1145 SOILEDHOLD 1147 EASTLOBBY 1151 O.R.#3 1158 O.R.#2 1159 O.R.#1 1160 ANESTHWORK 1155 SCOPECLEAN 1123 PROCEDURE 1124 ORCOMP 1161 EQUIPHOLD 1162 SOILEDWORK 1165 EVS 1156 OFFICE 1168 STERILESTORAGE 1169 GENERALSTORAGE 1170 RECEIVING 1172 TRASH/BIO/SOIL LINEN 1173 EVS 1001 TOILET 1002 TOILET 1003 STAFFLOUNGE 1179 CLEANLINEN 1175 WOMEN'SLOCKERS 1178 VEST 1177 MEN'SLOCKERS 1176 STERILIZER EQUIPMENT 1167 R18 1110 PACU12 1140 PACU 1143 CLEANWORK 1166 R14 1138 R16 1136 PROCEDURE1 1121 SOILEDSCOPES 1122 MEDGAS 1008 MECHANICAL 1009 CORR 1004 CORRIDOR 1005 CORRIDOR 1174 CORRIDOR 1163 CORRIDOR 1164 CORRIDOR 1116 HALLWAY 1180 PRE-OP 1119 SCRUBALCOVE 1125 RECOVERY 1111 PACU 1146 CORRIDOR 1148 CORRIDOR 1149 CORRIDOR 1153 STERILECORRIDOR 1157 WAITING 1201 PATHOLOGY 1171 VEST 1182 PATIENTTOILET 1204 DRESS 1205 PREPAREA 1203 CONTROLROOM 1206 MRI 1207 RECEPTION 1202 READING 1210 READING 1209 MRIEQUIPMENT 1208 CORRIDOR 1120 RECOVERY 1111 STAIR#1 (E)ELEV (E)ELEV (E)ELEV ELEVATOR CONTROLLER ELECTRICAL1A 115 TELE/COMM.1A 120 MEN'STOILET 1176A WOMEN'STOILET 1178A ISEQPTROOM 160 STAIR#2 165 MAINELECTRICAL 170 GRAPHIC DESCRIPTION NEWPARTITIONGRAPHICSLEGEND FULL-HEIGHTSOUNDPARTITION 1HOURFIREPARTITION 1HOURFIREBARRIER 1HOURSMOKEBARRIER 2HOURFIREBARRIER FURRINGPARTITION 2HOURSMOKEBARRIER FULL-HEIGHTSOUNDPARTITION NON-RATEDBRACEDPARTITION NON-RATEDBRACEDSOUNDPARTITION 2HOURFIREBARRIER/SHAFT 1HOURFIREBARRIER/SHAFT AMBULATORY SURGERY CENTER - FLOOR PLAN FLOOR 1 0" A APC 9' 0" T.O. WALL 6' 2" (E) SPANDREL GLAZING (E) CURTAIN WALL GLAZING SYSTEM WALL PROTECTION, SEE FLOOR PLANS FOR LOCATIONS (E) VISION GLAZING BOX HEADER, SEE LIGHT GAUGE FRAMING DWGS SILL TRACK PER PARTITION SCHEDULE RECESSED OUTLET; SEE ELEC & PLUMBING DWGS RECESSED LIGHT FIXTURE PER ELECTRICAL DWGS RECESSED ROLLER SHADE, SEE RCP FINISH FLOOR, SEE FINISH PLANS (E) SLAB ON GRADE (E) PRECAST CONC PANEL (1) LAYER 5/8" TYPE 'X' GYP. BD. OVER 3 5/8" MTL STUD FRAMING A7.41X 11 2 7/8" 4 1/4" 6 7/8" INTERIOR EXTERIOR OUTCOME
Patient-centric model
Accountable care with an evidence-based manner
Improve communication
Improve utilization of space & resources
Provide flexibility
Improve access to services "I-2" OCCUPANCY "B" OCCUPANCY "H" OCCUPANCY
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ZONING DIAGRAM
EXAM ROOM - ISOMETRIC VIEW
Caregiver Zone Handwash Patient / Family Zone Charting Access Exam Room Exam Room Exam Room Exam Room Exam Room Exam Room
STANDARD EXAM ROOM FLOOR PLAN
