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HomeMy WebLinkAbout2-17-2015 TC VVMC PPt-reduced sizefail Valley Medical Center Extraordinary People. Extraordinary Care. Extraordinary Facilities. Presentation of VVMC Site Specific Redevelopment Master Plan Vail Town Council February 17, 2015 �f f ry r ge ChMm- Today's Agenda: Helipad 1. Introduction & Opening Remarks 2. Physician's Perspective • Dr. Reg Franciose • Dr. Jerry Greenberg • Dr. Jenna Rosenthal 3. Paramedics Perspective • Fred Morrison 4. HeliExperts International LLC • Rex Alexander 5. Pilot's Perspective • Caycee Batterson 6. Helipad Building • Russ Sedmak Physician's Perspective Dr. Reg Frandose, Trauma Vail Valley Medical Center Physician's Perspective Helicopter Transport Destinations Medical Center of Aurora Denver Health Medical Center Rocky Mountain Hospital for Children Children's Hospital Denver Swedish Medical Center Vail Valley Medical Center Jhv_c%ic_inn'_c% Ppr-c%d Heli Transfers OUT Cardiac Trauma Acute Medical Emergency Stroke (or similar) Neonatal (newborn) High -risk OB (mom &baby) 2013 Total =231 2012 Tota I = 72 Ppr_r%d Helicopter Transfers IN Helicopter Transfers OUT Ambulance Transfers OUT Total Transfers OUT of Heli Transfer. Physician's Perspective Dr. Jerry Greenberg, Cardiology Vail Valley Medical Center Time from Symptom Onset to Treatment Predicts 1 -year Mortality after Primary PCI F__12 10 8 0 4 0 0 _-.11 60 120 180 240 300 360 Ischemic Time (minutes) 00043X' The relative risk of 1 -year mortality increases by 7.5% for each 0- minute delay Cni..ummih UNrvEx -sury De Luca et al. Circulation 2004;109:1223 -1 225 i MYUtC"CLA`IA I NewVcrrfit Preshykeran Physician's Perspective Dr. Jenna Rosenthal, Pediatrics Vail Valley Medical Center Eagle County Paramedic Services Fred Morrison, EMT, Chief Paramedic Vail Valley Medical Center 16 14 12 10 8 A 4 2 W� , Eagle Coun Paramedic Services Jan Feb Mar Apr May Jun Jul Aug Sep Oct Near Dec .2014 --W-2013 —*--2012 --)(--2011 X2010 X2009 10.00 9.00 8.00 7.00 6.00 5.00 4.00 3.00 2.00 1.00 0.00 Eagle Coun Paramedic Services Helicopter Operations 5 Year Average Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ■ S Year Average Eagle Coun Paramedic Services "MOP. im wl County gle Paramedic Services f . �1 Ile tv lot# , Xl� Eagle Countv Paramedic Services a L - Oki :: } -� NJ0 'E.G- , ,ice Eagle County Paramedic Services Chronology • Helicopter 5 -50 minute ETA after physician makes decision. • Ambulance assigned at 5 minute ETA and becomes unavailable. • 15 -30 minutes landing logistics and getting flight crew to VVMC. • 20 -60 minutes transfer of care in ED. (OB /Neonates can be up to 2 hours) • 20 -30 minutes takeoff logistics. • 60 minutes minimum ambulance out of service • Patient charge of around $450 Vail Valley Medical Center 02014 All Rights Reserved � ��E%PERAS_INTERNATIONAL LLC. J� ow—d F-4y R y—w A. SV— RA. —e.. mop -Rrnd AM Ik 101 Vw 4 Mom yAm Vw 4 Wl Alm LV1 Vw a 02014 All Rights Reserved � ��E%PERAS_INTERNATIONAL LLC. J� ow—d F-4y R y—w A. SV— RA. —e.. mop -Rrnd • A combined 75+ years of rotary wing and fixed wing aviation piloting, maintenance and management experience with an extensive background in military, corporate, offshore and air- medical operations. • 35+ years in aeronautical consulting, safety, heliport development, education, and litigation support services. • 500+ heliports designed and over -3,000 heliports visited or audited worldwide. 