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Home My WebLink About9-10-14 VVMC PEC Presentation ver 4Vai 1 Valley Medical, Center Extraordinary People. Extraordinary Care. Extraordinary Facilities. Presentation of Facilities Master Plan Vail Planning and Environmental Commission September 8, 2014 -- - BRAUN u AS!s �CIAIL-S, 1,,design LAND VLANI & COMMUNITY DEYELG.P+MLNi Today's Agenda: 1. Introduction & Opening Remarks Doris Kirchner 2. Overview of the VVMC Master Plan Tom Braun 3. 4. Approach to Design/Master Plan Improvements Russ Bedmak Other Master Plan Considerations Tom Braun 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 Overview of VVMC Facilities Master Plan Why a facilities master plan? Overview of VVMC Facilities Master Plan Main elements of the Master Plan 1. Introduction 2. Background on VVMC 3. Master Planning Process/Goal 4. Overview of Expansion Plans/Design Considerations 5. Traffic 6. Parking 7. Helipad 8. Other Considerations 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. Overview of VVMC Facilities Master Plan VVMC"s process in developing Master Plan Activity 1 Project Initiation Confirm Goals/Drivers/ LEAN Process Improvement Activity 2 Facilities Inventory and Evaluation Activity 3 Master Plan Space Projections/ Activity 4 Master Plan Alternatives Activity 5 Master Plan Solution 18 months in the making ..... Extensive internal involvement/community open house last summer/extensive work with staff 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 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. Overview of VVMC Facilities Master Plan Internal and External drivers Overview of VVMC Facilities Master Plan How the Vail Land Use Plan addresses VVMC "Transition Area" 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'. Overview of VVMC Facilities Master Plan Master Plan amendment criteria It is the responsibility of the applicant to clearly demonstrate: 1. How conditions have change since the Plan was adopted, 2. How the Plan is in error, or 3. How the addition, deletion or change to the Plan is in concert with the Plan in general Overview of VVMC Facilities Master Plan Subsequent steps in development review process ➢ Conditional Use Permit ➢ Design Review 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 A Strategym!) riven, 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 VVMC Space Deficiencies ➢ Aspace 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 WTfµTQ.T 4iEA9 ® C4�X%TK;6 iPE,1TUEMT WEkS nWNiVaGRMR44V.45 9J�PQrt .EAi Pi'ATE P.xv9rJu1Pte+�TLE 46/3 �'�� FGER6E4LY CFfAAl16E1-,_ �P.BCtNII.ax1'On SSW C✓� �W�EJ P4aTlSTicE CIaC'A� MM-, Fi�[ilFv/ilEl'FVAA�IIGT� '�j TO I ,,r .,, '�' Pr0aaaacu n,uarew �� 790OGY .. 