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HomeMy WebLinkAboutSeptember 8, 2014September 8, 2014 PEC Record K� TOWN OF VAIL t PLANNING AND ENVIRONMENTAL COMMISSION September 8, 2014 at 1:00pm TOWN COUNCIL CHAMBERS / PUBLIC WELCOME 75 S. Frontage Road - Vail, Colorado, 81657 MEMBERS PRESENT MEMBERS ABSENT Henry Pratt departed at 4:00 Webb Martin Dick Cleveland Michael Kurz John Rediker Pam Hopkins Luke Cartin Site Visit: None 75 minutes 5. A request for a recommendation to the Vail Town Council on the adoption of the Vail Valley Medical Center Master Plan, to establish a comprehensive redevelopment plan for the Vail Valley Medical Center, Lot 10 (Town of Vail parking lot), and US Bank Building, located at 181 and 281 West Meadow Drive and 108 South Frontage Road West/ Lots E, F, and 10 Vail Village Filing 2, and Lot D-2, A Resubdivision of Lot D Vail Village Filing 2, and setting forth details in regard thereto. (PEC140011) Applicant: Vail Valley Medical Center, represented by Braun and Associates Planner: Warren Campbell ACTION: Tabled to September 22, 2014 MOTION: Rediker SECOND: Cartin VOTE: 4-0-1 (Cleveland recused) Commissioner Cleveland recused himself as he sits on a Board at the VVMC. Warren Campbell gave a presentation pursuant to the staff memorandum. Doris Kirchner, VVMC CEO, gave a presentation regarding the background of the process thus far. Tom Braun, planning consultant representing the applicant, gave an overview of the submitted VVMC Master Plan. Russ Sedmak, master plan developer for the applicant, presented the unique factors considered in regards to hospital master plans. It is often an inside -out process that strategizes the most efficient use of space. This process has led to the identification of certain structures to be removed, which presents various access constraints and opportunities. He explained the considerations taken into account while determining strategies for access, locating the heli -pad, providing quality architecture, etc. Tom Braun then addressed a few key planning issues. Regarding parking, VVMC is proposing to add between 146 and 198 new parking spaces (target 173). The proposed access and traffic circulation is a response to goals of VVMC and the town, as well as the existing practicalities. Employee housing will likely be address via cash-in-leiu with none proposed on the site. Commissioner Hopkins asked if the hospital plans to expand every ten years. Tom answered no. Hopkins then asked about the hospital's plans for long-term elder care. Page 1 Doris Kirschner spoke to those needs being addressed down valley and to a monetary contribution made by the VVMC to the project. Commissioner Cartin asked how the master plan addresses land uses and the SDD on the US Bank building site. Tom Braun responded that the SDD would likely stay in place. Warren Campbell added that a new land use designation in the Vail Land Use Plan would result from this process. Commissioner Cartin then asked to give great consideration to the various type of users that will be parking there. He also discussed the importance of quality public space in the area, particularly Middle Creek. Commissioner Pratt asked what is the difference was between a Level I, Level II and Level III trauma center? Doris Kirchner described that the difference was largely associated with staff levels being 24 hours and certain medical specialties needed to be available. VVMC is a Level III facility. There are three Level II facilities in Denver. Commissioner Pratt then asked about the round -about and where it is at in the process. Tom Braun explained of its background and where that particular process is at. Commissioner Pratt then said at the next meeting that he would like to know details of the traffic study, employee housing calculations, and the pedestrian -friendliness along Meadow Drive. Jim Lamont, Vail Homeowners Association, asked for details regarding the process—how many meetings will it take to go through all the issues to address? Commissioner Cartin then asked for clarification as to a time table for grouping these issues together. Jim Lamont said there is need for an enduring master plan to result from this. Warren Campbell stated it would necessitate multiple meeting. Peter Knobel, owner of the Evergreen, said he plans to build a project larger than Solaris and hopes to work with the hospital to accomplish such a development. To date conversations between all parties were occurring and they were aware of the heli -pad location. Richard Kent, Scorpio President, stated that the Scorpio feels caught in the middle of the Village and Lionshead in a somewhat forgotten area of town. The loading and delivery is a great concern. The heli -pad location is also a concern as there will likely be impacts fell by the residents. Ron Snow, owner of Scorpio Unit 401, mentioned an high-profile helicopter accident that occurred in 1999 in Vail that was unforeseen, and the stage may be set in similar fashion regarding the heli -pad. Keith Mackey, an aviation safety consultant hired by the homeowners, spoke to the safety of the heli -pad. Potential south winds could be problematic with proposed elevation. Mr. Macky pointed Page 2 out that the FAA has no standard recommendation for heli -pads above an elevation of 6000 feet. This proposal will necessitate further investigation. Commissioner Rediker asked if the FAA's recommendations are requirements for public buildings. Keith Mackey responded yes. Commissioner Cartin spoke to the need for a separate meeting for the heli -pad issue. Karen Klaggen, owner of a unit in the Scorpio, mentioned the proposed gate for the west lot and how it would impact traffic patterns. She added that construction staging seems problematic as traffic would need to come down Meadow Drive. She was also against the proposed access along Meadow Drive for service and delivery vehicles. Jim Lamont said one need is to identify the various studies needed to complete the master plan. Hospitals are a unique land use with specific kinds of deliveries. He spoke some examples where studies should have been done that were not. Jim spoke to the need for a greater emphasis on safety. Focus must be on solving the hospitals infrastructure issues. The TOV must step up to assist in this area. Spoke to his concern that a bit of moonlighting is going on here. Does not feel the hospital is working with its neighbors to solve these issues. Peter Knobel spoke to the hospital working with the Evergreen folks. Feels that the location of the heli -pad is something the Evergreen can work with. Public Comment closed. Commissioner Rediker encourages all of the parties to work together to solve these issues. Community focused solutions as opposed to an adversarial situation. Commissioner Cartin spoke to the need to break this into pieces so all items get adequate attention and nothing is lost or overshadowed by only a few issues. Commissioner Hopkins spoke to a learning curve that will need to occur, especially regarding the heli -pad issues identified. Spoke to noise needing to be looked at as well. Commissioner Pratt spoke to traffic flows and the round about. Spoke to wind characteristic around tall buildings and its effects on the helipad and its proximity to the entrances. Talks of leaving the helipad in its current location. Supports breaking up the plan elements. Tom Braun recapped the meeting and asked if there were particular interests that needed more information. Commissioner Cartin mentioned that he would like to discuss the proposed solution to addressing the employee mitigation requirements for the site and parking. Commissioner Hopkins expressed her concerns with the lack of residential feel and the approach to Middle Creek. Tom Braun concluded by stating that the VVMC has been and will continue to work with the neighbors. Page 3 Ron Snow felt that he need to correct the record and state that the neighbors have not be invited to any meetings in approximately a year. He felt the neighborhood had been excluded from the process thus far. . Richard Kent, Scorpio President, reiterated Ron's comments. Page 4 Vai 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 0) TOWN OF VAIL "' Memorandum TO: Planning and Environmental Commission FROM: Community Development Department DATE: September 8, 2014 SUBJECT: A request for a recommendation to the Vail Town Council on the adoption of the Vail Valley Medical Center Master Plan, to establish a comprehensive redevelopment plan for the Vail Valley Medical Center, Lot 10 (Town of Vail parking lot), and US Bank Building, located at 181 and 281 West Meadow Drive and 108 South Frontage Road West/ Lots E, F, and 10 Vail Village Filing 2, and Lot D-2, A Resubdivision of Lot D Vail Village Filing 2, and setting forth details in regard thereto. (PEC140011) Applicant: Vail Valley Medical Center, represented by Braun and Associates Planner: Warren Campbell I. DESCRIPTION OF REQUEST The applicant, Vail Valley Medical Center (VVMC), represented by Braun and Associates, is requesting a public hearing with the Planning and Environmental Commission (PEC) to introduce the proposed Vail Valley Medical Center Master Plan (VVMC MP) dated August, 2014. The work session will include: • an overview of the format and contents of the Master Plan, • Town Staff's comments on the Master Plan, • opportunity for public participation, and • a schedule of next steps. The intended outcome of the master planning process is the creation a VVMC MP for the existing medical campus. The following draft statement has been developed to define the "role" of the VVMC MP. Role of the VVMC Master Plan This Master Plan was prepared with the intention that it will provide a document to guide the use, management and future development of VVMC and in doing so establish expectations for VVMC's role in the community. The Plan provides a general framework, or direction for the future expansion of VVMC and this framework will be used by Town Council, Planning and Environmental Commission and Design Review Board as one of the primary tools in reviewing future development proposals. It is the intention of this Plan that the greater degree to which future development projects comply with the general framework established by this Plan, the greater the likelihood of projects obtaining development approvals. Over time conditions may change or medical technologies may evolve that could result in new ideas that were not specifically addressed by this Plan. Such ideas that do not significantly alter the intend outcomes of this Master Plan and otherwise conform to the key elements of this Master Plan may be considered without making amendments to the VVMC Master Plan. Such determination shall be made by Town Staff. Other more significant changes will require an amendment to this Master Plan. Amendments shall be considered in accordance with the Amendment Process as outlined in the Vail Land Use Plan. Factors to consider in any amendment proposal include: 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 As this remains a public hearing in the early stages of the review of the proposed VVMC MP, staff has not prepared a recommendation for any action by the Planning and Environmental Commission. II. BACKGROUND The idea for a facilities master plan for the VVMC campus rose out of the municipal site redevelopment project. During discussions regarding the municipal site project, a number of land planning opportunities and facility improvement needs were identified. While the municipal site redevelopment project is no longer being actively pursued by the VVMC and the Town of Vail, the need for certain facility improvements on the VVMC campus remains and opportunities for better land planning still exists. Through previous communications with the Town, VVMC has been given conceptual approval to explore master planning options and ideas which may include the use of certain town owned land. More specifically, that land includes the town's municipal site located at 75 South Frontage Road and 281 West Meadow Drive, library parking lot (Lot 10, Vail Village Filing 2). No final decisions on that matter, however, have been reached. The applicant last appeared before the Planning and Environmental Commission on April 8, 2013. At that time, the applicant had presented conceptual ideas for the creation of the master plan and received input from the Commission on the types of issues which needed to be addressed by the Plan. Since last April, the applicant has been working with their master planning consultant team to prepare the initial elements of the Plan. To that end, a significant amount of time and thought has gone into addressing on-site and off-site traffic circulation, determining the parking need, options for addressing the parking need (both on-site and off-site), loading and delivery options, and construction sequencing. Additionally, further investigation has gone into the Town of Vail Page 2 potential use of the municipal site and/or Lot 10 to help address the physical and spatial needs of the Vail Valley Medical Center. More discussion, design work and analysis is needed to fully understand the issues and opportunities, however. On May 12, 2014, the Planning and Environmental Commission held a public hearing to address the following items that had occurred since April of 2013: • the planning process, • background work that has been completed to date, • planning considerations • the format of the master plan document, • opportunities for public participation, and • a schedule of next steps. In August of 2014, the Vail Town Council and the VVMC decided to exclude the town's municipal site in the VVMC MP as a potential site for parking to meet the requirements of the medical campus. III. APPLICABLE PLANNING DOCUMENTS The following planning documents are applicable to the review of this application: ZONING CODE General Use District 12-9C-1: PURPOSE: The general use district is intended to provide sites for public and quasi -public uses which, because of their special characteristics, cannot be appropriately regulated by the development standards prescribed for other zoning districts, and for which development standards especially prescribed for each particular development proposal or project are necessary to achieve the purposes prescribed in section 12-1-2 of this title and to provide for the public welfare. The general use district is intended to ensure that public buildings and grounds and certain types of quasi -public uses permitted in the district are appropriately located and designed to meet the needs of residents and visitors to Vail, to harmonize with surrounding uses, and, in the case of buildings and other structures, to ensure adequate light, air, open spaces, and other amenities appropriate to the permitted types of uses. VAIL LAND USE PLAN The Vail Land Use Plan contains multiple goal statements placed into six different categories. Staff believes the following goal statements are applicable to the effort to master plan the VVMC campus. Town of Vail Page 3 1. General Growth /Development 1.1. Vail should continue to grow in a controlled environment, maintaining a balance between residential, commercial and recreational uses to serve both the visitor and the permanent resident. 