provide the hospital owner and year of report per section ... 250 bon air road greenbrae marin...
TRANSCRIPT
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Facility Number:
Hospital Owner/Licensee:
City:
Address:
Facility Name:
Year of Reporting:
Contact 1 e-mail Address:
Contact 2 e-mail Address:
Contact 3 e-mail Address::
Name of Submitter:
Submission Date:
10273
Marin General Hospital
250 Bon Air Road
Greenbrae
Marin General Hospital
2011
Marin General Hospital
1/29/2012 3:00:00 PM
Provide the Hospital Owner and Year of Report per Section 130061(e)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:1 of 35Report Year:
-
For buildings which are planned for retrofit or replacement the report shall identify: Whether the hospital owner intends to retrofit or replace the building to SPC 2 or SPC 5 per section 130061(c)(1)(A). The deadline, as described in Section 130060 or 130061.5, for retrofit or replacement of the bulding that the hospital owner intends to meet, and the applicable extension for which the hospital owner has been approved per Section 130061(c)(1)(B)
Bldg.No. Building Name Alternate Building Address
Building Resolution
Final SPC RatingIf Required
Extension Date
Anticipated Completion Date
01/01/201501/01/2013SPC5Replace01 - Original Building & Additions
01 250 Bon Air Road
01/01/201501/01/2013SPC5Replace03 - Cobalt Bomb Wing03 250 Bon Air Road
01/01/201501/01/2013SPC5Replace04 - Medical Health Center
05 250 Bon Air Road
01/01/201501/01/2013SPC5Replace05 - Elevated Pedestrian Bridge
06 250 Bon Air Road
01/01/201501/01/2013SPC5Replace05A - Elevator06A 250 Bon Air Road
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:2 of 35Report Year:
-
01 - Original Building & AdditionsBuilding No: 01 No Retrofit/Replacement Project:
10273 IS082451 0 12/31/2008 01/01/2012 01/01/2015 OPEN Yes
Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status CEQANumber Number Num in Date Date Date Review_
03 - Cobalt Bomb WingBuilding No: 03 No Retrofit/Replacement Project:
10273 IS082451 0 12/31/2008 01/01/2012 01/01/2015 OPEN Yes
Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status CEQANumber Number Num in Date Date Date Review_
04 - Medical Health CenterBuilding No: 05 No Retrofit/Replacement Project:
10273 IS082451 0 12/31/2008 01/01/2012 01/01/2015 OPEN Yes
Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status CEQANumber Number Num in Date Date Date Review_
05 - Elevated Pedestrian BridgeBuilding No: 06 No Retrofit/Replacement Project:
10273 IS082451 0 12/31/2008 01/01/2012 01/01/2015 OPEN Yes
Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status CEQANumber Number Num in Date Date Date Review_
For each building which is planned for retrofitting or replacement, provide the project numbers, per Section 130061(c)(1)(C). The projected construction start date or dates and projected Completion date or dates per Section 130061(c)(1)(D) and the most recent project status and approvals per Section 130061(c)(1)(E).
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:3 of 35Report Year:
-
05A - ElevatorBuilding No: 06A No Retrofit/Replacement Project:
10273 IS082451 0 12/31/2008 01/01/2012 01/01/2015 OPEN Yes
Facility Project Sub Scope Date Plan Approved Proj. Start Proj. Completed Status CEQANumber Number Num in Date Date Date Review_
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:4 of 35Report Year:
-
01 01 - Original Building & Additions
X
X
Nursing
Building Number: Building Name:
IntensiveCare
X
X
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
X
X X
X
X
XX
XX
X139
1030095
Type of Service Provided
Inpatient Beds
Inpatient Beds
Inpatient Days
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
8
14
0
22
0
0
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
1024
831
0
3969
0
0
Total Beds this Building
Surgical ObstetricalRecovery
X
AnesthesiaNewborn/WellBaby
Support Services
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
OutpatientSurgery
Central Plant
Emergency
Nuclear Medicine
RehabilitationTherapy
Renal Dialysis
Provide the number of inpaient beds and patient days per type of service per building per Section 130061(c)(1)(F)
X ObstetricalCesarean/Deliv
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:5 of 35Report Year:
-
03 03 - Cobalt Bomb Wing
Nursing
Building Number: Building Name:
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
0
00
Type of Service Provided
Inpatient Beds
Inpatient Beds
Inpatient Days
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
0
0
0
0
0
0
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
0
0
0
0
0
0
Total Beds this Building
Surgical ObstetricalRecovery
AnesthesiaNewborn/WellBaby
Support Services
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
OutpatientSurgery
Central Plant
Emergency
Nuclear Medicine
RehabilitationTherapy
Renal Dialysis
Provide the number of inpaient beds and patient days per type of service per building per Section 130061(c)(1)(F)
ObstetricalCesarean/Deliv
