ohsu center for health and healing south

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


• Support Space

Knight Cancer Institute



• 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


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 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


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


Surgery Program

• 10 Operating Rooms

• 15 PACU

• 24 Pre / Post Positions


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


Program

• Pre-Op Medicine Clinic

- 13 Exams

- 2 Telemed

• Digestive Health Clinic

- 19 Exams

- 4 Colorectal

Procedure

- 1 Minor Procedure


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


Program


- 36 Exams

- 1 Procedure

• Patient Education/

Resource Center


Program


- 52 Patient Stations

- 17 Private

- 20 Semi-Private

- 10 Open Bay

- 5 Fast Track


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


• 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 Drop Off

Block 29 Views | Southwest

7/30/2015

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


‘A Hike in the Woods’

Connection | Mt. Hood National Forest

Accent Palette | Green


Connection | Portland Parks & Gardens

‘A Walk in the Park’

Accent Palette | Gold

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ohsu center for health and healing south

Documents