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Phoenix Controls Healthcare Projects
- 2. "We judge ourselves by what we feel capable of doing, while others judge us by what we have already done." - Henry Wadsworth Longfellow
- 3. SUSTAINABILITY- LEED - GREEN PROJECTS
- 4. Innovative Technologies - Venturi Airflow Valves Green Alignment LEED – GGHC Guide
- 5. Healthcare LEED Projects ■ Burnham Institute, Orlando, FL • Blood Bank ■ Central Washington Hospital, Wenatchee, WA • New Tower ■ Colorado Children's Hospital, Aurora, CO • New East Tower ■ CS Mott Children's & Women’s, Ann Arbor, MI • New Hospital ■ Enumclaw Medical Center, Enumclaw, WA • New Hospital ■ Good Samaritan Hospital, Puyallup, WA • New Hospital ■ HUP, Philadelphia, PA • Advanced Medicine Tower ■ Johns Hopkins Hospital, Baltimore, MD • Asthma Building
- 6. Healthcare LEED Projects ■ John Muir Medical Center Walnut Creek, CA • New Hospital ■ Kaiser Permanente, Oakland, CA • Replacement Hospital ■ Mass General, Boston, MA • Building for Third Century ■ Mills Peninsula Hospital, Burlingame, CA • New Hospital ■ Nationwide Children's Hospital, Columbus, OH • New Tower ■ Northwest Community, Arlington Heights, IL • Addition ■ Rady Children’s Hospital, San Diego, CA • New Hospital ■ Santa Clara Valley Medical Ctr, San Joe, CA • New Hospital
- 7. Healthcare LEED Projects ■ St. Luke RMC, Twin Falls, ID • New Hospital ■ Texas B&P San Antonio, TX • New Texas Center for Infectious Disease Hospital ■ U of Chicago Medical Center, Chicago, IL • Expansion ■ U of Kentucky, Lexington, KY • Addition ■ VA Med Center, Richmond, VA • McGuire Clinic
- 9. Healthcare Department of Veterans Affairs ■ Anchorage Vet Center, AK • Isolation ■ VA Long Beach, CA • Isolation ■ Boise VA Medical Center, ID • Isolation ■ Ventura Vet Center, CA • Emergency ■ Lexington VA Medical Center, KY • Pharmacy ■ Minneapolis VA Medical Center, MN • Surgery ■ Sioux Falls VA Medical Center, SD • Ambulatory
- 10. Healthcare Department of Veterans Affairs ■ James A Haley Eye Clinic, FL • Surgery ■ Nashville Vet Center, TN • Labs, TB, Bone Marrow and Isolation ■ Reno Vet Center, NV • Isolation ■ VA Roseburg Healthcare System, OR • Isolation ■ Amarillo Vet Center, TX • Isolation ■ William S. Middleton Memorial, WI • Labs and Pharmacy ■ Sepulveda Vet Center, CA • Isolation and Labs
- 11. Healthcare Department of Veterans Affairs ■ Jacksonville Vet Center, FL • Pressurized Spaces ■ Biloxi Vet Center, MS • Pressurized Spaces ■ Raleigh Vet Center, NC • Pressurized Spaces ■ Albuquerque Vet Center, NM • Pressurized Spaces ■ VA Baton Rouge Outpatient Clinic, LA • Pressurized Spaces ■ Canandaigua VA Medical Center, NY • Pressurized Spaces ■ Jack Montgomery VAMC , OK • Labs, Isolation and Pressurized Spaces
- 12. Healthcare Department of Veterans Affairs ■ VA Butler Healthcare, PA • Pressurized Spaces ■ William Jennings Bryan Dorn VA MC, SC • Pressurized Spaces ■ VA Palo Alto Health Care System, CA • Research ■ Raleigh Vet Center, NC • Pressurized Spaces ■ VA West Haven Campus, CT • Isolation and Pressurized Spaces ■ Lebanon VA Medical Center, PA • Labs ■ San Antonio Vet Center, TX • Labs
- 13. Healthcare Department of Veterans Affairs ■ Michael E. DeBakey VA Medical Center, TX • Labs ■ Hampton VA Medical Center, VA • Isolation ■ Seattle Vet Center, WA • Isolation and Labs ■ Asheville VA Medical Center, NC • Labs ■ James A. Haley Veterans' Hospital, FL • Labs ■ Atlanta Vet Center, GA • Labs ■ Southern Arizona VA, AZ • Labs
- 14. Healthcare Department of Veterans Affairs ■ Jesse Brown VA Medical Center, IL • Labs ■ Hunter Holmes McGuire VA Medical Center, VA • Labs ■ James J. Peters VA Medical Center, Bronx, NY • Labs ■ VA Med Ctr-Richmond, VA • McGuire Clinic
- 16. Benefis Health System Great Falls, MT Women's and Children's Hospital ■ New Patient Tower • 204K ft2 • CV, TP, APM, BACnet • Isolation Rooms, Patient Recovery, Surgery • Lower Cost vs. VAV Boxes w/DDC, Valve Accuracy, Feedback and Alarm Capabilities, Lab History, Short Commissioning Time, Energy Conservation, Pressurization • Sletten, CTA-OPW, LPW, Central Plumbing, FICO Controls, Vemco
- 17. Black River Falls, WI Memorial Hospital ■ Hospital Addition and Remodel • 55K ft2, 31K ft2 • Surgical Services, Emergency, Patient Rooms, Dialysis • No Maintenance, Repeatable Flow Performance, Static Pressure Response, High Turndown, VAV Accuracy, Pandemic Design • 1 Year Payback • HSR Associates, Inc., Market & Johnson Inc., Eau Claire, WI, Masters Building Solutions
- 18. Catholic Initiatives - Franciscan Health Enumclaw Regional Hospital ■ Replacement Hospital • 90K ft2 • LEED Project • TP, LON • OR, Patient, Iso • Pandemic Control, Energy Conservation, Infection Control • Open 2011 • Mahlum Architects, Sellen Co., OveArup, ATS Seattle “The new Enumclaw Regional Hospital will be the first LEED certified hospital in Washington State.”
- 19. Cayuga Medical Center, Ithaca, NY Surgical Suite ■ Surgery Reconfiguration • Theris • OR’s, Isolation • Health and Safety, No Maintenance • Install 2012 • Charles A. Gaetano Construction Corporation, R.L. Kistler “There will be an overall reconfiguration of the surgical suite space to enhance technological capabilities, meet the community’s needs, and improve and enhance operational efficiencies.”
- 20. City and County of San Francisco, San Francisco, CA San Francisco General Hospital ■ Replacement Hospital • 448K ft2 • LEED Gold Project, Level 1 Trauma • 1465 VVs, TP, BACNet • Patient, ICU, Iso, Surgery • Accuracy, Reliability, Affordability, Past Lab History • Install 2010, Open 2015 • Fong & Chan Arch, Webcor Builders, Gayner Engineers, Critchfield Mechanical, Newmatic Eng. Inc.
- 21. City of Hope National, Duarte, CA Medical Center ■ New Patient Tower • 900 Venturi Air Valves • Patient Rooms, Surgical Suites, Labs, Cancer, Patient Safety, Isolation, Zone Control Design • No Maintenance, No Recalibration, Pressurization Accuracy • OSHPD Approved • Open 2004 • NBBJ, Syska, George Yardley “The venturi design of the Venturi Valve was uniquely suited for this configuration because of its ability to precisely control airflow, thereby providing the positive pressure required for protecting immunocompromised patients.” - Syska Hennessy, Los Angeles, CA
- 22. Colorado Children's Hospital, Aurora, CO East Expansion ■ New Patient Tower • $230 million expansion, 355K ft2 • LEED Project, Integrated Project Delivery • Theris • OR’s, Isolation, Patient • Accuracy, No Maintenance, Energy Savings, Risk Reduction • Install 2012 • H+L Architecture , ZGF Architects LLP McCarthy Building Companies, Inc., Gerald H. Phipps, BR+A, Cator, Ruma & Associates, Air Purification Company “Energy modeling to ensure the most advanced building enclosure and efficient mechanical, electrical and plumbing systems.”
