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Center for Health & Healing BLOCK 28 & 29
Architecture for Health Panel | April 8, 2016
Agenda
• Background—Why the Project?
• Planning & Design Process
• CHH South Tower (Expansion)(Block 29)
• Guest Housing (Block 28)
• Exterior Design
• Integrated Project Delivery
• Questions
Why the Project?
About OHSU
OHSU is where healing, teaching
and discovery come together.
• Based in Portland, Oregon
• Only Academic Medical Center in Oregon
• Academic Programs include: GME, SoM, SoN, SoD and PA
• Annual Operating Budget: $2.4 billion
• Employees: 15,098
• Patients: 276,778; Patient visits: 1,017,964
• OHSU Adult Hospital: 428 Beds
• Doernbecher Children's Hospital: 145 Beds
• CMI: 1.98
• Recent OHSU Partners include Salem Health and Tuality
Campus Expansion
Portland, OR
CHH South
OHSU South Waterfront Development
CHH
N
OHSU
Schnitzer Campus
Zidell Yards(33 acres)
CHH
S
BLK
28
OHSU Commons
Knight Cancer
Research Building
• Wet Labs
• Bio-Computing
• Conference Center
• Research Support
• Parking & Retail
CHH South & Block 28
• Outpatient Surgery
• Image Guided Procedures
• Outpatient Rooms
• Knight Cancer Clinics
• Knight Cancer Infusion
• Clinical Trials
• Block 28 — Parking Garage & Guest House
OHSU Commons
7/30/2015
Guest Housing
& Parking
BLOCK 28
CHH South
BLOCK 29
CHH North
BLOCK 25
Project
Outpatient Clinics
• Future Urgent Care
• Pre-Op Medicine Clinic
• Digestive Health
• ENT
Guest House & Parking Garage
• Guest Housing – 76 units
• Parking Garage
• Conference Center
• Support Space
Knight Cancer Institute
• Knight Cancer Clinics
• Knight Cancer Infusion
• Knight Cancer Clinical Trials
• Women’s Center
Public & Support
Procedural Service
Specialty Clinics
Cancer Center
Parking
CUP
Guest Housing
Procedural Service
• Outpatient Surgery – 10 ORs
• Center for Image Guided
Procedures (Endo, GI,
Cath/EP) – 14 Procedure
Rooms
• Outpatient Rooms – 48
• Procedural Support
• Sterile Processing
• Pathology, Lab, Blood Bank,
Physician Work & Call Rooms
ProcessBLOCK 29
Planning & Design Process
Integrated Design Process
• Establish Vision
• Set Target Metric & Strategic Imperatives
• Understand Current State
• Identify Future State Delivery Model
• Design Options(Use of table top exercises,
mockups, diagramming)
- Standardization
- Test Flows
- Propose New Ideas
• Detail Room Layout
- Mockup, Evaluate, Simulate, Test, Refine
Planning & Design Process
Cross Functional Representation
• Care Team (Physician, RNs, MAs, LPNs, Technicians, Managers, etc.)
• Research
• Patient & Family
• Professional Services- Laboratory, Pharmacy, Sterile Processing, Imaging
• Support Services- Logistics, Environmental Services, Clinical Technology,
Food & Nutrition, Environmental Health & Radiation
Safety, Public Safety & Transportation, Equipment Pool
• Infection Control
• Information Technology, Telemedicine, Epic
• Ed Communication, Events and Foundation
• Facilities
• Contractor & Trade Partners
• Consultants (i.e. MEP, Technology, Acoustic)
• Quality Management / Process Improvement
Planning & Design Process
Planning Outcomes & Impact on Design
• Arrival Process Including Blood Draw Location
• Integrated Service Lines Allowing for Flexibility
• Patient & Staff Flow
• Material & Instrument Flow
2,000SHEETS OF CARDBOARD
500+PACKS OF
POST-ITS
Planning & Design Process | Fun Facts
750,000 SFTOTAL PROJECT SIZE
Block 28 | 14
Block 29 | 15
PEOPLE
AT COLO
200AVERAGE MEETINGS
PER MONTH
$349MTOTAL PROJECT COST
2,600SANDWICHES SERVED(NOT INCLUDING HOT LUNCHES)
120+FLIP CHARTS
307PARTICIPANTS
300+PROJECT
TEAM MEMBERS
97 29 TOTAL
FLOORS
OHSU Commons | Ground Level
25
29 28
Site Plan
• Lobby connection from
existing Block 25 through to
Caruthers Park to the south
• Active uses at street
• Building support pulled
inside of building
• Parking entries on
SW Whitaker St.