1.2. The quality of the environment including air, water and other natural resources should be protected as the Town grows. 1.3. The quality of development should be maintained and upgraded whenever possible. 1.12 Vail should accommodate most of the additional growth in existing developed areas (infill areas). 6. Community Services 6.1. Services should keep pace with increased growth. 6.2. The Town of Vail should play a role in future development through balancing growth with services. 6.3. Services should be adjusted to keep pace with the needs of peak periods. The Land Use Plan designates the desired Land Use Category of all properties in the Town. The VVMC is comprised of several properties with differing land use designations. Resort Accommodations and Service (US Bank Building) This area includes activities aimed at accommodating the overnight and short- term visitor to the area. Primary uses include hotels, lodges, service stations, and parking structures (with densities up to 25 dwelling units or 50 accommodation units per buildable acre). Transition (VVMC Campus) 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. Town of Vail Page 4 IV. SURROUNDING LAND USES AND ZONING Land Use Zoning North: Lodging/Municipal Lionshead Mixed Use 1/General Use South: Residential Primary Secondary Residential East: Multifamily Residential High Density Multiple Family West: Municipal General Use V. DISCUSSION ITEMS Process The end result of the master planning process is to create a facilities master plan for the VVMC campus. As such, the plan will be used primarily by VVMC to help guide and direct the future decisions for development on the VVMC campus. While many aspects and elements of the plan have little, or no relevance, on the Town of Vail or the immediate neighborhood (i.e., interior layout of the buildings, sequencing of construction, size of the emergency generator, etc.), there are many other aspects or elements of the plan which will. For example, elements such as parking; pedestrian circulation; loading and delivery; bulk, mass and scale; vehicular access, etc. For that reason, it is imperative that input from the community and other potentially impacted parties is taken throughout the master planning process. These design solutions and options for the implementation of these elements will become part of the master plan. Once incorporated into the master plan, the master plan will be used as a benchmark for evaluating more detailed development plan proposals provided as part of a conditional use permit application. Further, portions of the master plan should be created with the expressed intent and goal of its inclusion in the Vail's Comprehensive Plan. Through its inclusion in Vail's Comprehensive Plan, the master plan becomes pertinent and relevant to future development review processes and actions by the Town. In order to achieve this goal, the Vail Land Use Plan should be amended to include those aspects or elements of the master facilities plan which bear relevance on the Town of Vail and the immediate neighborhood. VVMC/TOV Forum Notes The Town of Vail and the Vail Valley Medical Center hosted a community forum on the proposed master plan and process. What follows is a series of questions raised by community members in attendance. It remains the intent of the ToV and VVMC to address each of the questions during the course of the master planning process. Site Plan --Primary concern: Frontage Rd. access for emergency vehicles. --How high up will VVMC be building? --Will there be underground parking? --Can VVMC continue to use current helicopter pad? Will it be moved? Town of Vail Page 5 --Will the community be able to provide feedback re: helicopter pad before final decisions are made? --Have we brought in FAA consultants? --Assuming Evergreen Lodge remains hotel, it would be better to have mechanical on the ground. --Will VVMC incorporate employee housing on site? --What does VVMC anticipate the growth of the hospital to be in the next 10 years? --With growth, does VVMC anticipate complementary parking? --The scope of the plan should be as large as possible geographically. --Would US Bank Building and VVMC be the same height? Or, if US Bank Building is torn down, will there be one building? --The puzzle pieces don't fit together. Traffic needs to be routed off Meadow Drive. We need a grand entrance. --How do we manage emergency traffic? --Small footprint. Given our demographics, does it make sense to have a satellite location in Vail and main location down valley? --Would the municipal site be included in the master plan? It seemed to be a "magical" solution with a lot of flexibility. We will decide re: municipal building within next 2 years? Yes? --How big is the site? --How soon do I have to worry about my property getting eaten up? --Is there any land the hospital can swap with the Evergreen to make Frontage Road access better? --You've decided landing a helicopter on the campus is safe? --Has TOV determined there will be a helicopter pad on main campus? --Has CDOT reversed its demand that the helipad be removed? --Is it too dangerous to have helipad near a highway? Why is it safer in a residential neighborhood and in a hospital facility? --The non-patient/non-sick community - what facilities will be available to them? Wellness Centers, etc. --Do you take economics into account, Re: services on this campus? --This hospital does not receive emergency patients via helicopter. We are sending patients out via helicopter. We do not need to do that. --How much usage, critical transport vs. daily use? --How does the patient transfer process work (clinical/amb.) --If it's too dangerous to have helipad near a highway, why is it safer in a residential neighborhood and in a hospital facility? --When a patient is flown out, the patient has been stabilized and is on their way out for further care. --Three top plans in other communities that are similar to ours? Traffic & Patient Flow --What % of VVMC patients are residents of Vail & area? --What is the % income breakdown of residents vs. non? --I'd like to see the TOV order/request directing the helipad to be moved to VVMC property. Town of Vail Page 6 --What will the process be to determine the location of the helipad, including the TOV involvement and FAA involvement? --Pay-patient parking is undersized. --Traffic on Meadow Drive is dangerous, especially in summer. --Lab/pharmacy/PT and other quick services need to be more accessible. --Negotiate improved access points to the hospital campus from the Frontage Rd. --Suggest a rooftop helipad. --Prefer location of helipad next to 1-70, across from VVMC (Noise, dust, view) --Factor in weather and location for safety of helipad and residents. --Minutes matter. Patient transfer time is critical for patients. --Traffic off East Meadow - patient, delivery, trash, emergency --Campus lots of buildings can be connected under "campus" concept and even off site. --Footprint - think big/broaden boundary. --Parking underground - buildable space --Helipad - off site - West Vail --Phasing to keep hospital operational during construction --How does projected population growth influence the plan? --With this development, will it increase the levels within the hospital (level III trauma, level II building) --TOV must support with better bus stops nearer to entrance. Schedule & Process --Have a working committee and high-level vision for health and wellness. --Enlarge yellow box, even if it doesn't happen now. Inclusive of Lot 10, Evergreen & Town municipal site. --If you are going to build a tall building, better to build it on municipal site and not block views. --Residential noise related to emergency vehicles. Sound barriers, underground ER patient unload. --Concern about helicopter noise/location. --Is the Town of Vail helping with planning of the medical campus? --What is the economic driver? For VVMC? For TOV? --Is the municipal site/building off the table? --Have you discussed moving the frontage road? --Does the town own the frontage road? --Municipal site and hospital site are underutilized. --Could municipal site be doc offices? --Could municipal site be the E.D? Helipad atop E.D. with tunnel under road for access to the medical campus? Planning Considerations There are many planning considerations that will go into the creation of the VVMC MP. As previously stated, many of those considerations will be relevant to VVMC only and bear little, if any, relevance on the Town of Vail. In an effort to begin discussions with VVMC's master planners, a preliminary list of planning considerations or external factors or considerations relevant to the Town of Vail and the immediate neighborhood has been provided. That list can be found on Page 8 of the submitted VVMC MP. After Town of Vail Page 7 reviewing the proposed VVMC MP staff developed additional comments and factors for consideration and incorporation into the final adopted Master Plan as follows: • An element needs to be added to the Master Plan clearly defining the "role" of the plan. o For instance, how the Master Plan will be used to evaluate future development applications to ascertain compliance with the plan under adopted review criteria. o How land use and zoning regulations apply and impact decision making. o How the plan can be amended over time and the criteria to be used in reviewing amendments. The Master Plan needs to more clearly articulate the goals, objectives, policies, and action items. o There needs to be a clear relationship between these with either a definitive or desired outcome to be achieved. o This may be best addressed in a separate chapter. o A list of action items/recommendations (trigger points) needs to be developed. ■ These might include amendments to the Vail Land Use Plan, Vail Transportation Master Plan, plat amendments to reconfigure/combine properties, rezoning of parcels, Lot 10, etc. ■ Chapter 5, Detailed Recommendations, Lionshead Redevelopment Master Plan (example) • Staff will be reviewing the Master Plan for a clear explanation for why loading and delivery is appropriate off of Meadow Drive and if it is determined that it is appropriate, staff will be looking to have performance based standards put in place to ensure it remains appropriate. • Consistency in the graphics/images depicting study area, existing conditions, etc. o Lot 10 appears in several different configurations. • What is the status of the 1989 land use agreements with the Evergreen property? o What do these agreements state is and isn't permitted? o How does this agreement affect the proposed Master Plan? ■ Is this why the existing surface parking lot is remaining largely as it exists? • Imagery on Page 10 depicting building heights and massing is unclear. Could this be condensed to one image? • The Master Plan needs to address sequencing throughout the construction of various development stages in general terms to address possible impacts. Specifics addressing the following topics would be resolved with each development application. o Material staging o Material deliveries o Displaced guest/patient parking o Displaced employee parking o Construction worker parking o Would town parking structures be used? Summer only when capacity may be present? Impacts of peak demand days winter/summer? Town of Vail Page 8 On Page 13, Middle Creek is briefly discussed. Staff will be recommending that the Master Plan include statements for the improvement of Middle Creek to address: o Improvements to better stream health o Snow storage o Run-off water quality from parking lot o Aesthetics o Possible amenity to campus Has the ambulance district been consulted in the design and access proposals included in the Master Plan? Has CDOT been involved/informed of the potential changes to the South Frontage Road? Is the proposal in keeping with their adopted regulations for access, etc.? The Master Plan identifies an Economic category on Page 7 which references sustainability, energy costs, and implementation strategies, however, there is no further discussion later in the plan including actions to be taken. o Staff will recommending that the Master Plan include greater discussion on elements such as recycling, possible alternative energy generation, energy use reduction, carpooling, transit, bike parking, etc. The Master Plan needs to include an element discussing VVMC economic impacts within the community. On Page 20, the impacts of the helipad are discussed. The discussion identifies potential impacts to adjacent properties. o The Master Plan needs to reference that any impacts to adjacent properties shall be acknowledged and accepted by those impacted. What additional planning considerations, if any, does the Planning and Environmental Commission have at this time to share with the master planners for the VVMC campus? Additional opportunities for input will be available as the master planning effort proceeds through the public hearing review process. VI. NEXT STEPS The Planning and Environmental Commission are asked to table this item to the September 22, 2014 public hearing. VII. ATTACHMENTS A. Vail Valley Medical Center Master Plan dated August, 2014 B. Correspondence for neighboring properties Town of Vail Page 9 Vail V FACILITIES MASTER PLAN AN ELEMENT OF THE VAIL COMPREHENSIVE PLAN AUGUST, 2014 TABLE OF CONTENTS 1Introduction 1 APPENDIX: Traffic Impact Study 2 Background on VVMC 3 3 Master Planning Process and Master Plan Goals 6 4 Overview of Expansion Plans and Design Considerations 9 5 Traffic 14 6 Parking 17 7 Helipad 19 8 Other Considerations 21 TEAM: TurnKey Owners: Vail Valley Medical Center Vail Vallev Medical Center Architect: Heery International Planning Consultants: Braun Associates, Inc. Traffic: Turnkey Consultanting, LLC August, 2014 VVMC Facilities Master Plan 1. INTRODUCTION Since its establishment in 1965, Vail Valley Medical Center (VVMC) has grown into one of the world's most advanced mountain hospitals, providing Olympic -quality sports medicine, leading evidence -based research, modern cancer care and extensive cardiology capabilities. While medical care and services are outstanding, the hospital's infrastructure is due for modernization. VVMC is at an age and condition where it must be modernized to meet the challenges