HomeMy WebLinkAboutB17-0092_FUNCTIONAL PROGRAM_1491499740.docxVail Valley Medical Center
Central Wing Renovation (Part of Phase 2 of Master Facilities Plan)
Functional Program
March 5th 2017
1.2-2 Functional Program
1.2-2.2.1 Purpose of the Project
Vail Valley Medical Center (VVMC) is continuing the implementation of its Master Facilities Plan (MFP) with commencement of phase 2 of its activities. Phase 2 is split into 3 main bodies
of work; Central Wing Renovation, East Wing Enabling and East Wing Demolition and Re-Construction. The current project: Central Wing Renovation, involves the renovation of existing
spaces to accommodate departmental moves in readiness for future demolition as part of phase 2.
The Central Wing renovation project consists of renovating space on level 1 of the west wing to accommodate the permanent relocation of In-patient Pharmacy; renovation of existing space
on level 1 of central wing to accommodate the temporary relocation of Nuclear Medicine; renovation of space on level 1 of central wing, vacated as part of phase 1, allowing for the
permanent relocation of Administrative Functions and temporary relocation of Ultra Sound; relocation of space on level 2 of central wing, vacated as part of phase 1, to accommodate
the permanent relocation of an Mountain Surgical Associates (MSA), an existing clinic department of VVMC.
A detailed space program is provided as a supplement to this report.
1.2-2.2.1.1 Required Services
The scope of the Central Wing project is largely to relocate and upgrade components of existing services as describe in the Project Purpose above. Note that all other existing services
including Surgery, Emergency Department, Imaging, Laboratory, Administration, Facilities Management, Retail Pharmacy, etc. will continue to remain in operation in their current locations.
Components of the existing central utility plant and equipment will be selectively replaced as required to provide the mechanical, plumbing electrical and low voltage capacities required
to support the existing and new construction.
1.2-2.2.2 Environment of Care Components
1.2-2.2.2.1 Delivery of Care Model
VVMC has serviced Vail Valley and the surrounding communities since 1965 as a not-for-profit community health care organization. VVMC’s main focus is patient and family centered care,
locally.
As a community hospital based in a unique mountain town locale, VVMC offers health care services to the local community that rivals that of health care providers in larger conurbations
to better support the Vail Valley’s local residents and visitors.
VVMC offers services such as OB, Emergency Department, Internal Medicine, 4 operating rooms, on-site laboratory,
VVMC has strategic partnerships to provide world class sports medicine research and healthcare services including an orthopedic program that attracts patients from all over the world
to Vail for surgery.
1.2-2.2.2.2 Facility and Service Users
The Master Facilities Plan and subsequent programming has addressed the need for a “decompression” of the original hospital facilities. VVMC was established in the mid 1960’s, and numerous
changes in healthcare delivery have evolved since then. Despite continuous expansions and modernizations over time, the requirements of service delivery have outpaced facility development.
The West Wing project represented the first phase of construction activity identified by the MFP to right-size the facility to accommodate current and future needs. Examples of this
right-sizing include the development of private patient rooms, expanded area for ICU, PreOp and PACU, robust information technology infrastructure, and appropriate staff work areas
and adequate storage facilities.
The Central Wing project represents the commencement of the second phase of MFP by supporting the renovation of space vacated as part of West Wing progression and allowing for the relocation
and upgrade of functions that currently exist in VVMC’s existing East Wing, which in course will be demolished to allow the construction of a new East Wing building, to complete phase
2.
1.2-2.2.2.3 Systems Design
The remodeled construction is designed to meet all local and national codes for fire and life safety, ventilation, emergency power and medical gases, infection control, and security.
Where necessary existing systems are being upgraded to meet current design standards and incorporated into the upgraded infrastructure (e.g. new data center) delivered as part of phase
1.
1.2-2.2.2.4 Layout/Operational Planning
The basic organization and flow of the Central Wing project was informed by essential elements of the Master Facility Plan. Patient safety and access, workflow efficiencies and adjacencies
to supporting functions all played a major factor in the planning. This will enhance the experience of staff, visitors and patients.
1.2-2.2.2.5 Physical Environment
Light and Views: The VVMC campus is currently situated to enjoy spectacular views and natural light from all directions, and the West Wing project continues to take advantage of those
natural resources.
Clarity of Access: As noted earlier, the MFP initiates the incorporation of separate front and back of house corridors and elevators for clear way finding by clients and visitors.
An internal staff/service corridor, beginning at the new loading dock, will ultimately connect the entire VVMC campus from east to west, including all areas of the main hospital and
the adjacent Medical Professional Building. Two banks of service elevators will extend this service spine vertically. Similarly, a parallel path for clients and visitors will connect
the new main entry to all public areas of the hospital. The second phase of the MFP will completely re-develop the parking and building entry sequence, both for the benefit of hospital
users and the neighboring community. Covered drop off and pick up areas will be developed at both end points of this new public spine. The Central Wing Project will relocate patient
front of house functions for easier access from the main entrance and thoroughfare of the hospital to allow easier access, whilst maintaining privacy.