- 23. Central Washington Health Services, Wenatchee, WA Central Washington Hospital ■ New Patient Tower • 190K ft2 • TP, BACnet • OR, Patient, Isolation • Open 2011 • HDR, Cdi, Mortenson, ATS Seattle
- 24. Cleveland Clinic, Cleveland, OH Jacobs Family Health ■ Surgery Center and Expansion Reference Clinic at Twinsburg • LEED Gold Project • C2 • Isolation, Specialty, Labs, Pharmacies, Pressurized Spaces • Open 2011 • Westlake Reed Leskosky, Tuner
- 25. El Camino Hospital, Mountain View, CA New Construction ■ Replacement Hospital • 450K ft2 • 1600 VVs, Room Pressure Monitors • Venturi Valves in 90% of the facility • Sustainability, Energy Savings, Efficiency • 500 zones • 2.9 year payback • Install 2008, Open 2009 • KMD, Rudolph and Sletten, Siemens, M+NLB, Newmatic “Room pressurization is increasingly becoming more critical throughout all hospital spaces, not just isolation rooms and operating rooms. In hospitals, we design in Venturi Valve products because we know they have the highest VAV turndown ratio for energy conservation and reliable pressurization is never an issue with lower airflows.” – Jon Inman, Principal, M+NLB
- 26. El Camino Hospital, Mountain View, CA No 100% Shut-Down ■ VAV Savings CV Supply Airflow (Original) 555,000 CFM Operating Rooms Prep Rooms ■ VAV Savings withOp) VAV Airflow Occupied (Full Setbacks 432,000 CFM Recovery Rooms VAV Airflow Reduction 123,000 CFM Patient Beds ■ $3 per CFM VAV Savings 22.20% Emergency Department Radiology • Savings = $369K and $542K VAV Airflow Unoccupied (w/Setbacks) 374,400 CFM Nuclear Medicine ■ Payback @ 2.9 years VAV Airflow Reduction 180, 600 CFM Cardiology Pharmacy VAV Savings 32.50% Kitchen/Dining Administration
- 27. F.F. Thompson Hospital, Canandaigua, NY F.F. Thompson Hospital ■ Project Excel Expansion and Renovation • A $43M • 61K ft2 addition, 42K ft2 renovation • Theris • OR’s, Isolation, Pressurized Spaces • Install-Open: 2012 • Turner Engineering, R.L. Kistler • “State-of-the-art suites that can better accommodate the latest technology, Project Excel will make major strides in enhancing the quality and healing environment”
- 28. F.F. Thompson Hospital, Canandaigua, NY Located in Finger Lakes Region of Upstate New York ■ 113-bed acute care community hospital University of Rochester Affiliate ■ Original building opened in 1970 • 126,000 sq.ft. 3 hospital system U of R MC: 739 Beds ■ With current 60,000 sq. ft, addition Highland: 253 Beds • 285,000 sq.ft.
- 29. F.F. Thompson Hospital, Canandaigua, NY 62K sf New Construction: Surgical Suite – 6 Ors ■ Expansion/Renovation Project 4 Endoscopy Rooms PACU – 9 Beds Pre-Post – 24 beds PT/OT Department 45K sf Renovation: Central Sterile Supply Laboratory ICU OR Support
- 30. F.F. Thompson Hospital, Canandaigua, NY Why Venturi Valves? ■ Patient Safety • Needed better control of room 7 Years Experience: pressurization Implemented in isolation rooms in ED expansion ■ Reliability • Issues with old system - Energy reduction was accomplished by reducing the air flow at the AHU – occupancy switch • Individual room pressurization control was not possible ■ Energy Savings • Allows for the ability to turndown rooms individually
- 31. F.F. Thompson Hospital, Canandaigua, NY: OR Facts
- 32. F.F. Thompson Hospital, Canandaigua, NY OR Annual Energy Use Assessment
- 33. F.F. Thompson Hospital, Canandaigua, NY OR Life Cycle Cost Analysis
- 34. F.F. Thompson Hospital, Canandaigua, NY Demand Impact Comparison
- 35. John Muir Health, Walnut Creek, CA John Muir MC ■ Tom and Billie Long Patient Care Tower • 346K ft2 • LEED Project, OSHPD Approved • CV, TP • Patient Rooms, ICU, ICNU, Surgical Suites, Trauma Treatment • Lower Cost, No Maintenance, Accurate Pressurization, Mechanical Pressure Independence • 560 zones • 2 year payback • Install 2009, Open 2011 • Ratcliff, Arup, Clark, M+NLB, Newmatic
- 36. Kaiser Permanente, Oakland, CA Oakland Medical Center ■ Replacement Hospital • 12 floors, 349 beds, 12 Inpatient Operating Rooms, 8 Labor & Delivery Rooms, Emergency • LEED Gold Project • Theris, TP, CV • Patient, Iso, Surgery, Pressurized Spaces • Accuracy, Reliability, Affordability • Install 2011, Opening 2014 • NBBJ, McCarthy, Ted Jacobs, Newmatic Eng. Inc
- 37. Kaiser Permanente, Oakland, CA Redwood City Medical Center ■ New Hospital Redwood City, CA • 2880K ft2 • Built with total health in mind, including “green” features using the Green Guide for Healthcare • OR’s, Isolation, Patient • Accuracy, Reliability, Affordability • Install 2012, Open: 2014 • AECOM/Ellerbe Becket, Rudolph and Sletten Inc., Newmatic Eng. Inc
- 38. Kaiser Permanente, Oakland, CA San Leandro Medical Center ■ New Hospital San Leandro, CA • $600M, 425K ft2 • “Green” facility • OR’s, Isolation • Accuracy, Reliability, Affordability • Install: 2012, Open: 2014 • AECOM/Ellerbe Becket, M+NLB, Newmatic Eng. Inc
- 39. Kaiser Permanente, Oakland, CA San Diego Surgical ■ Renovations, Upgrades, Expansions Sunnyside Portland • Patient, ICU, Iso, OR’s, Pharmacy, Westside Hillsboro Pressurized Spaces MOB San Marcos San Leandro MC • Accuracy, Reliability, Affordability Castle Rock MOB • Open 2011, 2012, 2013
- 40. La Maestra Community Health Centers , San Diego, CA Medical Office Building ■ New Construction • 32K ft2 • LEED Gold Project • C2, BACNet • 42 zones, Pharmacy, Lab, Clinic Spaces • Energy Conservation and Sustainability • Saved >12,000 CFM of air • 2 year payback • Yen & Associates, Walsh Engineering, Newmatic, ECS-JCI “The new La Maestra Community Health Center in the City of San Diego is expected to be the first community clinic to be a LEED® Certified Gold level green building in the nation.”
- 41. Lathrop PARC, Redwood City, CA Post-Acute Care ■ New Facility • 69K ft2 • Theris • Patient Spaces • Fong & Chan Architects, James Embleton Consulting, Newmatic Eng. Inc.
- 42. Louisiana State University Health , New Orleans, LA Medical Center of Louisiana at New Orleans ■ Replacement Hospital • $1.2B • 560K ft2 Inpatient Tower • 747K ft2 Diagnostic Pavilion • OR’s, Iso, Labs, Pharmacy, Pressurized Spaces • Install: 2012, Open: 2015 • NBBJ, URS, Skanska, Schully-Strawn
- 43. Mid-Michigan Health , Midland, MI Mid-Michigan Medical Center ■ Expansion and Renovation • 280k ft2 • TP • Operating Rooms • Long-Term Cost Savings, Energy Savings, Reduced Maintenance • Install 2009, Open 2010 • HDR Chicago “We knew we had to make dozens of separate decisions right the first time” “It would be cost-prohibitive, difficult or impossible to retrofit these kinds of building systems after the fact, and we felt they would be even more important in the future than they are today.” - Mike Erickson, VP of Facilities and Construction
- 44. Multicare, Tacoma, WA Good Samaritan Hospital, Puyallup, WA ■ New Patient Tower • 357K ft2 • Silver LEED • 600+VVs, TP, TX, CV, LON • Patient, General Areas, Surgery, Isolation • VAV Energy Conservation, Lab Experience • BIM ROI Under 2 Years • Install 2009, Open 2010 • Clark/Kjos Architects and GBJ Architects, Skanska, CDi Engineers, University Mechanical, GSH Design “Hospitals are energy intensive operations, requiring rigorous environmental controls” Collaborative, ATS Seattle
- 45. Nationwide Children’s , Columbus, OH Hospital ■ New Construction • 720K ft2 • Tracking Pairs BACNet • Isolation and Pressurized Spaces • Install 2010, Open 2012 • No Maintenance, Accuracy, Control Flexibility, Emergency Response • FKP, Turner, HAWA, Ingenuity IEQ “We have looked around the nation to identify the ‘best of the best’ in pediatric facilities and our plan is to bring those features here for our community’s children.”
- 46. Northwest Community Healthcare , Arlington Heights, IL Northwest Community Hospital ■ Patient Care Addition Arlington Heights, IL • 225K ft2 • ORs, SPD, Isolation, Pandemic Patient Floors • Install 2008, Open 2010 • No Sensors Maintenance, Accuracy, Pressurization, Emergency Control Flexibility • OWPP, Power Contracting, JCI, Verus (HTS Chicago)
- 47. Northwest Community Healthcare , Arlington Heights, IL Northwest Community Hospital • (BMS) command sequence initiated by Arlington Heights, IL the facility engineer • HVAC control system changes the Mechanical systems on the fifth balance of supply and exhaust air and ninth floors volumes to ensure that the direction of airflow goes from neutral to clean to Pandemic-ready patient rooms unclean become isolation rooms on demand • Emergency CFM quantities provide more air volume to exhaust than supply, VAV Venturi Valve devices and and full exhaust vents outdoors controls • Normal patient rooms convert to negative pressure beds or airborne infection isolation rooms
- 48. Partners Healthcare, Boston, MA Massachusetts General Hospital ■ Building for the Third Century (B3C), Phase II New Hospital • 530K ft2 • Green • 300 VVs, EO • Ors, ICUs, Patient, PACUs • No Flow Sensors, No Maintenance, Feedback • Install 2009, Open 2011 • NBBJ, Turner, APA “Will offer a number of sustainable architectural design elements intended to promote healing, conserve energy and enhance the interior areas.”