1 i. '- VVMC Space Deficiencies ➢ The most significant space allocation deficiencies include: B[pktMarnl FFhtmp R12 ite(f Spate Imam,/ Drirea &tum' FY12 Raa4.,d FO Pary'erte0 Growth FFhtmp FY12 R— 5&.d FaD Roan, FFhtmp DGSFpu Dhn Proposed OGSFPer Oma Exntrnp Pmmaeed R12 FM DGSR DGSF DGSF Usne R—ip, 0.dmiulans 8i4medl21 5er*m Case S a Oiopalljulwel 5 Canlererce Clatl 5 Csnla— Room[5uk 210 S Eagle Vallty Phetmaty S [Aueriidaj simp1alid4 5 [rvirdnmental5errkss 5 Mdidea M-1-1 5 Fuad and NaMon 5 00hen S [Melena S Gie Shdp s HdspHallukMx, 5 Human R-11. 2031 5 Irl—plion T.Mnolr�y 5 Ir patient PHBrmary S M0lerrals MaPa6emant 5 Wad'Og Dddk 5 Med Eq,ip Ys rage 5 DIN—, D-Iox—t 5- F.—R0a0aM 5 Propm+ kFaw—t 5 gaily Aisuran[e(S 308' S Sarney& Emergedky Pmppmdnez 5 Security 5 %Wl Work s Aerie Pradessldg&01 rIbA%1 5 SPON 111 S SPO IWMC31 5 Trwepa Semke3 5 4.0. - - S.A 5.0 IdA 259 350 ^ ^ Sled 5ti _ Pt llnib __ Rn60 S.Bb Rt Flled SI411 _ 5-V Swll Peak Daily Mal Peak Daily Mal S.. Rell SII %If 51411 1f0RAFlled 03a Btrra_ _ SO SO %ff Felf 91111 94H C— Cap. dL9tl 20 - d 291 - SO 33,952 5 14 28 459 4S0 - 4 291 100 20 33,961 5 14 28 45a 450 100 4 1111% 285,205 11 7 1 4 - 6,805 ` '._. :A'f. 9.0K 5611 10,, ON C.P% 00% D.0% 0.0% ,IN 00% ME OA% 0.0% AO% O.PM 6.0% 0.10% O.0% 55 2 58 3 142 0.2799 25 dA 0.00 44 150 0.3500 S89 6W 559 _ 500 54 100 1i 31 36 Pod 50.3 {31 90 78 297 6D9 2,378 .,?,0 ol'aeaG -vii. ,. u: p4r, sl pipe iuni me�Hen—, plerm,%.pd dplatluttpn, mnpe Wnal12-150GSF per mml mdpdd u ,Jge 6icer0red Service Wpde,k merultink addRiahel pharm0eiit juaNlliwme, 7 E0 DGSF per dM affjdUlt he Ot FldeW _ - - 2. 2O 1497 P,WO 20 to dW O000 9111 I,ODG 50 223 3W 2B 150 ZK3. 2,100 28 9 S 15 _ _ 254150 I08 0.0044 _17 55 175 115 25 242 SO 792 1,400 14 0,122 5$00 10 25404 M 1916, 462 _ 72 _ 70 {4511 341 133 791 _3W 51 6 23 4D 31.9 7.A IIA - - P 31 288,200 I1 - 7 20 120 0.0050 30 100 ;538 2,W0 _ 529 500 136 300 LOW 507 3,3.6 3,700 1,287 1,400 909 1,7[11 3W 216 3W84 908 I,WO 394 dW 7.0 f118pIM,xM[isge,walwueera W 77 SW 90SaM tP AA 6 _ 1 4 i 6,845 ^. 3 2W 150 6D 250 T,017 1,200 153 k.0tBrvRK tkmeM1tg—t 115 2W 85 1g0 Pip AD _ 211eamjlgaf;3,3W-d,5W WSR 3113aaateilit.-Wing - 2ate0 .615Eea CGutg PiaeesA p'dg nigra[, inryryprh,S81RT 123 200 77 5.0 ^ n 3.1 2,711 3.1100 1&98 933 715 8P: 1,069 75 SW.T6W I I I I I I I r 246.95 r 3900 17,303 • Emergency (140%) • Imaging (78%) • Patient Care Unit (53%) • WMC Surgery (32%) • WSC 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 Q VVMC Space Deficiencies ➢ This deficit is further exacerbated by the need to remove older dysfunctional buildings (1967, 1976, 1978, USB &lower EXISTING PARKING GARAGE HAS level of parking structure STRUCTURAL PROBLEMS ANDA p g ) RAMPING CONFIGURATION THAT CONTRIBUTES TO ACCESS & WAYFINDING ISSUES �a LOT 2, BLOCK 1 VAIL/LIONSHEAG - FILING ' (EVERGREEN LODGE AT VAIL, LLD. & THE VAIL INN. INC.)\ ------------ ONLY G 4��tDI G TRUszCTURE NOT LOT F EO B V G E. i a A / - I U F O R A -- -- -- - -- •,f Ig b� b I 8 BUIL NG v AREA H 2 -STORY SHALL NOT EX ED818' (1 A 0 E XSTN J � 1986 BUILDING � 1 3 -STORY AREA E p ; NOT TO EXCEED --------- RIES __RIES LOT 10 ----% 1986 (TOWN OF VAIL) -- 2004 -I `I AREA D I i 1 ]- NEW BUILDING STRUCTURE 2004 BUILDING TO EXCEED 20'4' ABOVE ROOF. 3 -STORY 20,000 S.F. MAXIMUM FLOORPLATE (SUA� CO, IF •'_. .e 1 WEST MEADOW DRIVE (50' R.O.W.) y ,g AIR wt CREED u - . 