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:6 of 35Report Year:
-
05 04 - Medical Health Center
Nursing
Building Number: Building Name:
IntensiveCare
X
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
17
00
Type of Service Provided
Inpatient Beds
Inpatient Beds
Inpatient Days
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
0
0
17
0
0
0
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
0
0
5467
0
0
0
Total Beds this Building
Surgical ObstetricalRecovery
AnesthesiaNewborn/WellBaby
Support Services
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
OutpatientSurgery
Central Plant
Emergency
Nuclear Medicine
RehabilitationTherapy
Renal Dialysis
Provide the number of inpaient beds and patient days per type of service per building per Section 130061(c)(1)(F)
ObstetricalCesarean/Deliv
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:7 of 35Report Year:
-
06 05 - Elevated Pedestrian Bridge
Nursing
Building Number: Building Name:
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
0
00
Type of Service Provided
Inpatient Beds
Inpatient Beds
Inpatient Days
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
0
0
0
0
0
0
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
0
0
0
0
0
0
Total Beds this Building
Surgical ObstetricalRecovery
AnesthesiaNewborn/WellBaby
Support Services
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
OutpatientSurgery
Central Plant
Emergency
Nuclear Medicine
RehabilitationTherapy
Renal Dialysis
Provide the number of inpaient beds and patient days per type of service per building per Section 130061(c)(1)(F)
ObstetricalCesarean/Deliv
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:8 of 35Report Year:
-
06A 05A - Elevator
Nursing
Building Number: Building Name:
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
0
00
Type of Service Provided
Inpatient Beds
Inpatient Beds
Inpatient Days
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
0
0
0
0
0
0
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
Inpatient Days
0
0
0
0
0
0
Total Beds this Building
Surgical ObstetricalRecovery
AnesthesiaNewborn/WellBaby
Support Services
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
OutpatientSurgery
Central Plant
Emergency
Nuclear Medicine
RehabilitationTherapy
Renal Dialysis
Provide the number of inpaient beds and patient days per type of service per building per Section 130061(c)(1)(F)
ObstetricalCesarean/Deliv
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:9 of 35Report Year:
-
Building Number: Building Name:
Pediatric
Perinatal (excluse Newborn / GYN)
Medical / Surgical (Include GYN)
Intermediate Card
Coronary Care
Intensive Care Rehabilitation Center
Chemical Dependency
Acute Respiratory Care
Skilled Nursing Burn
intensive Care Newborn Nursery
Acute Psychiatric
Int. Care / development Disabled
Total Beds this Building Per Unit
Total Beds this Building Per Service
InpatientBed
InpatientDays
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
01 01 - Original Building & Additions
95 10300
22 3969
14 831
0 0
0 0
0 0
0 0
8 1024
0 0
0 0 139 139
0 0
0 0
0 0
0 0
Provide the number of Inpatient beds and patient days per type of unit per building per Section 130061(c)(1)(F)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:10 of 35Report Year:
-
Building Number: Building Name:
Pediatric
Perinatal (excluse Newborn / GYN)
Medical / Surgical (Include GYN)
Intermediate Card
Coronary Care
Intensive Care Rehabilitation Center
Chemical Dependency
Acute Respiratory Care
Skilled Nursing Burn
intensive Care Newborn Nursery
Acute Psychiatric
Int. Care / development Disabled
Total Beds this Building Per Unit
Total Beds this Building Per Service
InpatientBed
InpatientDays
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
03 03 - Cobalt Bomb Wing
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0
0 0
0 0
0 0
0 0
Provide the number of Inpatient beds and patient days per type of unit per building per Section 130061(c)(1)(F)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:11 of 35Report Year:
-
Building Number: Building Name:
Pediatric
Perinatal (excluse Newborn / GYN)
Medical / Surgical (Include GYN)
Intermediate Card
Coronary Care
Intensive Care Rehabilitation Center
Chemical Dependency
Acute Respiratory Care
Skilled Nursing Burn
intensive Care Newborn Nursery
Acute Psychiatric
Int. Care / development Disabled
Total Beds this Building Per Unit
Total Beds this Building Per Service
InpatientBed
InpatientDays
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
05 04 - Medical Health Center
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 17 17
17 5467
0 0
0 0
0 0
Provide the number of Inpatient beds and patient days per type of unit per building per Section 130061(c)(1)(F)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:12 of 35Report Year:
-
Building Number: Building Name:
Pediatric
Perinatal (excluse Newborn / GYN)
Medical / Surgical (Include GYN)
Intermediate Card
Coronary Care
Intensive Care Rehabilitation Center