77- • Clients include: FAA, DOD, Department of Energy, Transportation Safety Institute, Department of Justice, U.S. Army, U.S. Air Force, U.S. Navy, U.S. Army Corp of Engineers, States of New York, New Jersey, Hawaii and Illinois as well over 400 corporations, organizations and individuals. _. • Only independent professionals from industry requested to meet with the FAA on the redrafting #.the current heliport advisory circular. v—At,•1EXPERTS INTERNATIONAL LLC. _- Fw.n.nr n.r da. srmx 02014 All Rights Reserved 2/12/2015 18 e =� k14' • 10,000 + hour airline transport rated and instructor pilot in helicopters and airplanes. • Decorated combat gunship & VIP helicopter pilot in Vietnam. • 29 years as an aeronautical consultant delivering heliport development, safety and litigation support services. • Senior Member of the Helicopter Association International heliport and FAA►/Industry Heliport /Vertiport Design A/C working groups. `\ • Designer and primary author of the HAI Heliport Development Guide. A • Industry Contributor and C6nsultant to the Transportation Safety Institutes Heliport Evaluation Training Program for FAA Inspectors. -.,i ,K{ • Member International Helicopter Safety Team Infrastructure Working Group. • Member Helicopter Association international Heliport Committee. • Member Helicopter Association International Acoustics and Fly Neighborly Committee. • One of the most senior and now Chairman of National Fire Protection,4Association NFPA 418 Committee - Fire Protection Standards for Heliports_ • Qualified as an unctiallenged aviation expert in Federal, state and local courts in addition to official hearings epd other regulatory development proceeding. • FAA Heliport Advisory'Eircular- ,Industry Contributor.; ' 02014 All Rights Reserved 2/12/2015 19 v �11EXPERTS INTERNATIONAL LLC. �` h a, ,w _- F.m+*Kr n.v.��aa. srmxsw.. «w.. t. r) �1-j �j • 34 years of military, general, and commercial aviation with 28 years in the helicopter industry and 20 years in the Helicopter EMS industry. • 5,000 plus hour rotary wing and fixed wing pilot. • Military Instructor Pilot, Air Medical Safety Manager, Air Medical EMS Base Manager, Air Medical Regional Manager over 28 programs in the Central U.S. Airframe and Power -Plant Technician, Heliport Developer and Auditor, Educator, Trainer, and Avlation.,txpert. • Board Member and Past President (2yr) of the National EMS Pilots Association (NEMSPA). • Liaison and Past President (5yr) of the Indiana State Association of Air Medical Services. • Member NFPA -418 Committee Fire Protection Standards for Heliports. • Industry Contributor and Consultant to the Transportation Safety_ Institutes Heliport Evaluation Training Program for FAA Inspectors. • FAA Heliport Advisory Circular Industry Contributor. • Author and designer International Heliport Risk and Liability Assessment Toolkit. • Author and designer of thQ;:NEMSPA Hospital Heliport Safety Program. • Guest speaker Transportation Safety Institute Advanced Helicopter Accident Investigation Course. • Member Internatio (`Helicopter 5afet arri }nrasrueure drking Group. • Member Helicopter Associatioq international Heliport Committee. • Member Helicopter Association International Air Medical Service Committee Member. 1-.L-IEXPERTS INTERNATIONAL LLC.. a,, d F.m+*Kr n.v.��aa. sr,.xsw.. «w.. 02014 All Rights Reserved 2/12/2015 FW • Regulations and Guidance on .Heliports • Hospital Heliports Safety, R--66o rd '�,. • Heliports in ColoradY0 ,1-11. • Basic Heliport Design Criteria • Urban Rooftop Hospital- Heliports in the U.S. • Basic Heliport Airs pape,,,_,C rite ri a �" • VVIVIC Heliport and Airspace Proposal �- g-�:.. �... _:_� , I �'�r- �T•Y��: I � - , •.ors, .., � L .. � • C'd' -i Noise parison,=,.,,,,,--,.,�,, �. � r=L � , � ' X15 -•--t' � - ••rte- c^res -.t_. • Operational Cp-n"--iderations - • Impact on Neighboring Building Heights � JEXPEI S INTERNATIONAL LLCT Fw.n.nr a. srmxsw.. «w.. 02014 All Rights Reserved 2/12/2015 21 rJJIJ' • FAA: Federal Aviation Administration • NFPA: National Fire Protection Association • IBC International Building Code • IFC ` _ International Fire Code !4 • OSHA's Occupational- Safety & Health Administration • NT National Transportation & Safety Board • NE WA: National EMS Pilots Association • HAS: Helicopter Association International • CAIVITS: Cgrrmission on Accreditation of Medical Transport Systems j,L- (EXPERTS PNTERNOIVAL LLCT Fw.n.nr n.v.