Control of Environment: Heating and cooling comfort systems will enjoy enhance controls based on room type, usage and exposure. Lighting controls via occupancy sensors and daylight
harvesting will provide quality lighting while utilizing best practices to ensure energy efficiency. Acoustical and vibration analysis has provided input regarding the detailing of
the HVAC system to enhance client privacy.
Privacy and Confidentiality: These very critical components are addresses in part through proper analysis of acoustical and vibration issues as noted in item (3) above. They continue
to be controlled through correct specification of sound absorptive materials in ceilings, workstation furniture, and other surfaces. Correct placement of doors has been provided based
on user group interviews and a sound understanding of clinical functions. Finally, the design of care team stations has taken patient privacy into consideration when locating computer
monitors and other devices which may contain patient information.
Safety and Security: The Central Wing project incorporates many features that enhance safety and security for occupants of the VVMC campus. These include both manual and electronic
locking systems, perimeter lock-down of perimeter doors for after-hours security, delayed egress locking, and closed circuit television cameras in strategic locations. Doors equipped
with card reader locking controls ensure that only properly credentialed individuals may access spaces that require a heightened level of security. Interior finish materials are selected
as required for slip resistance and cleanliness properties. Proper illumination and signage rounds out the overall strategy. By visualizing activity and selectively controlling ingress
and egress, the safety and security of all building occupants can be safeguarded.
Finishes: The interior finishes specified for the Central Wing project are consistent with the existing standards, with upgrades as appropriate in the clinical environment. These products
are selected based upon the specific needs of the departments with consideration given to slip resistance, sound absorption and aesthetics. Furniture has also been selected with consideration
given to ergonomics, flexibility and cleanable finishes.
Cultural Responsiveness
VVMC has a unique consumer culture due to its locations in a world class ski resort location, with a higher than average frequency of VIP customers, and providing world reknowned service
excellence in sports medicine, orthopedic surgery and rehabilitation. VVMC must balance this demand with its fiscal and community responsibilities of serving all patients.
As a result VVMC strives to provide a high quality of service underpinned by safety and outcome focused care, within a high aesthetic environment that is accessible to all.
Water Features: Not applicable.
1.2-2.2.2.6 Design Process and Implementation
The VVMC MFP and Central Wing project was designed with extensive input from stakeholders and the VVMC Executive Team. Due to the complex nature of this phased expansion and renovation
project, continued communications are being provided to the staff regarding the status of design and impending construction activities.
1.2-2.2.3 Functional Requirements (see below)
1.2-2.2.3.1 Projected Operational Use and Demand
Completion of the Central Wing Project will not change any operational use or demand for the hospital, and instead will relocate existing services into a more accessible location, whilst
taking the opportunity to improve both workflow and patient experience within the departments relocated.
For Inpatient pharmacy their current function, divided across 4 separate locations will be consolidated into one, fit for purpose space. The renovation of the space will also accommodate
the increased provisions required to meet the new USP<800> industry standard for pharmacies.
Both Nuclear Medicine and Ultrasound will be respectively relocated as a temporary move as part of Central Wing, prior to a final relocation in the East Wing Project which will see
imaging and supporting functions centralized. Through the Central Wing project each area will be upgraded from its existing conditions without changing any service provisions. For Ultrasound
a location within cardiopulmonary will provide direct adjacencies to an existing patient bathroom, common working environments for staff within the same hierarchy, and more centralized
service locations for easier access to patients. Nuclear Medicine will be brought up to standard in its own, standalone department with a close adjacency to patient check in areas,
and to cardio pulmonary.
For Mountain Surgical Associates, a long running outpatient department of VVMC, a direct relocation of this clinic into a previously located clinic (as part of West Wing) will make
for an easy transition of the space. This new location will give patients easier access from the main public thoroughfare.
Relocation of Administration into vacated office space will also make for an easy transition of the existing function.
1.2-2.2.3.2 Relevant Operational Circulation Patterns: A major design component of the MFP is to provide a separation of “public” spaces and corridors and “service” spaces and associated
corridors. Previously, this facility had relatively poor separation of these areas resulting in less than optimal patient privacy and overall circulation. The West Wing project made
the first significant step towards this. Central Wing will further support this merit with the strategic relocation of some service lines in readiness for the closure of a public corridor
in East Wing. At that time the corridor
feeding Nuc Med, Cardiopulmonary and Ultrasound will become a secondary corridor with an anticipated decrease in public traffic through the space.