Standing Scale1 Sliding Door Privacy Curtain2 Handwashing Fixture Soap Dispenser Paper Towel Dispenser Side Chair8 Wall-Mounted Computer6 Stool Triple Glove Box Dispenser MIN 11'-9" MIN 9'-9" 2'-0" Coat Hook7 C L N S W E Mobile Cart MIN 1'-6" Printer on Cart5 Oto/Ophthalmoscope4 Exam Table 3'-6" Waste Bin(s)3 Alternate Vital Signs and Oto/Ophthalmoscope Location4 Vertical Grab Bar1 Vital Signs4 Hand Sanitizer9 Sharps Disposal C L Structural Bay Size 30'-0" (typ) STANDARD CLINIC MODULES
PRODUCTION
PREPARATION
PROCESS
GOAL
• Develop standard exam room
• Reduce travel distances
• Improve throughput
• Create an adaptable model
• Gain consensus
EXAM ROOM MOCK-UP: 3P PROCESS IMPLEMENTATION
TRADITIONAL MULTI-SPECIALITY MODEL
• Separate MD offices at exterior
• Exam room lined along corridors
• Staff located separate from MDs
• Co-located service lines and specialties
• Standardized Work Flow
• Improved Utilization of Space
UTAH MODEL
• MD and staff co-located at back of suite
• Separate MD/staff circulation
• Exam rooms have dual entry
VIRGINIA MASON MODEL
• Staff and MDs co-located in central location
• Exam rooms have dual entry - staff and MDs enter from shared work space
33.6% Circulation
DENVER HEALTH MODEL
• Provider Collaboration
• Minimize Staff Travel
• Patient Focused
• Alternate Visits
• Exam rooms arranged to reduce walking
• No MD offices – work stations
• Staff and MDs co-located in central location
31.4% circulation
CLINIC DESIGN MODULES
CENTRALIZATION OF SERVICES AND STANDARDIZATION OF PROCESS, ALLOWED FOR FLEXIBILITY
• Reduced design hours
• Lower design costs
• Cost neutral
• Higher patient satisfaction
• Allow for scalability
• Higher worker efficiency
OUTCOME
DESIGN OPTION #1 DESIGN OPTION #2 DESIGN OPTION #3 A B C D 3 4 5 TOILET EXAM EXAM EXAM EXAM EXAM PLUS EXAM SU CCP TOILET EXAM EXAM EXAM PLUS EXAM EXAM EXAM MA MA MA MA MA MA MA MA MD MD MD MD MD RN RN MD STORAGE WATER/ COFFEE WORK WORK MD OFFICE MD OFFICE MD OFFICE MD OFFICE OFFICE CARE LEAD CARE LEAD 7' ‐ 9 1/4" 7' ‐ 10 1/2" 7' ‐ 9 1/4" 1' ‐ 6" 8' ‐ 3 5/8" 16' ‐ 3 3/4" 4' 0" 7' 6 1/2" 18' 7 1/8" 15' ‐ 0" 8' ‐ 0" 12' ‐ 10 1/2" 10' ‐ 0" 14' ‐ 0" 30' ‐ 3" 30' ‐ 3" 11' ‐ 11 1/4" 5' ‐ 0" 11' ‐ 11 1/4" 31' ‐ 6" 31' ‐ 6" 21' ‐ 0" CLINICIAN SUPPORT PATIENT CARE WAITING UP RECEPTION OFFICE GYNONCEXAM 1 WAITING GYNONCEXAM PLUS UROGYNEXAM PLUS PATIENT TOILET PATIENT TOILET SOILEDUTILITY UROGYNEXAM 1 UROGYNEXAM 2 GYNONC CONSULT UROGYNEXAM 3 UROGYNEXAM STORAGE /SUPPLY MEDPREP UROLOGY EXAM UROLOGY EXAM3 UROLOGY EXAM4 UROLOGY EXAM PATIENT TOILET SOILEDUTILITY PATIENT TOILET GYNONC PROCEDURE ROOM UROGYN PROCEDURE ROOM GIEXAM GIEXAM4 GIEXAM