��aaATI. srm. 02014 All Rights Reserved 2/12/2015 22 4, r�'Jff� . r,J1' e- j, U.5. Ocpanlnaeal Advisory of Y'raaspnrtadon al Aviation Circular Adardnisrratian Subjexil I- Wlilx,rt Pesign Ilute- -.;a1 :2012 AC No: I50 "S3�Mi•'i Initiated lad: AAS -101 f'.lt:utge: 1, l'urp c This advisory circular I(ACP proeides standards Bette design ot'heitp:irtsxcruing heaacupters with suigls rulurs. Apply b:isW ccnicepis ':o ldc:liues WIVinglacliWpterswith tandem Ifrunl and rear) or dual hide by side) rovers, htm ever many standards M11 not apply. i. Cnncellalion. This AC cancels AC 150,5390 -2$, Heliport Dexiyn,dated Septeinber i0, 2004 3. 1pplicaiian. `Ihc FedcraLAi> auon Administration (I,AA) recomnncad2 tttc gwdclincs and sp eillcaiioas iii this AC for uiuteriuls and mietbuds used in the wnslruc iuu of heliports- to general, Ilse alibis AC is not mandatory. however. use of this AC is rnundacary for all projects funded with lUeral grant nxrnies through the Airport improvement Program tAIP) :and with revenite faint the FiRwriger Facility Charge ( PIIC'), ace Grant A.asuramcc No. 33, Policies. Standards. and Spocilications. and PFC' Assurance Vn. I- Smnit'irds and Specifrcatin:ts For inforinarion shout grant assnmaces, see waru+.faa.euvlarrtxrrtvaio;Brunt u5+vruiccsa, The umeof t4nrns Implying auictcu:rplianua appinn; only to Ibose prnjvets, Other federal agencies, states, or Otheratnhorities having jurisdichon m'cr the construclicat oferthur helipttrtst tLecide the uxtcat to which these suandardsapply. d. Principal changes. a. Changed the l rw for due hoWopler overutl length (l]L) W ' R' or'D- vAtie_' h. Added definitions for design loads for w,mtic and dynamic load- bearing areas iLBA). e. Added gwdnncc for pa%cmcnL or structure larger theta the touchdown and liftoff area 1"I LO H. but less than the size of the final approach and take oIT (FA'fi1). d. Added guidance for turbulence effects. e. Added guidance to provide adequate cicara:ice bemwti parking arias and taxi routes and within parking areas. L Added guidance for mininrrtm dimensions ofnurved al pretachidefturnrcenirspac: - g. Added gutduucc l'or'1'uuchduaaniPosltlorung C'tr le tIDK) Marking. li. Added guidance for Flight Patli Alignment f3oi44110e nrarkinpcaud lig]us L Added on aplwadix pro viding guidance for Emergency lWheopler Landing I•uethty Keyuueni,%j s 1F1f1.F). J. Added VA'141 to FA'lll separation dislancc for simultaneous oparations. k_ Revised standards for sire of "ir' for general aviation heliports, 1. Add�1 incrcascd'1'I.Uk'srre uhun the NAfi3 ol'ahnspttul huiipart isnut load ttauring. a� ��L-IEXPERTS INTERNATIONAL LLC. ,,,,h m d F—.nr n­d a. arms r: w.. «w.. ,ne oa. — 02014 All Rights Reserved 2/12/2015 23 - • B 4 V V Adopted Standards - Adopting the most conservative standards i� �� T �LIE1(PERTS PNTERNATIOIVAL LLCT mh... cn...,.e Fw.n.nr n.v.��aa. srmxsw.. «wn.' � eom..wv 02014 All Rights Reserved 2/12/2015 24 • Develop preliminary design - -in accordance -with FAA AC 150/5390 -2C • Complete FAA Form 7480 "Notice of Landing Area - Proposal" • Submit FAA 7480 to FAA Airports District Office. -_ • FAA airports district office checks 7480 for completene .5'4, ` 4 • Project is then assigned an airspace case number • Application distributed to the appropriate lines of business,within the FAA • Flight standards assigns a trained airspace inspector. (Commonly a helicopter pilot who is a primary operations inspector and has completed the Evaluation course at TSI in Oklahoma City) • The inspector will go to the site and meet with the component and review all of the heliport design elements • Upon completion of the inspection a recommendaton is rendered • A determination letter is issued • Once the heliport has been -cons " " � 1 6 may opt for an additional inspection - • FAA Form 5010 Airport- Master Record is then issued t— L-IEXPERTS INTERNATIONAL LLC. Fw.n.nr n.v.