of modern medicine and to ensure the facility provides medical staff with the resources necessary to offer the utmost in quality health care. The Vail Valley Medical Center Facilities Master Plan (the Master Plan) establishes a vision for how VVMC will respond to these challenges and in doing so addresses a multitude of operational, clinical, and technical requirements which are not being met by the existing facility. In addition, an equally important element of the Master Plan is how it addresses important neighborhood and community goals. Lionshead Master Plan Study Area The Master Plan provides a general direction and framework for how the VVMC will expand in the future. It has been prepared with extensive input from VVMC staff, neighbors, the community at large, and Town of Vail staff. Bordered on the west by the Lionshead Master Redevelopment Plan and on the east by the Vail Village Master Plan, the VVMC Master Plan will provide direction for a key community -oriented property located mid -way between Vail's two villages. Information provided in the Master Plan regarding future expansion plans is general in nature. Far more detail on the design, operation and management of future expansions will be provided during subsequent steps in the Town's review process, specifically the review of Conditional Use applications. Information provided herein is intended to demonstrate how future expansions will integrate with existing VVMC functions and the surrounding neighborhood and how, at a general level they will conform with applicable Town development standards. The 0r The VVMC Master Plan area is strategically located between the Lionshead and Vail Village Master Plan areas. VVMC Master Plan Study Area Vail Streetseape Master Plan Study Area Vail Village Master Plan Study Area s August, 2014 111 VVMC Facilities Master Plan 1. INTRODUCTION underlying goals of this Master Plan are to establish expectations for the expansion of VVMC and to establish a basis for the Town's review of future development proposals. The Master Plan has been prepared with a focus on addressing both internal and external goals or "drivers". Internal goals generally address the viability and sustainability of VVMC, VVMC's goal of providing quality health care to the community and the specific operational and clinical requirements of the campus. External goals generally address how VVMC responds to broader neighborhood and community considerations. It is often the case that internal and external goals overlap. These are discussed in greater detail in Section 3 of this plan. The Master Plan will be used by the Town's Planning and Environmental Commission, Design Review Board and Town Council as their primary tool in reviewing future expansion plans at VVMC. The Vail Valley Medical Center Master Plan has been adopted as an element of the Town's Comprehensive Plan by Resolution No. XX, 2014, following recommendation from the Vail Planning and Environmental Commission. The area covered by this Master Plan is depicted on the following diagram. Q) Vail Valley Medical Center Facilities Master Plan Study Area. August, 2014 121 VVMC Facilities Master Plan Z. BACKGROUND ON VVMC EVOLUTION OF THE VVMC VVMC began as a clinic in 1965 to support a then fledgling ski resort and since that time has grown at a level commensurate with Vail and surrounding communities. Today, VVMC is comprised of several health care campuses located throughout Eagle County and provides health care services to both residents and visitors of the Rocky Mountain region of Colorado. VVMC's main hospital campus, located in the Town of Vail, provides an essential service to the Vail community, the surrounding region and destination patients from around the world. The building that housed the original Vail Clinic still exists at the southeast corner of the campus and is one of the various wings of the hospital that no longer meets contemporary health care requirements. Since the original clinic was constructed the following expansions have occurred: • A 1971 addition to house support services • A 1978 addition that houses the current Emergency and Imaging Departments • The 1987 West Wing, which was subsequently expanded in 1990, and accommodates the Patient Care Unit Intensive Care Unit, and the main VVMC Surgery Department • A 2001 two-story addition to the central wing of the hospital, which included a replacement of the Women & Children's Center, and construction of Vail Valley Surgical Center (VVSC), and The Steadman Philippon Research Institute (SPRI) • In 2005, VVMC acquired the US Bank Building and since that time has been converting it to a medical office and administrative support facility for VVMC EXISTING BUILDINGS AND FACILITIES VVMC is an aging facility. Other than the Women & Children's Center and Vail Valley Surgery Center (13 -years old), all other buildings within the campus are at least 24 years old, with some areas nearly 45 years old. There are many implications from the condition of these older buildings: The buildings' basic mechanical and electrical systems are nearing the end of their useful life, requiring higher levels of maintenance and uncertainty in service. In many areas of the hospital existing spaces no longer support the most efficient and appropriate setting for patient care. This is largely a result of the evolution in healthcare from a traditional inpatient type of delivery, to more outpatient procedures. This evolution has created the need for different types of medical facilities that are difficult to achieve in older buildings. Over time, new services and facilities have been added wherever the hospital can find space, sometimes causing disjointed functional relationships, between types of services and patient's access to them. Higher levels of care require additional staff, medical equipment, and supplies. All of these factors have created extremely cramped conditions throughout the hospital. Over the past ten years VVMC has undertaken a series of studies to determine the best long-term use and configuration of its Vail campus. Although one of the earlier studies had suggested that VVMC consider relocating most of its acute care functions to a new site in Eagle County, the VVMC Board of Directors has concluded that the main hospital must remain in Vail. The Vail Town Council has also strongly stated their support for VVMC to August, 2014 131 VVMC Facilities Master Plan 2. BACKGROUND ON THE VVMC remain in Vail. This Master Plan was, in part, initiated to address sweeping changes in the healthcare industry, but also to ensure that VVMC remain in Vail, with a sustainable strategy to meet the long-term needs of the community. EXISTING SITE CONDITIONS AND SURROUNDING USES The VVMC is located on three parcels of land that total 4.57 acres The site is bordered on the north by the South Frontage Road and on the south by West Meadow Drive. The VVMC is located in the center of a transitional area between Vail Village and Lionshead. Land uses surrounding the VVMC are depicted on the diagram below. VVMC Master Ilan L.w�irp LaN L'u � f Existing Land Uses surrounding VVMC. Vehicular access to VVMC is provided by South Frontage Road and West Meadow Drive. South Frontage Road provides access to an employee parking structure located at the east end of the campus and the US Bank building. West Meadow Drive provides access to patient and guest parking at the west end of the campus and to loading/service facilities located at the southeast corner of the campus. Regional bus service is provided along South Frontage Road and Town of Vail bus service is provided along West Meadow Drive. West Meadow Drive also provides an important pedestrian connection to Vail Village and Lionshead. A portion of the VVMC's surface parking lot at the southwest corner of the campus is actually located on adjoining Lot 10, which is owned by the Town of Vail. Via separate agreement, the Town utilizes parking spaces on Lot 10 (for use by the Vail Library), which are accessed via the VVMC entry drive. The property's zoning and covenant restrictions are discussed in Section 8 of the Master Plan. Existing site conditions are depicted on the following page. August, 2014 141 VVMC Facilities Master Plan LAND USE DESIGNATIONS �liigt+ Uernuy irsadk�ai - n—Ite.onM [d'eLia.f me cat Mr,ro>�mi-Public 1110 W -P VVMC Master Ilan L.w�irp LaN L'u � f Existing Land Uses surrounding VVMC. Vehicular access to VVMC is provided by South Frontage Road and West Meadow Drive. South Frontage Road provides access to an employee parking structure located at the east end of the campus and the US Bank building. West Meadow Drive provides access to patient and guest parking at the west end of the campus and to loading/service facilities located at the southeast corner of the campus. Regional bus service is provided along South Frontage Road and Town of Vail bus service is provided along West Meadow Drive. West Meadow Drive also provides an important pedestrian connection to Vail Village and Lionshead. A portion of the VVMC's surface parking lot at the southwest corner of the campus is actually located on adjoining Lot 10, which is owned by the Town of Vail. Via separate agreement, the Town utilizes parking spaces on Lot 10 (for use by the Vail Library), which are accessed via the VVMC entry drive. The property's zoning and covenant restrictions are discussed in Section 8 of the Master Plan. Existing site conditions are depicted on the following page. August, 2014 141 VVMC Facilities Master Plan lk 1 2. BACKGROUND ON THE VVMC ` I -.�V I S I TO -R VVMC -EXISTING CONDITIONS ♦ r�-, ''�; '► �' �� �`•,� � tom- - tr 4t - 4 r♦ T �. ■iss1 * i ti I •N R DA( lip- is �P6440 q8 1j, STAFF - �`""-- �•..,a#' PARKING ti USB q LOT N BUILDING ►` VVMC BU SJVEHICL-ka �� i ►'- TRAFFIC '� • ♦ •~'`-�''-,� fes' s.i LOADING/SERVICE • ACCESS t 4� PATIENTACCESS■■#�f°■ ■#■■■■■ r a#■ _' �: MBULANCE ACCESS ■ ■ ■ ■ rr ■ 1 ■ ■ ■ ■ ■ ■ �1■�■ ■ ■ ■ b, i August, 2014 5 VVMC Facilities Master Plan 3. MASTER PLANNING PROCESS AND MASTER PLAN GOALS THE MASTER PLAN PROCESS VVMC spent nearly two years developing a Master Facility Plan for the Vail campus. This process involved extensive collabo- ration with their consulting team, staff, the VVMC Advisory Committee, the Executive Team and Board members. The Vail community and Town of Vail staff were also involved in this planning process. Master planning for a medical center is unique to other land development master planning processes. A master planning effort for a hotel or commercial development may typically involve defining the potential "building envelope" of a site and then working to "fill the envelope" with buildings. Master plan- ning for Vail's hospital was based on a strategic, "inside -out" approach, rather than "outside -in." This is defined as a method for determining the real operational needs of the hospital, and then responding to those needs with the physical plan. An underlying theme for the expansion plans envisioned for the VVMC is the "decompression" of spaces —to provide larger or more efficient spaces for medical services that are designed specifically to improve healthcare services (as opposed to in- creasing capacities of such spaces). Another major influence in the master planning process that is unique to medical centers, and specifically to VVMC is sequencing of construction. It is essential that construction can be sequenced without disrupting on-going patient care. For example, because the western -most portions of the campus include the most serviceable buildings, these areas will be expanded in initial construction and the older buildings on the east side of the campus will be addressed after west wing improvements are completed. The Master Plan process was organized and executed in five major stages: 1. Project initiation, confirm goals, drivers, and Lean Process improvement 2. Analysis of existing facilities, site issues, and operations 3. Develop Master Plan level space requirements/ projections 4. Develop conceptual Master Plan alternatives 5. Finalize the Master Plan solution and define a road map for the future Mauer Planning Process Activity 1 Activity 2 Activity 3 Activity 4 Activity 5 Faubbes Inventory Master Plan Sim r,enfirm GaysT3nVers+ a ul Evaluation Pro ctlons•+ IEAN PrurNs9 tnrprcvrrnenl Moo August, 2014 161 VVMC Facilities Master Plan 3. MASTER PLANNING PROCESS AND MASTER PLAN GOALS MASTER PLAN GOALS AND OBJECTIVES A key step in of Stage 1 was identifying the major goals and ob- jectives for the project. This was accomplished through collab- orative work sessions with the entire planning team. The goals and objectives addressed internal, external, operational and economic considerations, and were prioritized and categorized in the following areas: 1. Site Planning Major changes to the layout and design of VVMC, including, but not limited to, a new main entrance, and a new Emergency Department, improving loading facilities, expanding parking and considering the helipad location are addressed in this category. 2. Functional/Organizational These goals and objectives primarily addressed internal considerations and identified a number of improvements to the organization and overall efficiency of the campus. Master Planning This category of goals and objectives ensured the Master Plan includes flexibility to respond to future conditions and implementation strategies. 