UROGYN CONSULT GIEXAM SCOPEWASH UROLOGY PROCEDURE ROOM I.T.ROOM ELECROOM STAFFBREAK ROOM OBGYN PROCEDURE ROOM PATIENT TOILET CONSULT SUPPLY OBGYNEXAM 20 OBGYNEXAM 19 PATIENT TOILET OBGYNEXAM 16 OBGYNEXAM 17 OBGYNEXAM 18 OBGYNEXAM PLUS OBGYNEXAM PLUS PATIENT TOILET SOILEDUTILITY OBGYNEXAM 13 OBGYNEXAM 14 OBGYNEXAM 15 OBGYNEXAM 12 OBGYNEXAM 11 OBGYNEXAM 10 PATIENT TOILET OBGYNEXAM OBGYNEXAM PATIENT TOILET OBGYNEXAM7 OBGYNEXAM6 OBGYNEXAM5 LACTATION OBGYNEXAM OBGYNEXAM OBGYNEXAM TOILET NST ELECTRIC ROOM PUBLICTOILET PUBLICTOILET PATIENT TOILET TOILET PATIENT TOILET PATIENT TOILET GYNONCEXAM 2 GYNONCEXAM 3 SUBWAIT STORE CLEANUTILITY PATIENT TOILET OBGYNEXAM4 MEDPREP SUPPLY CLEANUTILITY SUPPLY SELECTION AND IMPLEMENTATION - CLINIC MODULE
PROVIDERS - 7 EXAM - 4 EXAM PLUS - 2
PROCEDURE - 0
PROVIDERS - 4 EXAM - 4 EXAM PLUS - 0 PROCEDURE - 0 DIAGNOSTIC IMAGING, OUTPATIENT
PROCEDURE - 2 ORTHOPEDICS & PODIATRY
PROVIDERS - 15 EXAM - 12
EXAM PLUS - 2
PROVIDERS - 3 EXAM - 2 EXAM PLUS - 0
PROCEDURE -1 (SHARED)
PTNS - 1 UROGYN
PROVIDERS - 5 EXAM - 1 EXAM PLUS - 1 PROCEDURE -1 (SHARED)
PROVIDERS - 3 EXAM - 2 CONSULT - 1 PROCEDURE -1
+46" CR CR+46" CR+46" CR+46" CR+46" +46" CR +46" CR +46" CR +46"CR CR+46" +46" CR CR+46" +46" CR +46" CR +46" CR +46" CR +46" CR +46" CR +46" CR P P P P P P P P P +46" CR +46" CR FEC FEC FEC P P +46" CR +46" CR +46" CR +46" CR +46" CR +46" CR +46"CR +46" CR +46"CR P ANN ANN ANN ANN ANN ANN SE SE SE SE SE SE D D SE SE SESE SE SE SE D SE SE SE SESE SE D 1 SE SE SE D SE SE SE D SE SE SE SE SE SE SE SE EP EP SESE SESE SE PP D PP D SE SE SE D +46" CR ANN ANN D P T T T T T T T T T T T T T T T T T T 1 1 T T T T T T T TTTTT T T T T T T T 1 2 3 4 5 6 7 1.2 7.6 7.3 RECEPTION 2100 NEUROEXAMPLUS 2110 NEUROEXAM1 2111 NEUROEXAMPLUS2 2112 NEUROEXAM2 2117 NEUROEXAM3 2118 NEUROEXAM4 2119 TOILET 2120 SOILEDUTILITY 2125 TOILET 2126 PMREXAM1 2124 PMREXAM 2123 PMREXAM3 2128 TOILET 2141 SOILEDUTILITY 2148 TOILET 2149 SUPPLYNODE 2147 EMGTESTINGROOM 2129 UROLOGYEXAM1 2134 UROLOGYEXAM 2135 BLOODDRAW 2103 CENTRAL PROCESSING 2104 TOILET 2106 SUPPLYNODE 2130 MEDPREP 2136 UROGYNPTNSROOM 2157 CASTROOM 2226 ORTHOEXAM 2225 TOILET 2238 ORTHOEXAMPLUS 2236 FLOUROROOM 2231 ORTHOEXAM2 2230 ORTHOEXAM3 2235 PODIATRYEXAM 2247 PODIATRYEXAM 2248 ORTHOEXAM7 2249 STAFFBREAKROOM 2257 PODIATRYEXAM4 2256 PODIATRYEXAM 2255 TELECOMM 260 ELECTRICALROOM 270 CARETEAM 2227 ELECTRICALROOM 215 ULTRASOUND 2209 DRESS 2220 DRESS 2221 ULTRASOUND 2208 ISWORKROOM 220 TOILET 2205 TOILET 2206 TECH 2210 ULTRASOUND 2216 ULTRASOUND 2217 SUPPLYNODE 2212 TOILET 