1 • i +, o ' z Alli op 6 40.. AN s°s�'VI ITom' - � cpl �° ■ i F M N� STAFF , # PARKING USIA BUILDING vvmc_ All �IAeon BUSI VE:HJCL TRAFFIC LOADING/SERVICE . ACCESS' ■ r EMERGENCY/AMBULANCE MAIN ENTRANCE4 a M _ .01 VVMC MASTER PLAN ACCESS/ CIRCULATION s + Aq CREEK _ OPEN l + y - POTENTIAL' SPACE ROUNDABOUT" _ •� �♦7Z40 410 -- 40 � • "I r� STAFF STAFF ACCESS AMBULAN Ej ; ' �r ~ ■ ■ ■ ll PaAFtKINGI VISITOR •. �w, EMERG€NCY ACCE Illi PARKING BE �. • AN -ORTHOPEDIC L -- i ... ENTRY BUS/SINGLE Y VVMC MAIN ENTRY J MEDICAL ROFESSION BUILDING VEHICLE TRAFFICCONCEALED , SERVICE ACCESS RESTRICTED ACCESS/ is ■ a EMERGENCY VEHICLES ONLY a ■ ■`t PEDESTRIAN (7-A WAY ILAW-- Irk - jos jq; jos law � f rnaft JZ Mk �� CIAERGENCY • � i1li�t• AMEi1�iiE3,iY3� PK Ii J.. b [ r r �`'' 4 NS Yr Ali - r A j._ goti- Za a I a j -;',�� .-�•J,��>yi111rrr�i11I7'ftf�ri `------ I W r : -: Approach to Helipad Location & Design ➢Existing helipad ➢ Requires time-consuming ambulance transport ➢Goal —eliminate ambulance transport, integrate helipad with ED ➢Improve patient care AW I IV I a+ J Z � s\ - _� —7 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 ft z AN -W,-- I t w " QRTHg9I EDC 11ENS STAPP 1��8R�'. O ' VVMC - MASTER PLAID DEVELOPMENT s a .It & �, Duty H-�- r' >FFP INM VISITOR ,�,, _ �' ' �''�••� -;' PARKING -1 MEDI AL WEST WING: CENTRAL ORTHOPEDIC/ WING: INPATIENT EXISTING 4 STORIES 213 STORIES EASTWING: EMERGENCY/ IMAGING 3 STORIES ROFESSIQINK BUILDING 3 ST IES 1 •.may . F 1_� a ► - job kA ho o i �' —4 41h.a air 0—m lb .`; .• Qy� Oro F a � FL ,a, J r � Va I S A C- a S FVIFII" -- . I I'mY-,i '' . �Ajetcorne Center t7-11 �,* .. �., a y a j,w Ay�� L a .�,"'h►„<--. .Z �.• r` �. §"` � r�� , r k •f { r' � '� t. 0 •„Wl � �� I Y; 3 Y II r. j 4 t �` ''-e". .�"' �;. er r�, ,fir ,�� y�k•. 4� •I i • � _ •�-� 1. ,�-.'9 .t ��,.y .Ci� Sy �.5"+L�{� _ J � •1 � •iF J 3 y {r q -t � �.. 4.3 �� y� �^L• s.I � ' '� "'B�R 4 'g y' •`. �. I i��jl `? � '� �y .. - ??+•. flk``�R, �`:6 ' ,v”, x $.r—'!s �i '�u"'• •tib :.�. s/ a^ 'E'�t.` - ioU ilk - -' '►' 1� 'x+'-�,��+�'- � x11.;. t"� � R � -Y� s• � , ,t � t�'� w. ._2� _. ... _ erg � ? ;i'• _ 2-�- •`$�•- � .I' j s1i z � :� = �• s ' , '��y�� .•AAS - �� . • _ L _�. � - � - - 5 �fr.. __,;K,+M,t ., ✓ . T.ym... moi, - _ +-r k'� Sri �.ya, t . '•L "u+ � � - ' .. ... 1wr�--- : _ ; '�b .,�. `�t + �` .. � � ,. ry P: � Kf ;r'�°r_ _. __ __� _ L N,,•f �„ .'��- ,yr;.r Vis+ 7 IMP- 744r. w n ill►"' e.: " x. �; y ,• r fv., 't Y At 'kt' i, RZ 41 Alf- . - aa,: Y _ IL cy �_s � .a'N y�r ✓ ,.�,� ' ham' lr1 -seu.' +i��it5y�y9LLolY4MM + - .: i.. ��'�� / -. -. • .e..e•+e ., y . .. _ � � . -ger -.