4. Economic Sustainability, operational costs, long-term maintenance and energy costs and implementation strategies were some of the internal goals and objectives addressed in this category. Each of these four categories includes five or more goal state- ments. At the conclusion of this process the following ten goals were identified as the primary goals and objectives of the Master Plan to be addressed in future expansion plans. • 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 and 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 While most of the goals and objectives identified above are internal to how VVMC operates, a number of critical external considerations were also identified during the master planning process. Many of these same external considerations were identi- fied by Town of Vail staff as "issues or considerations" to be ad- dressed during the master planning process. August, 2014 171 VVMC Facilities Master Plan IL I I MASTER PLANNING PROCESS AND MASTER PLAN GOALS ` I Town staff identified the following 13 issues to be addressed in the VVMC Master Plan. These issues include: 1. Helipad/emergency air service to the hospital site. 2. On-site loading and delivery facilities 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. The VVMC's goals and objectives directly align with most of the topics raised by Town staff. The manner in which future VVMC improvements implement the Master Plan's goals and objectives and address the issues raised by the Town is described in the following sections of the plan. August, 2014 1 8 1 VVMC Facilities Master Plan 4. OVERVIEW OF EXPANSION PLANS AND DESIGN CONSIDERATIONS Thifsection of the Master Plan provides an overview of: Building expansions planned for the VVMC The main "influences" in the overall site planning of the project Architectural design and planning considerations relative to key elements of expansion plans Expansion Plans and Improvements VVMC currently has approximately 201,000sf of gross floor area (exclusive of parking garages). Expansion plans will increase square footage by a third, bringing the total square footage of the campus to approximately 270,000sf. Expansions will occur in two primary areas — additions to the West Wing and construction of an entirely new East Wing. West Wing Expansion The focal point of a +/-35,000 sf expansion planned for the West Wing is the addition of a new fourth floor. This new floor will pro- vide space for The Steadman Philippon Research Institute and The Steadman Clinic. Smaller multi-level expansions are also planned at the south and west sides of the West Wing. Interior spaces throughout the West Wing will be re -organized and provide in- creased space for surgery suites, Howard Head Sports Medicine, a Cardiac Catheterization Lab and other uses. New East Wing The East Wing of the hospital will be demolished and replaced with a building that adds approximately 35,000sf of net new square footage. Underlying this new building will be a multi-level parking structure which will be accessible from South Frontage Road and will provide the majority of all on-site parking. The south half of the new East Wing will include three levels. The lowest level (ground level at West Meadow Drive) will include an enclosed loading/delivery facility and a central utility plant. The second level will be devoted to new Emergency and Imaging'Ve- partments. The upper level will accommodate the main hospital entry, admissions and other hospital functions. The general location of these two areas is depicted on the Build- ing Massing diagram on the following page. Main "Influences" in Site Planning of Future Expansions A number of factors influenced the overall site planning of future expansions to VVMC. Examples of these are the specific program- matic elements of the expansion plans, the internal relationships of new and expanded uses to other uses within the campus, and how the project can be constructed while maintaining hospital op- erations. Aside from these considerations, the single most impor- tant influence in the overall design of Master Plan improvements is moving VVMC's "front door" to South Frontage Road. Bringing vehicular access to this location became a driver for the following design decisions: • The main entrance to the hospital needs to be proximate to where patients and guest arrive at the campus. Vehicle access off of South Frontage Road necessitates re -locating the main entrance (and functions such as admissions) to the East Wing. • Moving ambulance arrival to the new South Frontage Road access is proposed to address a major community goal of removing emergency vehicles from West Meadow Drive. This, in turn, necessitates a new Emergency Department is within the East Wing. • A new Emergency Department demands the need for a new imaging department in the East Wing. • Given the scope of new hospital functions that will be located within the East Wing, the east end of the campus became the logical location for additional structured parking. August, 2014 191VVMC Facilities Master Plan lk I 4.0VERVIEW OF EXPANSION PLANS AND DESIGN CONSIDERATIONS ` 11 While other factors were considered in the overall site planning of future expansion plans, the location of the new VVMC entry was a major influence in the design of the new campus. Specific Architectural Design and Planning Considerations The following outlines planning and design considerations relative to specific elements of the Master Plan Building Massing A number of factors influenced the building massing of proposed expansions to VVMC, including the structural capacity of exist- ing buildings to handle additions, internal spatial relationships of hospital uses, relationships to surrounding buildings in the neighborhood and conformity with applicable Town development standards. A number of covenant restrictions established by a 1989 land use agreement with the Evergreen Lodge also directly influence the design process. The building massing diagram provides a general indication of the building footprint and massing of expansions envisioned by the Master Plan. As demonstrated by the neighborhood massing diagram, the massing of VVMC is very consistent with building heights in the immediate vicinity of the hospital. INN 1 11 1 r ` -------------- Stea a Y _ �Y ORTHOPEDIC PA*NG F PARKING �.� STAFF PA ENTRALWING:XISTING STORIES ,Y H VISITOR — PARKING ` MEDI AL ROFESSIONA BUILDING i 3 ST IES 1 EASTWING: EMERGENCY/ a `.— IMAGING 3STORIES I r AW& - 6-8 levels- �.: a, 41 -}Z.� 4 3 1 is 1 5-6 �f' -_-- t` 'Levels Level 4 levels I Levels 2 -_-- levels levels 2-3 ve a J _ VVMC'MW Pfau- The drawings above depict existing building heights surrounding VVMC and building massing of future hospital expansion August, 2014 1101VVMC Facilities Master Plan lk I 4.0VERVIEW OF EXPANSION PLANS AND DESIGN CONSIDERATIONS ` 11 Meadow Drive The VVMC shares an important "public edge" with West Meadow Drive. The relocation of VVMC's main entry to the South Frontage Road will provide a major benefit to West Meadow Drive and the pedestrian/biking experience along this corridor. Other considerations to be addressed in the design of building expan- sions that will enhance the campus' relationship to West Meadow Drive may include: • Providing off -sets in building facades in order to avoid long, continuous wall planes • Providing variation of building heights T • Maintaining existing landscaping and where appropriate enhancing landscaping between the building and the street • Introducing outdoor spaces (such as dining decks) in order to create interest and activity along the street • Maintaining the existing West Meadow Drive sidewalk and where appropriate enhance this corridor These and other detailed design considerations will be addressed during subsequent steps in the review process. August, 2014 1111 VVMC Facilities Master Plan r Varied roof heights and building offsets Enclosed fj along Meadow Drive Loading/Service Facililty P-tential ou or — _ Cllnl]I patio 4 New pedestrian Landscap _� — coiu-tection to screening L — - - frontage road New pedestrian Landscape access to hospital screening at existing bus step V'VM eadow Dive 1 Streetscap Diagram August, 2014 1111 VVMC Facilities Master Plan 4. OVERVIEW OF EXPANSION PLANS AND DESIGN CONSIDERATIONS Architecture The implementation of the Master Plan provides a significant op- portunity for improvement and modernization to the architecture of the campus. The present building is a conglomeration of older buildings on the east and west ends of the campus, with a modern addition in the central portion. Expansion of the West Wing will include resurfacing of the 1980 fagade, primarily by covering the older buildings with new additions on the south and west ends. The materials and forms anticipated for this expan- sion will be consistent with those used in the 2001 Central Wing addition, including natural stone and complimentary metal panel detailing. Window frames will be consistent with these materials and the amount of glazing will be balanced with the need for privacy. For example, on the new 4th level addition housing The Steadman Clinic, the use of more extensive glazing will be explored to take advantage of natural light and views, and to create a lighter, more recessed appearance at the very top of the building. The new East Wing will be articulated in a similar fashion, utilizing a stepped massing, from bottom to top. The use of varying materials will allow for further reduction of the visual massing of the building. Mechanical Systems One of the major goals of the VVMC Master Plan is to replace its aging utility components with a new Central Utility Plant, or CUP. The new CUP will be built as part of the East Wing, and will be located on the ground level, behind the service enclosure and away from West Meadow Drive. This area will house the hospitals heavy equipment including boilers, compressors, and emergency generators. Once this sequence of construction is complete, the existing mechanical yard located at the southwest corner of the campus along Meadow Driver, will be removed. In addition to the CUP, new air -handling units and air-cooled chill- ers will be located on the roof of the buildings. This equipment will be screened in a fashion which is consistent with the mechanical screen located above the 2001 VVSC Addition, whereby only the metal roofing form is visible from the sides of the buildings. Mechanical noises generated from this equipment will be largely contained and reflected above these enclosures, as opposed to directly across the roof. Loading and Service Relocating loading and delivery facilities off of West Meadow Drive has been suggested by community members. Moving these facilities to the new South Frontage Road access was studied but deemed infeasible. This is due primarily to grade changes; limited road frontage; and the space necessary to provide vehicular access for guests and patients, patient drop-off and ambulance access. The new loading facility is proposed to remain on West Meadow Drive. However, with the redevelopment of the East Wing the loading facility will be entirely enclosed and sized such that vehicles can complete turning movements within the structure. Noise, odor and visual impacts of loading and delivery functions will be mitigat- ed with this new enclosed facility, enhancing VVMC's compatibility with adjacent residential uses. Pedestrian Circulation The primary pedestrian access to and from VVMC is West Meadow Drive. This shared vehicle/bike/pedestrian corridor is heavily used and provides a key link between Vail Village and Lionshead. Relocating the main entrance to South Frontage Road will greatly August, 2014 1121 VVMC Facilities Master Plan lk I 4.0VERVIEW OF EXPANSION PLANS AND DESIGN CONSIDERATIONS ` 11 improve the safety and aesthetics of the road by significantly reducing traffic, providing a significant benefit to those who use this corridor, to neighboring residential uses and to the entire community. A dedicated pedestrian entry to the new Emergency Department will be provided along West Meadow Drive. This entry is located proximate to the west -bound in -town bus stop. A north/south pedestrian corridor will be constructed at the east end of the campus, providing a new connection between the South Frontage Road and West Meadow Drive. Middle Creek The VVMC's existing surface parking lot at the west end of the campus is located adjacent to Middle Creek and the adjoining riparian corridor. While no major changes are contemplated to this portion of the site, VVMC will evaluate potential improve- ments to the relation of the parking lot to the creek corridor. Potential steps could include the introduction of best management practices to improve the quality of water that runs off of the existing surface parking lot. August, 2014 1131 VVMC Facilities Master Plan J. TRAFFIC One of the key elements of this Master Plan is to establish South Frontage Road as the primary access to the VVMC. Through their internal master planning process the VVMC team defined this as a major goal. Establishing VVMC's "front door" at the South Frontage Road has been a long-standing goal of the Town of Vail. The reason for this is quite simple — Meadow Drive is a heavily used pedestrian corridor and reducing the number of cars on this road will greatly improve the aesthetics of this pedestrian corridor. MEADOW DRIVE Re -locating VVMC's main access to South Frontage Road will significantly improve conditions on West Meadow Drive. The following demonstrates how this new access will shift traffic patterns and greatly reduce VVMC-generated traffic on West Meadow Drive: WEST MEADOW DRIVE Existing Users Post -Master Plan Users 116 Patient/Guest Spaces 5 Service Vehicles Emergency Vehicles Loading/Delivery Vehicles Loading/Delivery Vehicles Of particular significance are the 116 parking spaces in the West Lot. 106 of these spaces have historically been used by patients and guests to VVMC. Given how they are used, these spaces "turnover" 6-8 times during a typical day, creating significant trips on West Meadow Drive. These trips will shift to South Frontage Road upon reconstruction of the East Wing. TRAFFIC IMPACT STUDY A Traffic Impact Study has been completed by TurnKey Consult- ing LLC. This study evaluates the traffic impacts of new develop- ment and other changes contemplated by this Master Plan. An executive summary of the study is found in the appendix of this Plan. The diagram on the following page depicts the vehicular and pedestrian circulation patterns for VVMC. Assumptions on potential South Frontage Road improvements, VVMC expansion plans and other traffic -related operational changes at VVMC that were considered in the traffic study includ- ed the following: • A round -about (designed to facilitate site access to the VVMC, the Evergreen Lodge, the Town Hall site and pass- through traffic), on South Frontage Road • Vehicular access off South Frontage Road to VVMC will be right-in/right-out only • Emergency vehicles will access VVMC via the new main access off of South Frontage Road, including westbound left turn into the VVMC • Patient and guest access to the West Surface Parking lot will be provided via VVMC's new main access off of the South Frontage Road • Access to the new East Parking Structure and the West Surface Lot will be provided via the new main access off of South Frontage Road • During the construction of the East Wing, 69 parking spaces in the US Bank Building will be temporarily accessed via West Meadow Drive August, 2014 1141 VVMC Facilities Master Plan —'�P�lemti Rou�dabouf�� Faasting Pedestrian Corridor - -- - 5. TRAFFIC PT VVMC Master Plan Conceptual Circulation Plan A� The performance of the South Frontage Road roundabout, the Frontage Road/VVMC access point and the Vail Road/Meadow Drive intersection were evaluated. Based on analysis by TurnKey Consulting Inc. and Felsberg Holt Ulevig, each of these intersec- tions performed at a level well above minimum Town standards for both level of service and delay. structured and "V -d" -wk par Amisu3ance access W1 right out only �t Major Pedestrian Corridor Sectdary