2213 ADADRESS 2214 CONTROLROOM 2215 X-RAY 2219 X-RAY 2218 SOILEDUTILITY 2222 TROPHON ROOM 2223 CTSCANROOM 2211 TOILET 2107 TOILET 2108 IMAGINGOFFICE 2204 SUPPLYNODE 2228 CARETEAM 2233 CARETEAM 2234 CARETEAM 2244 MEDPREP 2245 CARETEAM 2246 CARETEAM 2252 CARETEAM 2253 CARETEAM 2156 CARETEAM 2155 CARETEAM 2144 CARETEAM 2143 CARETEAM 2142 CARETEAM 2137 CARETEAM 2132 CARETEAM 2131 CARETEAM 2122 CARETEAM 2121 CARETEAM 2115 CARETEAM 2114 CORR 2105 CHECK-IN 2101 CORR 2109 CORR 2116 CORR 2133 CORR 2127 CORR 2138 CORR 2150 CORR 2254 CORR 2207 CORR 2203 CORR 2224 CORR 2229 CORR 2251 CORR 2243 CORR 2239 UROGYNEXAMPLUS 2152 GYNONCTREATMENT ROOM 2153 UROGYNEXAM 2151 UROGYN/UROLOGY TREATMENTROOM 2160 TOILET 2154 SUPPLYNODE 2158 GYNONCEXAM1 2146 GYNONCCONSULT 2140 CONFERENCEROOM 2139 GYNONCEXAM2 2145 TROPHON ROOM 2159 TOILET 2161 TOILET 2232 SOILED UTILITY 2237 ORTHOEXAM4 2240 ORTHOEXAM6 2242 ORTHOEXAM8 2250 ORTHOEXAM 2241 BUILDING STORAGE 2202 JANITOR CLOSET 2201 STAIR#2 265 STAIR#1 205 50x132 WAITING 2162 MECHANICALSHAFT A 2A MECHANICALSHAFT 2B RECEPTION 2200 PUB.ELEV.#1PUB.ELEV.#2 SERV.ELEV.#3 1 2 3 4 5 6 7 1.2 7.6 7.3 A B C D E A.2 A.6 A.8 B.2 C.7 B.5 IMAGINING AND CLINICS - 2nd FLOOR PLAN
GYNONC
LAB NEUROLOGY PMR UROLOGY
CLINICAL
+46"CR CR+46" P P +46" CR CR+46" +46" CR +46" CR +46" CR +46" CR +46" CR +46" CR +46" CR +46" CR +46" CR +46" CR +46" CR P P P P P P P P P P FEC FEC FEC CR+46" +46" CR +46" CR +46" CR CR+46" +46"CR +46" CR +46" CR P P ANN ANN ANN ANN ANN ANN ANN 1 11 1 SE SESE SESE SE SE SE SE SE SE D SE SE SE SESESE D SESE SESESE D SESESE SESE SE SE D SE SE SESE D D SE SE SE SE SE SESESE SESE D SE SE SE SE D SE SE SE SE +46" CR +46"CR +46" CR DP D T D T T T T TT T T T T T T T T T T T T T T T T T T TT T T T T T T T T T T GIEXAM1 3115 GIEXAM2 3116 GIEXAM3 3117 TOILET 3118 SOILED UTILITY 3123 TOILET 3124 GIEXAM4 3122 GIEXAM5 3121 GIEXAM 3125 GIEXAM12 3138 GIEXAM11 3139 GIEXAM10 3140 TOILET 3141 SOILED UTILITY 3147 TOILET 3148 GENSURG EXAM1 3146 GENSURG EXAM2 3145 GENSURG EXAM4 3150 GENSURGEXAM PLUS 3151 GIEXAM 3126 GIEXAM9 3132 GIEXAM8 3133 SUPPLYNODE 3127 MEDPREP 3134 TELECOMM 360 GENSURG EXAM 3144 OBGYNEXAM13 3234 OBGYNEXAM14 3235 OBGYNEXAM15 3236 OBGYNEXAM16 3250 OBGYNEXAM19 3255 STAFFBREAKROOM 3266 OBGYNEXAM22 3264 OBGYNEXAMPLUS/ TREATMENTROOM 3240 OBGYN EXAMPLUS 3246 OBGYNEXAM21 3258 TOILET 3256 OBGYNEXAM17 3251 OBGYNEXAM18 3252 OBGYNEXAM10 3228 OBGYNEXAM 3227 OBGYNTREATMENT ROOM 3215 TOILET 3216 OBGYNEXAM6 3223 OBGYNEXAM7 3222 TOILET 3221 SUPPLYNODE 3224 SUPPLYNODE 3110 GITREATMENT ROOM 3152 GENSURG