- 49. Partners Healthcare, Boston, MA Massachusetts General Hospital Boston, MA Building for the Third Century (B3C), Phase II Boston, MA
- 50. Partners Healthcare, Boston, MA Massachusetts General Hospital ■ Procedure Room Boston, MA • Reduce air changes during unoccupied Building for the Third Century (B3C), Phase II periods Boston, MA • 20 Procedure Rooms • Difference in Air Flow: 2,352 cfm Occupied • Temp of Conditioned Air (AHU): 55°F 25 ACH 2,800 cfm • Annual Savings $147,700 65 hr/wk Unoccupied 4 ACH 448 cfm 103 hr/wk
- 51. Partners Healthcare, Boston, MA Massachusetts General Hospital ■ Isolation Room Boston, MA • Reduce air changes when not needed as Building for the Third Century (B3C), Phase II an Isolation Room and utilize as a Boston, MA Patient Room • 25 Isolation Rooms AII Occupied • Difference in Air Flow: 508 cfm 12 ACH • Temp of Conditioned Air (AHU): 55°F 1,015 cfm 42 hr/wk (25%) • Annual Savings $46,604 per Patient Room Conditioned Air Cooling 2,035 kWh $305 6 ACH Conditioned Air Heating 5.4 Mbtu $81 508 cfm Reheat Energy 53.9 Mbtu $808 126 hr/wk (75%) Fan Energy 4,465 kWh $670 6,499 kWh Total: $1,864 59.3 Mbtu
- 52. Providence Health & Services , Renton, WA Providence Everett ■ Patient Tower Everett, WA • 12 Stories, 680K ft2, 368 Beds • TP, BACnet • Patient Rooms, Isolation • Energy Conservation, Airborne Infection Control , Room Pressurization, Emergency Surge Capacity • ZGF Architects , CDi, Mortenson Construction, Hermanson Mechanical, ATS Seattle
- 53. Providence Health and Services, Renton, WA Providence Everett Everett, WA Engineering study Changing from CV (11.6 ACH) to VAV would provide significant savings Fan energy and re-heat demand VAV design Energy savings Venturi Valve Technology Airborne infection control Enables hospital to respond to pandemic incidents by creating isolation rooms on-demand
- 54. Providence Health and Services, Renton, WA Providence Hospital ■ New Wing Hood River, OR • 74K ft2 • CV and TP • Patient Rooms, Hallways • Monetary Savings, No Maintenance or Recalibration, Control Flexibility, Integration Ease and Accurate Pressurization • GBJ Architects, Glumac, Oregon Air Reps
- 55. Spectrum Health, Grand Rapids, MI Helen DeVos Children's New Hospital ■ New Construction Michigan Hill New Tower 35 • 900 Venturi Air Valves, Theris, SO, CV • OR’s, Isolation, Pharmacy, Pressurized Spaces • Accuracy, Flow with HEPA Load, Turndown, No Flow Sensors, No Maintenance • Open 2011 and 2012 • Jonathan Bailey & Associates, Rockwell Design, URS, Turner, Wolverine Building Group, Quality Air Service
- 56. St. Luke Magic Valley RMC, Twin Falls, ID In-Patient Tower ■ New Tower • 700K ft2 • 1,289 VVs, SO, EO, TP, TX, LON • Mechanical Pressure Independence, Accurate Flow, Volumetric Offset, Emergency Modes, Inlet Insensitivity, Airborne Infection Control, No Maintenance • Install 2009, Open 2011 • Hummel, Nexus Architects, Engineering Inc., Hobson Fabricating, Yamas Invensys, Norbryhn Equipment
- 57. Sutter Health, Sacramento, CA Mills Peninsula Health ■ Replacement Hospital Burlingame, CA • 460K ft2 • TP in 90% of Spaces • Energy Efficiency • Install 2009, Open 2010 • Anshen + Allen, Ted Jacob Engineering, Turner, Newmatic Engineering “The hospital is served by 100% outside air HVAC system with heat recovery to maintain proper pressurization, cooling and indoor air quality.”
- 58. Texas State Department of Health Services, Austin, TX TCID Texas Center for Infectious Disease Hospital ■ New Hospital • 66,000 SF2 • Isolation • VAV C2 • Airflow Accuracies, Airborn Infection Risk Reduction • O’Connell Robertson, JE Dunn, TAC, Vicon
- 59. University of California, San Francisco, CA UCSF Medical Center at Mission Bay ■ New Women’s and Children’s Facility • LEED Gold Project • OR’s, Isolation, Patient, Pressurized Spaces • Install: 2012, Open: 2013 • Anshen + Allen, DPR Construction Inc., Newmatic Engineering, Inc.
- 60. University of Chicago Medical Center, Chicago, IL Pavillion ■ Expansion • LEED Project • Theris TP, BACnet • Patient Rooms • Rafael Viñoly Architects, Cannon, AEI, JCI Evanston, HTS Chicago
- 61. University of Kentucky Health , Lexington, KY Chandler Patient Tower ■ New Tower • 500+ Venturi Valves, TP, CV • Accuracy, No Maintenance • BACnet • GBBN, AEI, Turner, Tridium, Master’s Building Solutions, Air Equipment Co., Honeywell
- 62. University of Michigan Health System, Ann Arbor, MI C.S. Mott Children’s Hospital ■ New Clinic and Inpatient Tower • 1.1 M ft2 • LEED Silver Hospital • Tracking pairs • Pandemic Rapid Infection Control Units, Hazmat Capability and Control University of Michigan Health System. Flexibility Used with permission." • Install 2009, Open 2011 • HKS Architects, Barton Malow, CCRD Partners
- 63. Virginia Department of Health, Richmond, VA Medical Office Building ■ New Construction • CV, SO, TP, APMs, Thermostats • Theris LON w/BACNet interface • Toilets, Corridors, Waiting Rooms, Treatment Rooms • Pressure Control Capabilities • Dunlap Engineers, Comfort Systems, Metropolitan Equipment
Editor's Notes
- http://www.benefis.org/pages/default.asp?NavID=664 Benefis Health System is the largest hospital in the state and the largest non-governmental employer in the Great Falls area. We provide exceptional health care to approximately 225,000 people in service area covering 44,814 square miles -- 15 counties in Northcentral Montana. Our service area is bigger than Connecticut, Massachusetts, New Hampshire and Vermont combined! No wonder Benefis needs to operate both helicopter and fixed-wing aircraft. Benefis Health System has 516 beds at its two campuses (that includes 146 beds in long-term care and 12 beds at Peace Hospice of Montana) and partners with over 250 area physicians. Our hospital is recognized for its exceptional work in quality care, and we are honored to have had the distinction of being among the nation's best hospitals for the past three years running (Distinguished Hospital Award (HealthGrades), which recognizes the top 5% of hospitals in the country). Construction is under way for Benefis Health System's Heart Institute/ Women's and Children's Patient Tower, a state-of-the-art seven story building that will make good on a promise to the Great Falls community and Northcentral region, and provide more high-quality service to heart and women and children's patients. “ Benefis promised our community and regional customers that we would go to all private rooms,” says Dawn Willey, Benefis Facilities Maintenance Manager. To fulfill that promise, it was necessary to build a new addition to the Benefis campus. The new tower is designed to house a 33-bed cardiac patient unit, private rooms for Pediatric and Neonatal Intensive Care Unit patients, 19 Labor and Delivery Recovery and Postpartum rooms, five antepartum rooms, and two caesarean section operating rooms. The pharmacy and Benefis Health System Foundation also are moving to the tower. “ The Benefis Heart Institute will provide the community with an exceptional facility featuring not only all private rooms, but also the most advanced technology for Heart Care available. The patient is the winner with private rooms. “This design creates greater patient privacy and comfort and family involvement”. Physicians, staff, and the Benefis facilities office all participated in the tower design process, ensuring that the facility truly meets the needs of everyone concerned. “It is important to have staff involvement from the beginning, that way they own the unit,” says Caroline McConville, RN, Women and Children's Services manager. The Women's and Children's portion of the tower is going to be patient-friendly as well, making sure that families are as comfortable as the patient, allowing babies to stay in the same room as mom. “ This is quite a progressive model nationally and one that our patients have requested. Being able to have mom and baby in one room together is emotionally and mentally important, and Benefis is dedicated to providing that kind of environment for its patients,” McConville says. “ Giving birth is an emotionally and physically draining experience; our new unit will provide one happy, secure room, thereby reducing the need to move to different rooms as their care dictates, like most hospitals,” she says. Parents whose babies are in the Neonatal Intensive Care Unit (NICU) will have the same option as other delivering moms. They, too, will have the new option of staying in the room with their babies, saving worry and the extra expense of traveling and staying in motels. Many families with babies in NICU live in other parts of Montana. Vicki Birkeland, RN and manager of NICU, says Benefis is one of a small number of NICUs in the nation, and the first in Montana, to follow the new model. “ Out-of-pocket travel and hotel expenses are the least thing new parents should have to worry about when they have a baby in our NICU; our job is to take the very best care of both the parents and their baby. The private patient rooms will offer a serene, peaceful and comfortable environment, something vitally important for those with a NICU baby. The use of private rooms in the NICU has been shown to improve patient outcomes – our ultimate goal here at Benefis Health System,” she says. Plans currently project that Benefis Health System's Heart Institute/ Women's and Children's Tower will be ready for occupancy in the last quarter of 2008. “ The solution is cost competitive with VAV boxes and digital controls. When you take into account the accuracy of the valve coupled With the feedback and alarming capabilities, it makes good sense. ”