��aa. srmxsw.. «w.. ,.e om..wv 02014 All Rights Reserved 2/12/2015 25 J e -P' • Town of Vail review of VVMC Master Plan • File FAA 7480 Notice of Landing Area Proposal • FAA Review of Heliport Design Elements and Site Inspection • Prepare Detailed Design • Town of Vail Review of Conditional Use Permit • Prepare Construction Drawthgs • NFPA /IBC /IFC Compliance Review by Town of Vail • Heliport Constructio ,n,;.. ,1E4 • FAA Heliport Activation and Issue of 5010 Airport Master Record. ��` - EL- (EXPERTS PNTERNATIOIVAL LLCT , —��`- �,h o„ w 02014 All Rights Reserved 2/12/2015 26 ---]I JH '�� I J • National Safety Council we found no accounts of hospital heliport 4 -1. related injuries to members of the general public,,_ whether from general- public,_ contact with the V helicopter itself or as the result of being distracted by the helicopter�while driving. �` EL- IEl[PERTS nPNTEfiNdA 5- rw.n.nr .v.��aa. sr•nx —e �om..e.'v K�O9�E AM; Ka}iuoad gyms Flrli FApw, Intcmatianal LL{ 28 B=L t DrLYe Long Branch, VJ 07744) Cklnber 211.2014 Pear Mr. Svms The mission of the Narrolud Sadly Council Is to Innke our world srFer by prcW cnnng InjunC%rand deettls W work. m homes and ulmntunllim. and on the roads dmiLiglt 0 •adcrshlp, resuan:ir- cdnYVtwn and edsneac}- 1 "n auppnn ibis ontasion, the Llhrary of the National Safety Cowivil ywhim. cntialop and disscmi'.nsfeE sa'liiy stalisnl:s, r mrch and olhcr tnlormoon fnam n wrdr range of reputable sour 'm As you requested, a'e sean:hed our holdings lily dncumcnts delad ing My injuries of persons Oom dre gw=i pohlic at or in the vieinity of fic Otal hellfEnrls. The ae amh loemtcd a number of documcnts addrmitlg widmts rmil"g in Injuries and fi wlioes to flight crew iumben wid passengers However. we Found no acEtlunes of hnspnal lwlipnn- related ihtutia to Irr'Lnyihcr., of the gcncral public, whether f m dirr i. IUmitivi with the hchcnpler itself ar os the ry:sult of bring distracted by the belicop4cr Apile dri mg I hrlpe this Inh»myunon m helpful, please lot me know If nc wa he of aoy further asmsiame. A laina Kolosh N- 14-nal sofrty Council Manoger. Lihrar+ do laformorturn SmivE maklttq attr wood sale- iu� �Mlurr U� nT4F � �rtwn, u wlula�• � 1.141'Eri -•cn a iuw an nM � • wr �y 02014 All Rights Reserved 2/12/2015 27 1--J I J�'�' r rJ J ItXPERTS INTERNATIONAL LLC.�` Fw.n.nr n.r d a. S-. &I 02014 All Rights Reserved 2/12/2015 28 98 Heliports in Colorado above 6,000 feet 43 Heliports in Colorado above 8,200 feet N 59 Hospital heliports in Colorado 16 Hospital heliports in _ Colorado above 6,000 feet 4 Hospital heliports. n:_Colorado:.�_bove 8,200 feet t--* ';0EXPERTS INTERN ATIONAL LLC.. Fw.n.nr a. srmxsw.. «w. 02014 All Rights Reserved 2/12/2015 7FE ell t+& L-IEXPEI S INTERMATI6 4 LLC.. --� „bh a,,,,,w Fw.n.nr n.v.��ea. srmx s . ,ne'o —.1 02014 All Rights Reserved 2/12/2015 30 ln�jl —�I n -ro-ol I-D 4 , (— L- (EXPERTS PNTERMATItA LLCT, Fw.n.nr n.v.��ea. srmxsw.. «wn. I jaw � 1 02014 All Rights Reserved 2/12/2015 } 31 (— L-IEXPER S INTERMATI6NAL LLC. ,,, �,,,w Fw.n.nr n.v.��ea. srmxsw.. «wn. —d va. — 02014 All Rights Reserved 2/12/2015 i r 32 (— L-IEXPERTS INTERNATIONAL LLC.. Fw.n.nr n.v.��aa. srmxsw.. «w. 02014 All Rights Reserved '4 �l l s 2/12/2015 1 33 i J J J-1 J J 'J ,P -.-.JJ �J ✓ J �1 J ,p i v.—At-L•pEXPERTS INTERNATIONAL LLC. Fw.n.nr n.r da. srmx kL r � WON . 0 02014 All Rights Reserved 2/12/2015 ti C 34 ■ i J J el ��E�► 02014 All Rights Reserved 2/12/2015 35 L• IEXPERTSPNTERNATIOIVALLLCT ,—��`- �,h ow Fw.n.nr n.v.��aa. srmxsw.. «w.. i J J J-1 J J 'J ,P -.-.JJ �J ✓ J �1 J �LIEI(PERTS PNTERNATIOIVAL LLCT , —��`- �,h a,,,,,w 02014 All Rights Reserved 2/12/2015 36 Fw.n.nr n.v.��aa. srmxsw.. «w.. ,.e om..wv i J J J-1 J J 'J >E -.