Pe esfrf An updated traffic study for VVMC will be completed in the future and submitted at subsequent stages of the development review process. CONCEPTUAL ROUNDABOUT LOCATION STUDY The Town of Vail has taken the lead on a conceptual design study of future road and access improvements to South Frontage Road. August, 2014 1 151 VVMC Facilities Master Plan J. TRAFFIC The'participants in this process include the Town, representatives The roundabout solution is based on the assumption that all ' from the Evergreen Lodge and VVMC. Each of these organiza- three properties will re -develop and is also dependent upon the tions is contemplating development of their property and the participation of all three property owners. In addition, topogra- primary goal of this effort is to collaboratively define a plan for phy and site conditions along South Frontage Road could present access improvements along South Frontage Road. The TOV has design and construction and the sequencing of when the round - retained Felsburg Holt and Ullevig (FHU) to provide technical sup- about is constructed relative to when each of the three parcels port for this effort. re -develop is also a consideration. For these reasons VVMC has evaluated South Frontage Road improvements that would be It is anticipated that South Frontage Road improvements will necessary if only VVMC were to re -develop. The findings of this likely include a roundabout in order to provide optimal access to analysis will be provided in an addendum to the VVMC Master each of the three properties. The focal point of this conceptual Plan Traffic Impact Study. study has been to evaluate alternative roundabout locations and to define the preferred location for a roundabout. While much progress has been made on this conceptual design study, the process is not yet complete. The preferred location for the roundabout will likely be near the shared property line between VVMC and the Evergreen Lodge. FHU and project participants are evaluating several different site access configura- tions for a roundabout at this location. The VVMC Traffic Study could not analyze the proposed round- about location because the preferred access configuration has not yet been defined. Therefore, this traffic study refers to and relies upon the FHU work completed to date (and documented in an 8/1/14 FHU memo), for the roundabout operational analysis. The FHU memo indicates the proposed roundabout would oper- ate at LOS B or better, even when using conservative background traffic and site trip generation estimates. It is expected that the preferred roundabout location and access configurations will be determined sometime during the VVMC Master Plan approval process, at which time the VVMC Traffic Study will be updated. August, 2014 1161 VVMC Facilities Master Plan 6. PARKING On-site parking at VVMC has for many years been widely ac- knowledged to be inadequate. Providing sufficient on-site park- ing is one of the primary goals of this master planning effort. The following section addresses three related topics - method- ologies for determining parking requirements, existing parking conditions, and the parking demands expected from expansion of VVMC. More detailed information on each of these topics will be provided in subsequent development applications. METHODOLOGIES FOR DETERMINING PARKING REQUIREMENTS Zoning code formulas used to determine parking requirements for land uses such as office, retail, etc. are fairly consistent and are almost always based on square footage. Hospitals and medical centers present a unique land use and formulas used to determine parking requirements vary widely. Gross square footage, net square footage, number of employees, number of doctors, number of patient beds and number of patient exam rooms (or some combination of the above), are examples of the different "measures" used to determine parking requirements for medical centers. The Town's methodology for determining the medical center's parking requirement is based primarily on square footage, but involves three related considerations: Hospitals 1 space per patient bed 1 space/150sf net floor area Medical offices 1 space per 200 sf net floor area While in concept a square footage based formula can provide a relative indication of a facility's parking demand, the use of square footage is arbitrary in that all square footage within a medical center is treated uniformly (with respect to its intensity of use, hence parking demand). Basing parking requirements on the number of employees, an approach used by many codes, may be a more accurate measure for determining a facility's parking demand. The following formula is suggested as an alter- native to the Town's formula: 1 space per patient bed 1 space per exam room 1 space per day shift employee Both of these methodologies have their strengths and weak- nesses and as demonstrated below, both formulas provide similar parking numbers when applied to the existing campus. More importantly, both formulas provide a parking number that is very close to current parking conditions at VVMC. As further explained below, the employee -based formula is the most appro- priate and accurate formula for determining the VVMC parking demand. EXISTING PARKING CONDITIONS Applying the Town parking formula to the existing facilities at the VVMC results in 870 spaces and after application of a 20% multi- use credit the parking requirement is 697 spaces. Applying the employee -based formula to the existing campus results in 782 spaces and after application of a 17.5% multi -use credit the parking requirement is 645 spaces. August, 2014 1171 VVMC Facilities Master Plan 6. PARKING While the parking requirement numbers above are very similar, functional spaces for staff to provide better care to patients. they are based on formulas and may not reflect actual park- There are plans for improvements such as additional medical ing conditions, or VVMC's existing parking demand. The table space and exam rooms that will generate more employees and below summarizes actual parking conditions: increased patient activity, resulting in increased parking demand. However, there are many improvements such as the re -designed 407 On-site spaces (located in West Lot, East Structure, US Bank Building) 60 Employee -issued ECO bus passes 32 Average number of employees who utilize VVMC shuttles 120 TOV/Lionshead parking and season parking passes purchased (2013/14 ski season) 53 Off-site leased spaces 672 Total spaces VVMC provides patient, guest and employee parking with a combination of on-site parking, off-site/leased parking and managed parking (employee bus pass and shuttles). These 672 "actual" spaces fall mid -way between two zoning calculations, in essence validating the accuracy of the two parking formulas. This information can also be used to define the existing park- ing deficit at VVMC. Assuming 672 is VVMC's required parking, there are currently 499 "code conformant" parking spaces (407 on-site spaces and 92 "managed" spaces), and as such the exist- ing parking deficit is approximately 173 spaces. PARKING REQUIREMENTS OF MASTER PLAN AND EXPANSION The increased parking demand from expansions contemplated by the Master Plan is expected to be relatively low. This is because building expansions are primarily intended to "decom- press" existing hospital facilities; and to provide larger, more Emergency Department that will not increase capacity or em- ployees, hence not increasing parking demand. Assuming the use of the employee -based parking formula, the increased park- ing demand from the Master Plan expansion is anticipated to be approximately 50-60 additional spaces, or approximately 730-740 total spaces. Upon completion of the Master Plan expansion all required parking will be provided by on-site parking spaces and managed parking solutions (i.e. employee shuttle and bus pass programs). On-site parking will be provided in the existing West Lot, new surface spaces will be created when the ambulance building is removed, and a new parking structure will be located at the east end of the site. Actual on-site parking spaces are expected to be between 650-700 spaces. As has been done in the past, managed programs (bus passes and employee shuttle vans) will be used to satistfy VVMC's parking requirement. During the construction of the new East Wing parking structure interim off-site parking will be needed for approximately two years. Details on how this will be addressed as well as additional information on the number of required parking spaces, the manner in which new parking will be provided and parking man- agement plans will be provided with subsequent development applications. August, 2014 1181 VVMC Facilities Master Plan % HELIPAD EXISTING HELIPAD The existing helipad that serves VVMC is located north of the South Frontage Road and immediately west of the Vail Town Hall. This helipad has been used by VVMC for the past 30 years. A helipad is an essential element of a medical facility such as VVMC On average approximately 70 helicopter transports occur each year. The majority of these are scheduled transports of patients from VVMC to other healthcare facilities. While the existing helipad has served its purpose in supporting emergency air transport, there are shortcomings with the current helipad. The fundamental limitation of the existing helipad is that it requires the transfer of the patients from VVMC to the helicopter via an ambulance. The most significant implication of this is increased time required to transfer the patient. In addition, the transfer monopolizes the use of an ambulance and also necessitates the temporary closure of South Frontage Road. Each of these factors would be resolved with a helipad located within the VVMC campus. HELIPAD SITE SELECTION A number of potential on-site helipad locations were evaluated with the assistance of Cayce Batterson of CLB Enterprises. These alternatives included rooftop locations and an elevated helipad at the northernmost portion of the campus. Criteria used to evaluate these alternatives included safety, functionality, proximity to the Emergency Department and other considerations. Rooftop locations at the west (on the roof of the new fourth floor proposed at the West Wing) and southeast portions of the campus (on the roof of the new East Wing) were considered. While these locations conformed to applicable elements of the FAA Advisory Circular and provided good access to the Emergency Department, each necessitated flight paths that brought the helicopter over existing residential land uses. Because of residential concerns with the overflight of helicopters and the associated noise impacts, these rooftop alternatives are currently not being pursued. August, 2014 1191 VVMC Facilities Master Plan % HELIPAD The proposed helipad involves an elevated pad located at the northernmost corner of the campus along South Frontage Road. This location allows for direct access to the adjacent (re- located) Emergency Department without use of an ambulance. As depicted on the diagram on the previous page, this location allows for a flight path over the 1-70 corridor, similar to the flight path used with the existing helipad. IMPLICATIONS ON ADJACENT PROPERTIES Adjacent buildings and land uses are considerations in evaluating the feasibility, function and safety of a helipad. Horizontal and vertical distances between the helipad and adjacent buildings are one of the key factors in this evaluation. Based on existing land uses and buildings on adjacent properties, the proposed helipad site presents a workable solution and adjacent land uses would have no constraints on helipad operations. Consideration has also been given to potential implications resulting from conditions changing on adjoining properties. Concerns would arise if the Evergreen Lodge were to re -develop with buildings at the maximum allowable building height (82.5') at the easternmost portion of their site. Potential impacts could be addressed in two ways — establishing maximum building height limitations on the eastern end of the Evergreen property or by varying the height to which the helipad is elevated (the degree to which the helipad is elevated directly influences the horizontal and vertical separation needed between the helipad and adjacent buildings). VVMC is currently in discussions regarding the helipad with representatives from the Evergreen Lodge. Proposed helipad location August, 2014 1201VVMC Facilities Master Plan S. OTHER CONSIDERATIONS The following section addresses zoning/development review considerations and other topics relative to expansion plans envisioned by the Master Plan. Many of these topics will be addressed in greater detail during the review of subsequent development applications. EMPLOYEE HOUSING Chapter 23 - Commercial Linkage of the Town's zoning regula- tions stipulates that "commercial development or redevelop- ment shall mitigate its impact on employee housing by provid- ing Employee Housing Units (EHU's) for twenty percent (20%) of the employees generated." Further, that "employee hous- ing impacts need only be mitigated for a redevelopment that results in a greater number of employees generated from an increase in net floor area." As such VVMC's requirement is to provide housing for 20% of the new employees resulting from the proposed expansion. Chapter 23 provides a table of employee generation rates for a variety of different land uses. Hospitals and medical facilities are not included in this table. In accordance with the ordinance, in such cases it is incumbent on the applicant to pro- vide documentation of employee generation anticipated from the project. The VVMC and other entities that operate within the campus (i.e. Colorado Mountain Medical, The Steadman Clinic, etc.) in- clude a total of approximately 550 employees. It is anticipated that as the Master Plan expansion is implemented employees will increase to approximately 610, an increase of 60 employ- ees. Based on the 20% requirement, housing for 12 employees will be provided. This housing may be in the form of dormitory; studio; or 1, 2 or 3 bedroom units. Chapter 23 stipulates that 50% of required employee housing be located "on-site". Due to the incompatibility of housing and hospital uses, all required employee housing will be provided off-site (as may be permitted by Chapter 23). Detailed information on employee generation, the exception to the on-site requirement, and an employee housing plan will be provided in subsequent development applications. COVENANT RESTRICTIONS Portions of the VVMC campus are encumbered by restrictive cov- enants that address the use of the property and establish limita- tions on building location, building height and other site develop- ment