- Black River Memorial Hospital has completed its $22 Million expansion and remodeling project. The project began in the fall of 2005 and a Grand Opening Celebration of the “new” hospital was held April 13, 2008. The following are the project highlights: Approximately 69,000 square feet of new space has been added to the hospital with a two-story east addition, a two-story plus basement west addition, and a one-story addition on the front or south side. In addition to the new space, approximately 44,000 square feet of the existing hospital has been remodeled. This has been the largest project in the 40-year history of Black River Memorial Hospital and it has affected every hospital department. It includes the development of many new Patient Service areas: Surgical Services Department, Emergency Department, 21 private Patient Rooms, 12-station Renal Dialysis Unit, Rehabilitation Center, and a Specialty Outreach Area. The Obstetrics Department has been relocated with a new nurses’ station, nursery and labor/delivery/recovery/postpartum rooms and there has been extensive remodeling and expansion in the Diagnostic Imaging, Inpatient Pharmacy, Hospice, Homecare, Food Service, Clinical Laboratory, and Respiratory Care Departments. A two story 34,000 square foot addition with basement was added on the west side for Clinic, Emergency Department and new ambulance bay on the first floor. The second floor contains three new OR's and related support, pre and post operation spaces. New spaces in the basement included Purchasing and mechanical rooms. A two story, 25,000 square foot, without basement addition was constructed on the east side for Rehabilitation Services, Renal Dialysis, Lab and future MRI. The second floor has 25 private medical surgery rooms which allowed the Hospital's existing medical surgery rooms to remain open during construction. The third addition was a single story, 6,800 square foot, without basement, addition for lobby, education and dining space.
- Catholic Health Initiatives, Denver, CO & Franciscan Health System, WA http://www.fhshealth.org/services.aspx?id=3344&menu_id=838&submenu_id=30 The newly constructed Enumclaw Regional Hospital will open in early 2011, providing the community with a state-of-the-art hospital that will ensure access to advanced medicine and trusted care for generations. With 90,000 square feet of space, it will be nearly twice as large as the existing hospital at 1450 Battersby Ave. The replacement hospital will offer all the services that the hospital now provides and include the newest medical and diagnostic imaging equipment. The new hospital will also feature: All private patient rooms designed for the comfort of patients and their visitors Eastside rooms with views of the foothills; westside rooms with views of the healing garden Newest medical technology Rooftop helipad for emergency transports Chapel for prayer and meditation Nearly triple the number of parking spaces Plenty of space for additional and expanded services to meet the future needs of the community. A leader in ‘green’ health The new hospital will incorporate a number of environment-friendly “green” features: sustainable building materials, non-toxic paint, energy-efficient mechanical and lighting systems, 100 percent outside air, low-flush toilets, and landscaping bioswales to capture and filter rainwater. As a result, the new Enumclaw Regional Hospital will be the first LEED (Leadership in Energy and Environmental Design)-certified hospital in Washington State. In addition to providing primary and acute medical care, the new hospital could serve as a community gathering place in times of windstorms, power outages and other emergencies. The new hospital will be located directly across Battersby Avenue from the existing facility. Once the new structure is completed, the old hospital will be torn down and a parking lot built on the site. The estimated cost of the project is $65 million, which will be paid by Franciscan Health System and Denver-based Catholic Health Initiatives. Mahlum Architects designed the new hospital. Sellen Co. is the general contractor for the construction project. Enumclaw Regional Hospital, which has served the community since 1949, joined the Franciscan organization in May 2007.
- http://www.cayugamed.org/content.cfm?page=archive&newsID=60
- http://www.sfdph.org/dph/RebuildSFGH/inTheNews/SFGHGroundbreakingCeremonyRelease10222009.pdf http://www.sfdph.org/dph/RebuildSFGH/ “ The city ’ s only trauma center. The new building will feature a state-of-the-art environment including patient care areas that have been designed to reduce errors and infections and improve quality and nursing care. ”
- See the Phoenix case study cut sheet for more data. OSHPD Approved
- www.childrenscolorado.org http://www.childrenscolorado.org/news/pr/2010-News/childrens-grows-again-east-tower.aspx http://www.mccarthy.com/news/2011/07/14/team-on-children%E2%80%99s-hospital-colorado-expansion-using-cutting-edge-technology-tools-to-keep-project-on-the-fast-track/ http://mountainstates.construction.com/mountainstates_construction_projects/2011/0720-childrenshospitalcoloradoexpansiontopsout.asp
- http://www.hdrinc.com/portfolio/central-washington-hospital
- http://my.clevelandclinic.org/family_health_centers/library/twinsburg.aspx http://twinsburg.patch.com/articles/cleveland-clinic-construction-running-smoothly
- El Camino use bar coded wrist bands to determine activation and control of room occupied modes. The new El Camino Hospital in Silicon Valley is the most technologically advanced in the world. The $470-million facility features robots that carry supplies and give surgeons tools, remote robotic surgery capabilities, palm-scanners for patient registration, and infection-resistant bedside computers. Patients’ exam results, location and vital signs are transmitted to nurses, doctors and a central server over secure Wi-Fi. Medical providers wear voice-activated communication devices—a “Where’s Doctor Robert?” query provides a direct connection, eliminating noisy hospital-wide pages. The facility opened for doctor training in October. El Camino Hospital opened its new state-of-the-art hospital on November 15, 2009. Our new building ensures that the hospital meets strict state seismic standards ; it also enables us to pioneer new approaches to patient comfort, convenience and safety.
- El Camino use bar coded wrist bands to determine activation and control of room occupied modes. The new El Camino Hospital in Silicon Valley is the most technologically advanced in the world. The $470-million facility features robots that carry supplies and give surgeons tools, remote robotic surgery capabilities, palm-scanners for patient registration, and infection-resistant bedside computers. Patients’ exam results, location and vital signs are transmitted to nurses, doctors and a central server over secure Wi-Fi. Medical providers wear voice-activated communication devices—a “Where’s Doctor Robert?” query provides a direct connection, eliminating noisy hospital-wide pages. The facility opened for doctor training in October. El Camino Hospital opened its new state-of-the-art hospital on November 15, 2009. Our new building ensures that the hospital meets strict state seismic standards ; it also enables us to pioneer new approaches to patient comfort, convenience and safety.
