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HomeMy WebLinkAbout9-8-14 VVMC PEC Presentation ver 4Extraordinary People. Extraordinary Care. Extraordinary Facilities. Presentation of Facilities Master Plan Vail Planning and Environmental Commission September 8, 2014 1 Today’s Agenda: Introduction & Opening Remarks Doris Kirchner Overview of the VVMC Master Plan Tom Braun Approach to Design/Master Plan Improvements Russ Sedmak Other Master Plan Considerations Tom Braun LAGATTA 2 Overview of VVMC Facilities Master Plan Why a Facilities Master Plan Main elements of the Master Plan Role of the VVMC Facility Master Plan VVMC’s process in developing Master Plan Internal and External drivers How the Vail Land Use Plan addresses VVMC Master Plan amendment criteria Subsequent steps in town development review process LAGATTA 3 Overview of VVMC Facilities Master Plan Why a facilities master plan? LAGATTA 4 Overview of VVMC Facilities Master Plan Main elements of the Master Plan Introduction Background on VVMC Master Planning Process/Goal Overview of Expansion Plans/Design Considerations Traffic Parking Helipad Other Considerations LAGATTA 5 Overview of VVMC Facilities Master Plan Role of the VVMC Facility Master Plan To guide the use, management and future development of VVMC and in doing so establish expectations for VVMC’s role in the community. To provide the key resource for the Town in the review of specific development proposals. Intention - greater degree a project complies with Plan, the greater likelihood of project approval. LAGATTA 6 Activity 1 Activity 2 Activity 3 Activity 4 Activity 5 Project Initiation Confirm Goals/Drivers/ LEAN Process Improvement Facilities Inventory and Evaluation Master Plan Alternatives Master Plan Solution Master Plan Space Projections/ Overview of VVMC Facilities Master Plan VVMC’s process in developing Master Plan 18 months in the making . . . . . Extensive internal involvement/community open house last summer/extensive work with staff 7 Overview of VVMC Facilities Master Plan VVMC Objectives Relocate the main entrance to VVMC to South Frontage Road Modify service vehicle access to a concealed loading zone Relocate Emergency Department and ambulance traffic to South Frontage Road Locate Helipad with direct connection to Emergency Department, and with sensitivity to neighbors Provide adequate and convenient parking for patients, visitors, staff Improve operational efficiencies through proper sizing and adjacencies Accommodate patients in the most appropriate setting (and w/privacy) Optimize access and way-finding for patients and visitors Create a flexible framework to accommodate future unforeseen changes Accommodate appropriate medical office space on campus LAGATTA 8 Overview of VVMC Facilities Master Plan 1. Helipad/emergency air service to the hospital site. 2. On-site loading/delivery facilities that minimizes impacts 3. Ambulance access to and from the site. 4. Vehicle access that uses South Frontage Road for primary access. 5. Minimize vehicle trips on West Meadow Drive 6. North/south pedestrian circulation through the site. 7. Middle Creek riparian corridor. 8. Provide on-site parking in full compliance with the parking requirements. 9. Define appropriate location for vehicle access off of the South Frontage Road. 10. Potential for VVMC use of Lot 10 and/or the Town’s municipal center site. 11. Zoning considerations. 12. Identify future growth and expansion opportunities to ensure the community, long- term health care needs are met. 13. Screening of mechanical equipment. LAGATTA 9 Overview of VVMC Facilities Master Plan Internal and External drivers LAGATTA 10 Overview of VVMC Facilities Master Plan How the Vail Land Use Plan addresses VVMC “Transition Area” LAGATTA 11 Overview of VVMC Facilities Master Plan How the Vail Land Use Plan addresses VVMC “The transition designation applies to the area between Lionshead and the Vail Village. The activities and site design of this area is aimed at encouraging pedestrian flow through the area and strengthening the connection between the two commercial cores. Appropriate activities include hotels, lodging and other tourist oriented residential units, ancillary retail and restaurant uses, museums, areas of public art, nature exhibits, gardens, pedestrian plazas, and other types of civic and culturally oriented uses, and the adjacent properties to the north. This designation would include the right-of-way of West Meadow Drive and the adjacent properties to the north”. LAGATTA 12 Overview of VVMC Facilities Master Plan Master Plan amendment criteria It is the responsibility of the applicant to clearly demonstrate: How conditions have change since the Plan was adopted, How the Plan is in error, or How the addition, deletion or change to the Plan is in concert with the Plan in general LAGATTA 13 Overview of VVMC Facilities Master Plan Subsequent steps in development review process Conditional Use Permit Design Review LAGATTA 14 Approach to VVMC Master Plan Inside-out Approach versus Maximizing the Buildable Area Operational Analysis reveals the need for “de-compression” of VVMC Departments Additional Space Deficiency is Increased by the need to Replace Older Buildings Sequencing of construction required to keep hospital operational and safe Relocation of Main Entrance and Emergency to Frontage Road creates the biggest Challenges and Opportunities Key elements/design features of Master Plan: Circulation/Access/Parking Loading facility Helipad Massing Architecture LAGATTA 15 A Strategy-Driven, Inclusive Process Questionnaires Interviews with key physician & service leaders Right-sizing departments to meet current needs and potential future