considerations. Covenants established by Vail Associates, Inc. when the property was originally conveyed to VVMC limit the use of the land to "hospitals and medical facili- ties". In 1989 a number of restrictions on the design and devel- opment of VVMC property were established by covenants for the benefit of the Evergreen Lodge. Improvements contemplated by this Master Plan are designed to conform with all applicable elements of these covenant restric- tions. ZONING Existing zoning of the VVMC campus includes three different zone districts. The majority of the campus is zoned General Use (GU), the US Bank Building site is zoned Special Development District (SSD #23), and a portion of land along South Frontage Road August, 2014 1211 VVMC Facilities Master Plan S. OTHER CONSIDERATIONS (recently purchased from the Evergreen Lodge) is zoned Lions - head Mixed Use —1. The diagram on the following page depicts the location of existing zone districts. The following summarizes the existing zoning of these three areas relative to the proposed master plan. ^�I I J � 1 '-Lionshead Mixed Usel -- - --------1 C) VVMC - Existing Zoning 1 I Fd /1111 GENERAL USE ZONING The majority of the campus is zoned GU. The purpose of the GU district is intended for use on sites with public and quasi -public uses and this zone district has been the primary tool for review- ing the development of VVMC for many decades. "Healthcare facilities" are a Conditional Use in the GU District. There are no changes proposed to this zoning. LIONSHEAD MIXED USE -1 ZONING This small portion of the VVMC campus was zoned LHMU-1 when acquired from the Evergreen Lodge. The LHMU-1 district does not allow for medical facilities, medical offices or clinics. For this reason the re -zoning of this portion of the campus to GU will be proposed as an element of future development applications. SDD ZONING The VVMC purchased the US Bank Building in 2005. At that time, the property was used as a professional office building and was zoned SDD #23. Since that time, VVMC has converted many office uses within the building to medical uses or office uses directly related to the VVMC. These medical uses are permissible by SDD #23. While the majority of the building has evolved into a medical of- fice building, the bank use is expected to remain for the foresee- able future. VVMC's ultimate plan is for all uses within the build- ing to be medical -oriented and it is anticipated that this will occur once the bank vacates the building. At that time it is expected that the property will be re -zoned to the GU district. There are two reasons for not re -zoning this portion of VVMC to GU at this time. The existing bank building is physically separate from the rest of the buildings on the VVMC campus and as such there are no real regulatory complications from having two different zone districts in place on the VVMC campus. More im- portantly, the "banks and financial institutions" are not permitted in the GU district. Re -zoning the property to GU would make the existing bank a non -conforming use and this could create future unintended or unforeseen consequences. August, 2014 122-1 VVMC Facilities Master Plan 8. OTHER CONSIDERATIONS VAIL LAND USE PLAN The Vail Land Use Plan includes references to VVMC. It is US Bank Building intended that this Master Plan supersede all reference to VVMC Since it was purchased by VVMC in 2005, this building has found in the Vail Land Use plan. TOV LANDS The adjacency of Lot 10 to the west side of the VVMC campus presents a meaningful opportunity for the long-term growth of the hospital. While small in size, Lot 10 could nonetheless be a key fac- tor in providing future hospital improvements at the west end of the campus. VVMC remains interested in working with the Town regarding the future acquisition of this parcel. Doing so could facilitate the VVMC's ability to pursue expansion plans on the West Lot at some point in the future. Future Expansion Potential at VVMC Expansions and improvements outlined in this Master Plan are planned to meet the needs of VVMC for many years. In doing so these improvements will provide facilities that will allow the VVMC to serve the community with state-of-the-art, high quality healthcare. It is difficult to speculate on expansions or improvements beyond those envisioned by this Master Plan. That said, as medical services and technology evolve over the next few decades, it is reasonable to assume that over time additional changes to the VVMC will be nec- essary. VVMC would have two options available for future expan- sion and improvements to the campus: evolved into a near -exclusively medical office building. As a part of the changes to the main hospital campus outlined by this Mas- ter Plan, the US Bank Building will be used to accommodate some uses that are currently located on the main campus. Overtime, it may be possible to demolish this building and redevelop it with more direct, physical integration with the main campus. This would represent one alternative for how VVMC could address future long-term needs. West Lot The West Lot is a location that could accommodate a new build- ing at some point in the future. This would likely necessitate below -grade structured parking. Access to this building (and parking) would be possible via South Frontage Road and the new main entry to VVMC. No specific work has been done on future improvements beyond those outlined in this Master Plan. This Master Plan does howev- er, provided VVMC with options for how future unforeseen needs could be provided for on campus. August, 2014 1231 VVMC Facilities Master Plan 1 75x!ecutive SummaryOnl The complete Traffic Impact Study is available upon request Prepared For: Vail Valley Medical Center Master Plan I-70 South Frontage Road, Just west of the main Vail interchange Vail, Colorado August 18, 2014 2533 West Pinyon Ave TC1rnKe Grand Junction, CO 81505 970-985-4001 Consulting, LLC VVMC Master Plan TIS 1 Executive Summary 1.1 Introduction This report documents the traffic impact study (TIS) for the proposed Vail Valley Medical Center (VVMC) Master Plan (Project) in the Town of Vail (TOV), Colorado. The VVMC is located on the south side of the 1-70 South Frontage Road (Frontage Road) about 750 feet west of the main Vail interchange. The VVMC also has access to West Meadow Drive. See Figure 1 for the Project Vicinity Map. All land use details listed in this TIS are based on the master plan effort, and will be updated as the Project concept is refined. Another key assumption is a future roundabout on the Frontage Road, which would provide optimal access to each of the three adjacent properties when this area builds out. The Town of Vail has recently been working with adjacent property owners recently to evaluate alternative roundabout locations and to define the preferred location for this roundabout. This TIS assumed a roundabout configuration, but the roundabout solution is dependent upon the participation of all three property owners, and is based on the assumption that each of the properties will be redeveloped at the same time. Since the timing of these projects may not occur simultaneously, VVMC has evaluated South Frontage Road improvements that would be necessary if the hospital were to redevelop first and alone. This evaluation was done to find a workable VVMC access solution that could occur within the existing right of way. The ultimate roundabout configuration would require additional highway right of way for implementation. The results of this supplemental analysis are not included in this document, but they will be added as an addendum. This TIS will be updated as necessary and resubmitted for the TOV Condition Use Permit (CUP) and Colorado Department of Transportation (CDOT) access permit processes. 1.2 Study Area The Study Area includes the intersections listed below, which are shown in Figure 1. Figure 2 shows the lane geometry and traffic control. Intersections #1 Frontage Road and Evergreen Access (South Leg) (Proposed intersection west of VVMC Access — assumed to be a roundabout) #2 Frontage Road and VVMC Access (South Leg) / TOV Access (North Leg) #3 Vail Road and Meadow Drive TurnKe Page 1 0 consuiting, LLC VVMC Master Plan TIS The Vail Road and Meadow Drive intersection was added to the Study Area because the VVMC trips at this intersection will increase during the East End construction. The increase in VVMC trips at this intersection will occur because the 69 parking spaces at the US Bank Building will be accessed via West Meadow Drive instead of the Frontage Road. The south roundabout at the Main Vail Interchange was not included in the Study Area. The 2025 Vail Transportation Plan (Vail TMP) concluded that there is a limited amount of realistic capacity improvements that could be constructed at this interchange, and discussed other system -wide improvements that would help alleviate congestion at the Main Vail Interchange. 1.3 Traffic Analysis Periods and Years The traffic analysis was conducted for the periods and conditions listed below. The traffic volumes used in the analysis are based on traffic data from the peak summer and winter seasons. In addition, traffic volumes from the Vail TMP were used for the Frontage Road. Periods • Weekday AM Peak Hour • Weekday PM Peak Hour Conditions • Year 2015 — West End (During Construction) • Year 2016 — West End (Construction Completed) • Year 2017 — East End (During Construction) • Year 2018 — East End (Construction Completed) • Year 2035 — Build -out (20 -year horizon) Definitions: West End improvements include approximately 40,000 SF of medical space on and around the existing West Wing of the VVMC. East End improvements include approximately 25,000 SF of net new medical space and an expanded parking structure at the east end of the Campus. 1.4 Background Traffic Assumptions Related to Adjacent Development The future traffic volumes used in this study assume the following: • VVMC build out • Evergreen Site redevelopment, per previous traffic study for this site • No changes to the Town of Vail municipal site 1.5 Existing and Proposed Project Uses Table 1 shows the existing and proposed Project uses for each condition. Table 2 shows the number of employee and guest/patron parking spaces for each condition. � TurnKe Page 2 consulting, i_ WMC Master Plan TIS Table 1- Existing and Proposed Project Uses Notes: SF — square footage 1. The SF and exam rooms shown for the Build -out Condition are speculative in nature. Estimates are provided for long-range traffic planning purposes only �+�ll"1"Ir� Page 3 0 'Consulting, LLC Gross Full-time Patient Exam Condition Year Building Area Employees (FTE) Beds Rooms (SF) Existing 2014 202,000 569 58 155 West End 2015 202,000 569 58 160 (During Const West End 2016 242,000 590 58 190 Const Completed East End 2017 242,000 590 58 190 (During Const East End 2018 268,000 610 58 197 Const Completed Build -out Prior to 300,0001 700 58 2601 2035 Overall Increase 49% 23% 0% 68% (Existing to Build -out Notes: SF — square footage 1. The SF and exam rooms shown for the Build -out Condition are speculative in nature. Estimates are provided for long-range traffic planning purposes only �+�ll"1"Ir� Page 3 0 'Consulting, LLC VVMC Master Plan TIS Table 2 - Existing and Proposed Parking Spaces Note: the number of parking spaces were estimated based on schematic designs for the Master Plan effort; the final parking numbers are subject to change as more detailed design work is completed. # Parking Spaces Accessed via Total Condition Year # Parking Spaces W Meadow Drive Frontage Road Emp P / G Total Emp P / G Total Emp P / G Total Existing 2014 9 107 116 245 46 291 254 153 407 West End 2015 9 57 66 195 96 291 204 153 357 (During Const West End 2016 9 107 116 245 46 291 254 153 407 Const Completed East End 2017 32' 153' 185' 02 0 0 32 153 185 During Const t Endted) 2018 5 3 0 5 404 210 614 409 210 619 (CoEst Build -out Prior to 5 3 0 5 435 260 695 440 260 700 2035 Overall Increase 73% 70% 72% (Existing to Build -out Nntes- Emp — Employee, P / G — Patron / Guest 1. Includes 69 parking spaces (46 = P / G, 23 = Emp) at the US Bank Building that will be accessed from W Meadow Drive instead of the Frontage Road. 2. During the East End Construction, the VVMC will "replace" 245 parking spaces by leasing parking spaces at nearby parking structures, and/or increasing transit and shuttle use by employees. 3. These 5 parking spaces are for service vehicles TurnKe Page 4 Consulting, LLC VVMC Master Plan TIS It Not To Scale Proposed Intersection #1 Existing I-70 South South [assumed VVMC Frontage Rd Roundabout roundabout] Access� at Main Vail (General location base1r ° [Int #2] on FHU study area)d Interchange Existing VVMC Main Access (to be relocated to Int #2) Evergreen Lodge .A VVMC 1-70 -- Vail Rd W Meadow Dr AM �. Vail Road and Meadow Dr Pint #31 Vail Valley Medical Center (WMC) Master Plan Vicinity Map Figure 1 TurnKe Page 5 Consulting, LLC VVMC Master Plan TIS 1 2 Not To Scale Exact location and �}+► geometry of the �s Proposed Intersection not know at this point; ~ yellow shape represents the area studied by FHU : TOV West Access Evergreen Main Vail Lodge TOV Main Interchange Access Access 2 1-70S Fro ntage Rd VVMC v 3 W4 fea = dow T � e E Meadow Drive F 3 Ped / Transit only Vail Valley Medical Center (VVMC) Master Plan Figure Existing Lane Geometry and Traffic Control 2 �TurnPage 6 Consulti�nga,LLC VVMC Master Plan TIS 1.6 Summary of Traffic Analysis Results The following sections summarize the traffic analysis results at the three Study Area intersections. 