- http://www.thompsonhealth.com/Portals/0/_publications/Partners/THPartnersSummer10.pdf
- John Muir Medical Center Walnut Creek Campus, Tom and Billie Long Patient Care Tower will house 242 beds, including 230 new private rooms, a 24-bed ICU and a 35-bed intensive care neonatal nursery. It will also house 3 new operating rooms accommodating innovations well into the future, and a dramatic enhancement of emergency services, including four trauma beds and forty one non-trauma emergency treatment stations, doubling current capacity. Facts at a Glance Groundbreaking Ceremony: January 16, 2008 5-story plus basement, 380,000-square-foot patient care tower Addition of 230 private and 6 semi-private rooms (new beds: 242) Total number of beds, including existing beds planned to remain, is 416. Project Highlights Surgical Services will include 13 inpatient surgical suites located adjacent to the ICU and designed for current and future technology advances, such as intra-operative MRI and robotic surgery ( Notable facts: distinguished in the region for surgical innovation and reputation for excellence in trauma, critical care, cardiac, neurological and orthopedic surgery) Emergency Services will double capacity from 22 beds to 45 beds, with trauma beds increasing from 2 to 4 and non-trauma emergency treatment stations increasing from 22 to 41. In addition, the helipad will be relocated to the tower rooftop and a high-speed elevator from the roof to the Emergency Department ( Notable facts: designated Trauma Center for Contra Costa County and portions of Solano County, currently log in 48,000 emergency visits annually, and provide specialized emergency care for individuals experiencing chest pain or a stroke) Critical Care Services includes the addition of 24 private, spacious critical care rooms with advanced equipment at the bedside and the availability of around-the-clock, real-time audio and video monitoring of ICU patients Intensive Care Neonatal Nursery includes an increase from 19 to 35 state-of-the-art infant beds, lighting to mimic day/night cycles, and private and semi-private, noise-reducing rooms for parents to bond with their critically ill newborns Patient Rooms includes the addition of 230 private and 6 semi-private, patient-centered rooms to accommodate optimal patient safety, care and comfort (and representing a 27 percent increase in overall patients beds from 324 to 416) Double Deal, September 1, 2011, http://www.healthcarebuildingideas.com/print/article/double-deal M/E highlights When it came to specifying the different mechanical and electrical systems for the new tower, the hospital took a long-term view and chose systems based upon energy efficiency, water efficiency, and durability. “ We also focused on lifecycle cost, so on the HVAC side, we went with a variable-air-volume system for the entire hospital,” relates Jon Inman, PE, LEED AP, principal, healthcare sector lead, Mazzetti Nash Lipsey Burch, San Francisco, whose firm did the M/E work on the project. “This system can ramp up and down airflow quantities within the spaces that need additional cooling or ventilation.” The engineers also went with a higher quality air handling system, which requires less energy to operate than conventional systems. “ We beat our overall energy consumption considerably from our initial energy model” Inman says. In fact, the hospital was able to cash in on another Pacific Gas and Electric Co. incentive to the tune of $500,000 for its new on-site cogeneration plant. This cogeneration system generates 750kW of electricity and recovers a high percentage of the waste heat, with about 3 million BTUs used in the building’s heating systems. While designing the new central utility plant, Inman’s team also recommended a very robust building automation with a high degree of measurement and verification of each energy stream. “We can actually shut down some of the systems, at times, and switch over to alternate systems to reduce the cost of purchasing energy,” Inman explains. Another highlight of the central plant is a very sophisticated emergency power system. The system itself is robust enough to run the entire hospital for up to three days while the intelligent controls can turn non-essential areas off and on, as determined by the hospital’s load at a particular time.
- http://mydoctor.kaiserpermanente.org/ncal/facilities/region/eastbay/area_master/news_events/OMCrebuild.jsp
- http://mydoctor.kaiserpermanente.org/ncal/facilities/region/redwoodcity/area_master/news_events/rebuildingtoserveyoubetter.jsp http://xnet.kp.org/newscenter/pressreleases/ncal/2011/081211redwoodcity.html
- http://www.lamaestra.org/media/18983/green_flyer_1_09.pdf http://www.lamaestra.org/about-giving/la-maestra-heart-of-the-community-campaign/construct-a-green-la-maestra-community-health-center.aspx “ The new La Maestra Community Health Center in the City of San Diego is expected to be the first community clinic to be a LEED ® Certified Gold level green building in the nation. ” “ This means that the facility is designed with the highest environmental friendly standards. Factors such as air quality ventilation, lighting, energy use sources, waste management and natural materialswill be selected based on this standard.”
- http://www.newhospital.org/features.php http://www.newhospital.org/wordpress/
- http://visionmidmichigan.com/?p=397 www.midmichigan.org/construction http://www.midmichigan.org/consumer/page.asp?Docid=52AD1C906F784400A5ECD2FBC33CA318&sName=0&N=DonationsOurJourneytoWellnessContinueswithYou&s=1&id=D77D3691A9EF4796AEF1FEF635CA447B&OrgID=5B275EF6C1F147ED91ADA63D5EF2E360 “ We knew we had to make dozens of separate decisions right the first time ” “ It would be cost-prohibitive, difficult or impossible to retrofit these kinds of building systems after the fact, and we felt they would be even more important in the future than they are today. ” - Mike Erickson, VP of Facilities and Construction
- http://usa.autodesk.com/adsk/ser “ GSH will be the first hospital in Washington to meet the requirements of LEED Silver sustainable design certification. “ Hospitals are energy intensive operations, requiring rigorous environmental controls ”
- http://www.nationwidechildrens.org/news-room-articles/columbus-childrens-hospital-announces-wide-ranging-strategic-expansion-effort?contentid=46081 http://www.dispatchpolitics.com/live/content/local_news/stories/2008/09/23/Neighbors.ART_ART_09-23-08_B1_VBBDEFE.html?sid=101 The centerpiece of Nationwide Children's downtown campus expansion is the construction of a new, 12-story, 700,000-square-foot main hospital building. Scheduled for opening in 2012, the new hospital will be surrounded by six additional acres of green space featuring parks and healing garden spaces for patients and families. Clinical features include an emergency/trauma center expanded to double the size of the current facility; a 40 percent increase in the size of patient rooms; and a floor dedicated to pediatric intensive care, cardiac intensive care and transplant.
- http://www.owpp.com/content.cfm/nw_comm_renaissance_project "VAV Boxes are great for temp control but lousy volumetric tracking devices." —David Warner, Verus Engineer wanted 3 modes of emergency control; 1.) in use 2.) standby and 3.) pandemic. Engineer is Hal Dalton @ OWP&P All had to be in proper order with a flick of a switch. Johnson Controls could not do this without a controls/service contract. Engineer liked stand alone or BMS control options with 9 emergency control options. 2 floors with pandemic design and they wanted to decrease their risk. Northwest Community Hospital of Arlington Heights, Illinois is building a new patient care addition that will offer the community state-of-the-art care in a modern structure designed for family-centered healing. The new building is designed to harvest natural light and provide views of nature to aid in the healing process. The project consists of 332,573 square feet of new and remodeled space, including a new entry and lobby, a 24-bed critical care unit, labor and delivery rooms, post-surgical care rooms, and a new parking garage. Slated for completion in 2010, the nine-story tower will increase the hospital’s staffed bed count from 410 to 488, and include patient rooms designed to accommodate a surge of potentially infectious patients. The new building was designed by Engineers and Architects O’Donnell, Wicklund, Pogozzi, and Peterson (OWP/P) of Chicago, Illinois. The mechanical systems on floors five and nine are designed in a manner that permits the hospital to respond to a pandemic incident, should that ever occur in the community. Should pandemic influenza strike, the patient rooms on these floors can be used to isolate patients with the flu contagion, serving both the well-being of the patient and safety of staff and the general public. These pandemic-ready patient rooms become isolation rooms on-demand using a Building Management System (BMS) command sequence that can be initiated by the building engineer. The BMS command causes the HVAC control system to change the balance of supply and exhaust air volumes to ensure the direction of airflow is from clean to unclean areas in each patient room. Two CFM quantities and control sequences are specified; normal and emergency. Normal CFM quantities provide equal air volumes between supply and exhaust as well as central air recirculation to conserve energy. This enables neutral patient room-to-corridor pressurization during normal day-to-day operations. When necessary, emergency CFM quantities provide more air volume to exhaust than supply, and full exhaust venting to the outdoors. This essentially converts a normal patient room to a negative pressure bed, or Airborne Infectious Isolation (AII) room when needed. Using the right combination of Variable Air Volume devices and controls, OWP/P was able to design a patient space that provided an efficient and comfortable environment under normal operations, but also one that could respond immediately to the need for an isolation room in the event of a public emergency.
- http://www.owpp.com/content.cfm/nw_comm_renaissance_project "VAV Boxes are great for temp control but lousy volumetric tracking devices." —David Warner, Verus Engineer wanted 3 modes of emergency control; 1.) in use 2.) standby and 3.) pandemic. Engineer is Hal Dalton @ OWP&P All had to be in proper order with a flick of a switch. Johnson Controls could not do this without a controls/service contract. Engineer liked stand alone or BMS control options with 9 emergency control options. 2 floors with pandemic design and they wanted to decrease their risk. Northwest Community Hospital of Arlington Heights, Illinois is building a new patient care addition that will offer the community state-of-the-art care in a modern structure designed for family-centered healing. The new building is designed to harvest natural light and provide views of nature to aid in the healing process. The project consists of 332,573 square feet of new and remodeled space, including a new entry and lobby, a 24-bed critical care unit, labor and delivery rooms, post-surgical care rooms, and a new parking garage. Slated for completion in 2010, the nine-story tower will increase the hospital’s staffed bed count from 410 to 488, and include patient rooms designed to accommodate a surge of potentially infectious patients. The new building was designed by Engineers and Architects O’Donnell, Wicklund, Pogozzi, and Peterson (OWP/P) of Chicago, Illinois. The mechanical systems on floors five and nine are designed in a manner that permits the hospital to respond to a pandemic incident, should that ever occur in the community. Should pandemic influenza strike, the patient rooms on these floors can be used to isolate patients with the flu contagion, serving both the well-being of the patient and safety of staff and the general public. These pandemic-ready patient rooms become isolation rooms on-demand using a Building Management System (BMS) command sequence that can be initiated by the building engineer. The BMS command causes the HVAC control system to change the balance of supply and exhaust air volumes to ensure the direction of airflow is from clean to unclean areas in each patient room. Two CFM quantities and control sequences are specified; normal and emergency. Normal CFM quantities provide equal air volumes between supply and exhaust as well as central air recirculation to conserve energy. This enables neutral patient room-to-corridor pressurization during normal day-to-day operations. When necessary, emergency CFM quantities provide more air volume to exhaust than supply, and full exhaust venting to the outdoors. This essentially converts a normal patient room to a negative pressure bed, or Airborne Infectious Isolation (AII) room when needed. Using the right combination of Variable Air Volume devices and controls, OWP/P was able to design a patient space that provided an efficient and comfortable environment under normal operations, but also one that could respond immediately to the need for an isolation room in the event of a public emergency.