1.2-2.2.3.3 Departmental Operational Relationships:
(Discussed in 1.2-2.2.3.1 above)
1.2-2.2.3.4 Patient/Resident, Staff, and family/Visitor Needs:
The relocation of Nuc Med, Ultra Sound and Cardiopulmonary entrance will provide a more centralized location for these services with both, ease of access from a centralized registration
area (in Admissions), and ease of access to the patient care floors via the main elevators. Dedicated waiting rooms have been removed in favor of the direct adjacency to the grander
lobby and atrium space which has increased services available to those waiting and where furniture and equipment has already been designed to meet the more diverse needs of our visitors
to better incorporate quiet areas, higher technology and business areas, and more private space.
MSA will also be relocated off of this main public area, at the second flood level.
This will allow for the simplification of wayfinding and access.
For staff their departmental workflows have played a major role in the design of their new locations to ensure that efficiencies are realized, improved patient care can be provided
and increased staff safety measures (in the example of Nuc Meds hot lab) are provided.
1.2-2.2.3.5 Communication and Information Operational Needs: VVMC enjoys a very robust IT infrastructure which was greatly enhanced in the West Wing project. This started with the
development of a new data center in the lower level which will feed a new riser and a series of new IT rooms on each floor. Cabling is being upgraded to anticipate and support current
and future technologies. All these functions are supported by a normal power system and backed up with an emergency power/UPS system for enhanced reliability. Expanded and enhanced
phone, nurse call, electronic surveillance and security systems are all initiated in this phase of work and will be continued in the ultimate MFP build-out. The Central Wing project
will be an extension of these systems, with the opportunity taken to bring infrastructure improvements to areas adjacent to the central wing architectural renovations to improve the
whole central wing functionality e.g the existing cardiopulmonary that is not renovated architecturally will have the same power, data and nurse call upgrades as it’s adjacent nuclear
medicine and ultrasound departments to ensure consistency in infrastructure and working standards for staff and patient safety.
1.2-2.2.3.6 Space and Equipment Needs
Size and Function:
The Central Wing project will not impact the occupant load for the building. Based on the area of the West Wing project and occupant load factors taken from 2015 IBC Table 1004.1.2,
the calculated occupant load for the west wing is approximately 1,319. Note that this is a calculated load for the entire West Wing (anticipating staff, patients, visitors and vendors)
as required for the determination of exit capacity. Actual occupant loads experienced during normal operations can be expected to be far less than this calculated load.
Types and projected numbers of procedures (see item 1.2-2.2.3.1 above)
Critical Adjacencies: (see item 1.2-2.2.3.3 above)
Dedicated Storage Space is provided within each service area, both in dedicated and secured storage rooms and in equipment alcoves.
Furnishings, Fixtures and Equipment
Building Service Equipment The Central Wing project will tie into newservice equipment installed as part of the west wing including new air-handling units, exhaust fans, chillers, RO/DI
water system, domestic and fire water service entry, electrical transformer, emergency generator, automatic transfer switches, data center, IT risers and IT rooms. Also included are
new fire alarm and detection systems and sprinkler systems and nurse call systems.
Fixed and Movable Equipment being installed in the Central Wing project includes the relocation of the Nuclear Medicine Camera, installation of 2 pharmacy hoods, and relocation of the
mobile ultrasound unit.
Furnishing and Fixtures include tables, chairs, desks, office furniture, storage cabinets, marker boards, window coverings, etc.
Storage in each service area, as discussed earlier is provided by means of secure storage rooms, fixed storage cabinets, and open equipment alcoves.
Circulation Patterns: (see discussion above in items 1.2-2.2.2.4, 1.2-2.2.2.5, and 1.2-2.2.3.2)
1.2-2.2.3.7 Short and Long-Term Planning Considerations
Future Growth: As noted in the Project Purpose section, this project sets the stage for the implementation of phase 3 of the Master Facilities Plan. The general scope of phase 3 is
to demolish the existing East Wing building and replace it with a new custom designed building and parking garage. In that regard, the Central Wing project represents the next, in a
series of steps that will ultimately rebuild, renovate and modernize virtually all of the existing facility.
Impact on Existing Adjacent Facilities: As discussed in previous sections, the Central wing project is part of the second stage of two significant projects that will ultimately lead
to the realization of the MFP goals and objectives. As such, it does impact the existing campus by selectively relocating, expanding and modernizing various clinical and administrative
operations. This is being done to accomplish an immediate upgrade to the affected areas and to allow for future demolition and remodel and reconstruction in the east wings. Upon its’
completion, the impact on neighboring residential and commercial properties will be decreased due to improved and adjusted public access to the campus.
Impact on Existing Operations and Departments: Impact on existing operations and departments during construction will be controlled by daily method of procedures (MOP’s) developed by
the owner and construction team. The basic plan for construction is to renovate the space vacated as part of west wing first, allowing for its occupation and allowing for currently
occupied space to then be vacated, and sequentially remodeled, minimizing the impact to operations.
Flexibility: To the greatest extent possible, flexibility is being built into the various spaces mostly through standardization of MEP and the use of modular systems furniture for ease
of use and flexibility for future changes.
Technology and Equipment: (see item 1.2-2.2.3.5)