-.JJ �J ✓ J �1 J j%` -,• 02014 All Rights Reserved 2/12/2015 37 ELIE1[PERTS PNTERMATIOIVAL LLC. , —��`- �h a,,,,,w i J J el t��ItXPERTS . E A AL -- Fw., R­d S-xsw« -,, 02014 All Rights Reserved 2/12/2015 38 i J J el -1- , It �-L-IEXPEF S INTERNATIONAL LLCT 02014 All Rights Reserved 2/12/2015 39 mh... cn...,.e Fw.n.nr srmxsw.. «wn.' � eom..wv 3` I FAA AC 150 5390 -2C (412412012) Figure 4 -6 VFR Heliport Approach /Departure and Transitional Surfaces: Hospital plEXPER.T5INT RNed sa +sat t•Ce 500 FT [152 MI 2 Fr ps M] -.,- f: [76 M] _ 500 Fr [152 M] 02014 All Rights Reserved 4.000 FT [1.219 MI 500 FT [152 M] LEGEND 8:1 ApproachiDeparture Surface 2;1 Transitional Surface I� 2/12/2015 40 W ._ . FAA AC 150 5390 -2C (412412012) Figure 4 -7 Curved Approach /De'pa-rture: Hospital R = 888 FT [2 Legend: ,'`•��`' _.,4 8:1 ApproachIDeparture Surface ~ 2:1 Transitional Surface 0,-� EL-IEXPERF S INTERNATIONAL LLCT �` �,h a„ w 02014 All Rights Reserved - *Kr n.v.��aa. srmxsw.. «w.. l 2/12/2015 41 Mrs, W W LL 0 200 z W J a a LL 0 100 z 0 0 0 a 0 1, 1 j 0 1 2 3 4 5 6 SITE ELEVATION (IN THOUSANDS OF FEET) Example: 80 feet is added to the basic FATO length for a site elevation of 3,200 feet. kIEXPERTS PNTERNATIOIVAL LLCT , —��`- ,,,,h o,,,,w 02014 All Rights Reserved 2/12/2015 90 CD W W z 60 z W J 0 a 30 0 Z 0 0 0 vim[ 42 LY rj rJ r J� �J� � �J �� -rte ��Ij j V V h] J Extended FATO Extrapolation Chart The fallowing chart is an estimated extrapolation for elevations above 6,000 feet MSL Based on FAA Heliport Advisory Circular AdC 15015390 -2C. Figure 4 -4 At an estimated elevation of 6,200 feet MSL there would be a required merease of the overall FATO Length = 475' Boo 500 f— w W LL z 400 C7 z w �0 300 �C LL a t- z 2200 f- 100 0 0 1 2 3 4 5 6 7 8 S 10 11 12 SITE ELEVATION (IN THOUSANDS OF FEET) Fig 4-4 Additionat FATO Length for Heliports at Higher Elevators: Hospital I Extrapolated Data A ���' L.EXPERTS INTERNATIOrVAL LLC.�` Yale Drc W Fw.n.nr n.vr��a a. srmx ,,.d oa...r.'v 02014 All Rights Reserved 2/12/2015 43 r ] r ] _j _j j Aircraft Make & Model Data Aircraft Max TakeGff Weight lbs. OL feet RD feet 5 -92 26,500 68.5 56.3 UH -60 22,000 64.8 53.8 AW -139 14,991 54.7 42.6 B -412 11,900 56.2 46.0 5 -76 11,700 52.5 44.0 EC -145 7,904 42.7 36.1 AW -109E Pwr 6,283 42.8 36.1 EC -135 6,250 40.0 33.5 B -407 5,250 41.4 35.0 A5 -350 4960 42.5 35.1 NOTES: *This is only a partial representation of the potential EMS helicopters that could service a hospital heliport in the U.S. and is for illustration purposes only. The estimated extended FATO for Vail, Colorado per extrapolation of the FAA AC chart is 475 feet. Ground Based Heliport Dimensions TLOF feet FATO feet F5A feet Ext. FATO Length at 9,200' M5L 56.3 102.8 18.8 577.8 53.8 97.2 17.9 572.2 42.6 82.1 14.2 557.1 46.0 84.3 15.3 559.3 44.0 78.8 14.7 553.8 36.1 64.1 12.0 539.1 36.1 64.2 12.0 539.2 33.5 60.0 11.2 535.0 35.0 62.1 11.7 537.1 35.1 63.8 11.7 538.8 NOTES: TLOF =1 x Rotor Diameter but not less than 40' FATO =1.5 x Overall Length FSA =1/3 RD but not less than 10' *Measurements only apply if TLOF and FATO are marked and standard hospital markings are used. An Extended FATO is centered on the TLOF r:. 4_-L-IEXPER S INTERN�aaATIsrmx ONAL LLC.. sw.. «wn. 02014 All Rights Reserved mh... o. -,e Fw.n.nr n.v.�. Rooftop Based Heliport Dimensions Non -Load Bearin FATO) TLOF feet FATO feet F5A feet Ext FATO Length at 8,200' M5L 68.5 102.8 18.8 577.8 64.8 97.2 17.9 572.2 54.7 82.1 14.2 557.1 56.2 843 15.3 559.3 52.5 78.8 14.7 553.8 42.7 64.1 12.0 539.1 42.8 64.2 12.0 539.2 40.0 60.0 11.2 535.0 41.4 62.1 11.7 537.1 42.5 63.8 11.7 538.8 NOTES: TLOF: *If the FATO outside the TLOFisnon-load bearing increase minimum width, length or diameter to overall length (D) of design helicopter. FATO =1,5 x Overall Length An Extended FATO is centered on the TLOF 2/12/2015 44 -C-� j] �]V'M rd -, D�j J J r� =► Dowd Junction Colorado RAWS I Dowd 3 Jar NiaYl Colorado liituee 18" J7. 77' H Ps.gitaM ; 106' 27. 06 " S t� 7. 91 —tac. al5a ft.., 1 Al P.I—M a Man 9Piad Spa.d REMOTEAUTOMATIC WEATHER STATION Dowd Junction (2004 -2014) • 3.4 n m West of Vvmc • Lat. N -39 37'37" 9 • Long: W -106° 27'0695 Elevation. 8,998 Y�. • N ESS I D: 3241 B964 NWS ID: 051606 _; • Agency: USFS •. , •:.