• Drop off on SW Curry St.
• Secondary curb cuts on
SW Moody & SW River Pkwy
Project Update | Program Adjacencies
Procedural Service
Outpatient Clinics
Clinical Trials
Guest Housing
Other
CHH North Backfill
Program Key Passenger Elevator
Service Elevator
Future Service Elevator
Block 29 | CHH South Lobby
Lobby Programs
• Retail Pharmacy
• Phlebotomy
(Blood Draw)
• Café
• Check-in
• Future Coffee
• Ambulance bay
• GreeterCAFE
AMBULANCE
BAY
FUTURE
COFFEE
Block 29 | CHH South Level 2
Image-Guided Procedure Programs
• 2 Interventional
Radiology
• 4 Cardiology
• 6 Endoscopy
• 38 Pre / Post Positions
ENDOSCOPY
INTERVENTIONAL
RADIOLOGY
CARDIOLOGY
MINOR
PROCEDURE
Creation of the Center for Image Guided Procedures
Breaking down silos to
combine Interventional
Radiology, Catheterization,
Electrophysiology, and
Gastroenterology into
one procedural area.
Centralized Scope Processing
CHH North & South Level 3
Connection Between CHH North & CHH South
• Separated Public & Staff
Corridors via Skybridge
STERILE
PROCESSING
FUTURE
IMAGING
EXPANSION
LAB
PATIENT
KITCHEN
PROCEDURAL
STAFF
LOCKERS
PROCEDURAL
STAFF LOUNGE
Block 25
Block 29
Block 29 | CHH South Level 3
Procedure Support Programs
• Sterile Processing
• Laboratory
• Patient Kitchen for
Extended Stay
• Procedural Support
Program – Staff Lockers,
Staff Lounge & Limited
Workstations
• CTS Work Room
PROCEDURAL
STAFF LOCKERS
PROCEDURAL
STAFF LOUNGE
CHH North & South Level 4
PACU
OPERATING
ROOMS
PRE / POST
Connection Between CHH North & CHH South
• Separated Public & Staff
Corridors via Skybridge
EXISTING
OPERATING
ROOMS
EXISTING
PRE / POST
EXISTING
PACU
MINOR
PROCEDURE
& STAFF
WORKSTATIONS
Block 25
Block 29
Block 29 | CHH South Level 4
Surgery Program
• 10 Operating Rooms
• 15 PACU
• 24 Pre / Post Positions
Block 29 | CHH South Level 5
Program
• Future Waiting
• Mechanical
• Outdoor TerraceMECHANICAL
Block 29 | CHH South Level 6 & 7
Program
• 24 Outpatient Rooms / Floor
• Physical Therapy Gym
• 2 On-Call Rooms / Floor
• 1 Exam Room / Floor
Level 6
Level 7
Block 29 | CHH South Level 8
Program
• Pre-Op Medicine Clinic
- 13 Exams
- 2 Telemed
• Digestive Health Clinic
- 19 Exams
- 4 Colorectal
Procedure
- 1 Minor Procedure
Block 29 | CHH South Level 9
Program
• Knight Cancer
Multi-D Clinics
- 20 Oncology Exams
- 8 Thyroid / Parathyroid,
Head & Neck Exams
- 1 Procedure
• Women’s Imaging
- 2 Ultrasound
- 2 Mammography
- 1 Stereotactic
Block 29 | CHH South Level 10
Program
• Knight Cancer Clinics
- 36 Exams
- 1 Procedure
• Patient Education/
Resource Center
Block 29 | CHH South Level 11
Program
• Knight Cancer Infusion
- 52 Patient Stations
- 17 Private
- 20 Semi-Private
- 10 Open Bay
- 5 Fast Track
Block 29 | CHH South Level 12
Program
• Future Knight Cancer
Clinical Trials
- 12 Patient Stations
- 8 Private
- 4 Open Bay
• Pharmacy
- Hood Rooms
(Iso Class 7) Positive
and Negative (12
hoods on opening,
space for 2
additional in future)
- Refrigerator Room
- Workstations
- Monitor stations
Block 29 | CHH South Level 13 & 14
Program
• Knight Cancer
Research Workplace
- Workstations
- Private, Shared
& Group Offices
- Huddle Areas / Rooms
- Conference Rooms
Level 13
Level 14
Guest HouseBLOCK 28
Block 28 | Section