Chemical Dependency
Acute Respiratory Care
Skilled Nursing Burn
intensive Care Newborn Nursery
Acute Psychiatric
Int. Care / development Disabled
Total Beds this Building Per Unit
Total Beds this Building Per Service
InpatientBed
InpatientDays
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
06 05 - Elevated Pedestrian Bridge
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0
0 0
0 0
0 0
0 0
Provide the number of Inpatient beds and patient days per type of unit per building per Section 130061(c)(1)(F)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:13 of 35Report Year:
-
Building Number: Building Name:
Pediatric
Perinatal (excluse Newborn / GYN)
Medical / Surgical (Include GYN)
Intermediate Card
Coronary Care
Intensive Care Rehabilitation Center
Chemical Dependency
Acute Respiratory Care
Skilled Nursing Burn
intensive Care Newborn Nursery
Acute Psychiatric
Int. Care / development Disabled
Total Beds this Building Per Unit
Total Beds this Building Per Service
InpatientBed
InpatientDays
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
06A 05A - Elevator
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0
0 0
0 0
0 0
0 0
Provide the number of Inpatient beds and patient days per type of unit per building per Section 130061(c)(1)(F)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:14 of 35Report Year:
-
01 01 - Original Building & Additions
02 02 - Additions & Alterations
03 03 - Cobalt Bomb Wing
05 04 - Medical Health Center
06 05 - Elevated Pedestrian Bridge
06A 05A - Elevator
07 06 - West Wing
13 Ambulance Entry Canopy
For all buildings at the facility, indicate which ones are scheduled for general acute service removal.
Building Number
Building Name
Building to be Removed
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:15 of 35Report Year:
-
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:16 of 35Report Year:
-
Building Number: Building Name:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
01 01 - Original Building & Additions
X
X
X
X
Type of Service Provided
Surgical
Anesthesia
Support Services
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
OutpatientSurgery
Central Plant
RehabilitationTherapy
Renal Dialysis
X
X
X
X
X
X
X
X
X
X
X
X
X
Obstetrical Cesarean/Deliv
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
Report any general acute care hospital inpatient service that is provided in any genaral acute care hospital building that is rated SPC-1 per Section 130061(c)(4)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:17 of 35Report Year:
-
Building Number: Building Name:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
03 03 - Cobalt Bomb Wing
Type of Service Provided
Surgical
Anesthesia
Support Services
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
OutpatientSurgery
Central Plant
RehabilitationTherapy
Renal Dialysis
X
Obstetrical Cesarean/Deliv
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
Report any general acute care hospital inpatient service that is provided in any genaral acute care hospital building that is rated SPC-1 per Section 130061(c)(4)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:18 of 35Report Year:
-
Building Number: Building Name:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
05 04 - Medical Health Center
X
Type of Service Provided
Surgical
Anesthesia
Support Services
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
OutpatientSurgery
Central Plant
RehabilitationTherapy
Renal Dialysis
Obstetrical Cesarean/Deliv
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
Report any general acute care hospital inpatient service that is provided in any genaral acute care hospital building that is rated SPC-1 per Section 130061(c)(4)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:19 of 35Report Year:
-
Building Number: Building Name:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
06 05 - Elevated Pedestrian Bridge
Type of Service Provided
Surgical
Anesthesia
Support Services
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
OutpatientSurgery
Central Plant
RehabilitationTherapy
Renal Dialysis
Obstetrical Cesarean/Deliv
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
Report any general acute care hospital inpatient service that is provided in any genaral acute care hospital building that is rated SPC-1 per Section 130061(c)(4)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:20 of 35Report Year:
-
Building Number: Building Name:
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
06A 05A - Elevator
Type of Service Provided
Surgical
Anesthesia
Support Services
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
OutpatientSurgery
Central Plant
RehabilitationTherapy
Renal Dialysis
Obstetrical Cesarean/Deliv
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
Report any general acute care hospital inpatient service that is provided in any genaral acute care hospital building that is rated SPC-1 per Section 130061(c)(4)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:21 of 35Report Year:
-
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
Support Services
Administration
Dietetic
Pharmaceutical
Radiological/Imaging
Clinical Lab
Anesthesia
Surgical
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
RehabilitationTherapy
Renal Dialysis
OutpatientSurgery
Central Plant
Obstetrical Cesarean/Deliv
Building Number:
Type of Service Provided
Building Name:
X
X
X
X
01 01 - Original Building & Additions
Replace with new SPC 5 and NPC 4 or NPC 5 buildingConfiguration:
X
X
X
X
X
X
X
X
X
X
X
X
X
Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general actue care hospital building per Section 130061(c)(5)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:22 of 35Report Year:
-
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
Support Services
Administration
Dietetic
Pharmaceutical
Radiological/Imaging
Clinical Lab
Anesthesia
Surgical
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
RehabilitationTherapy
Renal Dialysis
OutpatientSurgery
Central Plant
Obstetrical Cesarean/Deliv
Building Number:
Type of Service Provided
Building Name:
02 02 - Additions & Alterations
Replace with new SPC 5 and NPC 4 or NPC 5 buildingConfiguration:
X
Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general actue care hospital building per Section 130061(c)(5)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:23 of 35Report Year:
-
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
Support Services
Administration
Dietetic
Pharmaceutical
Radiological/Imaging
Clinical Lab
Anesthesia
Surgical
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
RehabilitationTherapy
Renal Dialysis
OutpatientSurgery
Central Plant
Obstetrical Cesarean/Deliv
Building Number:
Type of Service Provided
Building Name:
03 03 - Cobalt Bomb Wing
Replace with new SPC 5 and NPC 4 or NPC 5 buildingConfiguration:
X
Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general actue care hospital building per Section 130061(c)(5)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:24 of 35Report Year:
-
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
Support Services
Administration
Dietetic
Pharmaceutical
Radiological/Imaging
Clinical Lab
Anesthesia
Surgical
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
RehabilitationTherapy
Renal Dialysis
OutpatientSurgery
Central Plant
Obstetrical Cesarean/Deliv
Building Number:
Type of Service Provided
Building Name:
X
05 04 - Medical Health Center
Replace with new SPC 5 and NPC 4 or NPC 5 buildingConfiguration:
Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general actue care hospital building per Section 130061(c)(5)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:25 of 35Report Year:
-
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
Support Services
Administration
Dietetic
Pharmaceutical
Radiological/Imaging
Clinical Lab
Anesthesia
Surgical
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
RehabilitationTherapy
Renal Dialysis
OutpatientSurgery
Central Plant
Obstetrical Cesarean/Deliv
Building Number:
Type of Service Provided
Building Name:
06 05 - Elevated Pedestrian Bridge
Replace with new SPC 5 and NPC 4 or NPC 5 buildingConfiguration:
Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general actue care hospital building per Section 130061(c)(5)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:26 of 35Report Year:
-
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
Support Services
Administration
Dietetic
Pharmaceutical
Radiological/Imaging
Clinical Lab
Anesthesia
Surgical
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
RehabilitationTherapy
Renal Dialysis
OutpatientSurgery
Central Plant
Obstetrical Cesarean/Deliv
Building Number:
Type of Service Provided
Building Name:
06A 05A - Elevator
Replace with new SPC 5 and NPC 4 or NPC 5 buildingConfiguration:
Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general actue care hospital building per Section 130061(c)(5)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:27 of 35Report Year:
-
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
Support Services
Administration
Dietetic
Pharmaceutical
Radiological/Imaging
Clinical Lab
Anesthesia
Surgical
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
RehabilitationTherapy
Renal Dialysis
OutpatientSurgery
Central Plant
Obstetrical Cesarean/Deliv
Building Number:
Type of Service Provided
Building Name:
X
X
07 06 - West Wing
Retrofit Conforming building to NPC 4 or NPC 5Configuration:
X
X
X
X
X
Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general actue care hospital building per Section 130061(c)(5)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:28 of 35Report Year:
-
Nursing
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
Support Services
Administration
Dietetic
Pharmaceutical
Radiological/Imaging
Clinical Lab
Anesthesia
Surgical
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
RehabilitationTherapy
Renal Dialysis