1.6.1 Intersection #1 on Frontage Road - Assumed Roundabout The TOV has taken the lead on the preliminary design of the Proposed Roundabout on the Frontage Road. The participants in this process include all adjacent property owners because the roundabout would require additional right of way from these properties. VVMC, TOV, and the Evergreen Lodge have been meeting for a couple months to evaluate various roundabout location and configuration options. The TOV has retained Felsburg Holt and Ullevig (FHU) to provide technical support to the effort, and they produced a memorandum to the TOV on 8/1/14. The FHU memo summarized the results of the alternatives analysis for the roundabout, which was based on build out conditions on all three properties in the year 2035. The most recent team meeting was held on 8/5/14 where the participants agreed that the roundabout would be likely be located near the shared property line between the VVMC and Evergreen properties. FHU is currently looking at several different access configurations for the roundabout at this location. This VVMC TIS could not analyze the proposed roundabout because the preferred configuration is not known yet. Therefore, this TIS refers to and relies upon the FHU memo for the roundabout operational analysis in the build out condition. The FHU memo indicates that the proposed roundabout would operate at LOS B or better, even when using conservative background traffic and site trip generation estimates. It is anticipated that the preferred roundabout location and configuration will be identified sometime during the VVMC Master Plan approval process, so this TIS will be updated accordingly. VVMC has identified the South Frontage Road improvements that would be necessary if the hospital were to redevelop first and alone. This evaluation was done to find a workable VVMC access solution that could occur within the existing right of way. The ultimate roundabout configuration would require additional highway right of way for implementation. The results of this supplemental analysis are not included in this document, but they will be added as an addendum. The Proposed Roundabout on the Frontage Road was analyzed for the completion of of the VVMC reconstruction, which is anticipated to be year 2018. Table 3 shows the level of service (LOS), delay, and queuing results of the roundabout analysis based on the HCM 2010 Roundabout Methodology. TurnKe Page 7 Consulting, LLC VVMC Master Plan TIS Table 3 — Int #1 - Assumed Roundabout Analysis Results [Year 2018] Roundabout AM Peak Hour PM Peak Hour LOS S — Delay (sec) 95th % Queue (ft) LOS — Delay (sec) 95th % Queue (ft) West Leg (Frontage Road A-5 20 A-9 70 East Leg (Frontage Road) A-6 50 A-6 50 South Leg (Evergreen Lodge Access A-6 20 A — 9 20 North Leg TOV Service Access A-6 20 A-6 20 Overall Roundabout all vehicles) A-6 I 50 (max) A-7 T 70 (max) Table 3 shows that the Proposed Roundabout will operate at LOS A with minimal queuing in year 2018, the anticipated opening year. Please refer to the FHU memo in the Appendix for the year 2035 Build -out analysis results. 1.6.2 VVMC Access / TOV Access on Frontage Road [Intersection #2] The year 2018 East End (Construction Completed) analysis showed that the existing roadway configuration at the VVMC Access will probably create grid -lock on the Frontage Road and Main Vail interchange. Conversion of the VVMC and TOV Accesses to restricted driveways should occur prior to (or coincide with) the completion of the VVMC Master Plan construction in year 2018. The RIRO configuration at the VVMC and TOV Accesses will provide acceptable traffic operations thru the year 2035 Assumed Frontage Road Improvements (By Year 2018) • New intersection constructed west of VVMC Access — assumed as roundabout • VVMC and TOV Accesses are restricted to right -in right -out (RIRO) movements • Construction of an eastbound right -turn deceleration lane at the VVMC Access (per requirements in the Colorado State Highway Access Code) Table 4 shows that the RIRO configuration at the VVMC and TOV Accesses on the Frontage Road will operate at LOS A in the Year 2035 Build -out Condition. TurnKe Page 8 Consulting, LLC VVMC Master Plan TIS Table 4 - VVMC/TOV Access on Frontage Road Analysis Results [Year 2035] VVMC and TO Accesses are RIRO (in coniunction with the Proaosed Roundabout) 1.6.3 Vail Road and Meadow Drive [Intersection #3] The existing main access to the VVMC is on West Meadow Drive. In order to get to the VVMC main access, drivers pass thru the Vail Road and Meadow Drive intersection, which is a small four-way stop intersection with a high number of pedestrians and local buses. The VVMC Master Plan proposes to relocate the main access to the Frontage Road, but the new main access on the Frontage Road will not be open until year 2018. In addition, when the East End is being constructed in year 2017, it will be necessary to access the 69 parking spaces at the US Bank Building via West Meadow Drive. This means that the VVMC traffic on West Meadow Drive will increase over the existing condition when the East End is under construction. The existing roadway configuration was analyzed for the year 2017 East End (During Construction) scenario. Table 5 shows what can be expected at the this intersection when the 69 parking spaces at the US Bank Building are access via West Meadow Drive during the construction of the East End parking structure. Table 5 — Vail Road and Meadow Drive Analysis Results [Year 2017] AM Peak Hour AM Peak Hour PM Peak Hour Direction Movement LOS — Delay 95th % Queue LOS —Delay 95th % Queue (ft) (sec) (sec) (ft) (sec) (ft) Northbound Right -turn A — 3 45 A-8 95 (VVMC Access Westbound A — 10 55 A — 9 65 Southbound Right -turn A-4 35 A-5 50 TOV Access 55 B — 12 90 Vail Road 1.6.3 Vail Road and Meadow Drive [Intersection #3] The existing main access to the VVMC is on West Meadow Drive. In order to get to the VVMC main access, drivers pass thru the Vail Road and Meadow Drive intersection, which is a small four-way stop intersection with a high number of pedestrians and local buses. The VVMC Master Plan proposes to relocate the main access to the Frontage Road, but the new main access on the Frontage Road will not be open until year 2018. In addition, when the East End is being constructed in year 2017, it will be necessary to access the 69 parking spaces at the US Bank Building via West Meadow Drive. This means that the VVMC traffic on West Meadow Drive will increase over the existing condition when the East End is under construction. The existing roadway configuration was analyzed for the year 2017 East End (During Construction) scenario. Table 5 shows what can be expected at the this intersection when the 69 parking spaces at the US Bank Building are access via West Meadow Drive during the construction of the East End parking structure. Table 5 — Vail Road and Meadow Drive Analysis Results [Year 2017] TurnKe Page 9 Consulting, LLC AM Peak Hour PM Peak Hour Approach LOS — Delay 95th % Queue LOS —Delay 95th % Queue (sec) (ft) (sec) (ft) Eastbound A — 7 50 B — 10 95 West Meadow Drive Westbound A — 10 55 A — 9 65 East Meadow Drive Northbound A — 8 55 B — 12 90 Vail Road Southbound A — 10 115 B — 11 100 Vail Road Overall Intersection A-9 115 (max) B — 11 100 (max) all vehicles TurnKe Page 9 Consulting, LLC VVMC Master Plan TIS Table 5 shows that there will not be a noticeable change in the LOS, delay, or queuing at the Vail Road and Meadow Drive intersection during the construction of the East End when the 69 parking spaces at the US Bank Building will be accessed via West Meadow Drive. The 69 parking spaces at the US Bank Building represents a 60% increase in VVMC parking spaces accessed via West Meadow Drive (116 existing vs 185 during East End Construction). However, the traffic data obtained in February 2014 showed that the peak hour trips to/from the US Bank Building were 36 vph (AM) and 43 (PM). Based on the existing peak hour traffic volumes at the Vail Road and Meadow Drive intersection (AM = 316 vph, PM =518 vph), the increase in VVMC trips on West Meadow Drive to/from the US Bank Building during the East End Constructions is only 11 % (AM) and 8% (PM). VVMC Trips on W Meadow Drive after the VVMC Master Plan is Completed After the VVMC Master Plan is completed in year 2018, the VVMC traffic volume on W Meadow Drive will go from about 1,000 vehicles per day (based on August 2013 traffic count) to less than 20 trips per day (service vehicles only). The existing peak hour VVMC traffic at the Vail Road and Meadow Drive intersection represents 21 % (AM) and 29% (PM). After completion of the VVMC Master Plan in year 2018, the peak hour traffic volume at this intersection will decrease by those same percentages. 1.7 Conclusions and Recommendations The following conclusions and recommendations are based on the Project trip generation and traffic analysis. 1.7.1 Proposed Roundabout on Frontage Road [Intersection #1] The TOV has taken the lead on the preliminary design of the Proposed Roundabout on the Frontage Road. The participants in this process include all adjacent property owners because the roundabout would require additional right of way from these properties. VVMC, TOV, and the Evergreen Lodge have been meeting for a couple months to evaluate various roundabout location and configuration options. The TOV has retained Felsburg Holt and Ullevig (FHU) to provide technical support to the effort, and they produced a memorandum to the TOV on 8/1/14. The FHU memo summarized the results of the alternatives analysis for the roundabout, which was based on build out conditions on all three properties in the year 2035. The most recent team meeting was held on 8/5/14 where the participants agreed that the roundabout would be likely be located near the shared property line between the VVMC and Evergreen properties. FHU is currently looking at several different access configurations for the roundabout at this location. This VVMC TIS could not analyze the proposed roundabout because the preferred configuration is not known yet. Therefore, this TIS refers to and relies upon the FHU memo for the roundabout operational analysis in the build out condition. The FHU memo indicates that the proposed roundabout would operate at LOS B or better, even when using conservative background traffic and site trip generation estimates. It is anticipated that the preferred roundabout location and configuration will be identified sometime CTurnKe Page 10 onsulting, LLC VVMC Master Plan TIS during the VVMC Master Plan approval process, so this TIS will be updated accordingly. VVMC has identified the South Frontage Road improvements that would be necessary if the hospital were to redevelop first and alone. This evaluation was done to find a workable VVMC access solution that could occur within the existing right of way. The ultimate roundabout configuration would require additional highway right of way for implementation. The results of this work are not included in this document, but they will be added as an addendum. Intersection #1 should be constructed prior to (or coincide with) the completion of the VVMC Master Plan construction in year 2018. 1.7.2 VVMC Access on Frontage Road [Intersection #2] The year 2018 East End (Construction Completed) analysis showed that the existing roadway configuration at the VVMC Access will probably create grid -lock on the Frontage Road and Main Vail interchange. Conversion of the VVMC and TOV Accesses to restricted driveways should occur prior to (or coincide with) the completion of the VVMC Master Plan construction in year 2018. The RIRO configuration at the VVMC and TOV Accesses will provide acceptable traffic operations thru the year 2035. 1.7.3 Vail Road and Meadow Drive [Intersection #3] The VVMC trips at this intersection will increase during the East End construction due to the 69 parking spaces at the US Bank Building being accesses via West Meadow Drive. However, the increase in traffic at this intersection will only be 11 % (AM) and 8% (PM), and there will not be a noticeable change in the LOS, delay, or queuing at this intersection. No changes are recommended at this intersection. TurnKe Page 11 Consulting, LLC Warren Campbell From: Pam Brandmeyer Sent: Friday, August 29, 2014 11:39 AM To: George Ruther; Greg Hall Subject: FW: West Meadow Drive - VVMC Construction Traffic From: Dan Galloway [mailto:Dan@gtinjurylaw.com] Sent: Wednesday, August 27, 2014 2:06 PM To: Andy Daly; Ludwig Kurz; Dave Chapin; Jenn Bruno; Margaret Rogers; Greg Moffet; Stan Zemler; Pam Brandmeyer; Dale Bugby Cc: Mary Payne Galloway; Laura Wright (Iwright4@comcast.net) Subject: West Meadow Drive - WMC Construction Traffic Dear City Manager, Assistant City Manager and Town Council: I am the HOA President for the Alphorn Condominiums on West Meadow Drive. On behalf of the taxpaying residents of the Alphorn, I ask that you take action with regard to Vail Valley Medical Center's (VVMC) construction access plans. Specifically as it relates to their ill-advised intent to access the project via West Meadow Drive. The Town of Vail needs to put the interest of the taxpayers and community ahead of VVMC's plan to use West Meadow Drive as access for their development. To comply with the mission of ensuring long term social, economic and environmental sustainability while protecting the health, safety and welfare of the community, Vail must prohibit VVMC from turning West Meadow Drive into its personal construction zone. As a taxpayer representing the concerns others, I respectfully request that Vail be proactive in managing and planning for the safety and traffic flow on Meadow Drive, particularly during this proposed development. West Meadow Drive is primarily a pedestrian and bicycle pathway. As Lionshead and Vail developed, Meadow Drive became the primary link, turning those locations into one homogeneous visitor and resident experience. This experience will be ruined by VVMC's use of Meadow Drive as a personal construction zone. While the hospital moves to greatly expand its operations and fly in more patients, employee, patient, visitor and service traffic will inevitably increase on Meadow Drive. This conflicts with the Town's mission and the expectations of those who live here. There is no police or signal control for the speed and flow of traffic on West Meadow Drive. With VVMC's monolithic plans, that will need to be corrected immediately. The construction access on Meadow Drive raises concerns of serious and potentially fatal accidents. Moms will have to push their strollers amongst oversized loads and bus drivers will have to transport passengers while avoiding cement trucks. The noise pollution from the construction traffic will add to the chaos and diminish quality of life. Thus far, the Town has been negligent in failing to implement a professional master plan for traffic in this area. These nonfeasance was corroborated by a Town spokesman at the recent presentation by the Hospital. The Town needs to act consistent with the standards it promulgates - the VVMC plan to use Meadow Drive does not insure social or environmental sustainability, and it does not protect the public health, safety and welfare. The absence of clear and professional Town planning will negatively impact Vail's competitive posture with other leisure destinations. Additionally, there will be a negative impact on property values and the Town's tax base. We ask that the Town perform its fiduciary duty to the residents, visitors and taxpayers and properly plan for and manage safe traffic flow on West Meadow Drive and the related traffic arteries by prohibiting construction access for the VVMC development, and forcing VVMC to use an alternate route, such as the South Frontage Road adjacent to the development. Vail has a duty to make certain the development is conducted in a manner that protects the health, safety and welfare of the public. VVMC cannot be given carte