Block 28 | Ground Level
Ground Level
• Loading Dock
• Guest House Lobby
• Shelled Urgent Care
• Conference Center
• Bike Parking
• Bike Showers
• Support Services
Workstations
CONFERENCE CENTER
SHELLED
URGENT
CARE
GUEST
HOUSE
LOBBY
BIKE STORAGE &
STAFF LOCKERS
LOADING DOCK
SUPPORT
SERVICES
WORKSTATIONS
Block 28 | Guest House Common
Guest House Amenities
• Resource Business
Center
• Adult Kitchen
• Pediatric Kitchen
& Dining
• Playroom
• Game Room
• Fitness Room
• Family Activity Room
TERRACE
Block 28 | Guest House
Guest House
• 76 Rooms to Serve
Adult & Pediatric
Population
- 19 Rooms / Floor
TYPICAL GUEST HOUSE FLOOR PLAN
GUEST HOUSE ELEVENTH FLOOR PLAN
Exterior DesignBLOCK 28 / GUEST HOUSE
Block 28 Views | Southwest
Block 28 Views
Block 28 Views | Northeast
Block 28 Views
Exterior DesignBLOCK 29 / CHH SOUTH
Block 29 Views | South
Block 29 Views | South
Block 29 Views | South Drop Off
Block 29 Views | Southwest
7/30/2015
Block 29 Views | East
Block 29 Views | East
Block 29 Views | East
Block 29 Views | East Skybridge
Integrated Project Delivery
IPD | Contract Structure
Integrated Project Delivery (IPD) “Light”
• CMGC Contract
• Architectural Contract
Tied together with Tri Party Agreement
• 50% Profit at Risk
• Sizable Incentive Compensation Plan
- Innovation
- Clinical Enterprise Satisfaction
- Design & Construction Satisfaction
- Communication of Design
& Construction Solutions
- Construction Metrics
(Safety, Schedule, RFIs, Submittals)
Requires Trust, Culture & Engagement
Tri-Party Agreement
Architect Contract
Contractor Contract
IPD | Colocation—“South Park”
• 13 Modules connected
• 10,040 SF
• 100 workstations
• Big Room
• Medium and Small Conference rooms
• Occupants include
- Contractor, Trade Partners, Architects,
Consultants, Owners, Third Party Testing
Agencies, City of Portland
IPD | Contractor Involvement in Design
• Real Time Estimating
• Constructability
• Fabrication of Mock Ups
& Meeting Spaces
• Budget Validation
• Collaboration with Design Team
to Develop Shop Drawings
• Dialogue with End Users
IPD | Budget /Target Value Design
Manage Entire Budget
to Achieve Best Value
• Construction & Soft Costs
• Manage Component Teams
Real Time Estimating
• “One Off Pricing” Exercise—Pricing
Validation on Concepts
& Ideas
Best Value for the Project
A3 Process—Document Decisions
Questions?
Garage
Interior Design | The Story
Landmarks | Mount Hood, Mt. St. Helens, Willamette River, Portland Bridges, Portland Aerial Tram, OHSU
Qualities | Urban Community, Evolving Neighborhood, People, Landscape, Green Scape, Mountains,
Rivers, Parks, Nature
Activities | Walking, Biking, Jogging, Hiking, Climbing, Camping, Fishing, Kayaking, Dragon Boats,
Being Outdoors, Being Healthy.
The Pacific Northwest | Portland | South Waterfront | CHH North
Interior Design | The Concept
‘A Stroll on the Beach’
Connection | Oregon Coast
Neutral Palette
Interior Design | The Concept 58
‘A Day at the River’
Connection | Willamette River
Accent Palette | Blue
Interior Design | The Concept
‘A Hike in the Woods’
Connection | Mt. Hood National Forest
Accent Palette | Green
Interior Design | The Concept
Connection | Portland Parks & Gardens
‘A Walk in the Park’
Accent Palette | Gold