growth Participation in and coordination with LEAN process improvement by HPP Strategic & operational goals LAGATTA 16 VVMC Space Deficiencies A space programming analysis was performed for all VVMC services Based on FY 2020 projections of service volume & staff Federal and State “Guidelines” which dictate minimum space requirements, have increased dramatically since the last major facilities projects in 1986/2004 LAGATTA 17 VVMC Space Deficiencies The most significant space allocation deficiencies include: Emergency (140%) Imaging (78%) Patient Care Unit (53%) VVMC Surgery (32%) VVSC Surgery (30%) Patient Care Unit (53%) Cardiopulmonary (75%) Howard Head PT/OT (40%) Steadman/SPRI (83%) Vail Summit Ortho (167%) Materials Management (87%) SPD (39%) The FY 2020 space projection totals 280,000 GSF indicating an overall deficit of over 76,000 DGSF (37%) LAGATTA 18 VVMC Space Deficiencies 1967 1978 USB EXISTING PARKING GARAGE HAS STRUCTURAL PROBLEMS AND A RAMPING CONFIGURATION THAT CONTRIBUTES TO ACCESS & WAYFINDING ISSUES 2004 1986 This deficit is further exacerbated by the need to remove older dysfunctional buildings (1967, 1976, 1978, USB & lower level of parking structure) LAGATTA 19 20 EMERGENCY/AMBULANCE MAIN ENTRANCE 21 22 23 24 25 26 27 28 29 Approach to Helipad Location & Design Existing helipad Requires time-consuming ambulance transport Goal – eliminate ambulance transport, integrate helipad with ED Improve patient care LAGATTA 30 31 32 Approach to Helipad Location & Design Several Helipad locations were evaluated on the VVMC Campus Northernmost location was selected as the optimal design All other locations were ruled out due to potential noise impacts Key design elements of New Helipad Location on Campus: Elevated Landing Surface, Safer for Flight Op’s and adjacent roadways Direct stretcher access – no ambulance transport from ER New location is farthest point north on campus, and away from homes LAGATTA 33 34 H 35 36 37 38 39 40 41 42 EXISTING BUILDING MASSING – VIEW FROM ABOVE WEST MEADOW DRIVE 43 WEST WING BUILDING MASSING – VIEW FROM ABOVE WEST MEADOW DRIVE 44 3d model images to follow FINAL BUILDING MASSING – VIEW FROM ABOVE WEST MEADOW DRIVE 45 46 Other Considerations/Next Steps Parking Traffic/Circulation Employee Housing Covenants Zoning Middle Creek Future Expansion Opportunities Next Steps LAGATTA 47 Other Considerations/Next Steps Parking Existing Parking at VVMC – 499 spaces 407 on-site space 92 “managed spaces” What is current parking deficit? Applied town parking formula – 697 spaces Applied “employee-based” parking formula – 645 spaces Quantified actual parking situation – 672 spaces Deficit - +/-170 spaces LAGATTA 48 Other Considerations/Next Steps Parking Existing Parking Requirement: +/-672 spaces Master Plan Expansion: +/-50-60 spaces Estimated Parking Requirement: +/-732 spaces On-site Surface and Structured Spaces: 650-700 “Managed spaces”: +/-100 Estimate of total Parking Resources: 750-800 LAGATTA 49 Other Considerations/Next Steps Traffic/Circulation New “front door” at South Frontage Road: Patients Visitors Employees Emergency Department/Ambulances LAGATTA 50 Other Considerations/Next Steps Traffic/Circulation VVMC Traffic Impact Study South Frontage Road Access Study Insert Circulation diagram LAGATTA 51 Other Considerations/Next Steps Traffic/Circulation West Meadow Drive LAGATTA 52 Other Considerations/Next Steps Employee Housing Commercial Linkage Address employees generated by expansion Housing for 20% of employees +/-50-60 new employees anticipated from MP expansion To be addressed as part of CUP review Cash in lieu will be proposed LAGATTA 53 Other Considerations/Next Steps Evergreen Covenants LAGATTA 54 Other Considerations/Next Steps Zoning LAGATTA 55 Other Considerations/Next Steps Middle Creek LAGATTA 56 Other Considerations/Next Steps Future Expansion Opportunities LAGATTA 57 Other Considerations/Next Steps Next Steps Goal for today Next Meeting on 22nd Future review process LAGATTA 58 End of Presentation LAGATTA 59 Approach to Design/Master Plan Improvements Approach to designing medical facility (how it is different from “traditional” commercial development), concept of “de-compression” Overview of main elements of expansion (west wing, east wing, parking, new front door) Sequencing of development/need to keep hospital operational during construction How new Front Door is major influence in site design – i.e. location of ED/Imaging Key elements/design features of Master Plan: Massing Architecture Meadow Drive Parking Loading facility Heli-pad Russ – this is pretty much the list of stuff from outline I sent out last week. These are my thoughts on what we want to cover, Add the slides/graphics you need, feel free to embellish, change order, etc. LAGATTA 60 Approach to Design/Master Plan Improvements Russ – We will discuss this afternoon with team how we want to present the helipad. I know Jim Wear has talked to our attorney (who specializes in helipads) about this. I’d assume that we want to – Explain why we want to move pad on-site – patient care, eliminate ambulance transport, etc. Explain how we looked at alternative on-campus sites but are not pursuing them . . . . . Due to impacts, neighbors Explain how proposed location integrates with ED, imaging, etc. My sense is that we’ll want to state that at this “master plan” level we think the proposed location works well, but that we do need to further vet the location, that we will need to go through FAA process, etc. Work with neighbor, define preferred height of pad, etc. But we’ll know more after getting Jim’s perspective. LAGATTA 61 NOTE: TRANSITIONAL SLOPE SHOWN WILL BE DELETED NOTE: TRANSITIONAL SLOPE SHOWN WILL BE DELETED 62