--� _ f _•- �. +a4- .rV. Vz41 MIA r r Y 1 lop— /rIA- 1 ft z AN -W,-- I t w " QRTHg9I EDC 11ENS STAPP 1��8R�'. O ' VVMC - MASTER PLAID DEVELOPMENT s a .It & �, Duty H-�- r' >FFP INM VISITOR ,�,, _ �' ' �''�••� -;' PARKING -1 MEDI AL WEST WING: CENTRAL ORTHOPEDIC/ WING: INPATIENT EXISTING 4 STORIES 213 STORIES EASTWING: EMERGENCY/ IMAGING 3 STORIES ROFESSIQINK BUILDING 3 ST IES 11 x#► xx� xx� ��i"t�ixsi�tii alwo ui tix r ;111 11NX11 11rin 1l 4 S 4 f f { 1 r` ._ •—*��P._.�.��■ I EXISTING BUILDING MASSING -VIEW [�3�I1rL : �1�1��i�L�•�lll�_� Z�1�� '�1�1� v WEST WING BUILDING MASSING -VIEW FROM ABOVE WEST MEADOW DRIVE W w FINAL BUILDING MASSING - VIEW Potential otiit car % —`�`dinang patio Landscap screening V'Vl endo Drive / Streetsca -Varied roof heights - and building offsets along Meadow Drive New pedestrian access to hospital at existing bus stop Diagram Enclosed Loading/Service —New pedestrian connection to tentage road ' LaMndscape screening Other Cons i derati ons/Next Steps Pa rki ng Traff ic/Circu I ation ➢Employee Housing Coven a nts ➢Zoning ➢Middle Creek ➢Future Expansion Opportunities ➢Next Steps Other Cons i derati ons/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 Other Cons i derati ons/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 Other Cons i derati ons/Next Steps Traffic/Circulation New "front door" at South Frontage Road: • Patients • Visitors • Employees • Emergency Department/Ambulances Other Cons i derati ons/Next Steps Traffic/Circulation ➢ VVMC Traffic Impact Study ➢South Frontage Road Access Study Other Cons i derati ons/Next Steps Traffic/Circulation West Meadow Drive Other Cons i derati ons/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 Other Cons iderations/Next Steps Evergreen Covenants ADT z. BLock - umcc +t v4L LM. t M v -L I NL} •"- "5" ,mf r ..tiw�4sti� ITTl. y ARFAGp rn aaT LOT F G r d 4 ,- - i( I..Ifti Alf � i 1 {- 1878 BUILDING AREA H i US BMK BLMJMG P 14 0 i w ff 1�6s&plt�wG 9 `^ ,_ 3dIGIR+ 4E REA W�JkFL7h1U ST 9VNE It]T IIO kpt t❑ Yk FC' 4 .r--'� ISIORES .JCGEL77: AQ ' SPORL9 I LOT Ip �' �SUYt.9ar r ! eeura aYMJf 11 49a s:. uvuiN FLacr z€. S+ NRFA E he stnuCFsil! mar 2gN BUILDING 191Ti &JILIANGI 1981 19JIL 7 io � 9 l } ;'J'm ,C+xI'" +rB6rs as p �K a Tt-�ar Ea.d�7 �f. M+ViMW FL96'k 1102 Ell pti _ `•.oma_ �� _ "�, � �' -. � _ � �'� � _.=.1.._..�_®��_�_....i:,�_...__. NEST MEADOW DR11.1E L50` R 0. w.) I_aT a ___...._......_�..�.- APAIL 5.2013 SITE PLAN WITH COVENANT RESTRICTIONS Other Cons iderations/Next Steps Zoning fixed Use = SDD no. 23 Ir Other Cons i derati ons/Next Steps Middle Creek Other Cons i derati ons/Next Steps Future Expansion Opportunities ��^•__ o' tential rut -Lire Other Cons i derati ons/Next Steps Next Steps ➢ Goal for today ➢ Next Meeting on 22nd ➢ Future review process End of Presentation 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. 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. FLIGHT PATH/ APPROACH aEPARTURE SURFA&E. ;"SLOPES UP TO NORTH - 1.,FT PER 8 FT --------- -- -- - 56'0-TJLOF --Ko 124'8" SAFETY .6 OPEN 2031-011 940" ROOF (E) HEERY I 1�v 4 y �VAVDMMCIN 3 1, 300 SFE T. (E) VSO T. (F) (TEMP) VVMC EMS HELICOPTER FLIGHT PATH AND