TREATMENTROOM 3159 SUPPLYNODE 3158 TOILET 3153 TOILET 3160 ELECTRICALROOM 315 NST 3211 OBGYNEXAM3 3213 OBGYNEXAM4 3214 OBGYNEXAM2 3209 OBGYNEXAM1 3210 PUBLICTOILET 3203 RECEPTION 3100 CARETEAM 3218 CARETEAM 3219 CARETEAM 3226 CARETEAM 3231 CARETEAM 3233 CARETEAM 3238 CARETEAM 3242 CARETEAM 3243 CARETEAM 3249 CARETEAM 3253 CARETEAM 3254 CARETEAM 3261 CARETEAM 3262 CARETEAM 3212 CARETEAM 3111 CARETEAM 3112 CARETEAM 3113 CARETEAM 3119 CARETEAM 3120 CARETEAM 3129 CARETEAM 3130 CARETEAM 3135 CARETEAM 3136 CARETEAM 3142 CARETEAM 3143 CARETEAM 3154 CARETEAM 3155 CARETEAM 3156 CARETEAM 3157 CORR 3109 CORR 3114 CORR 3131 CORR 3128 CORR 3137 CORR 3149 CORR 3102 WAITING 3267 CORR 3263 CORR 3207 CORR 3260 PUBLICTOILET 3202 PUBLICTOILET 3201 TROPHON ROOM 3244 MEDPREP ROOM 3241 SOILED UTILITY 3247 PFTLAB 3108 PULMONOLOGY EXAM3 3107 PULMONOLOGY EXAM 3105 OFFICE 3208 PULMONOLOGY EXAM1 3104 PULMONOLOGY TREATMENTROOM 3106 LACTATION ROOM 3103 TOILET 3239 TOILET 3245 OBGYNEXAM20 3257 OBGYNEXAM23 3265 OBGYNEXAM12 3230 OBGYNEXAM11 3229 OBGYNEXAM 3220 OBGYNEXAM5 3217 SUPPLYNODE 3259 ELECTRICALROOM 370 BUILDING STORAGE 3205 JANITOR'S CLOSET 3204 STAIR#1 305 STAIR#2 365 EASTLOBBY 341 CORR 3225 CORR 3237 CORR 3248 CORR. 3200 CORR 3206 CORRIDOR 3232 PUB.ELEV.#2 PUB.ELEV.#1 SERV.ELEV.#3 MECHANICALSHAFT A 3A MECHANICALSHAFT B 3B A B C D E A.2 A.6 A.8 B.2 C.7 B.5 1 2 3 4 5 6 7 1.2 7.6 7.3 CLINICS - 3rd FLOOR PLAN PROVIDERS - 6 EXAM - 3 EXAM PLUS - 0 PROCEDURE - 1 PULMONOLOGY PROVIDERS - 15 EXAM - 12 EXAM PLUS - 0 PROCEDURE - 1 GI PROVIDERS - 9 EXAM - 4 EXAM PLUS - 1 PROCEDURE - 1 GEN SURG PROVIDERS - 28 EXAM - 23 EXAM PLUS - 1 PROCEDURE - 1 OBGYN
RECOVERY BAYS
STATION
NURSE
(TRANQUIL)-
BAYS (TRANQUIL)-
PERSPECTIVE VIEWS
NURSE STATION AT PRE-OP BAY
ASC ENTRANCE AND CHECK-IN
PERSPECTIVE VIEWS
CLINIC WAITING AREA
APPROVALS IMPLEMENTATION 2022 NovDecJanFebMarQ2Q3Q4Q1 Q2 Q3 Q4Q1Q2Q3Q4 Capital Committee SHBA Facility Committee SHBA Finance and Planning SHBA Board Sutter Health Board Lease Signed Validation Study BuildingPermit(landlord) Shell/Core Construction Design/Permitting TIConstruction Fit-Up/Occupancy 2020 2019 2021
February, 2020 Facility Health Board Approval 06-09 months SD, DD, CD 03 months Pricing & Permit 12 months Construction 02 months FFE and Move-in PROJECT SCHEDULE (Current): February, 2020 Facility Health Board Approval 06-09 months SD, DD, CD 06 months Pricing & Permit 12 months Construction 02 months FFE and Move-in
05 months 06 months
PROJECT SCHEDULE (Pre-COVID):
PROJECT SCHEDULE/TIMELINE INITIAL PROJECT SCHEDULE
THANK YOU