\ l `�� • Start marl S.p. 1. 2m '•` Rad par: .lam. 1, =4 �1 of i 1114 Of 3410 _ T ab.lpm.ae W57 uC 91940 1 -z... _ • � tJ.at »rn kp1o..1 C1f.rtr Ca.t.r 1 -- (- •L•pEKPERTS PNTERNA 5- AL LLC. Fw.n.nr n.v.��da. srmxsw.. «w.. 02014 All Rights Reserved 7] 2/12/2015 G1 3i3 - . a gg 13 - 19 F - 2S 47 47 IjF gab - inert wLbd Slat r Ud V"., Jan. at Dec. 3 a", ae 00 23 45 (-,-If fj a I J �+� L- (EXPERTS PNTERNATIOIVAL LLCT , —��`- �,h a,,,,,w Fw.n.nr n.v.��aa. srmxsw.. «w.. ,.e om..wv 02014 All Rights Reserved 2/12/2015 46 I� a i / 02014 All Rights Reserved 2/12/2015 47 L•IEXPERTS PNTERNIOIVAL LLC. , —��`- �h ow Fw.n.nr n.v.��aaAT. V VIIJI • Airspace �. �L- IE1(PERTS PNTERNATIOIVAL LLCT ;11 o „ w Fw.n.nr n.v.��aa. srmx s w.. «w.. ,,.d oa..:e., 02014 All Rights Reserved 2/12/2015 48 13 VVIIJI Proposed West App/Dep P t+& L-IEXPERTS INTERNATIONAL LLC.. Fw.n.nr a. srmxsw.. «w. 02014 All Rights Reserved 2/12/2015 49 V V Ili] ' Proposed East App/D ��Ir t- ip -) pa-ffi t+& L-IEXPERTS INT ATI ERNON C. AL LL. Fw.n.nr a. srmxsw.. «w. 02014 All Rights Reserved 2/12/2015 50 ,e 7 V V I J] �� p r �);-) �) -- �,-) r I , I �) IJ r) J(J- -r� t+— �L- (EXPERTS PNT ATI ERNOIVAL LLCT , —Mr Fw.n.nr a. srm. — 02014 All Rights Reserved 2/12/2015 51 I. J r l r J 44' bib &' *16 16 ,,-,'H 02014 All Rights Reserved 2/12/2015 52 L- (EXPERTS PNTERNATIOIVAL LLCT ,�` �,h a, ,w ,i. i �f f f I �j w, i� (— L-IEXPERTS INTERNATIONAL LLCT Fw.n.nr n.v.��aa. srmxsw.. «w.. 02014 All Rights Reserved Proposed FI''rght Paths 2/12/2015 R 53 'k, �; s (— L- (EXPERTS PNTERNATItA LLCT, Fw.n.nr n.v.��aa. srmx. • • Vii' -''� r Ntik 02014 All Rights Reserved 2/12/2015 t0 /A ' 'Y Y} 54 1. JJ�� �)'rj�_�' �J��� � � �`1 !J��1�'��,�� (— L-IEXPERTS INTERNATIONAL LLC.. Fw.n.nr n.v.��aa. srmxsw.. «w. 02014 All Rights Reserved 2/12/2015 b w� 55 \J-J] I a EXPERTS PNTERNATIONAL LLC. Fmmfarty RaymnnC A. Symx d ?aaorWea J �' d Oponrcv 56 it 02014 All Rights Reserved 2/12/2015 �4 { r I I J�h, � P P S -T] J� �, -1, �� !� �_ r] E) J I JCJ ) r • Due to the obstructions surrounding the current heliport, e.g. trees, poles, bul dings and traffic, pilots are required to fly a steeper than 15° flight profiles. • Air Methods-- General Operations Manual states; "As a minimum, obstructions shall be cleared by 30 feet during approach-,and departure ". 1 co • This mandated profile requires more power, nd a longer a 'Q� A �L- IEXPEI S INTERNATIONAL LLC�, Fw.n.nr a. srmxsw.. «w.. 02014 All Rights Reserved 2/12/2015 profile. 57 3i • Atmospheric conditions have a limited impact on sound traveling less than approximately - -1,9100 feet. • For sound traveling less than 1,000 feet, sourto levels will decrease by 6 dB (Decibels) every time the source to the listener's distance is doubled and increase by 6 dB every time the source -to the listener's distance- is halved. • Rules of Thumb for Hearirfiund: K i . i; u,` - A 3 dB change Imo- sound is generally inaudible except in a lab environment. .� - A 5 dB chan"6e -ih "Sound is generally the lowest level of change that is discernable_by_the%human ear under normal conditions. ,'^� 02014 All Rights Reserved 2/12/2015 5$ �L- (EXPERTS PNTERNATIOIVAL LLCT,�` ,h a„ w Fw.n.nr n.v.�aa. srmxsw.. «w.. 4 �f (JAN 2009 to DEC 2013) Average Number of Flights Per Year: 73 (EXPERTS INTERNATIONAL LLCTh o, ,w � Fw.n.nr n.v.��aa. srmxsw.. «wn.' 02014 All Rights Reserved 2/12/2015 59 Estimated Utilization 7. 37. (EXPERTS INTERNATIONAL LLCTh o, ,w � Fw.n.nr n.v.