blanche access to W. Meadow Drive for its own gain and at the expense of the rest of us. Thank you for your consideration of this issue. Respectfully, Mary P. Galloway - ALPHORN HOA PRESIDENT 121 W MEADOW DRIVE 303-809-9997 gallowayhome@comcast.net Warren Campbell From: Warren Campbell Sent: Thursday, September 04, 2014 1:51 PM To: Warren Campbell Subject: FW: Scorpio From: Helga Beck [mailto:helgab@tessy.com] Sent: Saturday, August 30, 2014 9:15 AM To: Council Dist List Subject: Scorpio Dear Member of the Board, We are the owners of two condos at the Scorpio condominiums and are very concerned about the planned location of the heliport for WMC. Although we fully support the expansion, we prefer if the heliport could be placed in safer, less noise intrusive location. Sincerely, Henry and Helga Beck Please Consider The Environment Before Printing This Email. This email and any files transmitted with it are confidential and intended solely for its intended recipient. Any views expressed in this message are those of the individual sender, except where the sender specifies and with authority, states them to be the views of Tessy Plastics Corporation. Scanning of this message and addition of this footer is performed by email filtering and antivirus software. For any questions regarding this scanning, please forward this email to: infos()tessv.com This message has been scanned for malware by Websense. www.websense.com Warren Campbell From: Warren Campbell Sent: Thursday, September 04, 2014 1:43 PM To: Warren Campbell Subject: VVMC Master Plan On Sep 1, 2014, at 9:28 AM, "rpmbbbb &aol.com" <rpmbbbbL&aol.com> wrote: Dear Mr. Ruther - Director of Deprtment of Community Development, We are writing Town of Vail officials in light of the VVMC Master Plan proposal. High quality health services to the resident and visiting population in the valley is a valued asset for this wonderful mountain community. All of us welcome the foresight needed to maintain up to date facilities offering the best in access, modern technology and strong infrastructure. The comprehensive plan is a huge undertaking and its process as well as goals will effect some residents and property owners differently. As owners of Scorpio 505 we have special concerns in three significant areas. West Meadow Drive is an integral part of the village experience. That role is impacted already by the delivery and refuse traffic that newer properties have had shifted to South Frontage. Increasing this heavy vehicle traffic over the long range plan will adversely impact bus, foot, bicycle and sightseeing traffic along this drive. Relocation for all heavy traffic is best designed along South Frontage. The driveway from West Meadow that is alongside Alphorn, Skaalhaus, to Scorpio and the Bank building already sees more traffic than is sometimes safe for local property owners and guests. The proposal that would increase this traffic without including modification and safety upgrades is not acceptable, and a description of what will be "left" after the two year construction is lacking. The Helipad raises numerous issues that include necessity as well safety concerns. When you look at air crashes, fixed wing aircraft have a strong record , but helicopters including those for patient transport are notable for crashes. The risk is not only to occupants of the transport, but also to surrounding structures. As a result, Manhattan has all helipads on the docks, none in town . Actual patient benefits are a statisticians dilemma, but the risk benefit even in dire emergency is arguable. Recognizing this marginal at best situation, if helicopter transport is desirable as an option for the Vail community, locating it in a relatively low population dense locale (e.g. golf course) does not risk patient outcome and improves safety all around. We know that many opinions will flood to the council and appreciate your consideration of this information as you ponder the breadth and depth of the proposed plan. Sincerely yours, Bruce and Elizabeth Bowling 505 Scorpio rpmbbbb(a)aol.com `a CARYN CLAYMAN 131 W. MEADOW DRIVE, APT. 305 VAIL, CO 81657 September 2, 2014 Dear Members of the Town of Vail Council: I am writing to the Members of the Town of Vail Council in light of the VVMC Master Plan proposal. High quality health services to the resident and visiting population in the valley is a valued asset for this wonderful mountain community. Everyone appreciates the foresight needed to maintain up to date facilities offering the best in access, modern technology and strong infrastructure. I personally have been a patient of the Steadman Clinic on numerous occasions and appreciate the care that was provided by the VVMC. The comprehensive plan is a huge undertaking and its process as well as goals will affect some residents and property owners differently. As the owner of Scorpio Unit 305 I have special concerns in three significant areas. First, West Meadow Drive is an integral part of the village experience. Especially during the summer months, West Meadow Drive is essentially used by foot, bicycle and sightseeing individuals as a "closed to vehicles" walkway even though there is bus, car and truck traffic on the road. Also the majority of that traffic does not respect the 15mph speed limit. While the VVMC Facilities Master Plan moves the ambulance traffic and the main entrance traffic to the South Frontage Road, it does not eliminate traffic to the Steadman Clinic, the Howard Head Clinic, the employee parking lot and commercial deliveries. In truth, the traffic that is being diverted to the South Frontage Road will be less than the traffic that will still be using West Meadow Drive. I would hesitate a guess that the traffic to the Steadman Clinic and the Howard Head Clinic now consists the majority of the daily traffic on West Meadow Drive to the VVMC and that traffic will only increase in the future. That traffic is not diverted from West Meadow Drive in the VVMC Facilities Master Plan, it is just not shown on the Traffic Study attached to the Master Plan. In fact the Traffic Study attached to the VVMC Facilities Master Plan only addresses the traffic impact during the construction period, not the resulting traffic impact after the construction is completed. The Traffic Study also assumes that all construction traffic will be on the South Frontage Road and none on West Meadow Drive. I find that ingenious. It is highly doubtful that all construction traffic will be on the South Frontage Road and none will be on West Meadow Drive. Increasing this heavy vehicle traffic over the long range plan will adversely impact bus, traffic along West Meadow Drive. With regard to commercial deliveries to the VVMC, constructing a decorative gate to hide the entrance really doesn't address the problem. It only hides the entrance in the evenings and on weekends when the entrance isn't being used. During the day when the deliveries are being made the gate will be open and the commercial traffic on West Meadow Drive will continue. The Town of Vail has required other construction projects such as the Four Seasons to construct loading docks that remove commercial deliveries from blocking roadways. It may be difficult but not impossible for the VVMC to design and implement this. The plan states that this is "infeasible" but it is not impossible. Since the VVMC is now making changes to the ingress and egress to its structure, now is the time for Town of Vail to require VVMC change where and how its commercial deliveries are made. Second, the Traffic Plan addresses how the parking lot for the Bank Building will be accessed during the construction period. It is to be accessed by the driveway from West Meadow that runs alongside Alphorn, Skaalhaus, to Scorpio and then to the Bank building parking garage. This driveway already sees more traffic than is sometimes safe for local property owners and guests. It must be noted that this driveway is also used as a walkway by the homeowners of Scorpio as it is the only way that they have to go from their homes to West Meadow Drive and then to Vail Village or Lionshead. During this summer, the bank parking garage was accessed by this driveway because of construction in the Bank Building. Many of the drivers sped up and down the driveway with no regard for other cars, pedestrians, or traffic on West Meadow Drive. Going down the driveway to West Meadow Drive, it is very difficult to see pedestrians, bikes and bus and car traffic. In the winter, this driveway becomes very icy as the driveway is shaded most of the day. It is an accident or many accidents just waiting to happen. The proposal that would increase this traffic without including modification and safety upgrades is not acceptable, and a description of what will be "left" after the two year construction is lacking. Third, the Helipad raises numerous issues that include necessity as well safety concerns. When you look at air crashes, fixed wing aircraft have a strong record, but helicopters including those for patient transport are notable for crashes. However, there was an accident this past week of a medical fixed wing aircraft with four fatalities. The risk is not only to occupants of the transport, but also to surrounding structures. As a result, Manhattan has all helipads on the docks, none in town. Vail of course is not Manhattan with its challenges of high rise buildings but Vail has its own challenges of mountains, a narrow valley and high altitude. Actual patient benefits are a dilemma, but the risk benefit even in dire emergency is arguable. At the community meeting, it was stated that the reason for the majority of helicopter trips from VVMC was for cardiac patients but the number of trips would be greatly reduced because of the new cardiac unit. Recognizing this marginal at best situation, if helicopter transport is desirable as an option for the Vail community, locating it in a relatively low population dense location (e.g. golf course) does not risk patient outcome and improves safety all around. I trust that you will consider the opinions of all of the property owners and taxpayers of the Town of Vail as you make your decision regarding the proposed plan. Sincerely yours, Caryn Clayman Warren Campbell From: Warren Campbell Sent: Thursday, September 04, 2014 1:49 PM To: Warren Campbell Subject: Marten From: ALBERT [mailto:aymars@centurylink.net] Sent: Thursday, September 04, 2014 8:55 AM To: Council Dist List Cc: rsnow@burlesonllp.com; rkent@Johnson-united.com Subject: 9/3/14 TOV: towncouncil@vailgov.com Dear Planning and Environmental Commissioners and Town Council Members: Re: Meeting on Vail Medical Center Plans We are retired physicians and have been property owners in Vail since 1984. It is our understanding the initial analysis done by the Denver firm regarding the location of a medical Center concluded it should be located some distance west of the town of Vail because that is the center of the patient core population but that town officials wanted an expanded Medical Center in Vail. If town officials are truly interested in the public welfare as well as alleviating the traffic congestion in Vail, why do they want patients from communities to the west to have to travel to Vail for general medical care, pediatrics, obstetrics, etc. Why not continue emergency and orthopedic care in Vail which, after all, is a ski resort and a summer resort and not a medical hub. We are also concerned regarding a helipad being located near residential buildings, apparently against Federal recommendations, and creating a great safety risk to residents as well as noise pollution. What is the liability of the Town of Vail to residents regarding approval of a heliport in the event of a helicopter catastrophe, especially in light of having approved buildings of great height near by? We hope this is not another decision town officials will regret in the future as they expressed regrets regarding allowing SDD's in the past, ignoring zoning restrictions, and "urbanizing Vail" to the regret of many. (See statements of commissioners in PEC minutes of 2/11/13 and 3/11/13.) What is the real motivation behind an expanded medical center in Vail? Also, why is it that meetings important to Vail property owners are scheduled at short notice and usually out of season? Thank you for your time and attention. Albert Martens, M.D. Yvonne Martens, M.D. Cc: Ron Snow Cc: Richard Kent Dear Town of Vail Officials, I am writing both as an individual property owner on West Meadow Drive (Skaal Hus #5) and as the President of the Skaal Hus Homeowners Association. We have received and carefully reviewed the master plan of VVMC. Let me state up front that we recognize the value of VVMC and we strongly support the concept of updating VVMC to be an appropriate medical center for the future. We support the idea of the expansion and updating of VVMC in general. We are very concerned, however, at the treatment of traffic on West Meadow Drive. The master plan has a classic "front of house" and "back of house" concept that is misguided in the case on Vail. The master plan of VVMC is based on the concept that South Frontage Road, if it is the public vehicular access, is the "front of the house", and, therefore, West Meadow Drive is inherently "back of the house". While VVMC feels a concession has been made in having ambulance access on South Frontage Rd, all deliveries remain on West Meadow Drive. These "deliveries" include garbage trucks, large trucks up to 18 wheels, and gas tankers. Such vehicles are a major danger and obstruction to the purported Vail plan of a pedestrian and bus pathway between Lions Head to Vail Village. The proposed "covering" of these delivery activities by VVMC (vaguely promised but not defined) does not address the negative impact of large industrial vehicles on the Vail master planned pedestrian and bus pathway. In summary, the VVMC Master Plan asks West Meadow Drive to bear increased traffic during East Wing Construction, and then indefinitely tolerate dangerous and environmentally incompatible large vehicles (large trucks throughout the day in a pedestrian pathway) in return for reduction of small ambulances and cars. This clearly makes no sense. Trucks must also access VVMC from South Frontage Rd, not West Meadow Drive. West Meadow Drive is not a "back alley" back of house as architects typically format these projects (like shopping malls). Unfortunately for VVMC, West Meadow is not a back alley for deliveries. VVMC must direct the architects to access both patients and deliveries through the road best suited for high volume, which is South Frontage Rd. West Meadow Drive, like East Meadow Drive, is a pedestrian and "local traffic only" venue. Sincerely, Roger F. Steinert President Skaal Hus HOA