- http://www.massgeneral.org/about/newsarticle.aspx?id=1281 Phase II – the Building for the Third Century of MGH Medicine, which will address specific needs of the hospital’s emergency services, radiation oncology, radiology, inpatient and outpatient surgery and related support procedures, and acute and intensive care inpatient capacity. 10 floors above ground, the building will house an expanded Emergency Department, three floors of integrated inpatient and outpatient services including operating rooms and imaging rooms and five acute care and intensive care inpatient floors. Offering a very visible and highly functional improvement to the overall hospital, the Building for the Third Century of MGH Medicine will feature a fully reorganized emergency services area. A $35 million gift – the largest single contribution in the hospital’s history – from renowned business leader, philanthropist and MGH friend Sumner Redstone will make possible the enhanced Sumner M. Redstone Emergency Department. This world-class department will be bolstered by a protected emergency entrance, providing a weather-shielded environment for patients arriving at the MGH by ambulance. It also will feature amply expanded space to benefit Emergency Department patients, families, clinicians and staff. The Emergency Department handled approximately 78,000 visits last year, and historically more than half of the inpatient admissions to MGH come via the Emergency Department. The Radiation Oncology center will be redeveloped and expanded to accommodate the growing need for its services. The center - to be named the James M. and Ruth P. Clark Center for Radiation Oncology, thanks to a generous gift from two committed supporters - will be located next to the Francis H. Burr Proton Therapy Center to ensure patient ease of access and efficiencies in coordinating care to cancer patients undergoing radiation and proton beam therapies. Three floors will be dedicated to inpatient and outpatient procedures. These floors will integrate operating rooms with pre- and post-operative services, such as radiology and imaging, to ensure efficient, timely and effective coordination of treatment. The top five floors in the Building for the Third Century of MGH Medicine will house up to 150 acute and intensive care beds, with floors dedicated to cancer, neurology and neurosurgery patients. Because of the serious nature of these patients’ illnesses, all will be single patient rooms. The new building will include: Ten floors above ground and four below grade. Floors 2, 3 and 4 will be operating-room floors. The 6th floor will house a new Neurosciences ICU. Floors 7, 8, 9 and 10 will be inpatient floors. Floors 2 and 3 will connect directly to the existing hospital in several ways. There will be a walkway across the front of the hospital entrance connecting Wang 3, where patients will continue to check in before surgery, with the third floor of the B3C. Floors 2 and 3 will connect directly to the Ellison building. Four operating rooms will be on the second floor, as well as 13 perioperative bays, locker rooms, the OR pharmacy, central sterile supply, and a blood bank. The second-floor ORs will be used primarily for small, rapid turnover procedures, and patients will recover in the perioperative bays on that floor. A third floor with 13 orthopedic operating rooms arranged to surround a central core to allow centralization of instruments and other equipment, a particularly significant issue for orthopedics. There will be nine perioperative bays, which can be used for pre-op preparation and for recovery. A fourth floor that will house 12 Neuro and Vascular ORs, 12 perioperative bays, and four hybrid interventional/open rooms with the highest concentration of technology in the B3C. These services were chosen for the B3C because the legacy operating room space does not have the infrastructure needed for significant technological advances in those two areas of surgery. Intraoperative CT and MRI suite will be used initially for neurosurgical procedures, but will be available to other services in the future. All ORs will be at least 600 square feet. Each OR floor will have its own control desk and its own anesthesia workroom. Each floor will have omnicell machines, but narcotics will be dispensed at the main pharmacy on the second floor. There will be elevator and stair connections between floors, a dumbwaiter system, and limited pneumatic tube connection with the main hospital. Storage space will be provided for all equipment and for patient stretchers so that the hallways remain clear. Several computer workstations. The perioperative bays on each floor and in the new space in Ellison and Wang will allow for pre-op care, workups, line placement, epidurals and blocks to be done in private, more spacious areas close to the operating rooms. With many perioperative bays in the B3C, 35 new PACU beds in the Ellison 3 PACU, and 28 PACU beds in the existing White PACU, the PACU waitlist should become a thing of the past. The largest central sterile supply area in the USA. The arrangement of the floors will resdesign equipment and supply management at Mass General. For example, orthopedic instruments will be on a cart system, without the need for resterilization between cases.
- http://www.massgeneral.org/about/newsarticle.aspx?id=1281 Phase II – the Building for the Third Century of MGH Medicine, which will address specific needs of the hospital’s emergency services, radiation oncology, radiology, inpatient and outpatient surgery and related support procedures, and acute and intensive care inpatient capacity. 10 floors above ground, the building will house an expanded Emergency Department, three floors of integrated inpatient and outpatient services including operating rooms and imaging rooms and five acute care and intensive care inpatient floors. Offering a very visible and highly functional improvement to the overall hospital, the Building for the Third Century of MGH Medicine will feature a fully reorganized emergency services area. A $35 million gift – the largest single contribution in the hospital’s history – from renowned business leader, philanthropist and MGH friend Sumner Redstone will make possible the enhanced Sumner M. Redstone Emergency Department. This world-class department will be bolstered by a protected emergency entrance, providing a weather-shielded environment for patients arriving at the MGH by ambulance. It also will feature amply expanded space to benefit Emergency Department patients, families, clinicians and staff. The Emergency Department handled approximately 78,000 visits last year, and historically more than half of the inpatient admissions to MGH come via the Emergency Department. The Radiation Oncology center will be redeveloped and expanded to accommodate the growing need for its services. The center - to be named the James M. and Ruth P. Clark Center for Radiation Oncology, thanks to a generous gift from two committed supporters - will be located next to the Francis H. Burr Proton Therapy Center to ensure patient ease of access and efficiencies in coordinating care to cancer patients undergoing radiation and proton beam therapies. Three floors will be dedicated to inpatient and outpatient procedures. These floors will integrate operating rooms with pre- and post-operative services, such as radiology and imaging, to ensure efficient, timely and effective coordination of treatment. The top five floors in the Building for the Third Century of MGH Medicine will house up to 150 acute and intensive care beds, with floors dedicated to cancer, neurology and neurosurgery patients. Because of the serious nature of these patients’ illnesses, all will be single patient rooms. The new building will include: Ten floors above ground and four below grade. Floors 2, 3 and 4 will be operating-room floors. The 6th floor will house a new Neurosciences ICU. Floors 7, 8, 9 and 10 will be inpatient floors. Floors 2 and 3 will connect directly to the existing hospital in several ways. There will be a walkway across the front of the hospital entrance connecting Wang 3, where patients will continue to check in before surgery, with the third floor of the B3C. Floors 2 and 3 will connect directly to the Ellison building. Four operating rooms will be on the second floor, as well as 13 perioperative bays, locker rooms, the OR pharmacy, central sterile supply, and a blood bank. The second-floor ORs will be used primarily for small, rapid turnover procedures, and patients will recover in the perioperative bays on that floor. A third floor with 13 orthopedic operating rooms arranged to surround a central core to allow centralization of instruments and other equipment, a particularly significant issue for orthopedics. There will be nine perioperative bays, which can be used for pre-op preparation and for recovery. A fourth floor that will house 12 Neuro and Vascular ORs, 12 perioperative bays, and four hybrid interventional/open rooms with the highest concentration of technology in the B3C. These services were chosen for the B3C because the legacy operating room space does not have the infrastructure needed for significant technological advances in those two areas of surgery. Intraoperative CT and MRI suite will be used initially for neurosurgical procedures, but will be available to other services in the future. All ORs will be at least 600 square feet. Each OR floor will have its own control desk and its own anesthesia workroom. Each floor will have omnicell machines, but narcotics will be dispensed at the main pharmacy on the second floor. There will be elevator and stair connections between floors, a dumbwaiter system, and limited pneumatic tube connection with the main hospital. Storage space will be provided for all equipment and for patient stretchers so that the hallways remain clear. Several computer workstations. The perioperative bays on each floor and in the new space in Ellison and Wang will allow for pre-op care, workups, line placement, epidurals and blocks to be done in private, more spacious areas close to the operating rooms. With many perioperative bays in the B3C, 35 new PACU beds in the Ellison 3 PACU, and 28 PACU beds in the existing White PACU, the PACU waitlist should become a thing of the past. The largest central sterile supply area in the USA. The arrangement of the floors will resdesign equipment and supply management at Mass General. For example, orthopedic instruments will be on a cart system, without the need for resterilization between cases.
- http://www.massgeneral.org/about/newsarticle.aspx?id=1281 http://www.massgeneral.org/about/newsarticle.aspx?id=1281, Mass General-Phoenix Controls Presentation on Sustainability presented at HCD 2010. Las Vegas Phase II – the Building for the Third Century of MGH Medicine, which will address specific needs of the hospital’s emergency services, radiation oncology, radiology, inpatient and outpatient surgery and related support procedures, and acute and intensive care inpatient capacity. 10 floors above ground, the building will house an expanded Emergency Department, three floors of integrated inpatient and outpatient services including operating rooms and imaging rooms and five acute care and intensive care inpatient floors. Offering a very visible and highly functional improvement to the overall hospital, the Building for the Third Century of MGH Medicine will feature a fully reorganized emergency services area. A $35 million gift – the largest single contribution in the hospital’s history – from renowned business leader, philanthropist and MGH friend Sumner Redstone will make possible the enhanced Sumner M. Redstone Emergency Department. This world-class department will be bolstered by a protected emergency entrance, providing a weather-shielded environment for patients arriving at the MGH by ambulance. It also will feature amply expanded space to benefit Emergency Department patients, families, clinicians and staff. The Emergency Department handled approximately 78,000 visits last year, and historically more than half of the inpatient admissions to MGH come via the Emergency Department. The Radiation Oncology center will be redeveloped and expanded to accommodate the growing need for its services. The center - to be named the James M. and Ruth P. Clark Center for Radiation Oncology, thanks to a generous gift from two committed supporters - will be located next to the Francis H. Burr Proton Therapy Center to ensure patient ease of access and efficiencies in coordinating care to cancer patients undergoing radiation and proton beam therapies. Three floors will be dedicated to inpatient and outpatient procedures. These floors will integrate operating rooms with pre- and post-operative services, such as radiology and imaging, to ensure efficient, timely and effective coordination of treatment. The top five floors in the Building for the Third Century of MGH Medicine will house up to 150 acute and intensive care beds, with floors dedicated to cancer, neurology and neurosurgery patients. Because of the serious nature of these patients’ illnesses, all will be single patient rooms. The new building will include: Ten floors above ground and four below grade. Floors 2, 3 and 4 will be operating-room floors. The 6th floor will house a new Neurosciences ICU. Floors 7, 8, 9 and 10 will be inpatient floors. Floors 2 and 3 will connect directly to the existing hospital in several ways. There will be a walkway across the front of the hospital entrance connecting Wang 3, where patients will continue to check in before surgery, with the third floor of the B3C. Floors 2 and 3 will connect directly to the Ellison building. Four operating rooms will be on the second floor, as well as 13 perioperative bays, locker rooms, the OR pharmacy, central sterile supply, and a blood bank. The second-floor ORs will be used primarily for small, rapid turnover procedures, and patients will recover in the perioperative bays on that floor. A third floor with 13 orthopedic operating rooms arranged to surround a central core to allow centralization of instruments and other equipment, a particularly significant issue for orthopedics. There will be nine perioperative bays, which can be used for pre-op preparation and for recovery. A fourth floor that will house 12 Neuro and Vascular ORs, 12 perioperative bays, and four hybrid interventional/open rooms with the highest concentration of technology in the B3C. These services were chosen for the B3C because the legacy operating room space does not have the infrastructure needed for significant technological advances in those two areas of surgery. Intraoperative CT and MRI suite will be used initially for neurosurgical procedures, but will be available to other services in the future. All ORs will be at least 600 square feet. Each OR floor will have its own control desk and its own anesthesia workroom. Each floor will have omnicell machines, but narcotics will be dispensed at the main pharmacy on the second floor. There will be elevator and stair connections between floors, a dumbwaiter system, and limited pneumatic tube connection with the main hospital. Storage space will be provided for all equipment and for patient stretchers so that the hallways remain clear. Several computer workstations. The perioperative bays on each floor and in the new space in Ellison and Wang will allow for pre-op care, workups, line placement, epidurals and blocks to be done in private, more spacious areas close to the operating rooms. With many perioperative bays in the B3C, 35 new PACU beds in the Ellison 3 PACU, and 28 PACU beds in the existing White PACU, the PACU waitlist should become a thing of the past. The largest central sterile supply area in the USA. The arrangement of the floors will resdesign equipment and supply management at Mass General. For example, orthopedic instruments will be on a cart system, without the need for resterilization between cases.
- http://www.massgeneral.org/about/newsarticle.aspx?id=1281 http://www.massgeneral.org/about/newsarticle.aspx?id=1281, Mass General-Phoenix Controls Presentation on Sustainability presented at HCD 2010. Las Vegas Phase II – the Building for the Third Century of MGH Medicine, which will address specific needs of the hospital’s emergency services, radiation oncology, radiology, inpatient and outpatient surgery and related support procedures, and acute and intensive care inpatient capacity. 10 floors above ground, the building will house an expanded Emergency Department, three floors of integrated inpatient and outpatient services including operating rooms and imaging rooms and five acute care and intensive care inpatient floors. Offering a very visible and highly functional improvement to the overall hospital, the Building for the Third Century of MGH Medicine will feature a fully reorganized emergency services area. A $35 million gift – the largest single contribution in the hospital’s history – from renowned business leader, philanthropist and MGH friend Sumner Redstone will make possible the enhanced Sumner M. Redstone Emergency Department. This world-class department will be bolstered by a protected emergency entrance, providing a weather-shielded environment for patients arriving at the MGH by ambulance. It also will feature amply expanded space to benefit Emergency Department patients, families, clinicians and staff. The Emergency Department handled approximately 78,000 visits last year, and historically more than half of the inpatient admissions to MGH come via the Emergency Department. The Radiation Oncology center will be redeveloped and expanded to accommodate the growing need for its services. The center - to be named the James M. and Ruth P. Clark Center for Radiation Oncology, thanks to a generous gift from two committed supporters - will be located next to the Francis H. Burr Proton Therapy Center to ensure patient ease of access and efficiencies in coordinating care to cancer patients undergoing radiation and proton beam therapies. Three floors will be dedicated to inpatient and outpatient procedures. These floors will integrate operating rooms with pre- and post-operative services, such as radiology and imaging, to ensure efficient, timely and effective coordination of treatment. The top five floors in the Building for the Third Century of MGH Medicine will house up to 150 acute and intensive care beds, with floors dedicated to cancer, neurology and neurosurgery patients. Because of the serious nature of these patients’ illnesses, all will be single patient rooms. The new building will include: Ten floors above ground and four below grade. Floors 2, 3 and 4 will be operating-room floors. The 6th floor will house a new Neurosciences ICU. Floors 7, 8, 9 and 10 will be inpatient floors. Floors 2 and 3 will connect directly to the existing hospital in several ways. There will be a walkway across the front of the hospital entrance connecting Wang 3, where patients will continue to check in before surgery, with the third floor of the B3C. Floors 2 and 3 will connect directly to the Ellison building. Four operating rooms will be on the second floor, as well as 13 perioperative bays, locker rooms, the OR pharmacy, central sterile supply, and a blood bank. The second-floor ORs will be used primarily for small, rapid turnover procedures, and patients will recover in the perioperative bays on that floor. A third floor with 13 orthopedic operating rooms arranged to surround a central core to allow centralization of instruments and other equipment, a particularly significant issue for orthopedics. There will be nine perioperative bays, which can be used for pre-op preparation and for recovery. A fourth floor that will house 12 Neuro and Vascular ORs, 12 perioperative bays, and four hybrid interventional/open rooms with the highest concentration of technology in the B3C. These services were chosen for the B3C because the legacy operating room space does not have the infrastructure needed for significant technological advances in those two areas of surgery. Intraoperative CT and MRI suite will be used initially for neurosurgical procedures, but will be available to other services in the future. All ORs will be at least 600 square feet. Each OR floor will have its own control desk and its own anesthesia workroom. Each floor will have omnicell machines, but narcotics will be dispensed at the main pharmacy on the second floor. There will be elevator and stair connections between floors, a dumbwaiter system, and limited pneumatic tube connection with the main hospital. Storage space will be provided for all equipment and for patient stretchers so that the hallways remain clear. Several computer workstations. The perioperative bays on each floor and in the new space in Ellison and Wang will allow for pre-op care, workups, line placement, epidurals and blocks to be done in private, more spacious areas close to the operating rooms. With many perioperative bays in the B3C, 35 new PACU beds in the Ellison 3 PACU, and 28 PACU beds in the existing White PACU, the PACU waitlist should become a thing of the past. The largest central sterile supply area in the USA. The arrangement of the floors will resdesign equipment and supply management at Mass General. For example, orthopedic instruments will be on a cart system, without the need for resterilization between cases.