��aa. srmxsw.. «wn.' 02014 All Rights Reserved 2/12/2015 59 JJ Of all of the sites evaluated for the proposed West App /Dep path there was only one location that showed an increase above the 5 dB level threshold at two points. This was at Site 6 with an increase of 6.6 dB at 100' and 6.2 dB at 200' respectively. , Site 6 CURRENT WEST APPROACH /DEPARTURE PATH SLANT RANGE DISTANCES Site 9 Slant Distance Site 1 Site 2 Site 3 Site 4 Site 5 280 FATO 532 915 197 430 570 1215 100 525 962 299 534 489 916 200 533 1036 402 636 413 996 300 572 1116 504 740 339 510 400 1 632 1 1212 1 607 1 840 1 291 654 500 1 705 1 1297 1 705 1 943 1 264 1153 Rn Dn'F:n 1A /FCT ADDRr1ArN /n LDARTI IRF DATW CI ANT narurr r11CTAIVrrr an increase of 6.6 dB at 100' and 6.2 dB at 200' respectively. , Site 6 Site 7 Site 8 Site 9 Site 10 247 506 1015 762 695 280 604 1119 765 763 342 706 1215 773 842 413 801 1319 772 916 495 87 1 1416 781 995 579 996 1523 809 1070 Slant Distance Site 1 Site 2 Site 3 Site 4 Site 5 Site 6 Site 7 Site 8 Site 9 Site 10 FATO 805 1036 253 399 671 167 328 903 617 416 100 739 1041 253 443 592 130 414 979 615 510 200 701 1053 295 511 510 168 515 1072 628 608 300 654 1080 370 591 448 256 615 1153 668 717 400 645 1121 453 679 385 336 716 1248 699 815 500 643 1165 538 765 350 432 812 1 1335 746 1 912 PERCENTAGE CHANGE IN DISTANCES Slant Distance Site 1 Site 2 Site 3 Site 4 Site 5 Site 6 Site 7 Site 8 Site 9 Site 10 FATO 51% 13% 29% -7% 18% -33% -35% -11% -19% -40% 100 41% 8% -15% -17% 21% -53% -31% -12% -20% -33% 200 31% 2% -27% -20% 23% -51% -27% -12% -19% -28% 300 14% -3% -27% -20% 32% -38% -23% -13% -13% -22% 400 2% -8% -25% -19% 32% -32% -18% -12% -11% -18% S00 1 -9% 1 -10% 1 -24% -19% 33% -25% -19% 1 -12% -8% 1 -15% ( *Negative change means a decrease in distance) SOUND LEVEL CHANGE, dB (Decibels) Slant Distance Site 1 Site 2 Site 3 0 FATO -3.6 -1.1 -2.2 0.6 -1.4 -?.J- 3.8 1.0 1.8 100 -3.0 -0.7 1.4 1.6 -1.7 6.6 3.3 1.2 1.9 74:5 200 -2.4 -0.1 2.7 1.9 1.8 6.2 2.7 1.1 1.8 300 -1.2 0.3 2.7 1.9 24 - 72 2.3 1.2 1.3 400 -0.2 0.7 2.5 1.8 -2.4 3.4 1.7 1.1 1.0 1.7 500 0.8 0.9 1 2.3 1 1.8 -2.5 1 2.5 1.8 1.1 1 0.7 1.4 ( *Negative change means a decrease in sound level) / 02014 All Rights Reserved 2/12/2015 60 KIEKPERTS INTERNATIONAL LLC. F-.nr R.v. d a. s-. s �a Of all of the sites evaluated for the proposed East App /Dep path there was only one location that showed an increase above the 5 dB level threshold and only at one point. This was at Site 7 with an increase of 5.1 dB at 200'. CURRENT EAST APPROACH /DEPARTURE PATH SLANT RANGE DISTANCES Slant Distance Site 1 Site 2 Site 3 Site 4 Site 5 Site 6 Site 7 Site 8 Site 9 Site 10 FATO 532 915 197 430 570 247 501 1015 762 695 100 460 817 162 383 659 344 484 954 863 726 200 433 720 175 327 762 425 470 891 955 758 300 445 618 218 284 861 507 457 814 1041 778 400 489 534 292 267 959 1 590 1 463 1 740 1 1014 1 809 500 546 476 379 286 1 1063 679 484 679 1196 847 Rn Dn'F:n FACT ADDRnarI-I /n FDARTI IRG DAT14 CI ANT RANr r MrTANr" Slant Distance Site 1 Site 2 Site 3 Site 4 Site 5 Site S' Site 7 Site 8 Site 9 Site 10 FATO 805 1036 253 399 671 162 327 903 617 416 100 754 942 187 311 740 244 278 830 720 451 200 709 844 163 238 809 335 262 765 822 506 300 664 749 195 187 886 434 287 707 929 589 400 636 656 266 191 966 535 342 665 1029 663 500 1 649 586 1 362 239 1057 1 634 407 620 1131 749 PERCENTAGE CHANGE IN DISTANCES Slant Distance Site 1 Site 2 Site 3 Site 4 Site 5 Site 6 Site 7 Site 8 Site 9 Site 10 FATO 51% 13% 29% -7% 18% -34% -35% -11% -19% -40% 100 64% 15% 15% -19% 12% -29% -43% -13% -17% -38% 200 64% 17% -6% -27% 6% -21% -44% -14% -14% -33% 300 49% 21% -11% -34% 3o -14% -37% -13% -11% -24% 400 30% 23% -9% -28% 1% -9% -26% -10% 2% -18% 500 1 19% 23% 1 -5% -16% -1% -7% -16% -9% -5% -12% ( *Negative change means a decrease in distance) SOUND LEVEL CHANGE, dB (Decibels) Slant Distance Site 1 Site 2 Site 3 D FATO -3.6 -1.1 -2.2 0.6 -1.4 3.7 3.7 1.0 1.8 4.5 100 -4.3 -1.2 -1.2 1.8 -1.0 3.0 �L4 1.2 1.6 4.1 200 -4.3 -1.4 0.6 2.8 -0.5 2.1 5.1 1.3 1.3 3.5 300 -3.5 -1.7 1.0 3.6 -0.2 1.3 'TT 1.2 1.0 2.4 400 -2.3 -1.8 0.8 2.9 -0.1 0.9 2.6 0.9 -0.1 1.7 -1.5 -1.8 1 0.4 1 1.6 0.0 0.6 1.5 0.8 1 0.5 1.1 I1 ( *Negative change means a decrease in sound level) / 02014 All Rights Reserved 2/12/2015 61 KIEKPERTS INTERNATIONAL LLC. c-AIEXPEIFwS INTERNATIONAL 02014 All Rights Reserved 2/12/2015 62 ,i. c V V I \j] -P I ff 02014 All Rights Reserved 2/12/2015 63 � LIEI(PERTS PNTERNATItA LLCT, �` �,h o, ,w Fw.n.nr n.v.