OutpatientSurgery
Central Plant
Obstetrical Cesarean/Deliv
Building Number:
Type of Service Provided
Building Name:
13 Ambulance Entry Canopy
Retrofit Conforming building to NPC 4 or NPC 5Configuration:
Report the final configuration of all buildings on the hospital campus showing how each building will comply with the SPC-5/NPC-4 or 5 requirements whether by retrofit or by replacement and the type of service that will be provided in each general actue care hospital building per Section 130061(c)(5)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:29 of 35Report Year:
-
02 02 - Additions & Alterations
Nursing
Building Number: Building Name:
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
0
0
Type of Service Provided
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
0
0
0
0
0
0
Total Beds this Building
Surgical
Anesthesia
Support Services
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
OutpatientSurgery
Central Plant
RehabilitationTherapy
Renal Dialysis
Obstetrical Cesarean/Deliv
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
Include information on the number of inpatient beds by type of Service provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:30 of 35Report Year:
-
07 06 - West Wing
X
X
Nursing
Building Number: Building Name:
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
X
X
X
X
X
79
69
Type of Service Provided
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
10
0
0
0
0
0
Total Beds this Building
Surgical
Anesthesia
Support Services
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
OutpatientSurgery
Central Plant
RehabilitationTherapy
Renal Dialysis
Obstetrical Cesarean/Deliv
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
Include information on the number of inpatient beds by type of Service provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:31 of 35Report Year:
-
13 Ambulance Entry Canopy
Nursing
Building Number: Building Name:
IntensiveCare
Pediatric/Adolescent
PsychiatricNursing
ObstetricalAnte/Postprtum
IntermediateCare
Skilled Nursing
0
0
Type of Service Provided
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
Inpatient Beds
0
0
0
0
0
0
Total Beds this Building
Surgical
Anesthesia
Support Services
Administration
Dietetic
Pharmaceutical
Clinical Lab
Radiological/Imaging
OutpatientSurgery
Central Plant
RehabilitationTherapy
Renal Dialysis
Obstetrical Cesarean/Deliv
ObstetricalRecovery
Newborn/WellBaby
Emergency
Nuclear Medicine
Include information on the number of inpatient beds by type of Service provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:32 of 35Report Year:
-
Building Number: Building Name:
Pediatric
Perinatal (excluse Newborn / GYN)
Medical / Surgical (Include GYN)
Intermediate Card
Coronary Care
Intensive Care Rehabilitation Center
Chemical Dependency
Acute Respiratory Care
Skilled Nursing Burn
intensive Care Newborn Nursery
Acute Psychiatric
Int. Care / development Disabled
Total Beds this Building Per Unit
Total Beds this Building Per Service
InpatientBed
InpatientDays
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
02 02 - Additions & Alterations
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0
0 0
0 0
0 0
0 0
Include information on the number of inpatient beds by type of unit provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:33 of 35Report Year:
-
Building Number: Building Name:
Pediatric
Perinatal (excluse Newborn / GYN)
Medical / Surgical (Include GYN)
Intermediate Card
Coronary Care
Intensive Care Rehabilitation Center
Chemical Dependency
Acute Respiratory Care
Skilled Nursing Burn
intensive Care Newborn Nursery
Acute Psychiatric
Int. Care / development Disabled
Total Beds this Building Per Unit
Total Beds this Building Per Service
InpatientBed
InpatientDays
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
07 06 - West Wing
69 18574
0 0
0 0
10 2984
0 0
0 0
0 0
0 0
0 0
0 0 79 79
0 0
0 0
0 0
0 0
Include information on the number of inpatient beds by type of unit provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:34 of 35Report Year:
-
Building Number: Building Name:
Pediatric
Perinatal (excluse Newborn / GYN)
Medical / Surgical (Include GYN)
Intermediate Card
Coronary Care
Intensive Care Rehabilitation Center
Chemical Dependency
Acute Respiratory Care
Skilled Nursing Burn
intensive Care Newborn Nursery
Acute Psychiatric
Int. Care / development Disabled
Total Beds this Building Per Unit
Total Beds this Building Per Service
InpatientBed
InpatientDays
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
InpatientDays
InpatientBed
13 Ambulance Entry Canopy
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 0 0
0 0
0 0
0 0
0 0
Include information on the number of inpatient beds by type of unit provided by buildings that are classified as SPC-2, SPC-3, SPC-4, and SPC-5 per Section 130061(e)
Report Status: 2/1/2012 3:49 PMData Last Update: 01/17/2012 Submission Date: 01/29/2012 Print Date:
102732011 Marin General Hospital Greenbrae Page:35 of 35Report Year: