Clovis Community Medical CenterCampus Expansion

OSHPD Phased Review Meeting #1

April 22nd, 9:00 AM – 11:00 AM

Clovis Community Medical Center

OSHPD Phased Review Meeting #1

Meeting Agenda

April 22nd, 9:00 AM – 11:00 AM

I. Introduction of Team Players

II. Introduction of Project Overview

a. Site Plan

b. Scope of Work Overview

c. Floor Plans

d. Images

e. Schedule

III. Phased Review Guiding Principles

IV. Proposed Phase Review List

V. Proposed Phase Review Implementation Schedule

VI. Proposed LOU A4 Reports and Log

VII. Breakout Session

VIII. Next Steps and Action Items

Overall Scope of Work – 1st Floor (6) Materials Management & EVSExpansion 5,720SFRenovation 5,350 SF

(7) ImagingExpansion 12,500 SFRenovation 3,535 SF

(8) Clinical LabRenovation 6,420 SF

(9) ED Expansion 39,883 SFRenovation 5,576 SF

(10) Women’s PavilionExpansion 14,076 SFRenovation 10,900 SF

(11) Central PlantExpansion 12,200 SF

(1) Bed TowerICU 21,895 SF

(2) Public Facilities & CirculationExpansion 5,072 SF

(3) Existing Lobby & Gift ShopRenovation 6,350 SF(3a) PharmacyRenovation 3,289 SF(3b) TherapyRenovation 504 SF

(4) OPCC Expansion 10,823 SFRenovation 5,357 SF

(5) Food ServiceExpansion 3,872 SFRenovation 6,500 SF

7

12

3

4

5 6

5

99

10

6

8

3

11

4

10

8

7

1st Floor Sub Total Master Plan: 109,338 SF

1st Floor Sub Total Expansion: 126,043 SF

1st Floor Sub Total Renovation: 53,781 SF

Sub Total Delta: (70,484 SF)

6

3a3b

5

95% Progress SD Plan 2/05/08

Overall Scope of Work – 2nd Floor

5

(N) Roof

(N) Roof

(E) Roof

(1) Bed TowerMedical / Surgical 22,585 SF

(2) Public Facilities & CirculationExpansion 5,568 SF

(3) Cath LabRenovation 6,068 SF

(4) OPCC Expansion 11,705 SFRenovation 8,095 SF

(5) Surgical & C.S. ServicesExpansion 29,075 SFRenovation 16,930 SF

(6) Women’s PavilionExpansion 7,325 SFRenovation 10,900 SF

1

2

3

44

5

6

6

(N) Roof

2nd Sub Total Master Plan: 63,166 SF2nd Sub Total Expansion: 76,258 SF2nd Sub Total Renovation: 41,993 SF Sub Total Delta: (55,085 SF)

Overall Scope of Work – 3rd- 5th Floors

(1) Bed Tower 3rd- 5th floor Medical / Surgical 22,585 SF

(2) Public Facilities & Circulation 3rd- 4th, 5th floor shelledExpansion 3,740 SF

(3) Women’s Pavilion 3rd floorRenovation 10,900 SF(20 Beds Post Partum)

1

2

3

(N) Roof

(N) Roof

(E) Roof

(N) Roof

(E) Roof

(N) Roof

3rd Floor Sub Total Master Plan: 23,792 SF 3rd Floor Sub Total Expansion: 26,325 SF 3rd Floor Sub Total Renovation: 10,900 SF Sub Total Delta: (13,433 SF)

4th Floor Sub Total Master Plan: 23,792 SF 4th Floor Sub Total Expansion: 26,325 SF Sub Total Delta: (2,533 SF)

5th Floor Sub Total Master Plan: 0 SF5th Floor Sub Total Expansion: 26,325 SF Sub Total Delta: (26,325 SF)

Overall Scope of Work Totals:

Grand Master Plan 220,088 SFGrand Expansion 281,276 SFGrand Renovation 106,674 SFGrand Delta (167,862 SF)

(N) Roof

(N) Roof

(E) Roof

(N) Roof

(E) Roof

(N) Roof

(E) Roof

5th Floor

(N) Roof

Bed Stacking Diagram

Support

Services

Existing

Hospital

D&T Expansion Women’s Pavilion Phase B

Bed Tower

Phase C

Future Bed Tower

5th Floor • 30 Med/Surg • Future Bed Tower

30 Med/Surg

4th Floor • 30 Med/Surg • Future Bed Tower

30 Med/Surg

3rd Floor • 9 Private Post

Partum• 20 Semi- Private

Post Partum • L-1 Nursery

• 30 Med/Surg • Future Bed Tower

30 Med/Surg

2nd Floor • Expanded Surgery

• Pre-op• PACU• Lockers

• 12 OR’s• Sterile Processing

• 14 Private Post Partum

• 12 Semi- Private

Post Partum • 8 L-2 NICU

Nursery• L-1 Nursery

• 30 Med/Surg • Future Bed Tower

30 Med/Surg

1st Floor • Central Plant• EVS• Material Magt.• Food Service

• LAB. • ER-36 Exam• Imaging Services

• 16 Perinatal LDR• 3-C Section

• 24 ICU • Future Bed Tower 30 Med/Surg

Totals: 79 144 150

Area Existing Additional Capacity Total Capacity

ICU 7 17 24

Med/Surg 66 (Semi) 54 120 (All Private)

LDR 11 5 16

Post Partum 25 30 55 (Semi-Private)

NICU 0 8 8

Total Licensed Beds 109 (Semi) 114 208 (All Private)

223 (W/ Semi-Private)

New Construction

Future Construction

Renovation

Bed Tower – ICU 1st Floor

MED./ SURG. 2nd, 3rd, 4th & 5th Floors

Clinical Lab, Radiology & ED – 1st Floor

Material Management & Food Service – 1st Floor

Surgery, SPD and Cath Lab – 2nd Floor

Central Plant – 1st Floor

Birthing Center – 1st Floor

Birthing Center – 2nd Floor

Birthing Center – 3rd Floor

View toward New Bed Tower from southwest

Scheme E – Birdseye View

Views of Bed tower

View toward Bed tower from Fir Avenue at night

Scheme D – View From Southeast

Scheme D – View From East

Scheme D – View From Northeast

Guiding Principles1. To Improve Communication Between the Core Group (Representing the Architect,

Contractor and Owner) and OSHPD.• Collaborate, Really Collaborate and Eliminate Critical Issues Early• OSHPD to Utilize Color Pencil Concept

2. Optimize the Project Whole, Not the Pieces. • Big Picture Schedule, Must be Efficient Process for Owner and OSHPD.• Utilize Over the Counter Backchecks if Comment / Response Time is Deemed

8 Hours or Less.

3. Projects are Networks of Commitment. • Owner and Design Team Commit to No Major Changes. Once Submitted,

Approved Phased Review Elements Will be Frozen.• Serious Code Issues (Deal Breakers) Must be Resolved and Ultimately

Accepted by OSHPD prior to Progressing to the Next Phased Review. Resolution May Occur Through Phone Calls, Meeting or E-Mail and Followed Up with Drawings.

4. Increase Relatedness and Build Trust. • Keep the Same Individuals on the Project for Its Duration (As Much As

Possible).

5. Tightly Couple Learning with Action. • Make Changes in the Process as Needed to Improve Over Time.• Document Agreements / Approvals Clearly Utilizing LOU (Letter of

Understanding) A4s.

OSHPD Phase Review Clovis Community Medical Center LOU A4 Log

Campus Expansion

Document No.

Rev. No. Applicant

Phase Review Submittal

Submittal Date

Decision Required Status Comments

A4-001 0 HGA Structural  Structural Design Approach  6/-/08      

A4-002 0 HGA Architectural  Construction Type and Occupancy  6/-/08      

A4-003 0 HGA Architectural F&LS Exiting   6/-/08      

A4-004 0 HGA Structural Lateral Analysis – Bed Tower   8/-/08      

A4-005 0 HGA Architectural F&LS Fire Barriers/Smoke Compartments and Exterior Fire Ratings  

 6/-/08      

A4-006 0 Howe Electric Electrical Concept Approach   8/-/08      

A4-007 0 Howe Electric Central Plant (Electric)   8/-/08      

A4-008 0 HGA Structural  Lateral Analysis – D & T Expansion andExisting Renovations

 9/-/08      

A4-009 0 HGA Architectural Chapter 12 – Hospital Requirements  9/-/08      

A4-010 0 New EnglandSheet Metal

Underground Concept Approval(Mechanical)

 9/-/08

A4-011 0 New EnglandSheet Metal

Kitchen Fire Alarm (Mechanical)  9/-/08

A4-012 0 New EnglandSheet Metal

Central Plant (Mechanical)  9/-/08

A4-013 0 HGA Structural Lateral Frame Design – Bed Tower  11/-/08

A4-014 0 HGA Structural Lateral Frame Design – D & T Expansion and Existing Renovations

 12/-/08

OSHPD Phase Review Clovis Community Medical Center LOU A4 Log

Campus Expansion

Document No.

Rev. No. Applicant

Phase Review Submittal

Submittal Date

Decision Required Status Comments

A4-015 0 HGA Structural  Foundation Analysis and Design Bed Tower

12/-/08      

A4-016 0 New EnglandSheet Metal &Howe Electric

 Underground Utilities – Bed Tower(Mechanical and Electrical)

12/-/08      

A4-017 0 HGA Structural Foundation Analysis and Design D & T Expansion and Existing Renovations

1/-/09        

A4-018 0 HGA Structural Gravity, Stairs and Diaphragm Bed Tower 

1/-/09        

A4-019 0 HGA Architectural Stairs – Bed Tower 1/-/09        

A4-020 0 New EnglandSheet Metal &Howe Electric

Underground Utilities – D & T Expansion and Existing Renovations

(Mechanical and Electrical)

1/-/09        

A4-021 0 HGA Structural Gravity, Stairs and Diaphragm D & T Expansion and Existing Renovations

2/-/09        

A4-022 0 HGA Architectural  Stairs – D & T Expansion and Existing Renovations

2/-/09        

       

Breakout Session