��aa. srmxsw.. «w.. JJJJ~ -lox I �LIEI(PERTS PNTERNATIOIVAL LLCT ,,,,h a, w 02014 All Rights Reserved 2/12/2015 64 � Fw.n.nr n.v.��aa. srmxsw.. «wn.' ,i. {1 L- (EXPERTS PNTERNATIOIVAL LLCT , —��`- 02014 All Rights Reserved 2/12/2015 65 Fw.n.nr a. srmxsw.. «w.�. • Standard Policies, of -Operation 4'. -Only VVMC approved, providers will be utilized. -Strict criteria."for patient transport will Pilots protected from Paftent information. *1-'7 t, _Mr �14 d 02014 All Rights Reserved 2/12/2015 66 &'� LIEXPEI�S INT AAT lS� C.. � d 0--., be,,utilized. U_ _�. Pilots protected from Paftent information. *1-'7 t, _Mr �14 d 02014 All Rights Reserved 2/12/2015 66 &'� LIEXPEI�S INT AAT lS� C.. � d 0--., flj in • �J Pilots are never prov with patient information: Jr , • Pilots base their decision to go or not to go st -r. ictl on u F _ �- Y ; • Weather Perf • Crew availability / v. 02014 All Rights Reserved 2/12/2015 ,� �L•p�XPERTS PNTERNATIOIVAL LLC. , —��`- �h aw Fw.n.nr n.r da. srmx 67 J 3i • Helicopter EMS Provider Requirements — CAMTS Accredited (State Requ .-ire'm en t — Part 135 -- -registered and compliant operator — Formalized risk management program — Strict adherence to aublished HEMS weather minimums — Strict adherence- to,,rna i.ufacturers recommen maintenance practices t+— L- (EXPERTS PNTERNOI A LLCT, Fw.n.nr aATI. srmxsw.. «w.. 02014 All Rights Reserved 2/12/2015 W le Prior to conductina oaerations at VVIVIC pilots will ,s =� - Complete online pilot training pro ram Be familiar with site specific pilot briefing information - Conduct,, an onsite orientation flight (— L-IEXPERTS INTERNATIONAL LLCT mh..a..w Fw.n.nr n.v.��aa. srmx sw.. «wn.' d,O—.v 02014 All Rights Reserved 2/12/2015 69 t .. x. V V 1I Safety Review Process hV IvInG _ \ X -Tra s ` prtTeams 1 - Every turn downi� - Pilots - Eve_ry question . - Doctors - Ev elry issue!" Administration —77-7-717 772,i `t 'i�. \ �'? i!t „,,.r`YY�.� — 1` l�. _'mss- c;r- c--;•� / 02014 All Rights Reserved 2/12/2015 7Q �+� L- (EXPERTS PNTERNATItA LLCT, �` �,h a, ,w Fw.n.nr n.v.��aa. srmxsw.. «w.�. ITEM Land Ownership Security Heliport Size Airspace Performance Patient Safety Patient Care Vehicle Traffic Snow Removal. Additional Assets Flight Profiles CURRENT Required a . Restricted U - ._.. s_6me Obstructions More Power-,'.. Additional sfers T) . Increased Time .a '- Traffic Stopped u'= R u�_ C_A,uEKPERTS INTERNATIONAL LLC. ,h a,,,,w Fw.n.nr n.r da. sr.,.�. s w.. «w.. —d,0 ..wv ',Ambulance Stee-per /Sl owe r PROPOSED �t VVM C _ 'Built In Increased Unobstructed Less Power —,•1 i 5 No Transfers Decreased Time No Traffic Stopped .. Automatic -- None Needed Shallower /Faster 02014 All Rights Reserved 2/12/2015 71 Pilot's Perspective Caycee Batterson Vail Valley Medical Center Helipad Building Russ Sedmak, Heery Design Vail Valley Medical Center Helipad Buildin Al f ��I � r a . F < Vail Valley Medical Center Helipad Building a I I I I I I 2Z mm Vail Valley Medical Center pad i3miciing } Y y. { 9 y .1 .iL_ .. � e a Helipad Building WEST WING RENOVATION WEST WING NEW CONSTRUCTION ' Ir EAST WING NEW CONSTRUCTION EAST WING RENOVATION CENTRAL WING RENOVATION FUTURE CONSIDERATION i i '46 4 t JAA Et PARKING GARAGE ADDITION • , , l PARKING GARAGE f to 31 SPACES P DN 7 Oil eil[M --. _ _ ..� , y � "•r \, '' � _ I r ! � ;" M r 'rc�e a M ronno [[94B5 , e + +M I I w ut � ewtou wariuu a°u. n r e t 'siiw.9s D�0 ct .„a9�e,cf „� ww, dx��t „. 'M v (CUfPCU BEDS 300 SF PA O” WOMENSCENTEREj IMAGING EMERGENCY &%SF 1,8S SF PCU EX 1 -..- - 1,$60 $P � �aatna�� �.. rar•�iw� � i� 's -,�Q W,c f Vail Il e Medical enter WEST WING RENOVATION WEST WING NEW CONSTRUCTION EAST WING NEW CONSTRUCTION EAST WING RENOVATION CENTRAL WING RENOVATION FUTURE CONSIDERATION h y - Helipad Building FHEE71Y MOM[ nul ' PROFESSIONAL BUILDING mmmw..� I - III I I y I I -- Vail Valley Medical Center Helipad Building Vail Valley Medical Center