- Providence Regional Medical Center, Everett, Wash. Despite all of the potential opportunities to utilize the BAS for monitoring, trending and optimizing operation, this can be accomplished only if the facility engineer thoroughly understands the system. Quite often, as new facilities or facility additions are completed, the engineers are not able to interface with the systems until after substantial completion and the owner takes possession. The owner of the Providence Regional Medical Center committed two facility engineers to work full time as part of the commissioning team with the commissioning agent, control contractor and mechanical contractors. The engineers were involved from startup, through the functional test period and the final commissioning of the systems. This unique experience actually was recommended by the commissioning agent, and allowed the facility engineers to be involved in the decision-making process and to gain intimate experience with the system components, operation and design intent. As part of the process, the facility engineers were immersed in the BAS sequence of operation and they worked hand in hand with the control contractor in creating the BAS dashboard graphics and user interface. Normally, system knowledge that is gained through startup and commissioning leaves with the construction team and commissioning agent. But, with this approach, the history of the decisions and system knowledge stayed local with the hospital. Facility professionals have made a commitment to the facility users and staff that the building will be operated efficiently and, to validate this, the BAS will be utilized to provide the energy-savings data for hospital newsletters and other communications. The automation system is used primarily to control systems and monitor status. At the heart of the systems are hundreds of data points reporting whether systems are operating within design parameters. When an operation fails or exceeds a set limit, an alarm message is sent to the system computer. Critical alarms also are sent to pagers carried by facility staff. The BAS also can turn certain systems to standby mode when not in use. For instance, operating rooms are energy intensive and can require 25 air changes per hour. When these rooms are not in use, their supporting systems can be automatically scaled back. By computer schedule or manual override, the rooms can be back in full "on" mode within 20 minutes. Another way the BAS helps to save energy is the constant monitoring of zones and the potential for temperature reset. If all the terminal units within a zone are satisfying demand, the system automatically will reset the supply air temperature to a higher level. Cooling with higher temperature air is a good way to lower a building's EUI. In addition to the DDC points being monitored, there are five meters that give the following data: electrical energy consumption (showing instant consumption that provides continuous trending), electrical energy consumption (showing daily, monthly and annual trending), a gas meter for the kitchen (the central utility plant is metered separately), a water meter and an outside air temperature meter. Because meters can cost thousands of dollars, the addition of more metering is always a trade-off between first cost and the ability to isolate and fine-tune separate systems or buildings.
- http://www.devoschildrens.org/documents/New%20Hospital%20Fact%20Sheet.pdf http://www.rapidgrowthmedia.com/majordevelopmentprojects/MichiganHillProjectChristmanAPCapital2.aspx Surgical areas, used on Return air to ensure +/- 5% accuracy of flow; concerns with HEPA load. URS in Grand Rapids, MI is the engineer for the Devos Children ’ s Hospital project. The Devos project has Phoenix valves on the OR exhaust/return. These are paired up with dual duct VAV boxes (Titus). We also have CVV ’ s on all of the isolation room exhaust. The project is under construction while the upper floors are still being designed, so there may be more.(8/08) Main reason for using Phoenix Controls was the turndown and no flow stations that would collect lint. Currently there are around 30 valves (EXV ’ s and CVV ’ s). Features of the new 14-story, 440,000-square-foot facility slated to open in 2011 include: Dedicated pediatric operating rooms and surgical support space Dedicated pediatric emergency department Dedicated pediatric radiology and diagnostic imaging center Dedicated pediatric cardiac catheterization labs Spacious rooms for patients and their families Helen DeVos Children's Hospital is West Michigan's largest children's hospital, serving children and families throughout a 37-county region. A teaching hospital, it includes more than 150 pediatric specialty physicians uniquely skilled in providing medical and surgical care to children in 40 pediatric specialties. The hospital cares for more than 7,500 inpatients and 150,000 outpatients annually.
- http://www.stlukesonline.org/magic_valley/ PATIENT ROOMS 183 private rooms All have Phoenix Controls Theris tracking pair valves 162 patient rooms with (TP tracking pair) ISOLATION Isolation rooms have APM2 pressure monitors 21 isolation rooms (TX enhanced tracking pair) PANDEMIC SPACES Hospital personnel press button sending BMS command Exhaust fans energized Return air is re-routed to exhaust fans Room offset is increased to maintain negative pressure All patient rooms on 4th floor become isolation rooms OPERATING ROOMS Phoenix Controls Celeris ® low speed valves 1 supply with 2 exhaust valves per room 13 Operating Rooms APM2 Pressure Monitors Humidity Control LOBBY & CORRIDORS Phoenix Controls valves throughout entire facility 890 standalone Phoenix Controls Theris valves Owner/engineer wanted accuracy and dependability Controls system was already in place for the isolation, patient, and operating rooms which made it cost effective to incorporate standalone valves vs. VAV terminal boxes
- http://www.tjeg.com/Health_Care_Project/Mills-Peninsula.pdf Doors open at Mills-Peninsula's new Medical Center in 2010. Designed and built using the latest earth-friendly techniques and recycled materials, from low-toxicity rubber floor tiles to café cabinets made of renewable resources such as bamboo, the $528 million, 450,000-square-foot facility will contribute to the community's health through both services and setting. "This is such an important project," Mills-Peninsula CEO Bob Merwin said. "We are at last ready to replace our 50-year-old hospital and ensure 21st-century medical care for everyone in our community." At a time when many emergency departments nationwide have closed, Mills-Peninsula's new hospital will expand its emergency department by 42 percent. Green principles and practices Mills-Peninsula will use in constructing its new facility include: Water-based paints and other low-VOC (volatile organic compound) products that emit far fewer fumes and chemicals than found in many commercial products Flooring free of PVC, or vinyl, considered the most environmentally damaging type of plastic Furniture upholstery containing recycled materials Architecture that takes fullest advantage of daylight to cut energy use for lighting and heating People treated at the new Medical Center will find many patient-centered features designed to speed healing and promote comfort, from private rooms for the hospital's 243 beds to healing gardens and walking trails. Electronic patient charting, Internet-based communications systems and telemetry monitoring capability reflect Mills-Peninsula's 21st-century commitment to providing cutting edge medical technology and expertise to the community. Six-story, 430,000-sq. ft. acute care hospital with an additional partial seventh floor. Proposed main entrance on Trousdale Drive. • 242 beds (with expansion capability to 312) in all private rooms with family accommodations (with the exception of behavioral health, where socialization benefits of two bed rooms is preferred). • Technology-ready facility with electronic patient charting and Internet-based capabilities for advanced patient/physician/family communication. • Emergency Department enlarged by 42 percent to accommodate 50,000 visits per year (up from 35,000). • First floor footprint enlarged to locate Emergency Department, operating rooms and imaging services together for optimum efficiency and patient care. • Docking stations to accommodate portable new technology. • Patient care towers designed to allow for optimal views from all rooms. • Healing gardens and walking trails for patients, visitors and employees. • Current hospital fully operational during construction. • “ best case” project completion target: 2009/2010.
- Ed McClure with U of KY, familiar with PCC, liked flexibility of design. Wanted BACNet at room level.
- Project Overview Project Name: C.S. Mott Children's Hospital and Von Voigtlander Women's Hospital Location: Ann Arbor, Mich. Total floor area: 1.1 million square feet Number of floors: 12 hospital and 9 clinic Number of beds: 348 Project cost: $754 million Construction cost: $437 million Groundbreaking date: October 2006 Opening date: December 2011 Project Team Owner: University of Michigan Health System Architect, Interior Designer and Structural Engineer: HKS Architects General Contractor: Barton Malow Co. Environmental Consulting: Horizon Engineering Associates LLP MEP Engineering: ccrd partners Medical Equipment Planning: Gene Burton & Associates Landscaping: Talley Associates Scheduled to open in fall, 2012, the new facility will total 1.1 million gross square feet. It is the second largest construction project in Michigan, just behind the MGM Grand Casino in Detroit. The facility will include a 9-story tower for clinic space, and a 12-story tower devoted to inpatient care that will bridge inpatient and outpatient services within the same medical disciplines to create a programmatic approach to patient care on each floor. The inpatient tower provides C.S. Mott Children's and Women's Hospital with 855,000 square feet. 348 beds 234 pediatric inpatient beds (this is general and critical care combined). 50 women's beds 32 adult bone marrow transplant beds An additional 32 beds will be allocated based on need. Patients and their families - as well as teams of more than 450 current Mott and Women's faculty and staff - provided input for the new facility's layout and design. Leadership in Energy and Environmental Design (LEED) certification.